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spk00
Good morning. My name is Howard, and I will be your conference call operator today. At this time, I would like to welcome everyone to the Sotera Health second quarter 2022 earnings call. All lines have been placed on mute to prevent any background noise. After the speaker's remarks, there will be a question and answer session. If you would like to ask a question during that time, please press star 1 1 on your telephone. I will now hand the call over to the Vice President of Investor Relations, Joe Vitale.
spk09
Good morning and thank you. Welcome to Satara Health's second quarter 2022 results call. You can find today's press release and accompanying supplemental slides in the investor section of our website at satarahealth.com. This webcast is being recorded and a replay will be available in the investor relations section of the Satara Health website. On the call with me today are Michael Petras, Chairman and Chief Executive Officer, and Michael Beale, Interim Chief Financial Officer. During the call, some of the statements the company makes may be considered forward-looking statements. The matters addressed in these statements are subject to risks and uncertainties that could cause actual results to differ materially from those projected or implied. Please refer to Cetera Health's SEC filings and the forward-looking statement slide at the beginning of our presentation for a description of these risks and uncertainties. The company assumes no obligation to update any such forward-looking statements. Please note that during the discussion today, the company will present both GAAP and non-GAAP financial measures, including adjusted EBITDA, adjusted EPS, and net leverage ratio. A reconciliation of non-GAAP to GAAP measures for all relevant periods may be found in the schedules attached to the company's press release and in our supplemental slides. The operator will be assisting with the Q&A portion of the call today. please limit yourself to one question and one follow-up so that we can try to give everyone an opportunity to ask questions. I'll now turn the call over to Cetera Health Chairman and CEO, Michael Petras.
spk11
Good morning, everyone, and thank you for joining us on Cetera Health's second quarter 2022 earnings call. I'm very pleased this morning to be reporting another quarter of year-over-year top and bottom line growth, especially when compared to our performance against an exceptionally strong quarter last year. In fact, the second quarter of 2022 represents the highest revenue and earnings quarter in our reporting history. I am especially proud of our team's performance in the face of continuing economic and geopolitical uncertainty, including high inflation, currency fluctuations, labor constraints, and ongoing supply chain challenges. Sotero Health continues to deliver growth and strong financial results despite this backdrop while taking care of our customers and remain committed to our mission, safeguarding global health. I welcome our interim CFO, Michael Beal, to today's call. He will provide more detail about our financial results in a moment, but first I want to highlight a few items from our second quarter results. We reported total revenue growth of 5.8% and adjusted EBITDA growth of 1.2% compared to the second quarter of 2021. On a constant currency basis, revenue grew by approximately 9%. Recall that last year's second quarter benefited from high levels of demand for COVID-related testing at Nelson Labs and significant Cobalt 60 product shipments at Nordion. Adjusted EPS was 27 cents in the second quarter, which is a one cent increase over the same period last year. For the first half of 2022, Cetera Health has total revenue growth of 8.5% and adjusted EBITDA growth of 4.8% versus the first half of 2021 on a constant currency basis first half 2022 revenues grew by approximately 11 overall i am pleased with our first half financial performance and laid the challenges i just referenced we will address our views in the second half of 2022 and the updates of sotero health full year outlook shortly but now i'd like to discuss our three businesses results in some more detail Sterigenics, our largest reporting segment, continues to deliver strong results in 2022 as the business saw good demand across all major modalities of sterilization and is running at high capacity utilization rates. The team is working to offset inflation pressures and optimize operational efficiencies. Sterigenics is working closely with the Saterra Health Expert Advisory Services team to design efficient protocols to meet our customers' needs and regulatory requirements while optimizing capacity utilization for our stereogenics facilities and ultimately better servicing our customers. To that end, I am happy to share that our thought leadership around EO efficiency continues to be acknowledged by the industry. Most recently, our expert advisory services team was recognized at a premier industry conference for their EO cycle optimization work with a large global customer. This work significantly reduced EO usage and cycle times with no compromise to sterility assurance levels. Another great example of how our teams are working to fulfill Cetera Health's mission. Sterigenics continues to make meaningful progress on our capacity expansion programs and facility enhancements. In May 2022, we announced the official opening of our new E-Beam line located in our Sterigenics Indiana facility. We expect to bring additional installed capacity online later in 2022 and over the next 24 months. as we commissioned seven capacity expansion projects and two greenfield investments. As previously communicated, we continue to invest in industry-leading emission control enhancements to our EO processing facilities. We are committed to maintaining best-in-class operations for our customers, employees, and the communities in which we operate. Norian, our other reporting segment within the sterilization business, also had a very strong quarter. driven by the timing of Cobalt 60 product shipments. The second quarter 2022 revenue exceeded Norian's second quarter 2021 revenue, which also benefited from very strong Cobalt shipments. We've talked in the past that Norian revenue is influenced by nuclear reactor site schedules, so quarterly revenues are nonlinear. We continue to see this impact our quarterly results, including our strong second quarter performance and our second half 2022 expectations. The Nordion team executed extremely well this quarter, transporting a significant amount of Cobalt-60 while navigating a very challenging geopolitical environment and an increasingly diverse global supply chain. Recall that this business procures Cobalt-60 globally, then uses the material to produce a finished product at our Ottawa, Canada facility, and then ships the products in compliance with stringent regulations to our global customers. I want to note that today there are no sanctions that prohibit Nordion from accessing Cobalt-60 from Russia. We operate in full compliance with all regulations. At this point in the year, we now estimate the risk of potential disruption in Russia's supply at 1% or less of Sentara Health's total 2022 revenues. Nelson Labs, our third reporting segment, also recorded a strong second quarter, improving upon some operating headwinds that exist in the first quarter of 2022. In fact, the second quarter of 2022 was Nelson Labs' highest revenue quarter in its history. The Nelson Labs team continues to extend its leadership position in testing and advisory services for medical device and pharma markets, helping customers deliver their products to the market safely in a compliant manner. Demand for the quarter was stable and productivity meaningfully improved as Nelson Labs rebounded from labor constraints and Omnicron-related absenteeism that were headwinds early in the year. You may recall that Nelson Labs benefited from strong pandemic-related testing, which was near its peak in early 2021 and has normalized. Despite the continued headwind, the Nelson Lab team continues to grow revenue in other parts of the business, including other high-value testing areas. As I said in my opening comments, we are pleased with the solid start to 2022 delivered by our three businesses. The macroeconomic environment has been challenging, but we expect to maintain good momentum in the second half of 2022. With the benefit of a half a year behind us, we are now narrowing our full year outlook for 2022, taking into consideration the foreign exchange headwinds we are experiencing as well as other macroeconomic pressures that are likely to persist this year. We are confident in our pricing actions to be able to offset inflation, although, as we have stated, there could be some lag effect depending on customer contract renewal timing. Regarding our outlook, our full year net revenue growth outlook is 7% to 10%, while our full year adjusted EBITDA is expected to grow 7% to 9%. Both are consistent with our long-term growth objectives. We do not see any changes to our capital expenditures outlook of $140 million to $170 million in 2022. Before I turn the call over to Michael Beale, I want to highlight some recent examples of how we deliver on our mission, safeguarding global health. At Nelson Labs, we're working with the customer to bring to market a new gene therapy drug that can reduce dosing protocols for patients with severe hemophilia from over 100 doses per year to one dose per year, greatly improving the quality of life for many patients. It's this type of solution that directly impacts many patient lives It makes us very proud to play a role in delivery of innovative healthcare products. At Nelson Labs, we're actively testing the effectiveness of surface disinfectants against the monkeypox virus. This is another example of how our teams work with clients to address potential global health risks in real time. At Sterigenics, we're working closely with a customer to establish a sterilization process for innovative heart valve catheters which provides a less invasive alternative treatment to open-heart surgery. At Nordian, we are commissioning an additional production cell to focus on Cobalt-60 recovery, enabling Nordian to fully utilize certain products that are approaching end-of-life and alternative applications. This investment reduces waste and, as a result, has a positive environmental impact. We are proud to share these examples of how our Cetera Health team is working to ensure healthcare is consistently reliably and safely delivered every day. Finally, I'd like to comment briefly on our recent organizational change. I want to formally introduce Michael Beal, our interim CFO, who has joined the leadership team at Cetera Health and will lead the finance organization while we conduct our national search for permanent CFO. Michael brings a wealth of public company leadership and financial expertise to us, and we are happy to be working with Michael. Now, Michael Beal will take us through the financials in more depth.
spk02
Thank you, Michael, and thanks for the opportunity to help the company during this period. I'll first cover the second quarter 2022 highlights on a consolidated basis and then provide some details on each of the business segments, along with updates on capital deployment and leverage. I'll conclude with some additional details around our update for the 2022 outlook. As Michael mentioned, we had a very strong second quarter of 2022. highest revenue in adjusted EBITDA quarter in our history. It's worth reiterating that these results are being compared to what was previously the best quarter in Satara Health's reporting history, making our Q2 2022 top line performance even more impressive. On a consolidated total company basis, revenue grew by 6% as compared to the second quarter of last year to $2,267 million. Adjusted EBITDA grew by 1% from Q2 2021 to $136 million. Adjusted EBITDA margins were 51.1%, representing a 240 basis point decline from second quarter 2021 levels, but still reflective of strong capacity utilization and throughput. The adjusted EBITDA margin decline compared to second quarter 2021 was driven primarily by timing of pricing actions versus realized inflation at Sterigenics, less favorable product mix at Nordion, and an unfavorable but improving margin profile at Nelson Labs. Recall that Nelson Labs benefited from high margin pandemic related testing volumes to the second quarter of 2021 before those volumes started to normalize. It's important to note that Nelson Labs did incrementally improve margins by 400 basis points versus first quarter of 2022 margin levels, which I'll discuss in more detail in a moment. Our strong operating performance drove adjusted earnings per share of 27 cents, an increase of one cent from second quarter of 2021, which again was our highest adjusted EPS period before this quarter. Diluted EPS for the second quarter was $0.11, down $0.04 versus second quarter last year. A big driver of that decline was an impairment charge of $9.6 million related to a joint venture associated with our 2020 Iatron acquisition. Due to a shift in business strategy, the joint venture will not proceed, and the joint venture partner will continue to utilize existing Sterigenics facilities for their processing needs. That impairment impacted diluted earnings per share by approximately $0.03 this quarter. A reported interest expense of $14 million benefits from a mark-to-market gain on certain outstanding interest rate hedges for which we did not elect hedge accounting. We have removed the effect of that gain in our adjusted EPS. Excluding this gain, second quarter interest expense would have been approximately $17 million. Now let's take a closer look at our segment performances. In Q2, Sterigenics delivered 9% revenue growth to $158 million and 7% segment income growth to $85 million as compared to Q2 of last year. Revenue growth drivers for Q2 included favorable pricing of 6% and favorable volume and mix of 5%. to partially offset by unfavorable foreign currency headwinds of 2.5%. Compared to the second quarter of 2021, segment income margins contracted by 90 basis points to 53.9%, driven by foreign currency headwinds and the timing of contractual pricing actions versus realized inflation. Sequentially, margin did improve over first quarter 2022 levels, As Michael mentioned, we're pleased with the progress Sterigenics is making on their active capacity expansion projects. The team is also focusing on improved operating efficiencies to fully leverage our highly utilized capacity. For Nordion, Q2 revenue grew by 3% to approximately $51 million compared to Q2 2021. Both periods were historic high points for the business. Nordion's segment income declined by 4% to $30 million compared to the same period last year. Again, both periods represent high levels compared to all other quarters. Nordion's revenue growth was driven primarily by pricing of 6% offset by 3% of foreign currency headwinds for the quarter. As Michael mentioned, Nordion quarterly shipments are nonlinear. Despite the strong first half revenue performance, our full year 2022 revenue expectations remain unchanged. Nordian's margins were 59.4%, a 410 basis point decline from second quarter 2021 peak margin levels. Product miss was less favorable than second quarter 2021, and foreign currency headwinds also contributed to the shortfall. However, overall we are pleased with Nordion's strong margin profile. For Nelson Labs, second quarter 2022 revenue improved 1.3% to $58 million compared to the second quarter of 2021. Segment income of $21 million was 12% unfavorable to the second quarter of 2021. Note that second quarter revenue did grow $5 million or 9% from first quarter 2022 as Nelson Labs rebounded from a low point in labor utilization. Revenue growth for second quarter 2022 was favorably impacted by a 6% increase from recent acquisitions and a 5% benefit from pricing. Those benefits were partially offset by a 5% decline in pandemic-related testing volumes versus 2021, as well as foreign currency headwinds of 2.6%. Q2 2022 margins for Nelson Labs contracted to 36%, or approximately 500 basis points versus Q2 2021 margin levels. This decline is primarily related to less favorable mix in Q2 2022 due to a reduction in pandemic-related high margin testing, as well as dilution from acquisitions. Nelson Labs did realize a 400 basis point improvement in margins from first quarter 2022. As expected, the 300 basis point headwind in first quarter 2022 from Omicron-related capacity constraints diminished in the second quarter. In addition, high-value testing services, apart from those related to the pandemic, drove the balance of the improvement. While we expect that the pandemic-related testing is behind us, the Nelson Lab team continues to drive margin improvement opportunities through acquisition synergies, greater labor utilization, and delivery of high-value services. Now I'd like to provide some highlights relating to capital deployment and net leverage. Our capex for Q2 2022 was 36 million, consistent with the increased levels of spend that we communicated for a full year 2022. Growth capex and facility enhancements continue to drive our increased investment levels, and we are on track to invest 140 to 170 million into the business in 2022. As of June 30th, 2022, We had $140 million in cash and continue to have strong liquidity position to fund future projects. Our net leverage remained 3.4 times adjusted EBITDA for the quarter and is tracking to both our 2022 guidance and our longer term leverage goals. Now I'd like to recap our update to the full year 2022 outlook for the full year 2022, we have narrowed total revenues to a range of $1 billion to $1.22 billion, representing annual growth of approximately 7% to 10%. We have narrowed our adjusted EBITDA range to $515 million to $525 million, representing the annual growth of approximately 7% to 9%. We believe the new range properly considers the foreign currency and macroeconomic headwinds we expect will continue in 2022. This range also acknowledges the expected lower product shipments for Nordion in the second half of the year after Nordion's strong first half performance. Nonetheless, we still expect to deliver strong results in a challenging environment. We have narrowed the adjusted earnings per share range to 93 cents to 97 cents, reflecting the narrowed adjusted EBITDA flow through. The other elements of our previously issued outlook remain the same. I'll now turn the call back over to you, Michael.
spk11
Thank you, Michael. Before we open it up for question and answer, I wanted to provide a brief update on our EO litigation. We cannot comment on the details of the litigation but the first trial in Illinois was moved from July 18th start date to August 12th. In addition, Sterigenics has been pursuing insurance coverage for the EO tort litigation. Yesterday, a federal court issued an order in an insurance coverage lawsuit concluding that the defendant insurer owes Sterigenics a duty to defend, which may allow us to recover some of our defense costs in the Illinois EO litigation. I want to reinforce what we've stated many times, and that's the company intends to vigorously defend itself against these claims. Our company plays a critical role in healthcare, and our employees and facilities operate in a safe and compliant manner. It's our employees' commitments to our company and our mission which results in Sotero Health's consistent and outstanding performance over so many years and gives me so much optimism over our outlook for 2022 and beyond. At this point, Howard, I'd like to open it up for questions and answers.
spk00
Ladies and gentlemen, we will now open the lines up for the question and answer portion of this call. If you would like to ask a question during this call, please press star 11 on your telephone. As a reminder, we ask that you please limit yourself to one question and one follow up so that we can try and give everyone an opportunity to ask questions. Stand by while we compile the Q&A roster. Our first question or comment comes from the line of Jason Reaver from Citi. Mr. Reaver, your line is open.
spk03
Hi, this is Lizzie on for Patrick, Donnelly, and Jason. I was just wondering if you could talk about the cadence of the second half of the year, more specifically in the third quarter and the fourth quarter, and how we should think about each of them respective to the other in terms of revenues and earnings. Thank you very much.
spk11
As we stated, we're planning on $1 billion to $1.2 billion in revenue and EBITDA for 515 to 525. We're optimistic as we look forward to the second half of the year. Sterigenics continues to have nice growth going forward. As we mentioned on our prepared remarks, You know, Nordeon, we typically expect the first half and second half, as we've communicated in the past, to be about equal in size. As we referenced in a call, some of the shipments came into the second quarter, so the second half will be a little lighter than the first half. But the total year expectations have not changed, and we continue to see improvement in volume growth over prior year for Nelson in the second half of the year, over the second half of last year.
spk03
Thank you very much. And then one more just on pricing. Do you expect to continue the pricing through the second half of the year and as we head into next year? And what's your kind of outlook on that? Thanks.
spk11
Yeah, as we've stated multiple times that we generate about 3.5% to 5% price per year across the company. Nelson Labs is typically on the lower end of that range. Norian is on the higher end of that range, and what I would tell you is all three businesses exceeded that performance in the second quarter as well as on a year-to-date basis, and we continue to see that carrying out throughout the year. As we also referenced in our comments, there's just some timing, particularly around some of the larger long-term contracts. There's just some timing of when those actually take place based on contract renewal periods, but we're confident about our ability to continue to drive price to offset the inflation pressures.
spk03
Great. Thank you.
spk00
Thank you. Our next question or comment comes from the line of Casey Woodring from JP Morgan. Mr. Woodring, your line is open. Hi, guys.
spk04
Thanks for taking my question. I'm just curious on, so the revised down guidance, you know, how much of that is supply chain versus FX? Can you just elaborate on the puts and takes there while you decided to bring that down to touch?
spk02
Hi, this is Michael Beale and roughly, you know, the 8 million decline in sales is all FX. On the EBITDA reduction of 10 million on the upper end range, about a little less than half is inflation and a little less than half is related to FX and the rest is volume and product mix.
spk04
Got it. That's helpful. And then, so just wanted to clarify for Nelson Labs on the margin expansion side, the COVID headwinds subside in the back half of the year, and also just wanted to confirm that. And then on the labor utilization that you talked about, can you just elaborate on what you've seen there? It seems like you've been able to navigate the tough labor market here pretty effectively, and just wondering what's embedded in the guide for that dynamic. Thank you.
spk11
Thanks, Casey. This is Michael Petras. On your first question around some of the COVID and pandemic related issues, we talked about, you know, we had significant amount of PP&E testing that came in in 20 and 21. As we look to the second quarter, our second quarter that was down significantly over second quarter of last year, and we expect the outlook to remain about consistent as far as the levels of that testing going through the rest of the year. Okay, so it's It's come down significantly where it was in 21, but we see it at a more normalized rate currently. As far as Nelson, as we stated in our last call, we expected the margins to continue to rebound in that business, and the team has done a nice job executing on that. You asked about the utilization. We continue to do a nice job in stabilizing that workforce. As we looked at the end of last year, there was a lot of turnover in the marketplace very tough challenging labor market as we all know then the Omnicron hit in the first beginning of the first quarter so we've been able to stabilize our turnover there and also our training and our productivity has started to follow behind that but most importantly our our customer feedback the net promoter score and turnaround time metrics are are going in the right direction so we're really proud of what the team's doing there so We're optimistic about us continue to see growth over the second half of 21 in the back half of 2022.
spk00
Thank you. Our next question or comment comes from the line of Amit Hazan from Goldman Sachs. Your line is open.
spk06
This is Phil. I'm for me. Thanks for taking the question. Just following on to the lines of questioning that we've already heard on the Nelson side. It sounded like expectation to grow volume zero every year in two half, expectation for continued pricing benefit. And then it sounds like a stable testing environment moving forward. I know it was a 5% headwind in 2Q. Can you try and help quantify what the expectation is as testing slowed in two half 21, what the COVID testing headwind is from a percentage standpoint in the second half of the year for us?
spk11
So we're not getting into the second half level of detail on that at this point, Phil, but what I would tell you is we continue to see momentum gaining in that business. We're optimistic about the volumes and the activity, but do recognize we've got some broader macroeconomic needs that we continue to monitoring. But we had weak second half of 21, so we would expect recovery here in the second half of 22, even though the macro environment may be a little choppy. In the first half, of the year, you know, that PPD testing was about an 8% drag on a year-to-date basis versus last year. So, just to give you some sense of magnitude, but the second quarter was about 5%, and we've seen that being the more normalized rate going forward.
spk06
Okay, that's helpful context. Thanks. And as we think about kind of the segment mix here, just asking on the serogenic side, anything to call out or noteworthy in the second half from either a comparable standpoint or that you expect to deviate from trend, or is that kind of steady as she goes, high single-digit, low double-digit growth year over year on all those key components we've seen.
spk11
Yeah, I think that's a pretty fair way to look at it. I would also just call it they had a strong third quarter last year, right? So they're going to be working against that coming in. But overall, the team feels pretty strong about where they are and what they're seeing from customers. I mean, I don't want to understate the macroeconomic challenges that we referenced in our comments. You know, customers are still dealing with shortage on some components and getting product manufacturing. And there's still some challenges on the labor side within our customer base. But overall, the Sterigenics team sees a good opportunity for growth in the second half of the year.
spk06
That's helpful as well. If I could sneak just one more in. It sounded like the entirety of the top line guidance reduction was related to FX. But as we think about the performance in the first half of the year, would you say that the business outperformed your expectations and offset some of these macro challenges? independent of the reduction to top line for the full year that we're seeing today.
spk11
Thanks. Yeah, I generally say that. I also recognize the fact that I did mention Nordion had a little bit of volume that moved in from the second half into the second quarter. So you've got to discount that a little bit. But I would say Sterigenics and Nelson continue to perform well, as does Nordion. And Nordion, as we've discussed in previous conversations, that's what our business is good at, though. We're dealing with pretty complex global supply chains. And The team has done a phenomenal job executing on that and taking care of our customers.
spk06
Thanks for taking the questions, Michael.
spk11
Great. Thanks, Phil.
spk00
Thank you. Our next question or comment comes from the line of Mike Pollack from Wolf Research. Mr. Pollack, your line is open.
spk07
Good morning. Thank you for taking the questions. I've seen in the last few months some scrutiny emerge around one of your facilities in Southern California. I believe Vernon is the name of the town. And I'd wonder, it's one of your EO facilities, and I'm just hoping, Michael, if you could offer some perspective on what's going on there.
spk11
Yeah, I would first – thanks, Mike, for the question, and good to hear from you. I would first give a perspective. We sterilize over 40 million medical devices in our LA facilities. As you may know and many know, we're waiting on the EPA to come out with new rules and regs, and that's been a challenge. We've been waiting on those rules for several years, and we can't wait for the new rules to come out. In LA, we've gotten some attention, some of the local community and the regulators on that facility. We're in compliance with the rules and the regs there. And we've reached an agreement with them on the timeline of our facility enhancements. As I've mentioned on many of these calls, we have an aggressive plan to do EO facility enhancements across all our U.S. facilities, including the L.A. facilities. And what we did is we memorialized that in an agreement with the regulators in California to continue to move forward with that plan. So, you know, we've got to continue to operate in compliance with the rules and regs, which our team is well accustomed to. But that facility plays a continuing role and serves in a global health care market.
spk07
Appreciate that color, Michael. And maybe the related follow-up is on the EPA rulemaking. I did see a memo I think just yesterday or earlier this week that seems like they're getting close to the proposed rule later this year. Is that your expectation or any other color on timing about when this finally kicks into gear after years of delay?
spk11
Yeah, thank you for referencing the years of delay. We've been waiting for new rules, and we're anxious to get them, and we're pretty confident in the improvements we're putting in place are going to be reflective of industry-leading controls that we hope the EPA adopts. We're leading out there with some things that we're doing that we think they should adopt across industry and hopefully go that direction. If not, we're going to be operating in even more safe and compliant manner than would be required. What we're seeing right now, you know, yesterday, the communication you're referencing, They said that they're working through submitting a new plan. It would go to OMB and we're hopeful that there'll be some time in the second quarter, third quarter 2023 when the rule is finalized. That's called NESHAP. We think that there'll be a potential, it'll be published for public comments sometime late this year, but probably won't go into enforcement until second, third quarter of 23. But, Mike, I just want to make sure we're clear. That's not our prediction. That's what we're hearing from them. We've heard many dates before. We're hopeful that they even do it faster.
spk00
Thank you, Michael.
spk11
Thank you.
spk00
Thank you. Our next question or comment comes from the line of Matthew Michon from KeyBank. Your line is open.
spk05
Thank you for taking the questions. Just first a follow-up on the insurance issue. the tort insurance you were talking about, is that specifically for the Willowbrook litigation? Or is that broader for you?
spk11
It's for the Willowbrook litigation, which is the vast, vast majority of our EL litigation costs.
spk05
Okay, excellent. And then you mentioned when you were talking about the 2H outlook, you also mentioned the new range reflects, you know, macro and FX. When you say macro, what are you kind of considering that's maybe a change to
spk11
We're talking FX, inflation, and just volume. Supply chain, those things. Those are the comments that Michael reflected on the first answer.
spk07
Thank you.
spk11
Great. Thanks, Matt.
spk00
Thank you. Our next question or comment comes from the line of Ben Flocks from Jefferies.
spk08
Hey, guys. I just wanted to ask kind of a question on the backdrop in general for surgical procedures. Where do you think we are relative to kind of a pre-COVID baseline, like just in percentage terms, and how fast are we getting back to normal?
spk11
You know, Ben, this is Michael. I'd say we're pretty close. I'd say we're probably still shy, but it's probably in the 90%, 95% range in that area. Some areas we're seeing a little higher depending on if it's outpatient or inpatient. One of the big challenges that you may be hearing across some of your other companies is the challenges going on in healthcare right now, particularly within health systems and their ability to track labor. There's a significant shortage of labor, which is constraining hospital operations currently. And I would say that's more inpatient than outpatient, but it's still a factor.
spk08
Got it. And then just one more to follow up on the Nordion margin. I know you call that a mixed impact. I know the bulk of that is cobalt deliveries, and I believe most of it's industrial. There's a little medical in there, but then there's also kind of this maintenance and installation component. Can you just help delineate that mix impact in the quarter a bit?
spk11
Yeah, it's the points you just raised. So we've got, you know, industrial and medical cobalt, and then we've got some of the service and equipment side that's a little bit lower margin. And, you know, in the second and third quarter, we've got a little bit heavier mix in those categories.
spk08
Okay. Thanks, guys.
spk11
By the way, not surprising. I just want to be clear. Within the total year forecast, it's not a surprise to us.
spk00
Thank you. Our next question or comment comes from the line of Luke Sergott from Barclays.com. Mr. Sergott, your line is open.
spk10
Hey, guys. Thanks for the question. Can you just dig in a little bit more on the issues that you talked about from your customers having component sourcing? any indications or particular areas of weakness that you guys are looking at to continue to be soft or where you might see some recovery?
spk11
No. Luke, this is Michael. We don't have that level of visibility. We just know that they have intermittent problems where they're not able to get some components or things that they're able to deliver to truckloads of products to us for sterilization, but we don't have great visibility in that, and Also, remember, we can't speculate on what their inventory levels are doing either. So we don't know exactly how that ties to the end market. We're just seeing some spotages here and there where customers have some challenges that they're working through. Okay. I'm sorry, Luke. Just remember, we have a very broad product diversification. Ophthalmology, orthopedic, cardiac, urological. We have a whole host of products. It's a very diverse portfolio that we sterilize for. Pharma. as well. So it's not one is going to drag something down, but it is something that we do see occurring.
spk10
Okay, thanks. And then any pull forward from the Nelson business? We saw some last year this time. Is that more seasonality or are you still expecting that second half waiting in guidance?
spk11
We still expect a strong second half. There's no pull forward. We don't In any of these businesses, we don't pull forward. Like in the case of Nordion, just to be clear, this isn't something you could just ship something to a customer and say, hey, here it is. They have to shut down their operation to bring cobalt in. And that has to be well-coordinated with the regulators and the safety committees and things of that nature. So I just want to be clear on it. We don't call those pull-ins. Those are all agreed to by customers. In the case of Nelson, that phenomenon really isn't playing. We're executing as best we can to improve turnaround times. to meet their quality and safety and timeliness requirements.
spk10
Okay. Great. Thanks.
spk00
Thank you. Our next question or comment comes from the line of Sean Dodge from RBC Capital Markets.
spk01
Good morning. This is Thomas Keller. I'm for Sean. Thanks for taking the questions. Starting off on Nordion, given the visibility tied to harvesting schedules for Cobalt 60, are you able to comment on the share that is expected to come from Russia in 2023? Or is it more or less than the exposure this year?
spk11
Yeah, Thomas, this is Michael. We're not in a position to talk about 2023. At the appropriate time, we'll talk about 2023 guidance and the company in total, and we'll give some color on the Nordion piece as well. But at this point, we're not focused on 2023 guidance.
spk01
Okay, that's fair. Thank you. And then, Nelson, I've seen a few references to the global lab information management system. Can you give us an update on that timeline and what some of the back-end benefits might be? And, you know, what does it mean from a cost or efficiency standpoint? And, you know, would that have any impact on longer-term margins?
spk11
Yeah, you know, this is something that we've been implementing for quite some time now. Actually, I just had a review with the team a couple weeks ago on an update. It's progressing very well. What we want to try doing is across our platform of labs is standardizing one lab information management system. That'll give us great productivity, give us better digitization of some of the testing and reporting, consistency. It'll also help drive more standardization, which should drive some productivity. And it'll also give us a platform for more M&A that we can build off of. That's how we're thinking about it.
spk01
Okay. That's all for me. Thanks, Michael.
spk11
Great. Thanks, Thomas.
spk00
Thank you. Our next question or comment is a follow-up from Mr. Mike Pollack from Wolf Research. Your line is open, sir.
spk07
A follow-up. I have two more topics, if I may. I'm curious, Michael, for your perspective on the update in the Georgia courts in June. You had a favorable ruling from Cobb County. They dismissed all of the claims against you, I guess. Can you just discuss briefly what happened there and what perhaps if there's any kind of lateral from that ruling or legal decision to what's going on in Illinois.
spk11
So welcome back, Mike, for a second time here. So I would say on this one, there was a particular customer in Georgia that had their employees file claims against them around their sterilization practices. We were brought into that lawsuit. We were indemnified by the customer. And we put a motion to dismiss in process and we're happy that the courts ruled in accordance with the laws. We were pretty confident that that should be how it played out. We were indemnified by the customer and we put a motion to dismiss in process. And we're, we're happy that the courts ruled, uh, in accordance with the laws, we were pretty confident that that should be how it played out. And we were dismissed from the case. Um, you know, we're continued to battle through the other litigation in Illinois. Um, we, as I mentioned, the first trials will start on August 12th. We went July 18th when they were scheduled. We're pushing to get forward and have our day in court on these. Um, there is risk associated with that as we all know, but we feel confident about our positions. and how that goes forward.
spk07
Appreciate that. And the second one was just a clarification on the mention during the prepared remark on the impairment joint venture. I heard Iotron. I just didn't get what that is. I noticed you carved that out of adjusted profit, so it's a gap item. But if you could just add any color about what that mark was. Thank you.
spk11
Yeah, Mike. This is Michael again. So we purchased Iotron. At the time we purchased them, they had a joint venture that was in early stages of being started up. And the business direction has changed with how to proceed with that, which we think is a good outcome. Our Iotron acquisition has continued to perform very well. And part of that, the JV, was we were going to do sterilization and decontamination of some products, which now will continue to absorb within our existing footprint of stereogenic facilities, which we think is a good thing. As far as the financial, Michael could reiterate.
spk02
In terms of the financial impact, $9.6 million charge was taken out of adjusted EBITDA, had about a $0.03 impact on fully diluted earnings per share, and that is really part of the impairment that was required.
spk11
But from a business strategy perspective, we're very comfortable with the outcome and how this is proceeding. And IL-TRAN's been performing very well for us, and the team's done a great job integrating there. Thank you for the follow-up. Yep. Great. Thank you.
spk00
I'm sure no additional questions in the queue at this time. I'd like to turn the conference back over to Mr. Petras for any closing comments.
spk11
Great. Thanks, Howard, and thank you to everybody who participated today. Really proud of what our team's been able to accomplish in the first half of the year. We're optimistic about the second half, even though the environment's got some challenges. The team is doing a really good job in executing and fulfilling our mission of safeguarding global health. So thank you for your time and your support, and have a good day. Bye-bye.
spk00
Ladies and gentlemen, thank you for participating in today's conference. This concludes the program. You may now disconnect. Everyone, have a wonderful day.
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