Robert L. Parkinson, Jr.
Management
It's probably some of each. Thanks for the question, Dave. And I'll play it back in and I'll ask the team to contribute as appropriate. It's kind of a tale of three cities, maybe. One is the acute piece in the hospital, which continues to grow very nicely, double digits and higher margin. And we continue to increase our focus on that. The traditional in-center hemodialysis business, which I'll come back to in a second, and then the third leg of courses is peritoneal dialysis which continues to be an attractive growth vehicle and also an area that has pricing latitude going for it as well. So the area that I think used the word sluggish is probably a fair way to describe the traditional in-center hemo business, although I would say that having the full product line, we're seeing that manifest itself in helping us on the PD business as well. So I think increasingly going forward, we have to look at this business in its totality. So on a constant currency basis it grew 3% in the third quarter. As you know we're projecting the long-term growth to be in the 5% to 6% range and that will be driven over time by capacity expansions later in 2016 with dialyzer expansion and then augmented by PD capacity expansion largely in Asia subsequent to that. And then augmenting that of course are the new products which we're very excited about. So let me come back then to the traditional in-center piece. It is a combination of things. We are being more discerning relative to the profitability of that business. I think we commented in the first quarter about some tenders that, candidly, we walked away from because of the returns. It is a price competitive business, and we have assumed, in answer to your question specifically, price erosion for that segment over the LRP on the very low single digits, but I think a practical recognition of the continued competitive nature of that. And then there are austerity measures, one of which was recently implemented in France, where as a matter of policy, they've said we want to extend the useful life of monitors from seven years to 10 years. So that obviously has an impact on revenue of monitors, and I would emphasize, our profitability on monitors is at the low end, and whether it's an old monitor or a new monitor, they chew up the same number of dialyzers, and frankly it reduces our CapEx to some degree as well. So net-net, I'm not sure on the bottom line how significant that is, but it is a contributing factor to the top line. So I touched on a number of things there. I think I've answered each of your specific questions. I'll stop there. Does that address your questions, David?