Joseph Corasanti
Analyst · Matt Miksic from Piper Jaffray
Thank you, Francis. Good morning, everyone. Welcome to CONMED Corporation’s fourth quarter 2011 earnings conference call. With me today is Rob Shallish, our Chief Financial Officer. After formal remarks the call will be opened for questions.
Before we begin, let me remind you that during this call we will be making comments and statements regarding our financial outlook, which represent forward-looking statements that involve risks and uncertainties as those terms are defined under the Federal Securities Laws. Our actual results may differ materially from current expectations. Please refer to the risk factors and other cautionary factors in today’s press release, as well as our SEC filings for more details on factors that may cause actual results to differ materially. You will also hear Rob and I refer to certain non-GAAP adjusted measurements during this discussion. While these figures are not a substitute for GAAP measurements, company management uses them to aid us in monitoring the company’s ongoing financial performance from quarter-to-quarter and year-to-year on a regular basis and for benchmarking against other medical technology companies. Adjusted net income and adjusted earnings per share measure the income of the company, excluding credits and/or charges that are considered by management to be unusual or outside of the normal ongoing operations of the company. These unusual items are specified in the reconciliation in the press release issued this morning. With these required announcements complete, I can now turn to my comments.
I am pleased to report that we completed the fourth quarter and our 2011-year end by meeting or exceeding all of our operational expectations. Beyond the non-cash goodwill write off in the Patient Care division, which Rob and I will comment on in a moment, CONMED’s results were extremely positive. Further, we are off to a very good start to the New Year through our association with the Musculoskeletal Transplant Foundation, as well as a small acquisition of our former distributor in the Nordic countries, which we completed on December 31 last year. With that, here are the fourth quarter highlights.
Sales of $185.6 million were at the high end of the forecasted range with an increase of about 1% over sales in the fourth quarter of 2010. Although the overall sales increase was modest as expected, the adjusted earnings in the quarter were $0.46 per share, exceeding the forecasted adjusted earnings forecast and growing 28% over Q4 of 2010. On a GAAP basis, diluted EPS was a loss of $0.90 due to the non-cash write off of goodwill in the Patient Care division. Adjusted operating margin expanded to 10.7% of sales, an increase of 120 basis points over that of the fourth quarter of 2010. Cash provided by operating activities in the fourth quarter equaled $26.3 million, equivalent to $0.94 per share on a cash basis, more than 2 times the adjusted EPS.
Now turning to the highlights for the full year of 2011. Sales grew to $725.1 million at the higher end of our last forecast range. Adjusted earnings per share grew 15.4% to $1.50 exceeding the forecast range. Due to the non-cash goodwill write off, GAAP EPS was $0.03 per share. The adjusted operating margin for the year grew 110 basis points to 10.1%. Cash provided by operating activities grew to a record $103 million. On a cash basis, this is equivalent to $3.60 per share, 2.4 x more than the adjusted EPS. Free cash flow was a record $85.4 million. Adjusted EBITDA was $111.9 million for an adjusted EBITDA margin of 15.4%, an increase of 91 basis points over 2010. All in all, 2011 was a very good year for CONMED, continuing to rebound from the effects of a weak economy. We performed well operationally, launched a number of new products and grew the operating margin as we had expected. Perhaps one of the most important events to impact the company’s future was the announcement on January 3, 2012 of our long-term partnership with MTF for sports medicine tissue.
MTF a non-profit organization is the largest tissue bank in the country. With our recent agreement, we are now the exclusive worldwide marketing representative for MTF sports medicine allograft tissue. CONMED Linvatec’s team of surgical representatives will serve as the educational resource to surgeons and facilities concerning the suitability of MTF allograft for ligament reconstruction, cartilage repair and meniscal transplantation, as well as for biologic solutions including scaffolds and fixation devices. On closing the agreement, the 35 employees of MTF Sports Medicine Marketing and Surgical Consulting Group became employees of CONMED Linvatec. MTF will maintain full responsibility for all activities related to donor suitability, quality, acceptance, processing, storage and distribution of the tissue, as well as reimbursement of service fees related to sports medicine allografts.
Financially our association with MTF is expected to be accretive to CONMED’s EPS by $0.15 to $0.18 in 2012. In general, CONMED will be paid one half of the revenue MTF receives from the sports medicine tissue services. We estimate that this will approximate $30 million in 2012.
Additionally as part of our agreement, we will become the exclusive distributor of the cascade Platelet-Rich Plasma product or PRP. We expect 2012 revenues of approximately $5 million from our new PRP product. So total revenue for the new MTF partnership in 2012 is anticipated to be $35 million with additional EBITDA of approximately $15 million to $18 million. We paid MTF $63 million upon closing the agreement. Future payments are contingent upon MTF providing an adequate supply of tissue. Those payment amounts are $34 million in January 2013 and $16.7 million in each of the 3 succeeding years, for a total potential consideration of $147 million. Beyond the financial terms, which are clearly beneficial to CONMED, our association with the industry leader for allograft sports medicine tissue will enhance our product offering in sports medicine and augment our leadership position in the industry.
Moving to cash flow, we had excellent cash flow for the quarter and for the year. Cash provided by operating activities for 2011 equaled $103 million, a record year for CONMED. Subtracting the year’s capital expenditures of $17.6 million, we arrived at the free cash flow for the year of $85.4 million. This equals $2.98 per share of free cash flow, about 2 times greater than the adjusted EPS of $1.50. CONMED has always been known for its ability to generate cash and 2011 was no exception.
As we look forward to 2012, we continue to be optimistic about CONMED’s prospects. Our strategy is quite simple; we intend to grow the top line at a higher rate than our growth and expenses. We did this quite well in 2011 despite a still uneven economy, as our sales growth of $11.3 million over 2010 more than offset the expense growth that we have $2.4 million adjusted for unusual items. The resulting $8.9 million was a direct increase in pretax profit and an increase in operating margin of 110 basis points. We believe we will be able to continue this increase and increasing operating margin trend for the foreseeable future by introducing new products, expanding in to growing markets and by judiciously monitoring and improving CONMED’s cost structure.
In 2011 we introduced a number of new products including Sequent for meniscal repair and Alterus for energy based tissue sealing. Both of these products have great potential and have experienced the increasing monthly sales since their launches. Sequent finished the year with sales of $3.3 million. Alterus sales were slightly less than $1 million and we expect 2012 sales of $5 million to $10 million for Alterus. Both of these products compete in very large markets; Sequent in a $200 million market and Alterus in a market exceeding $1.5 billion. Because of what we believe to be superior functionality of these products, we expect to grow into meaningful market share positions with both. Last week at the American Academy of Orthopedic Surgeons annual meeting, we introduced several new products in our sports medicine and power instrument lines. Of note is our extensive line of instrumentation for hip arthroscopy. Although minimally invasive hip preservation surgery is still in its infancy, it is the fastest growing segment of sports medicine.
CONMED is firmly positioned to provide the necessary tools for our surgeon customers. In the powered instrument line, we announced that we would soon be launching lithium-ion batteries for our Hall branded line of battery-powered instruments. This lithium-ion battery technology will provide greater power and longevity during surgery when compared to present batteries. They also allow customers to charge, auto play and store sterilized, fully charged batteries on the shelf ready for surgery. This makes CONMED Linvatec battery power easier to set up and use compared to competitive product.
As we look forward to a new year in 2012, we remain optimistic about CONMED’s ability to deliver continued improving earnings with margin expansion and greater cash flow. Although sales growth in 2011 was hindered by sluggish global economic conditions, particularly with respect to our surgical video capital products, we have managed through this difficult operating environment by focusing on those single use products that are going to improve patient outcome and are thus in demand by our surgeon customers. We have also controlled cost, enabling continued expansion of our operating margin. We will continue to focus on devices that improve patient outcomes and cost control to improve profitability and create long term shareholder value. For 2012 we have increased our sales and earnings forecast over what we provided in October last year as a result of the MTF sports medicine partnership, specifically the 2012 sales forecast now stands at $780 million to $790 million, an increase of 7.5% to 9% over 2011 sales. Organic constant currency growth is estimated at 3% to 4% with the remainder of the growth coming from MTF. At this level of sales, we believe adjusted earnings per share should approximate $1.75 to $1.88. This would result in an increase in EPS of between 17% and 25% over 2011 adjusted earnings per share.
For the first quarter of 2012 we forecast sales of $190 million to $195 million and adjusted earnings per share of $0.42 to $0.47. As I mentioned before, we remain extremely positive about the direction of the company and look forward to making continued progress in 2012. I’ll now turn the call over to Rob Shallish for a further review of the financials. Rob.