Earnings Labs

The Cooper Companies, Inc. (COO)

Q3 2022 Earnings Call· Wed, Aug 31, 2022

$63.12

-1.90%

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Transcript

Operator

Operator

Good day. And thank you for standing by. Welcome to Cooper Companies’ Third Quarter 2022 Earnings Conference Call. [Operator Instructions] I would now like to hand the conference over to your speaker, Kim Duncan, Vice President, Investor Relations and Risk Management. You may begin.

Kim Duncan

Analyst

Good afternoon, and welcome to The Cooper Companies third quarter 2022 earnings conference call. During today’s call, we will discuss the results and guidance included in the earnings release and then use the remaining time for questions. Our presenters on today’s call are Al White, President and Chief Executive Officer; and Brian Andrews, Chief Financial Officer and Treasurer. Before we begin, I’d like to remind you that this conference call contains forward-looking statements, including all revenue and earnings per share guidance and other statements regarding anticipated results of operations, market or regulatory conditions or trends, products launches, operational initiatives, regulatory submission and closing or integration of any acquisitions or their anticipated benefits. Forward-looking statements depend on assumptions, data or methods that may be incorrect or imprecise and are subject to risks and uncertainties. Events that could cause our actual results and future actions of the company to differ materially from those described in forward-looking statements are set forth under the caption forward-looking statements in today’s earnings release and are described in our SEC filings, including Cooper’s Form 10-K and Form 10-Q filings, all of which are available on our website at coopercos.com. Also, as a reminder, the non-GAAP financial information we will provide on this call is provided as a supplement to our GAAP information. We encourage you to consider our results under GAAP as well as non-GAAP and refer to the reconciliations provided in our earnings release, which is available on the Investor Relations section of our website under quarterly results. Should you have any additional questions following the call, please email ir@cooperco.com. And now I’ll turn the call over to Al for his opening remarks.

Al White

Analyst

Thank you, Kim. And welcome everyone to Cooper Companies’ third quarter conference call. Let me start by highlighting that this was the sixth consecutive quarter of double digit organic revenue growth for CooperVision and the seventh consecutive quarter of double digit organic revenue for CooperSurgical’s fertility business. This impressive performance showcases the strength of our teams and the strong demand for our products and services. This momentum continued in August and we’re increasing the organic revenue guidance for both CooperVision and CooperSurgical incorporating our strong Q3 and the strength we’re continuing to see. Overall, the challenging macro environment, including headwinds from currency inflation and supply chain challenges has negatively impacted profitability, but has not reduced our ability to take share and drive sustainable, top-line growth. Moving to the third quarter results, consolidated revenues reached an all-time high of $843 million with CooperVision posting record revenues of $566 million up 11% organically and CooperSurgical posting record revenues of $277 million up 35% as reported, up 3% organically. Growth was led by our daily silicone hydrogel portfolio in myopia management products for CooperVision and fertility for CooperSurgical. Non-GAAP earnings per share of $3.19. And we posted record quarterly free cash flow of $217 million. For CooperVision and reporting all percentages on an organic basis, revenue growth was strong and diversified in all product categories, spheres, torics and multifocals, and within all three geographic regions. The Americas was up 7%, EMEA grew 15% and Asia-Pac grew 11%. This performance was driven by a number of factors, including new product launches, expanded product ranges, market-leading flexibility through our customized offerings, growth in key accounts and strength of branded products. Regarding product details daily silicone hydrogel lenses grew 24% led by great results from both MyDay and clariti. Daily silicones continue to be the main…

Brian Andrews

Analyst

Thank you, Al, and good afternoon everyone. Most of my commentary will be on a non-GAAP basis, so please refer to our earnings release for our reconciliation of GAAP to non-GAAP results. Third quarter consolidated revenues were $843 million, up 10% or up 9% organically. Consolidated gross margin was 66.1%, down 220 basis points from last year driven primarily by currency. Operating expenses grew 13% and were 42.7% of revenues primarily as a result of the acquisition of generation generate life sciences. Consolidated operating margin was 23.4%. Within these results currency is having a significant impact – negative impact along with supply chain and inflationary pressures. We raise prices to offset some of this and have additional pricing increases coming and we’ll continue to work diligently controlling costs. Moving below the line, interest expense significantly increased year-over-year to $17 million with higher rates and debt balances driving the large year-over-year increase. The effective tax rate was 10.2% and non-GAAP EPS was $3.19 with roughly 49.6 million average shares outstanding. Year-over-year FX negatively impacted earnings by $0.67 in the quarter, which was $0.10 worse than we forecasted at the time of our last earnings call. As with last quarter, a large part of the $0.10 was attributable to the re-measurement of foreign currency based intercompany trade receivables, which are recognized in other income and expense. In order to reduce this variability moving forward, we’ve made moves, including closing out certain nonfunctional exposures and improving our natural and synthetic hedge positions. Moving forward, we believe these efforts will do a better job mitigating the impact of FX gains or losses that occur below the operating income line. Returning to the quarter, free cash flow was extremely strong at $217 million. And we decreased net debt by $218 million to $2.64 billion. This…

Operator

Operator

Thank you. [Operator Instructions] Our first question comes from the line of Jason Bednar with Piper Sandler. Your line is open.

Jason Bednar

Analyst

Hey, good afternoon. Thanks for taking the questions. Congrats on the stronger organic growth here in the period. Maybe picking up on the real-time commentary you provided their Al, you mentioned strong growth for the business continuing into August. Just wanted to check, are you suggesting CVI and fertility both continue to grow at a double-digit pace? And then you also suggested contact lens demand is exceeding capacity with respect to office visits. It’s a fortunate problem, but do you have a sense, is this a function of staffing shortages or, is demand around back-to-school simply really strong and above what’s normal for the season?

Al White

Analyst

Yes, on that second one. The back-to-school demand is strong. We’ve definitely see an increase on that and there’s some commentary of other people. I think national vision talked about it on their call. It comes down to staffing shortages and really strong demand. So that’s putting pressure on the optometry community, whether it’s retailers or independent optometrists to meet all that demand. So that’s a challenge right now. Now it’s, “a good challenge”, right. But it’s still a challenge that the industry needs to work through over the coming months. With respect to August, I won’t give numbers on August, but yes, CooperVision and CooperSurgical, including fertility are both having good August.

Jason Bednar

Analyst

All right. That’s helpful. And I hear the commentary on MiSight in China just probably got up to a little bit slower start with the lockdowns there, but now that you’re into July and August things around med tech seem to have started to recover in China. I mean, can you talk about uptake of the lens in that market compared to other regions where MiSight’s been available? Are you seeing the sales and education process, relatively shorter in that market? Just would love any color there. Thank you.

Al White

Analyst

Yes. So we have seen an uptake if you will, in MiSight in the month of August certainly, and including in China where we’ve seen things loosen a little bit there. So positive news on that the uptake of that product and success of that product is moving faster than we’ve seen in most other markets around the world. So certainly positive signs that are in fingers crossed we’re now on a better path. Right. Because is that’s really the thing that, that impacted our numbers. It’s really been China that’s, I don’t know, 99% or a 100% of what’s impacted those numbers.

Jason Bednar

Analyst

Got it. Thank you.

Al White

Analyst

Yes.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Larry Biegelsen with Wells Fargo. Your line is open.

Larry Biegelsen

Analyst · Wells Fargo. Your line is open.

Good afternoon. Thanks for taking the question. Hey Brian, thanks so much for the color on fiscal 2023. Maybe, if I could ask about maybe some of the other assumptions embedded in the low single digit year-every-year non-GAAP EPS growth, underlying organic sales growth. Do you think, should we think about that in line with historical 6% to 8% growth, organic growth for Cooper, or do you think you, can do better and currency Brian, I think I heard you talk about interest expense, but currency right now, we think it’s about 3% headwind to sales $0.80 to EPS, any color on those too. And I had one follow up.

Brian Andrews

Analyst · Wells Fargo. Your line is open.

Hi, Larry. Thanks for the questions. Obviously you’ve followed us for a very long time, our story really well, long-term we’ve got right now, we’ve got all the macroeconomic environment that makes it really challenging to provide specific guidance into the P&L this far in advance. We’ve decided to give a few elements today just to calibrate some people on, on a few important pieces. Again, I think we want to reiterate that the core fundamentals of our business remain strong, we’re raising prices, we’re growing share, and we’re diligently controlling costs and to leverage where we can. Obviously long-term, we want to drive mid to single high, mid-to-high single digit revenue growth and leverage the P&L to grow EPS to low double digits. But right now it’s just too hard to say, and we’re just not going to, we’re not going to go there, this early in a year to talk about next year. So appreciate the questions, Larry, but we’ll update that in December.

Larry Biegelsen

Analyst · Wells Fargo. Your line is open.

Understood and Al on SightGlass and first of all, I didn’t hear you reiterate the $90 million to $100 million for myopia management this year, but it looks achievable based on the $24 million you did in Q3 here. Just want to confirm that. And for SightGlass approval in the U.S., what’s your confidence here by calendar year end 2022. Did you hit, FDA’s goals for Axial Length and myopia progression? Thank you.

Al White

Analyst · Wells Fargo. Your line is open.

Yes, I think on myopia management globally will probably end up in that $90 million to $95 million range. And the only reason we’re not exceed well, two reasons, I mean but the primary reason we’re not at a 100 or, or a little over a 100 ends up being currency. The other one would be obviously China moving a little bit slower, so I wouldn’t take it completely off the table, but I’d probably say $90, $95 is probably a better number that we’ll settle in on, on SightGlass I won’t get into too many specific details on it, but I will say that, we’re submitting that data and looking forward to talking to the FDA on that and believe we have a certainly a reasonable, good chance to get approval by a calendar you’re in.

Larry Biegelsen

Analyst · Wells Fargo. Your line is open.

Thank you.

Al White

Analyst · Wells Fargo. Your line is open.

Yep.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Chris Cooley. [Indiscernible] your line is open.

Unidentified Analyst

Analyst

Good afternoon. Thanks for taking the questions. Can you hear me okay?

Al White

Analyst

Yep. Hey Chris.

Unidentified Analyst

Analyst

I’m sorry. She broke up there a little bit. Congrats on the strong organic growth. Just maybe two quick ones for me first, when we just think about the new product cadence the expansion of the, MyDay portfolio. Could you give us a little bit more color about when that will start to roll out just to make sure, I have that understanding correctly. And then on the surgical side, may be wrong here, but I mean, off of the fiscal 2Q, I thought we were going to expect a little bit stronger organic growth on the office side with the equipment, it looks like that’s still a little bit more in supply chain constraint. Could you give us some color about what gives you confidence that that improves as you go into the fiscal year end? Thank you.

Al White

Analyst

Sure. Good questions, Chris. And you can see, the guidance we gave for CooperSurgical that were kind of in that 10% to 15% organic growth range for CooperSurgical in fiscal Q4. So expecting a really strong quarter. We did have some stuff in Q3 because of supply chains move itself into fiscal Q4. As I mentioned, we started off with a good quarter within both businesses, but within CooperSurgical to support that kind of guidance range. So any, anything that maybe you were thinking, Hey, it’s going to be a touch stronger in Q3. You’re going to end up, I think seeing in Q4, because I would imagine those kind of guidance expectations are a little bit above yours or most people’s expectations for Q4. If we look at CooperVision yes, the organic growth is really strong there. The business is doing really well, that team is putting up some impressive results and that’s continuing. I think people underestimate the power of our portfolio, the breadth of our portfolio, the strength of our sales and marketing teams and the amount of new products that we’re launching, right. And whether that’s a parameter expansion or a new product itself, we’re very active and we’ve been very successful in a lot of segments and that’s going to continue. As I mentioned as we roll into this next fiscal year, we’ll be expanding the parameter range of MyDay again, it’s already market leading today. It’s going to be even better up where kind of Biofinity is. So MyDay is kind of turning into a Biofinity daily if you will kind of success story, which is just awesome, amazing. And when you think about Energys, I mean, I’m really excited about that. We launched Biofinity Energys, it did really well for itself. The demand around the Energys technology on a daily sci-hi [ph] has been really strong. We’ve had to ramp up production considerably within MyDay to be able to do that. The manufacturing team has done a killer job to get us where we’re at today. So we have that product. We are going to start seeding the market here in the next couple of months and look forward to getting that launched in early next year. And all that activity along with the other stuff I mentioned, Biofinity and the things like Biofinity Toric Multifocal, and extended ranges, and so forth are all going to continue to support what I believe is going to be stronger than people probably expecting organic revenue growth.

Unidentified Analyst

Analyst

Thank you. Appreciate this question.

Al White

Analyst

Yes.

Operator

Operator

Thank you. Please stand by for our next question. Our next question comes from the line of Jon Block with Stifel. Your line is open.

Jon Block

Analyst · Stifel. Your line is open.

Great guys. Thanks. Good afternoon. Brian, maybe I’ll start with you and just the EPS. Fiscal 2022 EPS may be something down by roughly $0.40. I’m not sure if I missed it, but can you bridge the different components clearly FX hit you, the interest rate coming above what you guys laid out last quarter. So maybe just walk us through the headwinds from FX and interest rate. You mentioned a little bit on supply chain as well. And then maybe what the offset was from better than expected – sorry – there’s a lot of noise, better than expected operational growth as the organic came up by roughly a 100 bips.

Brian Andrews

Analyst · Stifel. Your line is open.

Yes, sure. Hi Jon. So prior guidance midpoint was a 3.19. I gave the FX un-favorability versus last guidance in my prepared remarks of $0.10. The Q4 FX un-favorability is a 20% headwind to Q4. Interest expenses went up because of the Fed increases.

Al White

Analyst · Stifel. Your line is open.

Jon, were you asking about Q4? I thought you were asking about 2023.

Jon Block

Analyst · Stifel. Your line is open.

No, I’m sorry. I’m asking just to be clear on fiscal 2022, like where – let me just sort of make up some numbers, I mean, relative to when you last guided on the second quarter conference call, what did FX and interest rates take you down? You are lower by $0.40, did you go down by $0.50 on FX and interest rates and then make back $0.10, I’m just making that number up. I’m just trying to the bridge to get towards.

Brian Andrews

Analyst · Stifel. Your line is open.

So on the full year?

Jon Block

Analyst · Stifel. Your line is open.

Correct.

Brian Andrews

Analyst · Stifel. Your line is open.

Okay. Yes, so just starting with FX, I mean, we – I talked last quarter about the FX headwind to revenues for the full year being 5%, it’s now 6%. The headwind to EPS last quarter was 14%, it’s now 17%. As it relates to interest expense forecasted of 50, 50, 25, and it was 75, 75 and now we’re saying 75 again in September, that’s about $0.05 right there. So, we’ve adjusted our guidance primarily tied to just FX and interest expense in some – a slight operational improvement, which gets you to that midpoint of 12.80.

Jon Block

Analyst · Stifel. Your line is open.

Okay. I think I’m there. And then Al maybe I have a longer one for you, but you brought up the CVI organic growth again. Talk to us on the drivers, is it new fits? It seems like it’s certainly some incremental price. What do we think about price in fiscal 2023? Does that have to step back down relative to 2022? And then one last one on MiSight, we just picked up, some chatter that you might have rolled out a rebate program very recently. Is that correct? And if so, was that just a year one rebate or a new wear, or is that something arguably year two, year three? Please guys.

Al White

Analyst · Stifel. Your line is open.

Yes, on MiSight John, I think, what you are probably referring to is back to school promotional activity. So, I mean the back to school demand has been very strong and we’ve seen that demand on the optometry community. As part of that we were running or are running promotional activity for MiSight. So I’m pretty confident that’s what you are probably seeing out there. If we look at price, yes, we took price earlier this year and then we took price again, this summer. We’re looking at additional price increases right now and into next year. So I think if everything holds as it is with the economy, and inflationary pressures and so forth, you will see incremental price increases from us. 2023 should still be a good growth year for us. We still have a lot of the underlying factors that are driving growth of the entire marketplace and our growth continuing. Now we’re gaining wearers. So when you look at the fit data, as I mentioned, we’re just doing really well. We’re number one on fit data. So when it comes to winning the new wearers coming in and winning the new fits, we’re doing really well in that space. And I think that as we continue to roll products out, launch some of these new products and improve availability of products, we’ll continue to do well from a new fit perspective. And when you combine that with some price, I think, you end up with another pretty good year next year, frankly, for the entire marketplace and us included.

Jon Block

Analyst · Stifel. Your line is open.

Helpful. Thanks guys.

Operator

Operator

Thank you. Please stand by for our next question. [Operator Instructions] Our next question comes from the line of Joanne Wuensch with Citi. Your line is open.

Joanne Wuensch

Analyst · Citi. Your line is open.

Good evening. And thank you for taking the questions. I’m curious about a couple of things. You’re talking about a price increase earlier this year, and second one, a third one that’s being happening now and then a fourth one. Can you quantify how much the price increases are? And then are those sort of like-for-like products or are they reflective of new product launches such as the Energys Biofinity family, that’s going out the door?

Al White

Analyst · Citi. Your line is open.

Yes, I won’t quantify Joanne, but there is different price increases happening on different products at different points around the world. Not only that you are actually seeing some stuff in terms of like freight surcharges and so forth, I’ll set some of those increases. I mean, the one I think, most recently that we took a few months ago was Biofinity. But we had other increases to start the year. You are right that MyDay Energys is certainly being launched or will be launched at a price premium, which will be another “increase” as you will. And then we’ll look at other opportunities as we move through the end of this year and certainly into next year.

Joanne Wuensch

Analyst · Citi. Your line is open.

And my second question is I’m curious about your source for the new fit share. And is that a new number one spot or is that a continued number one spot?

Al White

Analyst · Citi. Your line is open.

That is a continued number one spot.

Joanne Wuensch

Analyst · Citi. Your line is open.

On the source?

Al White

Analyst · Citi. Your line is open.

A variety of areas that would really depend on what product you are talking about. I mean, some of them are more dramatic than others as an example MyDay multifocal is doing really well and is picking up from a number of other multifocal companies. And then it’s also picking up new multifocals wearers who are coming into the market. New wearers and I’m talking about new wearers, the new 15-year-old, 16-year-old who enters the marketplace. We’re doing really well there with MyDay and clariti. We don’t have the same opportunity of trade up as you know, as some of our competitors do in terms of them shifting from like an old traditional, if you will hydrogel daily lens to a new silicone, and getting the trade up benefit of that, we don’t have as much of that. So, when you look at our growth, it ends up coming from those new wearers and it’s really a variety of different areas in different spots around the world.

Joanne Wuensch

Analyst · Citi. Your line is open.

Excellent. Thank you.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Matt Mishan with KeyBanc. Your line is open.

Matt Mishan

Analyst · KeyBanc. Your line is open.

Hey, good afternoon. Thank you for taking the questions. Al, I know you guys have done some amazing things around the kind of resiliency and power supply down in Puerto Rico. Have you incorporated some assumptions for increased power costs in the UK, and Hungary into the forward outlook? And so how should we think about the manufacturing in those regions? And some of the difficulty that may be this winter?

Al White

Analyst · KeyBanc. Your line is open.

Yes, Matt, we have incorporated that, that was built into Brian’s commentary when he was talking about next year’s numbers and kind of ongoing challenges with respect to the macro economy if you will.

Matt Mishan

Analyst · KeyBanc. Your line is open.

Okay, excellent. And then I know some of your competitors have had some supply chain issues. Yes. How much of a benefit do you think you you’re getting from some of those from the – some of those peers? And how sticky do you think those are?

Al White

Analyst · KeyBanc. Your line is open.

I would say very little benefit. In the contact lens industry so much of it still goes around to the prescription itself, right? You go get a script and you buy. So if someone’s having supply chain issues, their wear base generally extends their lenses or they wear their glasses or whatever, in order to get those products, you have to have supply chain challenges of a decent magnitude that lasts a while before you really start seeing changing fitting behavior. So, I don’t think very much right now. I would change that answer if those kind of supply chain difficulties stay at high levels and go an extended period of time. But I don’t know, but as of now, I would say very little.

Matt Mishan

Analyst · KeyBanc. Your line is open.

Right. Thank you.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Jeff Johnson with Baird. Your line is open.

Jeff Johnson

Analyst · Baird. Your line is open.

Thank you, good afternoon, guys. Hey, Al, I know you said you didn’t want to quantify the price increases, sorry.

Al White

Analyst · Baird. Your line is open.

Yes.

Jeff Johnson

Analyst · Baird. Your line is open.

See if this is better Al, I don’t know, sounds like I’m having the same problem, Jon Block was having. Can you hear me okay?

Al White

Analyst · Baird. Your line is open.

Yes, I can. We can hear you fine. Yes.

Jeff Johnson

Analyst · Baird. Your line is open.

Thank you. So, I know you won’t quantify the price increases, but our checks would say maybe 1%, 1.5% earlier this year, another 1%, 1.5% in August, but it’s hard to know with your contracting in that. I mean, are those about the ranges we should be thinking about maybe two points, two and a half points total net so far this year on the CVI side?

Al White

Analyst · Baird. Your line is open.

Yes, I think that’s probably fair. And we had talked about this, I think in last quarter and the quarter before, right, some of those price increases for us move in a little bit slower than others. Some of the guys have a lot on list price, right? So when they raise their list price, they’ll get a benefit from those price increases relatively quickly. We have a lot under contract, especially with respect to anything that we’re doing about store brands and that kind of stuff. So some of those price increases for us have a tendency to roll in over a longer period of time as those contracts need to re-up. But I think the, the magnitude of what you’re talking about right now is, is somewhat in the ballpark to slash lower.

Jeff Johnson

Analyst · Baird. Your line is open.

Okay. Okay. Thank you. And then maybe two follow ups on that. One, can you just remind me the surcharges in that, transport costs, and some distribution costs, and that’s starting to come down a little bit, do those fall into revenue or are those an expense line item? And would you expect to keep those surcharges in place much longer or just how to think about that one and two, you mentioned MiSight and back-to-school activity there on the promotion side, when where you finding that our survey work maybe a little bit of lower sell in price to deducts as well on MiSight. Have you changed kind of your sell-in price, not just your sell-out?

Al White

Analyst · Baird. Your line is open.

No. So, we haven’t changed our pricing in terms of our sell-in, we’ve held pricing. We are trying to do some other stuff, right. When you think about the most successful referral source, if you will or person for us to market the product is anyone who’s used MiSight. The success rate has been really, really positive. So those parents who are positive on the product are telling other people, right? So, we’re trying to offer some promotional campaigns, for instance, for them, Hey, your kid’s now in their second year or their third year wearing MiSight, we’ll give you a discount for everybody who you refer in who comes to MiSight, that type of thing promotional activity for a brand new wearer coming into MiSight around back-to-school. So there is some activity that we’re doing Jeff to be fair in terms of that pricing. There’s been a few highlights about the pricing, be a little high. So if you will, we haven’t taken the list price down, but are running promotional activity, especially with the heavy back-to-school season here. On the other side of things on the freight – there’s still freight’s still a tough one, I got to tell you. Yes, I would say things are getting a little bit better, but everyone still has their challenges there. I think that my gut tells me that those changes are just permanent price increases, if you will. And I think they all go through revenues, don’t they?

Brian Andrews

Analyst · Baird. Your line is open.

Yes. Freight revenue. I mean, the only thing I would add to that is, as we are having difficulty meeting demand, it does force us to fly more than we’d like to, and we’re not able to take advantage of the ocean freight. So, I mean, you’re seeing freight charges go up all across the board. We’re doing whatever we can to try to manage that by raising, surcharges and so forth, but there’s still inefficiency in a way that we’re having to shift to our customers and you’re seeing that as a detriment to both inter company, but also freight out in distribution.

Jeff Johnson

Analyst · Baird. Your line is open.

Yes, that makes sense. All right. Thanks guys.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Robbie Marcus with JPMorgan. Your line is open.

Unidentified Analyst

Analyst · JPMorgan. Your line is open.

Hi, this is actually Lilly on for Robbie. Thanks for taking the question. So operating margin came in lower than what we were thinking and pretty significantly lower than a year ago today. So is there any way to quantify how much of that is FX headwind versus operational challenges?

Al White

Analyst · JPMorgan. Your line is open.

Hi, Lilly. Yes, this Al, I’ll take that one. I think operating margins for us came in more or less where we expected FX is just brutally killing our P&L, and you’re seeing that – you’re seeing that in the third quarter. PARAGARD was down versus last year’s third quarter. That’s a high gross margin product. So that impacted margins and the flow through. We also had inefficiencies within CooperVision, which we knew about going into the third quarter tied to shutting down lines in fiscal Q1 that we always do to refurbish, and what we usually do. And so some of the activity we knew and we knew about and but it’s really a story about FX.

Unidentified Analyst

Analyst · JPMorgan. Your line is open.

Got it. That’s helpful. And just as a follow-up; where are new fits relative to normal levels? And are there any geographies that stand out is lagging or being above pre-pandemic levels right now? Thanks so much.

Al White

Analyst · JPMorgan. Your line is open.

Yes. It’s really interesting going through that data because even the U.S. data we just got shows that new fits are not back to pre-COVID levels. And there’s different data at different spots kind of around the world being as much as 5%, 10% below pre-COVID levels. So if you look at the strength of the revenue numbers and where the industry is today, then you go, man, we still have 5% or 10% of fits that get back into the market, just to get to pre-COVID levels knowing that wearers are also increasing, right? You get – you can get kind of excited about the potential opportunities there over the coming years. I happen to believe that a lot of those wearers are getting fit in different ways and maybe not getting fully captured in that data, like through things like Telehealth and so forth, so that people are able to get prescriptions renewed or able to buy their lenses in different ways. But to be fair, the data is showing that we’re not back to the pre-COVID levels in terms of fits.

Unidentified Analyst

Analyst · JPMorgan. Your line is open.

Got it. Thank you.

Al White

Analyst · JPMorgan. Your line is open.

Yes.

Operator

Operator

Thank you. [Operator Instructions] Our next question comes from the line of Steve Lichtman with Oppenheimer. Your line is open.

Steve Lichtman

Analyst · Oppenheimer. Your line is open.

Thank you. Hi, Al and Brian. Al just wanted to get your confidence on PARAGARD improvements from here beyond the easier comps. What are you seeing on the ground there for PARAGARD and what do you see as potential drivers for improvement ahead?

Al White

Analyst · Oppenheimer. Your line is open.

Yes. On PARAGARD we had a tough quarter. We said this quarter because of the comp. We’ll have a good Q4 where we started off well here in August. Matter of fact we finished strong at the end of July with PARAGARD. So with Roe v. Wade and what’s happened, women are out there and they’re a little bit more concerned about things for obvious reasons. We are seeing that women are looking at okay, well, what’s the most efficacious form of birth control? What direction should I go here? So you – we have seen an increase in interest in LARCs and you’ve seen that in some of the numbers here more recently. So we’ll see if that trend holds, if it does, you’ll continue to see outperformance in IUD. So I would say that the kind of Roe v. Wade outcome if you will, I was saying that it was a neutral to a modest, positive to us. I would probably upgrade that to saying that that’s turning out to be a modest positive to our business. We’ll see how PARAGARD goes, but I would envision a decent quarter in Q4 that’s for sure.

Steve Lichtman

Analyst · Oppenheimer. Your line is open.

Okay. Got it. And Brian you and Al talked about ramping production, I think across a number of lines in CVI. What is your outlook for CapEx spend in this year and directionally are you anticipating next year to be up, down, flat versus this year at CapEx?

Brian Andrews

Analyst · Oppenheimer. Your line is open.

Yes. Hi, Steve. Good question. Yes. So CapEx picked up a little bit in the third quarter. Al in his prepared remarks talked about how we put some lines in place and we’re – we’re doing whatever we can as quickly as we can to ramp-up capacity. It’s hugely difficult to increase capacity quickly and we’re having a tough time meeting demand. So I would expect, I’m expecting a pretty high CapEx number in the fourth quarter. Still free cash flow being strong for the full year, but that trend kind of continuing where next year CapEx continues to go higher as we continue to put more capacity in place to try to meet demand.

Steve Lichtman

Analyst · Oppenheimer. Your line is open.

Got it. Thank you guys.

Operator

Operator

Thank you. Please stand by for our next question. Our next question comes from the line of David Saxon with Needham. Your line is open.

David Saxon

Analyst · Needham. Your line is open.

Yes. Hi good afternoon. Thanks for taking the questions. Maybe just a follow-up on PARAGARD. I think last quarter, you noted softness in the market, so – but it sounds like you have a fair bit of confidence in it returning to growth here in the fourth. So is that market dynamic kind of passed us at this point? And then just on pricing, I know you took price, I guess you’re going to be laughing at soon, but any opportunity to take price again with PARAGARD?

Al White

Analyst · Needham. Your line is open.

Yes. So a couple things on PARAGARD. We did see office visits down – OB/GYN office visits down and that was due to PARAGARD, I’m sorry, COVID related staffing challenges, right. We’ve seen some of that same stuff obviously in optometry offices and I’m sure everyone has seen that in other areas of the world. But we definitely saw a negative impact to patient traffic, especially with respect to things like general OB/GYN visits and contraception OB/GYN visits during the summer months. After the Roe v. Wade situation and a little bit of improvement in terms of capacity, you had a bunch more attention if you will focused on the matter. And we’ve seen that attention be a benefit to PARAGARD because PARAGARD is, I mean, it’s highly efficacious, 99% plus efficacious. So if you don’t want to get pregnant, get an IUD and as people look at that become more aware of that, obviously PARAGARD is the only non-hormonal IUD in the marketplace. We’ve seen an increase in terms of interest in the product and people inquiring about it, people searching for it. Our team, I think has really done a nice job trying to capitalize on that activity. So we saw that improvement starting in July. We’ve seen it continue here through August and yes, I think you’ll see growth certainly in Q4. TBD on price increases, one of our competitors did a price increase or is doing one here will evaluate another one and take price if we can, if it’s appropriate.

David Saxon

Analyst · Needham. Your line is open.

Okay. That’s helpful. And then on myopia management at 90 sorry, 90 to 95 wherever it shakes out. Is that portfolio going to be profitable, and if not how should we think about when that starts to contribute to earnings? Thanks so much.

Al White

Analyst · Needham. Your line is open.

Yes. I would call that somewhere around the kind of breakeven this year. Let’s go with – let’s just say it’s breakeven, and then it’ll shift to being profitable next year. We build a lot of infrastructure there in terms of myopia management support people and so forth. We’ll start to leverage that infrastructure as we get into next year. So, yes, that’s an operating margin drag certainly right now. It gets better next year and then hopefully as if it continues to grow at the pace it’s growing and what we’re seeing yes, we’ll continue to improve that operating margin. Hopefully at some point in the future get that to be operating margin positive, especially with the gross margins in that business.

David Saxon

Analyst · Needham. Your line is open.

Got it. Thank you.

Operator

Operator

Thank you. I’m not showing any further questions. I will now like to turn the call back over to Al White for closing remarks.

Al White

Analyst

Great. Thank you. Thank you everyone. Again strengthen the business and the core fundamentals are driving what we’re – what what’s making us optimistic. I mean, the one thing Brian touched on it is currency has been painful for us. It’s been pretty brutal. We’re working through it the best that we can and we’re taking the measures that we can take. But if we exclude currency and really look at the fundamentals of the business, whether it’s CooperVision or its CooperSurgical especially the fertility business things are strong and we believe they’re going to remain strong. Started Q4 off well, and we’re optimistic about finishing this quarter well, and having a good year next year. So appreciate everyone’s interest. Look forward to seeing people, hopefully some of you at the Wells Fargo Conference with Larry here, I think next week, and I look forward to speaking to everyone else during the quarter on the Q4 call. Thanks

Operator

Operator

Ladies and gentlemen, this concludes today’s conference call. You may now disconnect.