Thank you for standing by. My name is Pam, and I will be your conference operator today. At this time, I would like to welcome everyone to the third quarter 2024 Cooper Companies Earnings Conference Call. [Operator Instructions] I would now like to turn the conference over to Kim Duncan, VP of Investor Relations and Risk Management. You may begin.

Good afternoon, and welcome to Cooper Companies Third Quarter 2024 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 will contain forward-looking statements, including revenues, EPS, interest expense, operating income, tax rate, FX and other financial guidance and expectations strategic and operational initiatives, expectations for recent acquisitions, market and regulatory conditions and trends and product launches and demand. Forward-looking statements depend on assumptions, data or methods that may be incorrect or precise 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 materials. Should you have any additional questions following the call, please e-mail ir@cooperco.com. And now I'll turn the call over to Al for his opening remarks.

Thank you, Kim, and welcome, everyone, to today's earnings call. I'd like to start by congratulating our 15,000-plus employees for delivering Cooper's first ever billion-dollar revenue quarter. We couldn't have reached this milestone without the hard work and dedication of our amazing employees. So a big thank you to the entire Cooper team. I'm also proud to announce that both CooperVision and CooperSurgical reported record revenues and that margins improved nicely, driving double-digit earnings growth and record non-GAAP quarterly earnings. This performance highlights the strength of our business as our multiyear growth strategy to become a leader in the daily contact lens space and a leader in the global fertility industry moves into a stage of healthy revenue growth combined with leverage through the P&L. To expand on that, at CooperVision, we've taken our highly successful monthly lens strategy, built on innovation and flexibility and taking it to the daily space, where we're expanding the segment and gaining share. At CooperSurgical, we've expanded our global fertility capabilities while continuing to provide clinics with premium products and services that support every step of the fertility journey. And in both cases, we crafted our portfolios to expand our customers' businesses and improve patient outcomes. We've accomplished this by strategically investing throughout the organization, including installing state-of-the-art manufacturing capabilities, implementing technological advancements in packaging and distribution, developing and launching numerous new products, completing significant IT upgrades and providing extensive employee training. This activity is paying off, and I'm proud of our success and excited about what the future holds. Moving to the details and reporting all percentages on an organic basis, consolidated quarterly revenues were slightly over $1 billion, up 8% year-over-year. CooperVision posted record quarterly revenues of $676 million, up 10%, led by strength throughout our broad-based product portfolio. And CooperSurgical posted…

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 a reconciliation of GAAP to non-GAAP results. For our third fiscal quarter, consolidated revenues were $1.003 billion, up 8% as reported and up 8% organically. Consolidated gross margin was 66.6%, up from 66.1% last year, driven by continuing efficiency gains and product mix, offset by FX. Operating expenses showed leverage growing slower than sales as efficiency gains from prior investment activities continue to offer positive returns within SG&A. Meanwhile, R&D grew faster than sales as we maintain our R&D activity in several exciting areas, including myopia management and fertility. Consolidated operating margin improved nicely, up to 25.5% from 23.9% last year, led by improved gross margins and SG&A leverage. Below operating income, interest expense was $27.1 million, and the effective tax rate was 16.6% higher than expected mainly due to the geographic mix in income. Non-GAAP EPS was $0.96, up 14% year-over-year with roughly 201 million average shares outstanding. Free cash flow was $118 million with CapEx of $89 million. Net debt decreased to $2.5 billion. Foreign exchange negatively impacted earnings by $0.05 in the quarter, $0.01 better than expected, helping to offset the higher effective tax rate. To summarize fiscal Q3, CooperVision reported double-digit organic revenue growth against last year's tough 13% comp, fertility returned to double-digit growth, and we passed the $1 billion threshold in quarterly revenues for the first time. Gross and operating margins both improved nicely year-over-year, even against currency headwinds. And this resulted in a very strong operational quarter that delivered solid double-digit earnings growth. Before moving to guidance, let me mention two tuck-in acquisitions. The first is ZyMot, which closed in June. This deal adds a first of its…

Thank you. [Operator Instructions] Your first question comes from the line of Jeff Johnson of Baird. Please go ahead.

Hey, guys. Thanks. Good evening. Sorry, I was on mute there. So two quick questions. I guess, Al, you kind of talked about that 10% growth you did in the quarter, sorry, the 7% contact lens market growth and the 10% you did in calendar 2Q. What are you seeing from an end market perspective? There's been some chatter over the last maybe few weeks, a couple of months about -- has rebate activity gone up? Has it not gone up? Has end markets softened a little bit with the consumer? It sure seems from the numbers we're seeing from all the companies that the market is holding in well. But I just -- maybe your state of the market, U.S. and globally would be helpful here on the contact lens side. Thanks.

Yes, sure. The state of the market is holding up really well. There's a little bit of noise every once in a while that we'll hear, right, you mentioned it with rebates, which is U.S. consumer rebates, relatively small in the grand scheme of things. But if we look at the market, whether it's the U.S. or we look on a global basis, it remains really healthy, and you're continuing to see growth in a lot of the more mid- and higher-end products in torics and multifocals and some of the more premium products within those segments. So yes, I would just say maybe a little bit of noise here and there, but on a U.S. basis and a global basis, still pretty healthy market.

All right. That's helpful. And then just on the return to double-digit fertility growth, late last year, you had a culture media recall, should we assume, with you back to double-digit growth there and you're calling out culture media as one of the growth drivers that there's no kind of lingering impact, any bad will that built up in any of these fertility centers there, anything? And do we need to think about any kind of big dollar potential litigation risk? Or is this all kind of normal course of business that companies have to deal with at times? Thanks.

Yes. I would say on the litigation side, we're working through that. We have insurance to cover that. And yes, it's something that we'll work through as other companies work through similar situations. I think that, that event that you're referencing happened kind of back in the December time frame and rolled a little bit in the beginning of this year. But our fertility team is fantastic, and they've done a great job and the message that they deliver and the message they believe in is that we are going to do what's best for our patients. And we're going to do what's best for our customers. And we put our heart behind that. And I think the team did just a fantastic job going out and talking to people, being open, honest and transparent and so forth and working through the issue to get back on good footing, and that's what you're seeing. That's why we're back to double-digit growth here.

Your next question comes from the line of Larry Biegelsen of Wells Fargo. Please go ahead. Your next question comes from the line of Jon Block of Stifel. Please go ahead.

Great, guys. Thanks. Good afternoon. Maybe on the first one, in the Americas CVI to your stack growth was notably strong, I think one of the strongest in a good couple of years and -- just anything to call out to frame that? Is that a function of increasing capacity with some lenses and that going into the Americas? And then maybe if you can just use that as an opportunity to remind us of where you are with the overall capacity initiative relative to maybe where your expectations were six or nine months ago?

Sure. Yes, it was an excellent quarter. When you think about last year, I think we were at 13%. So on a two-year stack basis, definitely a strong quarter. You are seeing some of what you referenced, John, which is we've got some capacity coming online and that's putting us in a position to be able to meet demand. As we sit here today, demand is still greater than supply, if you will, with -- and I would say that's especially true with MyDay and some parts of the MyDay portfolio. And it's a little bit of a limiter in terms of our ability to meet the demand in locations and also a little bit of a restrictor and our ability to be able to launch some of the activity we want around the world. So that makes me optimistic about the future, certainly, as we continue to bring capacity on and expand our capabilities. In the meantime, you're seeing the results of bringing capacity on and the continuing strength of the product portfolio.

Okay, thanks for that. And then Brian, I'll turn it to you that you mentioned the leverage. It was really solid, better than my estimate in the quarter. I'm looking at -- I believe OpEx that was basically flattish Q-over-Q despite, call it, mid-single-digit sequential revenue growth, maybe you can talk to -- is that more CVI than CSI? Was there anything abnormal in the quarter in terms of cadence in OpEx, could that really stood out in the quarter? Thanks for your time.

Hi, John. Yes, thanks for the question. Yes, I mean, we expected strong results in the second half of the year. You heard my gross margin commentary in the first couple of quarters being stronger than in the first half than the second half, but we were going to make up for it with meaningful SG&A leverage in the second half. So we certainly put up some great results in the third quarter with SG&A leverage. I'd say both businesses are executing really well. Certainly, those investments that we've been -- that kind of stacked up on top of one another over the last several years are yielding positive returns, and we're getting efficiencies from those. I mean, it's not a one quarter thing, it's a multi-quarter thing and I think we expect to see that next quarter and into next year. So yes, happy with the results.

Your next question comes from the line of Larry Biegelsen of Wells Fargo. Please go ahead.

Hi. It's [Lay] (ph) calling in for Larry. Can you hear me okay?

Yes. Hey, Lay.

Yes. Thanks for taking the question. Just two for me, please. First, on the call you talked about low double digit OI growth for fiscal 2025. Can you give any other commentary in the top line the last three fiscal years? You started guidance 6% to 8% constant currency growth, is there any reason to think that you would start differently for fiscal 2025 and anything below the line as far as interest rate, tax rate that you can call out at this point for fiscal 2025? And I have a follow-up.

Sure. Lay, I'm not going to get into much detail on guidance at this point in time as we never do. A couple of things I would just say, I mean, the contact lens market is certainly healthy as we're just discussing with Jeff. I mean we're giving guidance for ourselves in the fourth quarter here of 8% to 10%. CooperSurgical's market is healthy, fertility is healthy. We're giving guidance for CooperSurgical in the fourth quarter of 6% to 8%. So we're optimistic about both marketplaces. And where we sit today here, I would say, remaining optimistic that both markets are going to continue to be strong in the next year. But outside of saying that, I'm going to hold off on giving any revenue detail until we get to December. I'll turn it over to Brian on below the line items.

Hi, Lay. Yes. So similar to Al, I'm going to hold off on providing details until December. But you picked up on the commentary, I said about delivering our long-term commitment and our objective to deliver low double-digit constant currency OI growth. So people can take comfort in the fact that, that objective hasn't changed. We've got a lot of momentum going into next year, next year should be another solid year. Free cash flow is going to be stronger next year so we expect we'll pay down some debt. So hopefully, assuming rates hold, that will mean that our interest expense goes down to the extent that the Fed does something in our favor, then that's going to be beneficial and that will help. I guess if I talk about FX, I'm knocking on wood right now, Lay but as we sit here today, FX is a positive for fiscal 2025. So I don't want people to get ahead of themselves, but that could be some upside. And while I'm not providing guidance on taxes, if we use 2024 as a guide, our effective tax rate pre discrete this year will be around 15.5%. So we've got momentum, hopefully, some of these upsides play out, and we're going to have a great year.

That's helpful. Thank you. And for my follow-up, can you just remind us when you last took price in CVI? So when does that anniversary? And how are you thinking about price into fiscal 2025? Thank you for taking the questions.

Sure. We took price in fiscal Q1 of this year. I would anticipate we'd take price again in fiscal Q1. When I look at ourselves or the industry, inflation has come back a little bit, but it's still running, what, in the 3% kind of range. So I think where we've been is raising pricing to offset inflation. And I would anticipate the industry will continue to take price to offset inflation. And I would anticipate we'll do that in fiscal Q1. So more to follow on that.

Your next question comes from the line of Craig Bijou of Bank of America. Please go ahead.

Good afternoon, guys. Thanks for taking the questions. I wanted to start on the distributor issue that you had last quarter? And really just wanted to see if it impacted any of your sales or growth numbers in the quarter and if it will continue into Q4 at all?

Sure, Craig. Yes, that was the CooperSurgical-related IT upgrade issue that we worked through last quarter. I would say that, yes, it did disrupt things a little bit into this quarter. But we've worked our way through that. I think you probably get a little bit of the residual upside from that, frankly, in Q4. As you saw, we did 5% growth in CooperSurgical in Q3, and we're guiding to 6% to 8% in Q4. So finishing the year strong as CooperSurgical gets back on full footing, if you will.

Got it. That's helpful. Thanks, Al. And switching over to CVI and maybe a follow-up on one of the earlier questions. And just looking at APAC growth. And I guess I wanted to ask where you are in getting full capacity or full supply to that reason specifically. That's one, if you look at the growth rates, it stands out as maybe a little bit more sluggish than some of the other geographies. And I know that you're working on meeting the demand there. So just maybe a little bit of color on where you are and how we should expect that maybe to ramp over the next several quarters and into 2025.

Sure. That's a good question. Our Asia PAC numbers, yes, a little bit softer than maybe we were running historically. We've got a great team there, Kathy and her team of folks in Asia PAC, I've got all the confidence in the world, a strong team. They just need more product as what they need at the end of the day. And if we have more product, those numbers would be stronger, that's what it comes down to. So we're working hard on that. We're bringing capacity online. We're trying to get more MyDay so we can get it out in the marketplace and get it over to help that team execute at the level that we know they can. I won't give any specific details on that at this point. I'll touch on that and give a little bit more color in December as we start discussing next year's guidance.

Your next question comes from the line of Joanne Wuensch of Citi. Please go ahead.

[Technical Difficulty] of time talking about myopia management. I mean, if my math is right, you're probably looking at about a $40 million per quarter revenue run rate with really healthy double-digit growth. If -- how do you think about where you are in terms of the adoption curve and the marketing of it and sort of the education of the physicians? Thank you.

Yes. That's a great question, Joanne. Yes, we did about, I think it was somewhere around $37 million this quarter total Myopia management. MiSight is bigger than ortho-k now. And as you can see in the number, continuing gain traction. So I would say, though, we're still in the early innings of that. You're seeing Myopia control continue to gain interest among the eye care community around the world. You're seeing more interest in some of the parts of the world where there's Myopia control spectacles. We have a joint venture, as you know, with EssilorLuxottica who's doing a great job with Stellest. We're seeing some great numbers with SightGlass in China. So I'm really optimistic about that entire marketplace. I mean I still believe the myopia control market is just going to be a really large market. As everyone knows, the only approved product right now in the U.S. through the FDA is MiSight. I look forward to getting glasses approved at some point in time. I think that's going to take everything to a whole another level. But to your point, Joanne, like we're doing well. Business is growing. We're gaining traction. That's moving closer to standard of care in pediatric optometry, which is fantastic in many markets around the world. So that's all positive news. It's not as big as I'd like it to be. but it is definitely moving in the right direction and continuing to get larger. And to be fair, 50% growth on MiSight off a little bit bigger number, the numbers keep getting bigger and the growth rate has been holding. So things are pretty positive there.

Terrific. Thank you so much, and have a good evening.

Yes, thanks.

Your next question comes from the line of Robbie Marcus of JPMorgan. Please go ahead.

Great, thanks. And I'll add my congratulations on a nice quarter. I wanted to see if I can maybe push my luck a little bit here with fiscal 2025. And I appreciate it's early, and it's a really strong guide to start. With low double-digit operating income growth and positive FX, does that translate down to EPS as well? I think what people are looking for, is that low double digit or better EPS growth in 2025? Is that the implication?

Yes. I mean I think Brian kind of covered it well, which is FX as we sit here today, would be a positive on a year-over-year basis. We'll see what happens with interest expense, right? But we're going to generate some decent free cash flow. We'll pay debt down, that's going to help. If the Fed lowers rates, that's going to help. Taxes, effective tax rate is going to be higher year-over-year, as Brian said, 15.5% was without the discrete this time. So I think it'd be higher next year. But if you plug all that in, yes, that should result in some pretty decent EPS.

Great. And maybe just to dive in, you touched on some of this, but gross margins and operating margins were particularly strong. I know you touched on that already. But maybe just some of the particular drivers, especially in gross margin, as more and more dailies come online, you would expect that to maybe drop down, but it's holding in firm. So how are you offsetting that? And how should we think about that moving forward? Thanks a lot.

Hi, Robbie. Yes. So price and efficiency gains are offsetting the FX. On the efficiency side of things, we're making progress on our intercompany shipping. So when we put all of those infrastructure investments in tied to packaging, some of the labeling and so forth. And when we're moving product intercompany between and among our sites, we've gotten a lot more efficient at doing that. And so what you've seen is efficiency, that efficiency flowing through cost of goods as well as the price helping to improve gross margins. You've got a little bit of mix there as well. Americas, we've got a bit higher margin than in other parts of the world and then some of the some mix also at CooperSurgical. So you put it all together, and it's offsetting that FX to a large extent. So I'd expect that we'll continue to do that type of activity. You'll see dailies thigh high to be a bit of a headwind. But as we work through our capacity increases and we eventually get to moderating on that CapEx and we start working on continuous improvement activities, that's going to be another opportunity for us to continue to take gross margins higher over the longer term.

Great, thanks a lot.

Your next question comes from the line of Anthony Petrone of Mizuho Group. Please go ahead.

Thanks. And congratulations on the strong quarter here. Maybe a couple on CVI and then one on CSI. On lenses, maybe just a little bit on the pricing dynamic. It's been a tailwind here for a number of quarters. Pricing, I believe, resets possibly every six months depending on distributor versus optometry versus retailer contracts. And so maybe just the visibility on pricing is something in the range of 200 basis points sort of the new normal for contact lenses. And when we think about a mix toward toric, in any modality when we go from a sphere or a toric or just get a new toric users relative to a sphere, what is the margin uplift of toric versus sphere and then I'll have one on CSI.

Sure, Anthony. Yes, a couple of different things. On pricing, we have really strong visibility internally on pricing, of course. But it's a complex model, as you could imagine. I mean you talked about a couple of the items there, right? distributors versus retailers and the direct channel optometrists. That's why I always say to people like be careful reading too much into something like consumer rebate activities in the U.S. that occur in the U.S. and not outside of the U.S., right? I think at the end of the day, what you're thinking about is right, like 2% to 3% support for market growth is probably the range that we're sitting in. I think where inflation is, it won't surprise me if we continue to sit in that range for a little while longer. We'll see what happens long term on that. When you think about the growth of the market overall, it ties to your question on torics, which is one of the reasons the market is growing nicely is it's not only price in terms of pure price but it's price coming from a product mix shift. And as you get more growth in torics and you get more growth in multifocals, and some of the other specialty lines, I mean, we have some of the most innovative products in the market when it comes products like Energys and so forth. You do get a different margin profile. Now that one is a little challenging to answer specifically because it depends on the life cycle, meaning when you're launching some of these products, especially wide SKU range torics, you're going to have lower margins. But once you get the products fully into the market, you'll get margins at or even above sphere margins. So I would say, at the end of the day, we really look at operating margins, more than gross margins. And all of this activity is going to end up being long-term accretive to operating margins.

Very helpful and a quick one just on CSI. We've been hearing a little bit on competition for PARAGARD from a competing copper, non-hormonal device coming on the market. So maybe just a little bit on the competitive landscape in IUDs broadly and your take on just brand loyalty to PARAGARD versus a new copper alternative in the marketplace. Thanks.

Sure. Yes. I mean right now, PARAGARD is the only approved product in the marketplace. And I think it's worth remembering that IUDs are governed as pharma products. So the regulatory approval process is long and arduous, and I can't comment on somebody else's process or their journey to getting approval. But what I can say is that we have a fantastic team selling PARAGARD, it's been in the market a long time. It has a 10-year indication, which is very unique to it. We just went through the full approval process to get single hand inserter approved. We've got that product into the market right now. That's a more efficient way for the practitioner to insert the IUD so that's fantastic. And if there was pushback on PARAGARD, a lot of times, it was tied to that. So that's a nice improvement we have in the marketplace. So where PARAGARD sits right now is actually in a pretty good spot.

Thank you. Congrats again.

Thank you.

Your next question comes from the line of Jason Bednar of Piper Sandler. Please go ahead.

Hey, good afternoon. Thanks for taking the questions. I wanted to come back to CVI, and really see that you can provide a bit more color on the cadence of demand throughout the quarter, the exit rate you had from July into August. I think you mentioned a good back-to-school season for MiSight. So I guess just wondering if that extends to the rest of your business as we exited the third quarter, if that was on a high note.

Yes. We had a good July. I would say we're having a good August. So yes, somebody asked the question kind of earlier about market demand and so forth, I'd say the market is remaining healthy certainly. And we're seeing that in our business. I am excited about MiSight and where we're at. The receptivity on that seems to have increased and we're seeing more positive news on my side. So I'm expecting another good quarter here for fiscal Q4. But yes, in general, the last couple of months have been good and the month we're in is starting off well.

Okay. That's helpful. Thanks, Al. And then one other one. We're hearing that J&J's reversing course on its decision to cut its toric SKUs. I think that was a decision from 18 months ago or so. But Cooper was a big beneficiary of that original decision from J&J to cut those SKUs that you won over a lot of toric patients. Do you see any risk of share give back for that lens class? Or is there any reason to think that share would be less sticky, any less sticky for those patients than what you would normally see with a typical contact lens consumer?

No, I'm not too worried about that. I mean, first of all, I would say that it wasn't that big of a deal. They cut some SKUs out of some ranges and the wider part of the bell curve, if you will so it would not be fair to say we took a lot of toric business or a lot of toric patients from them because of that decision. We did take some. And when you fit somebody in a toric, especially toric like ours, just I mean we're a market leader there with some of the best design toric in the marketplace, period. We don't lose patients once they come into our products. So no, I think we're fine on that side of things.

Okay. Kind of what I figured. Thank you.

Okay.

Your next question comes from the line of Brett Fishbin of KeyBanc Capital Markets. Please go ahead.

It's been pretty striking, I have to say, some of the uneven results that we've seen in the contact lens space this year with the market seemingly really healthy and perhaps like a major exception over the past few quarters. Just curious if you can comment maybe on like that level of the difference that we've seen across some of the different players? And what are the biggest differentiators separating, call it, like the outperformers such as yourself from the underperformers over the past few quarters?

Yes. I think that when you look at the contact lens market, it's always a little tough to take at any individual quarter because a lot of different things can happen. But we've seen them over the last couple of years when it comes to people having some shipping issues or supply issues and so forth. But at the end of the day, I look at our business model and I say, okay, we have the broadest portfolio, some of the best, arguably the best markets and best products in a lot of segments of the market. So I think you're going to get consistency. I mean, from us, I think when you look at the rest of the market, you've got disruptions and business profiles and then you've got portfolios where people are in their portfolios. The market has shifted over and continues to shift to silicone hydrogel dailies and specifically, daily torics and daily multifocals. As you know, I mean, over the last, geez, now five, six years or so, we put a heavy emphasis on expanding our capabilities in the daily side of things, bringing our monthly portfolio into the daily side of things on expanding parameter ranges for torics and creating products like MyDay Energys and MiSight and so forth to expand the daily market. And that's worked out really well for us. So I don't know. I don't read too much necessarily into all the competitors quarterly results because at the end of the day, you got a strong market and everyone is going to continue to put up decent results moving forward because you just have healthy underlying demand.

All right. Appreciate that commentary and color. And then just a really quick follow-up on the other side of the coin with Myopia management. Have there been any updates around the SightGlass FDA approval time line? And if not, what's really like the next data points that we should be paying attention to? Thank you very much.

Sure. Yes. On SightGlass, no updates on that. We're working through that clinical process right now. to try to get FDA approval. The last kind of commentary we gave on that was look and hoping to get FDA approval in the latter part of next year. I mentioned it earlier, we have an excellent relationship and joint venture with EssilorLuxottica who is the true leader in Myopia control, and they're doing some fantastic things in that space, and we're working with them. We're doing some fantastic things. So two great companies working together to promote Myopia care and really trying to help children that need visual correction around the world. With SightGlass, we have the product in China right now. It's doing really well there, and we're looking forward to continuing to do really well there and get launched, make it its way around the world. And ultimately get FDA approval and be really successful here and really help MiSight also.

Your next question comes from the line of David Saxon of Needham. Please go ahead.

Great. Good afternoon, Al and Brian. Thanks for taking my questions and congrats on the quarter. Maybe I'll continue on with Myopia management. So ortho-K, at least on my math, I mean, it looks like growth or return to growth in the quarter, I should say. So I guess what's driving that? How much of that is driven by China recovery versus kind of strengthening the rest of the world? And then for MiSight, can you talk about what percent or what inning you're in, in terms of commercial payer coverage kind of when should we expect you to reach critical mass on that? And I'll have one follow-up. Thanks.

Sure. I would say when it comes to Myopia management, and I would say this is true for ortho-K and MiSight. Our weakest market is China. Now we don't do a lot of business in China, period, as a company. There's a tremendous amount of opportunity with Myopia control in these treatments in China because there's such a high percentage of the pediatric population that's Myopic. But that would be a market where we struggle. So as well as we're doing it's largely being driven by success outside of China. You guys probably even know better than I do, you probably follow China closer than I do, but it'd be great to get some consistency in growth out of China because I think there's some tremendous growth opportunities there with MiSight and ortho-k but right now, we're not really seeing it, that's not a driver. If I think about MiSight and insurance coverage, I would say we continue to make progress slow but sure. I've talked about Aetna coverage in the past and Kaiser coverage in the past. I think we're just continuing to make slow and steady progress on insurance reimbursement. I will go back to some prior comments I've made on other calls that we really need to get spectacles in the market and really get the myopic control market to become standard of care so that all optometry practices are looking at that when kids come in, right, and treating them the way they should be treating. And I think that's going to really kick start the insurance reimbursement. Until that point, I think we'll just continue to plug along slowly, but surely.

Okay, that's great. Thanks for that. And then in CooperSurgical, I think last quarter, you talked about PARAGARD expectations of being flat to slightly up. Is that still the case? And then in the stem cell storage and medical devices part of the business, I think, Brian, you had called out some growth. Maybe can you get a little more granular, what kind of growth? Is that single digits, high singles, et cetera? And then what is driving that? Is that kind of M&A contribution or some of these organic product launches? Thanks so much.

Yes. I'll give a couple here, I'll stop my head and see if Brian has anything to add. I mean PARAGARD is going to be up this year or we're anticipating it being up this year, just a little bit, not a lot, but it will be up slightly. STEM was kind of usual, it was up, I think, around 4%, and that was just organic growth. We haven't done any acquisitions or anything on that side of things. We just did the two small ones Brian mentioned.

Yes. David, I don't have anything else to add. Those are the right numbers.

Okay, great. Thanks so much.

Your next question comes from the line of Steve Lichtman of Oppenheimer. Please go ahead.

Thank you. Good evening, guys. Just wanted to follow up on PARAGARD, so you've had moving parts with the stocking dynamics in the last few quarters. As you look beyond just this coming quarter, what is your outlook for underlying growth for PARAGARD looking forward and sort of the pluses and minuses driving your outlook?

Sure. Yes. I mean, I think you can back in the numbers, PARAGARD will be down a little bit in Q4 again. But I think if I look longer term, you're talking about a marketplace that has declining unit sales. So we're getting a little bit of growth because of price. We've taken price a few times, maybe we'll take price again. But the marketplace is declining in terms of units, which creates the challenge. I mean, ultimately, there's more options available to women for birth control. And I think non-hormonal IUDs, meaning PARAGARD is going to continue to do okay. But that's not the -- that's not the big growth market, right? I mean it's just not. But it's fine. I mean it's less than 5% of our revenue. So it's -- I mean, we talked about -- I don't know why we spent so much time talking about it, but that would be the answer.

Got it. And then, Brian, you mentioned CapEx moderating. Just given the demand outstripping supply, what drives the ability to moderate that investment?

Hi, Steve. Yes, I just want to be clear though. I mean, while I talked about in the future when CapEx moderates, we'll get to work on continuous improvement activities, and that will result in efficiency gains. I wasn't necessarily suggesting that next year is going to be a light CapEx year, and I wasn't certainly even giving guidance to next year. So Certainly, we have a demand still outstripping supply, we're capacity constrained in a number of places. We're modulating some of our launches and our launch activities based on the capacity and the supply that we have, but capacity is coming on just about every month, and we're doing great at adding capacity and better-than-expected yields and results. So I'd expect that next year, we're still going to have a big CapEx number. I just talked about free cash flow being better next year than this year. And this year, I'm reiterating the sort of around $300 million of free cash flow. So things are looking positive, but I wouldn't initially say that a major change in CapEx for next year.

Understood. Thanks, guys.

Yes.

Your next question comes from the line of Chris Pasquale of Nephron Research. Please go ahead.

Thanks. Al, I'll ask one more PARAGARD question for you just to fill out the slate. Could you just clarify the number this quarter? I thought we were looking for down sequentially. I think I heard down a little bit year-over-year, which would be up actually a fair amount sequentially. So what did PARAGARD do in 3Q?

$48 million.

Okay, thank you. And then the Biofinity and Avaira growth was strong this quarter. Every time the delta between dailies and FRP compresses kind of stands out relative to what we're used to seeing historically. Was there anything unusual that helped those products? And then I'd love just a general sense of where we are in that transition to dailies in places like the U.S. and Europe that have been playing this very long game of catch-up relative to markets like Asia that were quicker to adopt.

Sure. Probably not too much to read into Biofinity and Avaira this quarter. It was a strong quarter and it was driven by some of the products that I've mentioned, Energys and extended range torics and toric multifocals and so forth. But I think you're going to get some stronger quarters and then some lower quarters there. I mean that will fluctuate around with daily. So not too much to read into that. When I think about the marketplace on dailies, we still have a long runway as an industry there. Less than half of people are being fit in dailies right now. If we call somewhere around 45% of its going into dailies, about 75% of those bits are going into daily silicone hydrogels. Those numbers are increasing, they continue to increase. But the fact that less than half of people are being fit into dailies right now just tells you how much of a runway we have to go as an industry. I mean I just -- it's amazing. I wear dailies and I would never go back to not wearing dailies. They're just so easy to put them in and take them out, throw them out, clean, safety everything else that goes along with it. So I just think that trend is going to continue. And then I would add on to that, that as you've seen products like the one I'm wearing, MyDay multifocal, which is just -- I mean, it's an amazing, amazing product. And what we've seen is people try MyDay multifocal and they stick with it and they stay in it for years and years rather than dropping out of contact lenses. And the last one I would add is torics. I mean, getting the fit that you should get, the correct lens for your eyes that gives you the best eyesight is critically important. And doctors' ability to fit people in torics right now has improved. And now that you're getting the availability of torics within dailies, it's continuing to grow that market. So I think we -- I don't know what inning we're at if you ask me that way, but we have many years left as an industry shifting, continuing to shift over to daily silicone hydrogels and torics and multifocals.

Great. Thanks.

Yes.

Your last question comes from the line of Navann Ty of BNP Paribas. Please go ahead.

Hi, good afternoon. First on capacity progress at CVI, do you have enough visibility to resume more launch activities in the near term? And then I have a follow-up on PARAGARD. Is the single hand inserter a differentiator versus the upcoming competition? Thank you.

On the single hand inserter, I'd say it puts us on par, if you will, with the market. There is single-hand inserter used by hormonal IUDs and that puts us on par with the market. I don't know what the competitor is going to do and what they'll get approval on or won't get approval on. So I won't speculate there. But I will say that it puts us on par with the other products like Marina that are in the marketplace. On capacity, we are making great progress on capacity, and we are more active in terms of getting product into the market and evaluating some incremental launch opportunities, if you will. So yes, I would answer that we have very good visibility on that and it would be positive news.

Thank you.

Yes.

There are no more questions. I will now turn the conference back over to Al White, President and CEO, for closing remarks.

Great. Thank you, and thank you to everyone who called in. We had a really strong operational quarter as we talked about. As Brian said, we're really focused on that and we're going to continue to deliver results here in the short term and long term. That's our plan. So thank you again. Look forward to seeing everyone during this quarter. Thanks.

Ladies and gentlemen, that concludes today's call. Thank you all for joining. You may now disconnect.