Earnings Labs

Omnicell, Inc. (OMCL)

Q2 2024 Earnings Call· Sun, Aug 4, 2024

$45.70

+21.43%

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Transcript

Operator

Operator

Good morning and thank you for standing by. My name is Aaron, and I will be your conference operator for today. At this time, I would like to welcome everyone to the Omnicell Second Quarter 2024 Financial Results Call. All lines have been placed on mute to prevent any background noise. After the speaker’s remarks, there will be a question-and-answer session. [Operator Instructions] Thank you. With that, I would like to turn the call over to Kathleen Nemeth, Senior Vice President.

Kathleen Nemeth

Analyst

Good morning. And welcome to the Omnicell second quarter 2024 financial results conference call. On the call with me today are Randall Lipps, Omnicell Chairman, President, CEO, and Founder; and Nchacha Etta, Executive Vice President and Chief Financial Officer. This call will contain forward-looking statements, including statements related to financial projections or performance or other statements regarding Omnicell’s plans, strategy, objectives, goals, expectations, planned investments, expense management, products, services or solutions, results of our holistic review initiative, our ability to deliver more consistent performance and drive long-term success or market or company outlook that are subject to risks, uncertainties and other factors that could cause actual results to differ materially from those expressed or implied. For a more detailed description of the risks that impact these forward-looking statements, please refer to the information in our press release issued today, in the Omnicell annual report on Form 10-K filed with the SEC on February 28, 2024, and in other more recent reports filed with the SEC. Please be aware that you should not place undue reliance on any forward-looking statements made today. All forward-looking statements speak only as of the date hereof or the date specified on the call. Except as required by law, we do not assume any obligation to update or otherwise release publicly any revisions to our forward-looking statements. Our results were released this morning and are posted in the Investor Relations section of our website at ir.omnicell.com. Additionally, we would like to remind you that during this call we will discuss some non-GAAP financial measures. Reconciliations of these non-GAAP measures to the most comparable GAAP financial measures are included in our financial results press releases posted on our Investor Relations website. With respect to forward-looking non-GAAP measures we do not provide a reconciliation of forward-looking non-GAAP measures to the comparable GAAP measures on a forward-looking basis as these items are inherently uncertain and difficult to estimate and cannot be predicted without unreasonable effort. With that I will turn the call over to Randall. Randall?

Randall Lipps

Analyst

Thank you, Kathleen. Good morning. And thank you all for joining us to discuss our financial results for the second quarter of 2024 and our outlook for the remainder of the year. We had a strong quarter and we remain confident in our ability to position the company for continued long-term success. As I shared with you on our previous two earnings calls, we have been working to improve the company’s financial performance, while also investing in and releasing innovative medication management solutions for our XT point-of-care platform. Today, I am pleased to share that we are progressing on both initiatives. Also, we have completed our holistic review initiative, which has validated our confidence in our refreshed strategy, which focuses on innovations around our XT platform and offering services that are expected to increase our recurring revenue. At the same time, and we have identified several areas of opportunity to take actions that are intended to further streamline our processes and that we believe will drive synergies across our businesses. We expect these actions to enable us to progress toward our goal of more consistent performance. Based on what we are seeing, the macroeconomic landscape is showing early signs of improvement and the demand for Omnicell’s medication management XT point-of-care solutions and Advanced Services offerings is tracking in-line with our initial expectations for the year. Accordingly, we are updating our previously provided 2024 annual guidance metrics, based on our strong first half performance and our current visibility of the business. Next, turning to our second quarter results. We delivered solid results that exceeded the upper end of our guidance ranges, we believe reflects strong demand for Omnicell’s products and services, and sound execution by our team. Our second quarter 2024, total revenue was $277 million, representing a sequential increase of…

Nchacha Etta

Analyst

Thank you, Randall. As Randall noted, we had a strong second quarter. I am going to walk you through some of the drivers for our second quarter 2024 performance, as well as our outlook for the remainder of the year. We are pleased to see that the demand environment is tracking in line with our initial expectations. The drivers for our second quarter results included a healthy number of installs for our point-of-care suite of products, as well as strong demand for Omnicell Specialty Pharmacy Services. We have taken, and will continue to take, what we believe is a prudent and cautious approach to expense management as we roll out our exciting innovation agenda. The disciplined approach we took to managing our expenses helped contribute to our strong bottomline results in second quarter 2024. I am so proud of our Omnicell team who continue to demonstrate their commitment to our promise and our guiding principles on a daily basis. Their commitment is fundamental to delivering improved patient outcomes. Our second quarter 2024 total revenues were $277 million, an increase of $31 million or 12% over the prior quarter and a decrease of $22 million or 7% over second quarter of 2023. The revenue decrease over the prior year reflects the impact of the macroeconomic environment and timing of the XT product life cycle. While the macroeconomic landscape is showing early signs of health system budgets improving, it will take some time to be reflected in our revenues as health system customer budgets become available and are converted to bookings and ultimately revenues upon implementation. Product revenues were $157 million, an increase of 17% over the previous quarter and down 17% compared to second quarter of 2023. Services revenues were $120 million, an increase of 7% over the previous quarter and…

Operator

Operator

Thank you. [Operator Instructions] Our first question comes from the line of Stan Berenshteyn with Wells Fargo. Your line is live.

Stan Berenshteyn

Analyst

Yes. Hi. Thank you for taking my questions. Maybe first on product revenue. It was nice to see the quarter to be by $14 million. But looking at full year guidance, looks like a midpoint of the guidance range actually came down by $7 million. Can you just walk us through what drove the beat in the quarter and what contributed to the guidance revision? Thanks.

Nchacha Etta

Analyst

Yes. Stan, thanks for the question. So what contributed to our revenue was increased. We saw a strong demand in point-of-care product portfolio, as well as increased demand or strong performance from our -- for our Specialty Pharmacy Services business. In terms of the full year, we’re very confident about our guidance, because we do have good visibility today to our implementation plan, as well as what we consider to be a very healthy backlog and so we do feel that we are in line to deliver our guidance for the full year.

Stan Berenshteyn

Analyst

So for the second quarter was the beat driven more of a timing issue where you’ve got some business upfront and then for the guidance range, was the top end of the guidance range revised down just as a function of bookings that you expected to burn that might not burn, kind of how should we think about the puts and takes on that?

Nchacha Etta

Analyst

No. So what we’ve provided from a guidance standpoint is primarily driven by what we believe will be continued strong demand for our Specialty Pharmacy Services business and the product revenues we do believe will continue to perform well through the second half of the year. But it’s again primarily driven by the implementation schedule that we have visibility to in the second half, but the first half was clearly driven by our point of a strong performance from a point-of-care standpoint.

Stan Berenshteyn

Analyst

Got it. Okay. And then on the holistic review, it seems like you found some opportunities to save some costs. Can you size for us what kind of opportunities you found and maybe what the timeline to capture those synergies would be?

Nchacha Etta

Analyst

Yes. We’re really looking at continuing to improve the performance in the second half of the year and so we do expect that the cost savings will continue to -- contribute to our overall performance. We’re fully focused on prudent expense management and we do expect that, that will continue through the end of the year.

Stan Berenshteyn

Analyst

Okay. And then maybe just a quick one…

Kathleen Nemeth

Analyst

Hey, Stan.

Stan Berenshteyn

Analyst

I’m sorry, go ahead, Kathleen.

Kathleen Nemeth

Analyst

No. No. Stan, it’s Kathleen. I just want to go back to your product question, the initial one and point out that from where we sit today, based on where we were at the beginning of the year, we’re less reliant on bookings to close the GAAP product revenue. So the demand environment thus far has been good and so we have confidence in the second half of the year from the product revenue standpoint.

Stan Berenshteyn

Analyst

Got it. Helpful. And then maybe just a very quick one, would just love to get an update on the demand environment for your compounding and Central Pharmacy Robotics Solution? Thanks.

Randall Lipps

Analyst

Yeah. I think there’s a lot of interest in that area because there’s a need to solve a lot of the problem. With the new guidance that was given at the end of last year, we’re finding ourselves having to continue to adjust some of the features and functions of our robot in order to help meet the efficiencies needed to get the ROI. And so we still continue to employ -- deploy those robots but more slowly as we continue to build out the feature set that will help meet those regulations, so a lot of interest still getting bookings but the deployment is slower.

Stan Berenshteyn

Analyst

Thanks so much.

Kathleen Nemeth

Analyst

Thank you, Stan for the four questions. Next question?

Operator

Operator

Our next question is from the line of Scott Schoenhaus with KeyBanc. Your line is live.

Scott Schoenhaus

Analyst

Hey, guys. Thanks for taking my question and good quarter. You talked about the XT Amplify a lot and you’re seeing strong demand. Can I just ask you can provide more color there, the healthy demand you’re seeing, how much of that on the product side is embedded in your guidance? I guess maybe context of how much of it is currently and then how much of it is embedded in your guidance for this year? And then I have a follow-up question again on the IVX cation and compounding, but first, I wanted to just drill more to the XT Amplify?

Randall Lipps

Analyst

Yeah. The XT Amplify is really about a statement about the investment in the XT fleet and so as we deploy that product and gives customers confidence to not only upgrade their systems, but also expand as we did in a couple of examples and the call script. So the XT Amplify itself is not going to contribute a lot to the revenues this year, so most of those bookings that we’re getting this year for the actual XT Amplify products probably will hit next year, but it also gives customers confidence today to go ahead and upgrade their older G Series to XT Series because they see the investment in the X systems. So it’s building -- XT Amplify is building in the backlog.

Scott Schoenhaus

Analyst

Really helpful, Randy. So, I guess, the natural follow-up there is and where are you on your upgrade cycle for the XT Series now versus last quarter that would be helpful?

Randall Lipps

Analyst

Yeah. I don’t know if you have a stated number and maybe the call backs, we can dig that up for you, but we are at the end of the XT, but there are several customers that haven’t upgraded the G Series yet or all their G Series yet and so we’re seeing that demand kind of become unlocked. And so as we finish the end of the XT Series, it’s -- there’s -- it probably unwinds probably most of it over the next 24 months.

Scott Schoenhaus

Analyst

Fair two questions. Thanks, guys.

Kathleen Nemeth

Analyst

Thanks, Scott.

Randall Lipps

Analyst

Thank you.

Operator

Operator

Our next question is from the line of Matt Hewitt with Craig-Hallum Capital Group. Your line is live.

Matt Hewitt

Analyst

Good morning and congratulations on the strong quarter. Maybe first up, if you could talk a little bit about the XTExtend pipeline and I don’t know if you’re ready to talk a little bit about backlog, but obviously it seems like there’s been a strong reception. And if I’m correct, the turnaround of the implementations of the XTExtend should be much faster allowing for faster revenue conversion. Is that correct?

Randall Lipps

Analyst

Yeah. That is correct. And the pipeline has build -- has been building quite rapidly since the announcement. And I think along with the macroeconomic environment slowly improving and probably really important to us, not just the ability to purchase the products but hospitals having the available manpower to actually assist in doing their part with the installation. And that particularly we saw in the second quarter, where all the things that we had scheduled were as planned, there were no slowdowns or speed ups, and so -- and that really allows us to be more efficient and more predictable, and we think that environment will continue throughout the year. And you are correct, as you look at the XT console upgrades, those in particularly are not as much manpower to do. Now many of the times, we will also upgrade the servers which require us to get aligned with the IT department. And so that may be the only it takes a little bit of a time factor, but it doesn’t take much of a people factor and that’s usually included in the Amplify upgrade.

Kathleen Nemeth

Analyst

And I would also add that, Matt, that it does take time to get into the capital approval process, so it is part of that process in addition to the IT, as Randy mentioned.

Matt Hewitt

Analyst

Got it. And then my second question is regarding gross margins. Obviously a nice pop in product gross margins here this quarter. Is that something that we should anticipate kind of building from here as your volumes continue to recover or was there anything one-time in nature that hit in the second quarter? Thank you.

Nchacha Etta

Analyst

Yes, Matt. We do expect our gross margin to continue to improve over time, especially as our Advanced Services business continues to scale. But most importantly, as we said during the prepared remarks, with our multiyear innovation strategy, we do expect that -- we will see some improvement in our margins as our business continues to grow...

Matt Hewitt

Analyst

And then also -- thank you.

Kathleen Nemeth

Analyst

Okay. Great. Thanks, Matt. Next question?

Operator

Operator

Next question is from the line of David Larsen with BTIG. Your line is live.

David Larsen

Analyst

Hi. Randy, can you please talk a bit about Advanced Services and just remind us what are the key products within Advanced Services? I mean I think you highlighted that on Page 2 of the press report I think you list a couple of them. And what is the revenue contribution and the EBITDA margin for Advanced Services in totality, please? Thanks very much.

Randall Lipps

Analyst

Yeah. Thanks for the question, David. Yeah. We have three major components in the bad services, Specialty Pharmacy, which is one of our fastest growing and building that we commented in the remarks. We’re really pleased with that product line, which is setting up Specialty Pharmacy’s inside of hospitals, as well as helping them to execute their 340B program locally, as well as using our third-party 340B services as kind of a combination that we use there. Secondly is our EnlivenHealth, which is primarily focused at retail and outpatient pharmacies. We continue to see that grow, we’ve signed up some nice customers and we believe that ARR is going to continue to grow, and that’s some more relatively high gross margin business. And then -- and lastly is the Advanced Services portion of products that are robotic, so IV and robots that are placed in pharmacies to run the XR2. Those as well are growing as customers continue to buy these systems and place them and put them in place. So those are the three major components of our Advanced Services, and we feel really good about both the growth and they’re scaling to get margin.

David Larsen

Analyst

Great. And what percentage of revenue and what is the EBITDA margin for Advanced Services and then what are the components of -- I think you described it as like TEZ, tech-enabled services and also Consumables, so it seems like in addition to Advanced Services, there is this other sort of piece of recurring revenue. I’m just trying to get a sense for what is like your total recurring revenue is the Advanced Services portion of that and what the EBITDA margin is of those pieces? Thank you.

Randall Lipps

Analyst

Yeah. Just to be clear, those three services that I just articulated are the Advanced Service. We have Tech Services which are big, fixed services, which is not part of the Advanced Service, but it is a service. We also sell Consumables products and that is not part of -- it’s a product and so it’s not part of the Advanced Services either. But the Advanced Services are the new lines that we’ve built up over the last few years to create more solutions for our customers that enable us to solve problems that they can’t solve without it being in the form of a service. And the breakout of the EBITDA, and…

Nchacha Etta

Analyst

Yeah.

Randall Lipps

Analyst

…I’ll leave that up to the finance team to describe that.

Nchacha Etta

Analyst

Yes. So the EBITDA today is growing and it’s -- we do expect it to continue to grow as the Advanced Services businesses continue to scale.

Kathleen Nemeth

Analyst

Yeah. And just, specifically, Dave, so Advanced Services, we expect this year to be about 21% of our revenue. That’s just for the Advanced Services part. The others that you mentioned, Consumables and then our Tech Services, which you can think about more like field service brings the total recurring revenues to about 50%. So, 21% or so for Advanced Services, with the remainder being Consumables and Technical Services, bringing the total to 50% of revenue for the year for 2024.

David Larsen

Analyst

Great. Thanks very much.

Operator

Operator

Thanks for your question. Our next question comes from the line of Bill Sutherland with The Benchmark Company. Your line is live.

Bill Sutherland

Analyst · The Benchmark Company. Your line is live.

Thank you. Randy, I’m curious this deal that you just mentioned with Select Medical, is that to introduce XT to their systems?

Randall Lipps

Analyst · The Benchmark Company. Your line is live.

Yes. It is…

Bill Sutherland

Analyst · The Benchmark Company. Your line is live.

So, what was the takeaway?

Randall Lipps

Analyst · The Benchmark Company. Your line is live.

It was -- yeah. That was a competitive swap, yes, it was.

Bill Sutherland

Analyst · The Benchmark Company. Your line is live.

Good for you. Okay. And then just one little housekeeping question, Nchacha. I -- at the midpoint on the EBITDA guidance, it implies that the second quarter will be the biggest EBITDA quarter in the year. Just trying to understand the cadence? Thanks.

Nchacha Etta

Analyst · The Benchmark Company. Your line is live.

Yes. Our second quarter EBITDA is primarily driven again by the line of sight that we have today to our planned implementations and so we do expect this to be in line with our historical patents.

Randall Lipps

Analyst · The Benchmark Company. Your line is live.

Yeah. In Q3, we have some extra expenses, right, and pay increases and…

Bill Sutherland

Analyst · The Benchmark Company. Your line is live.

Thank you.

Randall Lipps

Analyst · The Benchmark Company. Your line is live.

… seasonal expenses second half of the year. Yeah.

Bill Sutherland

Analyst · The Benchmark Company. Your line is live.

Okay. I figured it was something like that and then it looks like just doing the math at the midpoint for the year, fourth quarter EBITDA is kind of in line with third quarter. So, and anything I should think about relative to that?

Nchacha Etta

Analyst · The Benchmark Company. Your line is live.

No. I mean, we do feel confident about our second half of the year including our EBITDA.

Bill Sutherland

Analyst · The Benchmark Company. Your line is live.

Okay. Thanks everybody.

Kathleen Nemeth

Analyst · The Benchmark Company. Your line is live.

Thanks.

Nchacha Etta

Analyst · The Benchmark Company. Your line is live.

Thank you.

Operator

Operator

Our next question is from the line of Stephanie Davis with Barclays. Your line is live.

Anna Kruszenski

Analyst

Hi, guys. This is Anna Kruszenski on for Stephanie. Thank you for taking the questions and congrats on the quarter. I was hoping to talk a little bit about guidance and your visibility for the rest of the year. And just what are the key swing factors that could get you to the high versus low end of the range?

Nchacha Etta

Analyst

Yes. So, again, as we’ve said in the prepared remarks, we’re very comfortable about our full year guidance and especially in this case, the second half of the year, primarily is driven by our visibility to our plant implementations, number one. And we do -- considering our strong first half, we’re going into the second half with a very high-quality backlog and we do expect that our second half will definitely be in line with what we’ve seen from a historical parking standpoint. We do feel very confident that we will be able to deliver on the guidance that we’ve provided.

Randall Lipps

Analyst

Yeah. If I could add one other component there is that, because hospitals are not as constrained on the employee side and more ready to accept these installations. We have hardened schedules for the next nine months that we believe we won’t see any disruptions. And so probably the high end of the guidance is about keeping to those schedules that these healthcare systems have put in place and our new processes have really kicked in to allow us to give us this longer term view.

Anna Kruszenski

Analyst

Got it. That’s super helpful and actually kind of leaped into my follow-up. I was wondering to what extent the improving industry labor trends such as lower contract labor mix did impact the higher revenue outlook. And just how are you thinking about the industry labor trends at your customers for the rest of the year?

Randall Lipps

Analyst

Yeah. I kind of think of it on a two different -- several different views. One is nursing is always a very sensitive area. And to the point that we can put features and functions and innovations that help nursing, it tends to be very key, and XT Amplify does have feature sets and product profiles that really help nurses. So that’s one reason it resonates well with the market. But on the Tech side and the Pharmacy side, those who help implement the system, those who are responsible with the implementation process, we’ve seen some relief there. And that gives pharmacies confidence that they can put these systems in place and get good results. And because we see that pressure lessening, we can get commitments with customers a lot further out on the kinds of things we want to do and can do. And you have to remember, in some of the cases, we’re installing robots. Sometimes you have to prepare the floor, bring in extra electrical, do things that are just beyond basic things that ADCs don’t require much improvement, but robots do take some improvement. So seeing that they have the labor and time and money and willingness to do that is definitely changing.

Anna Kruszenski

Analyst

Got it. Thank you so much for all the color.

Operator

Operator

Our next question…

Kathleen Nemeth

Analyst

Thank you.

Operator

Operator

Thank you. Our next question is from the line of Allen Lutz with Bank of America. Your line is live.

Allen Lutz

Analyst

Good morning. Thanks for taking the questions. One for Randy or Nchacha. As we think about the gross margin performance in the product segment. Can you talk about the current pricing environment there on the product side? Has that changed at all over the past six months and then is there any type of change to the competitive landscape that you’ve seen over the past six months or so? Thanks.

Randall Lipps

Analyst

No. There is -- I don’t think there’s been any major changes to our pricing or we haven’t seen any impact of our services. I think we continue to be very disciplined in our approach there and we feel like that customers are really interested in platform plays and platforms are less plays or less sensitive to pricing than product pricing, if you will. And to that extent, it’s been very, very positive for us.

Allen Lutz

Analyst

Got it. And then as we think about the macro environment may be becoming a little bit more accommodative and some of the green shoots starting to show. As you think about some of the macro factors and then where you are in terms of the XT upgrade cycle. What do you think is more important as you think about the next maybe one year, two years or three years, is the macro going to be a more important driver here? Is it or is it going to be more around the pickup of that upgrade that you put out there? Thanks.

Randall Lipps

Analyst

Yeah. I think it’s important for us to continue to innovate, because at the end of the day, hospitals need systems that drive efficiency, meet the demands of pharmacy and nursing, and meet the demands of other places than inpatient. They need products in outpatient as you’ve seen in many of the public hospital reports that their outpatient is being driven -- is driving a lot of profits and growth. And so as we innovate, we want to make sure that we have this holistic enterprise solution that really meets the what our customer needs are, which are a much better market. So, I think that’s going to have the biggest impact on our growth profile.

Allen Lutz

Analyst

Thanks, Randy.

Randall Lipps

Analyst

Thanks.

Operator

Operator

Thanks for the question. Our next question is from the line of Jessica Tassan with Piper Sandler. Your line is live.

Jessica Tassan

Analyst

Thank you guys for taking my questions. And so I wanted to just ask, I’m curious if your go-to-market will change as you kind of get deeper into the XT Amplify cycle. Have you changed the structure of your sales force or realigned the sales force? And I guess, can you give us any stats on the average tenure of a sales leader just so that we can get confidence that these consultative and kind of long-term relationships exists that provide hurdle hunting ground for some of these XT Amplify amplified products? Thanks.

Randall Lipps

Analyst

Yeah. I think it’s -- we have a great structure in our sales force, particularly for our larger customers. We have dedicated executives, as well as success managers focused on those accounts. And realize the XT Amplify, it’s not about a product upgrade, it’s about really an enterprise rollout that allows you to access more solution sets and deliver more results. So, the XT Amplify is really a spearhead and a great reason for every sales rep for every customer to have the meeting with the customer. So that’s why the pipeline is building very well it’s because it’s a great go-to-market conversation and will drive -- be the center of driving a lot of results for the next couple of years.

Operator

Operator

Thank you for your question. Our last question for today is from the line of Anne Samuel with JPMorgan. Your line is live.

Anne Samuel

Analyst

Thanks so much for taking the question. You’ve spoken a few times today about the improving macro environment and I was hoping maybe you could just touch on what your conversations with your customers have been like around their financials and maybe what some of the key metrics that you’re tracking are? And then finally, just how you’re thinking about the rate of change of improvement in the macro as it relates to your pipeline?

Randall Lipps

Analyst

Yeah. Usually, our -- one of the key indicators of macro improvements as we discuss customers is their expansions. All customers generally are having some kind of expansion from merger and acquisition, opening up new centers, opening up new clinics. And in that conversation, that means these health systems are investing and expanding their footprint and that’s a key indicator. When you see our health systems and our key customers that we walk into and in the last 48 hours, I was in three of our largest ones. All of them are expanding their footprint, which means they are healthy, they have a strategic goal to not only improve efficiency, but to keep those patients in their system and make sure medication management is central to that engagement with the patient. When I go to a site and they’re not expanding as the kind of standalone is they’re not moving out, it’s harder for them to invest in our systems as if they’re not investing in their footprint. And I would say that’s a key indicator that we follow for the trend because usually all expansions require us to get engaged because they want to put our systems in where they’re expanding.

Anne Samuel

Analyst

That’s really helpful. Thank you.

Operator

Operator

Thank you for your question. And ladies and gentlemen, that will conclude the Q&A portion of today’s call. I would like to turn the call back over to Mr. Lipps for closing remarks.

Randall Lipps

Analyst

Well, thank you for joining us today and it’s sure is nice to see the company return to a healthy position to which we can create a multiyear growth and expansion strategy. I really want to thank the Omnicell team for their focus over the last six months to nine months to get us to this point, and it’s just exciting to see all of these new products and new customers coming on Board. Thanks very much.

Operator

Operator

Thank you. And ladies and gentlemen, that will conclude today’s call. Thank you for joining. We’ll see you next time. Have a great day.