Hi, everyone. Welcome to Philips' Third Quarter 2024 Results Webcast. I'm here with our CEO, Roy Jakobs; and our CFO, Charlotte Hanneman. The press release and investor deck were published on our Investor Relations website this morning. The replay and full transcript of this webcast will be made available on the website after the call as well. Before we start, I want to draw your attention to our safe harbor statement on screen. You will also find the statement in the presentation published on our Investor Relations website. I will now hand it over to Roy.

Thank you, Leandro. Good morning, everyone, and welcome to the call. I want to start with the key highlights of this morning's release. We delivered strong improvement in profitability in the quarter, while sales were flat, and orders slightly decreased as demand from hospitals and consumers in China further deteriorated. We expect impact from China to continue. Therefore, we have lowered our full year sales outlook. At the same time, we expect adjusted EBITDA margin to be at around 11.5%, the upper end of the current outlook range. Within an ongoing challenging macro environment, we remain focused on successfully executing our 3-year plan to fully capture growth and margin expansion opportunities. With patient safety as our number 1 priority we are committed to delivering better care for more people. Onto the key financial and performance highlights. Group comparable sales were flat on the back of 11% growth in Q3 2023 and further deteriorated demand in China. On the back of growth last year, we recorded a strong sales and order decline in China, driven by a further decline in consumer and hospital demand. This was beyond our China scenario from July where we assumed stabilization of China, whilst timing of improvement was uncertain. We continue to deliver solid sales growth outside of China. Orders decreased 2%, also due to the decline in China. In the quarter, diagnosis and treatment orders remained solid outside of China, driven by, in particular, North America. Also, year-to-date, our orders grew 1%, including China, and we still expect order growth in the full year, including China, driven by the strength of the rest of the world, while there is certain uncertainty in China that remains. We delivered a strong adjusted EBITA margin improvement of 160 basis points, driven by our continued progress on our execution…

Thank you, Roy, and good morning, everyone, and thank you for joining us today. I'm very pleased to be speaking with you for the first time as Philips CFO. Before we dive into the financial results, I'd like to take a moment to introduce myself and share a bit about my background for those of you who I didn't meet at our recent show and tell. I took over the reins as CFO earlier this month after over 20 years working in various financial leadership roles across the med tech and pharmaceutical industry, with a focus on supporting strategic growth initiatives, driving operational efficiency, and managing large-scale transformations. I joined Philips because I believe in the company's mission of delivering better care for more people and see significant opportunities ahead. I look forward to working closely with Roy and the entire executive committee to successfully execute our plan to create value with sustainable impact and drive financial discipline. Continuing with our third quarter financial performance. Our comparable sales were flat in the quarter and orders decreased 2%, both due to a decline in China. Year-to-date, order intake was 1% despite a double-digit decline in China. We still expect order growth in the full year, driven by strength in the rest of the world, while uncertainty remains in China. As a reminder, orders and order book accounts for around 40% of our revenue. The remaining 60% comes from growing recurring revenue streams, such as services and consumables from book-to-bill business and from Personal Health. Now I'll provide some highlights around our quarterly segment performance. Diagnosis & Treatment comparable sales decreased 1% on the back of 14% growth in Q3 2023. We delivered solid growth outside of China with both image-guided therapy and precision diagnosis businesses contributing. The adjusted EBITDA margin of…

Thanks, Charlotte. Let me close out by repeating the key messages of today. We delivered strong improvement in profitability in the quarter with flat comparable sales and slightly lower orders and demand from hospitals and consumers in China further deteriorated whilst we see growth in the rest of the world. We continue to make strong progress on enhancing execution and improving what's in our control, while external uncertainty intensified. We expect the impact from China to continue. Therefore, we have revised our full year sales outlook. At the same time, we expect adjusted EBITDA margin to be at the upper end of the current outlook range and cash at the lower end of the range. Within an ongoing challenging macro environment, we remain focused on successfully executing our 3-year plan to create value. And to date, we remain ahead on sales, margin and cash. We also have achieved significant milestones and resolving the consequence of the restaurants recall. I'm confident that our portfolio innovations and increased operational agility positions us well to continue to capture growth and margin opportunities globally and to respond when demand returns in China. With that, I would like to thank you for joining the call. We will now take your questions.

[Operator Instructions]. Your first question comes from the line of Richard Felton from Goldman Sachs. Please state your question.

Thank you. Good morning, thanks for taking my questions. Just two for me, please. The first one is on the hospital equipment business in China. To what extent do you think the softness in your business in Q3 was driven by overall market weakness? Or is there any Philips-specific issues or market share losses that may have exacerbated the weakness this quarter? That's my first one. The second question is on gross margin. Obviously, you had nice improvement year-on-year in Q3 despite less benefits from operating leverage. Are you able to maybe quantify some of the drivers of that margin improvement year-on-year and whether we should think about those as one-off or reasonably durable drivers of margin expansion? Thank you.

Thank you, Richard. Let me start with China. So, I think what we see is really a market development. And as I said, I think the difference was that we expect a stabilization when we were in July and what we've seen is deterioration, meaning that there is prolonged uncertainty and just the orders are not flowing yet into the market, and that also then prohibits sales to kind of strengthen. And that's something that we kind of have noticed in due course of the quarter. And as we also message, we don't see that visibility currently increasing. At the same time, our order penalty remains active. We are in active dialogue with customers. I will also go back to China in two weeks. So, we remain active on the ground, but the visibility is low and we have seen a cross market momentum that has not yet been picking up. On the gross margin, I think maybe Charlotte, you can take the question.

Yes. Thank you. And indeed, we're very pleased with our operating margin expansion in the quarter, particularly driven by gross margin. And a few things I would highlight that really point to the durability of that gross margin expansion. First of all, we see an improvement coming from innovation we see improved gross margins from innovation, and I'd point to a few of those innovations that we've done recently, like V11 in ultrasound and also neuro Azurion in the pipeline. And then second of all, we do see operational improvements as well as a result of the normalizing supply chain. And the third point I'd point to is really our continued financial discipline as we focus on what's within our control.

Maybe to add, you see that all businesses gross margin goes up. And we also are on a continuous part of margin improvement. Since the beginning of the plan, you have seen that, of course, we have been having a very strong handle on what we can control. And for sure, that is the innovations and the margins it generate, the productivity actions we have been taking and also the leaning out of the organization. So that is something that you have been -- seen dialing in consistently over the period into the results. That also means we are, of course, plan to date ahead. And also, for the full year, you see us reiterating the strong confidence in our margin delivery. So, I think that's being driven by the underlying factors that also on a business level, have been materializing alongside the trajectory.

Our next question goes to the line of Hassan Al-Wakeel from Barclays. Please state your question.

Good morning and thank you for taking my questions. I have three, please. Firstly, on China, can you talk about the quantum of deterioration in Q3 orders versus Q2, your current base case for Q4? How does this differ by modality? And when do you expect to see any stimulus benefit based on your customer conversations, if at all? Secondly, against the backdrop of 1% order growth year-to-date, how are you thinking about the achievement of 2025 targets given that worsening China? And thirdly, how is order momentum trending outside of China, particularly in the U.S.? And how confident are you in driving this post RSNA and into next year perhaps providing some offset against China weakness persisting into 2025? Thank you.

Thank you, Hassan, for the question. So, let me start with the first one. So, in China -- and I think what's important to call out when we talk China, it's two drivers that really kind of saw deterioration. It's the hospital side. But for sure, it has been also the consumer side, and that has also been a quite rapid decline because actually, that, as you know, is responding to the sellout trends. And what we have seen happening is that actually based on already a slower first half, the consumer confidence further deteriorated in Q3 including then also the adjustment of the expectations of sales and in particular also for the big days and the 11/11 upcoming. So, you saw that the consumer kind of decline was significant and also, I think, worse than we expected midyear. And on the hospital side, we've seen that kind of the visibility on what's happening on the ground still remains low in terms of when it really materializes. We are close with customers. We have been working on order funnel. We also kind of have been preparing some of the list to go into kind of the requests for the renewal program. We just don't have to see it coming into the customers for decision making. And that's something that is regardless of modality. But there are different impacts for modality because across the modality, of course, you have some that have an immediate impact even in the quarter or half year when the count order doesn't come like the shorter sale businesses. So, you saw some more pressure on those also from a sales perspective. And then you have also the impact, of course, from the prolonged kind of delay in orders that we have seen, for example, in IGT…

Our next question comes from the line of David Adlington from JPMorgan. Please state your question.

Firstly, maybe just on other mature geographies, which were down 10% in sales. I think maybe if you could pull out any particular areas of weakness there. And just following on to that, also in North America, only 1% growth. Just maybe you can split that out by Personal Health and D&T. And then secondly, just in terms of the restructuring charge, EUR165 million coming in Q4 with EUR100 million on Connected Care, mostly on the asset impairment, I think. Firstly, why not take that in Q3? And secondly, any further color you can give us around that impairment in Connected Care will be useful.

Yes. Thank you, David. Let me take those questions. So first, your question around the other mature geographies. That is really driven by a very strong comparable that we saw in Q3 of 2023 and also a little bit of softness in Japan as well. So, moving on to your second question around the adjusted items. As I said in my prepared remarks, there is no change to the full year outlook we provided for incidental. So, it's still in line with the 330 bps we said earlier this year. And of course, Connected Care is a very big part of this as there were consent degree related charges, respond field actions, charges and what have you. So really, if you look at Q4, our EUR100 million guidance for Connected Care doesn't really stand out much. We've seen some higher numbers. We've seen some lower numbers. and there's really no further impairment included in those numbers either. And we're really laser-focused on driving the same financial discipline that we're driving in our adjusted EBITDA margin also in our adjusted items as well.

And then maybe just a breakdown of North American growth by maybe by Personal Health and D&T.

So, we see growth actually in both sides in North America. So actually, that is something that we have -- and actually, we see it also dialing up in both areas. So, kind of Personal Health started the year a bit slower, but actually is coming up. And then also now we see that the health systems side, based upon this strong order intake, is coming up. Also, to be noted, we're coming off very strong double-digit comparable last year. And that, of course, Q3 last year was a very strong quarter. liquidating the backlog, and that's something that we are kind of working against in terms of the comparable. But if you look underlying, we see the momentum growing both in consumer as well as in the health systems side and also across segments.

Our next question comes from the line of Lisa Clive from Bernstein. Please state your question.

Two questions. One, how should you think about pricing over the next 1 year to 2 years? My understanding is like-for-like used to be slightly negative due to trying to offset the cost inflation, it's more flat to slightly positive now. How do you think this will evolve? Will your sales force revert to discounting perhaps driven by peer behavior? Or do you think we're sort of in a somewhat new norm in terms of like-for-like pricing trends on equipment? And then second question around your Imaging business. You saw a lot of market share losses in several modalities, namely MR and CT during the pandemic. Now that your supply chain has stabilized, et cetera. How are you doing relative to peers? And do you think you can regain some lost ground in the next year or 2?

Yes. Let me take the first question, Lisa. Thanks for your question. I'll take the pricing one. So indeed, as you said, in Q3, we did see a pricing benefit both in diagnostic and treatment as well as in connected care as we still see the higher prices flowing through from our order book into our P&L, which has really helped our margin development. So, if you look at the outlook, we have to see how it goes in the next quarters, and we have to see how it evolves from a competitive standpoint. So, we remain a little bit fluid. However, what I would say is that we've seen and continue to see very good progress with material price reductions, which helps improve our gross margin, as I noted earlier. And then maybe from a PAH perspective, we don't really see further pricing upside given the subdued consumer sentiment, but we are staying on top of any inflation developments that we might see.

Let me maybe take the second one. So, on the -- indeed, it was important based upon our aggression of supply chain that we're fully back with the lead times now and also the strong innovation and momentum we are seeing both in MR with the Blue Seal CT with a new launch of the 5,300 with AI to really kind of drive productivity and the spectrum but also actually the DXR renewed portfolio that we launched last year actually is really gaining momentum. So, we see actually that we're also kind of climbing back, and that's also something that you saw, for example, in the D&T order intake in North America this quarter, which was strong. So, we see kind of making inroads. So, we are fighting back on that front based on the innovations, but also the better execution ability that we have been working on very strongly. As you know, for D&T, China is important as well. So, we remain focused on kind of getting ready for when the demand returns. And then the IGT side has throughout been very strong. We continue to kind of see the momentum there also now with the newly launched neuro suite and the by plane as well as the device business, where we see strong momentum based upon procedural growth, you saw that we got a Luigi now approved by the FDA. That's not a really unique kind of proposition that we will add to the portfolio now to support our kind of growth in the device space. So actually, we are building that momentum, and that's also how we have been seeing it growing in the total order book.

Our next question comes from the line of Graham Doyle from UBS. Please state your question.

Thank you. Just a couple of questions. Actually, both related to China. Just firstly, I mean, some of the comments from your peers over the last kind of month or two sanded like they were kind of growing in confidence. I'm seeing a little bit more certainty in the Chinese market. From your perspective, do you think there's less certainty now or less visibility than there was maybe a quarter ago? It could of sands at that. So just good to get a sense as to where you think you are in that improvement or not improvement of the backdrop. And then just we think beyond -- when demand does come back and we're in a kind of a normal environment, are you expecting that environment to be different? So, for example, we've seen as part of the similar, there's a little bit more tendering that's going to happen this time. So, do you expect more measures like that to be in place? Do you expect any shifts in the competitive dynamics? Just to understand what you're thinking about when you think -- when you kind of continue to say China remains attractive?

Yes. Thank you, Graham. So, on the visibility, actually, and that's also what we reflected. Visibility for us remains at this point in time, kind of difficult, right? So, you kind of -- it's hard to predict what is happening exactly. I think when we -- or midterm, we said kind of we expect at least stabilization. That was also kind of backed on the government that was saying we want this program to materialize in 2024. The reality is that 2024 is running out. And if it has to kind of materialize, there's not a lot of time left, and that's actually something that we did see in 2024. So that's where for the moment, we keep at the point that we say visibility is limited. And that means that, indeed, we then have to prepare more on the fundamentals where we have been ensuring that we have the local innovation that we're close to the customers on the full. And if you talk about the kind of fundamentals that we need to be prepared for, and that's also something that we're hearing back from our customers. These new procedures that are being implemented, happily implemented, I think, will have a prolonged period of impact, meaning that duration of approvals will get longer. Some of the timing where there's just more oversight will take more. We have not seen the specification kind of change. So, we feel fully entitled to compete with our portfolio. We know that actually there is significant demand that we were leading with, for example, the Blue Seal and even also had the spectral interest in China very strongly. So -- and also sound traditionally has been a very strong business for us as well. So, we don't see that necessarily changing in terms of…

Our next question comes from the line of Hugo Solvet from BNP Paribas Exane. Please state your question.

Thanks for taking my questions. I have three, please. First, a follow-up on China. Just Roy on your comment around the funnel order. Is that just a function of more meetings with customers, continued strong interest or actually orders slowly but all moving into the execution phase. And if you can explain a bit of what type of modalities you're seeing a strong for the store. Second, on 2025, follow-up to Hassan's question. How much of the 2025 targets relied on China picking up now? And how comfortable do you think you are with consensus forecasting 80 bps margin improvement given the uncertainties in the country, but also the benefits from the efficiency plan on the other end. And lastly, in Sleep & Respiratory Care, I think margin was progressing sequentially in Q1 than Q2. Can you maybe let us know where you are in terms of profitability for that business and what the rightsizing of that business that happened in Q3 exactly in price? Thank you.

Yes. Thank you, Hugo. Let me go into your different questions. So, on China, so on the order funnel, so that's kind of based upon our discussions with customers. And as a result, what are the opportunities that we have in our books that we expect to materialize when China comes back. that is not yet of orders flowing into the China customers and approvals because that's actually where the lack of also showed in the decline of orders and the decline of sales in the market. So, I think there's clearly a difference between the activities, the customer needs, the discussions we are having and also then how that materializes and how it materializes in quarter 3 and also how we have taken that into Q4. And I'll be back in China next week, there will be a big China expo which we are part of and we are also invited for. So yes, the momentum in terms of the dialogues keep happening but we see just that the kind of flow-through in terms of real orders and then sales, that's where the current slowdown is hitting us and I think hitting the market in full. And secondly, if you look to kind of 2025. We're not guiding for 2025 currently. So, what I said before, we remain fully focused on executing the 3-year plan that we're on, which we also have seen is working. We are planned to date -- we are kind of ahead. Demand in the rest of the world remain solid and that is also where you saw that we guided for this range this year. We continue to build on that momentum. The uncertainties in the that we signaled earlier in China intensified, and we expect to continue. So that is an impact we also expect into 2025. But again, too early to discuss specifically -- then if you look at what we can control and we were very confident on the further operational improvement, focusing on margin and cash, I think we will not hold back in any way or form the productivity is coming through. You have seen that we realized EUR1.5 billion to date, we're ahead of that. And we will continue to drive that strongly, and we believe also that, that will show in the kind of continued progression on that trajectory as well as in the cash progression that results of the combination of better underlying operational delivery into next year. So, we are well positioned to capture growth when it comes. But in particular, in China, we need to be more cautious on that, and we are because of the lack of current visibility. So that's kind of how we look at how we go into 2025. Stay the course on the plan, focus on the controllable, confident in that growth outside of China, fully dialing up where we see the growth to capture it and in China kind of being modest based upon the lack of visibility.

And then maybe I could take the question on S&RC. And as S&RC return to market is going really well and according to plan, customers really want us back in the market, and they like our innovation, what we see as well as solid sales in sleep and patient interface outside of the U.S. And then from a profitability perspective, we again saw an encouraging margin step-up in S&RC. And in fact, in our whole Connected Care segment, which just speaks to the underlying resilience and strength in our EBITDA margins, which keep on improving and which we are laser focused on now in Q4 and also next year.

Our next question comes from the line of Julien Dormois from Jefferies. Please state your question.

Good morning, Roy. Good morning, Charlotte. Thank you for taking my question. I have three, if I may, and mostly housekeeping, I guess. But first one relates to the royalties because obviously, that was a quarter with a nice contribution from that line. So just curious how much of that should be seen as, let's say, recurrent and I know those are lumpy by definition that really provided a nice boost to the margin in the quarter. So just curious what you should make of that? And how you see royalties evolving into the fourth quarter and maybe into '25? Second question relates to the potential or the risk of U.S. tariffs making a comeback depending on the election outcome in a few weeks from now. How do you see the situation on your side? And in what way the situation would be different from what it was in the first Monday back in 2017, 2018, if transport be elected or if any kind of tariffs were to be reinstated? And the third question is very much housekeeping. But could you just remind us how much of a contribution to sales China represents at the group level, but also maybe giving a bit more insight into PH versus the rest of the group, please?

Okay. Thank you, Julien. Let me take the first question on royalties. So indeed, as you said, in the quarter, royalties supported roughly 80 bps of improvement of our EBITA improvement. And if you then look at the full year, so our guidance is that roughly -- we've increased our guidance by roughly EUR20 million. So that means from a full year outlook perspective, only 10 basis points to 15 basis points of that 90 bps improvement comes from royalties. So really underlying, we continue to drive strong EBITA margin improvement in line with just focusing on what we can control. And I can assure you, we will not stop there if we can do more.

Maybe on the second one on the tariffs. We have been really working on making our supply chain resilient to also be prepared for scenarios that could evolve across the world because actually, that's, of course, happening in multiple potential countries. So actually, to go for local for local for China, but also to regionalize our supply chain for North America really helped us to kind of be prepared for changes potentially in good flow of the world. So, we are now kind of building three regional strong axis where we can supply from. And that's also showing in the resilience of the current supply delivery and the lead times and the service that we have on that. We also have dual sourcing introduced. So, a lot of focus and progress made on that to be ready for any adjustments that we need to kind of adjust to. And then maybe last point, the organizational agility also increased based on simplification. And I think that also helps us to kind of turn quickly towards change if need be. And that then brings me to China. If you look at the China kind of size, you have the -- and I think it's important to understand that approximately 10% is China, but you see a difference, a distinct difference in personal health, which is more sizable and therefore, also the impact this quarter was more sizable and also for the half year is more sizable given that, that is a significant part of that business more than the 10%. And then you have Europe where you see that from total segments, D&T is more dependent on China than for example, monitoring. It's not that monitoring is immune to China. There are some dependency, but is much smaller. So, the two segments that are hit most our D&T and PH. And as said, PH was the one that really kind of showed a significant slide also into Q3 and the second half. On the opposite, you also know that 1 consumers demand and confidence would go up. You also can more quickly catch up, but that's -- again, we don't want to kind of prelude that until we have the visibility on when that would happen.

Our next question comes from the line of Robert Davis from Morgan Stanley. Please state your question.

Thank you for taking my question. My first one was just on your order outlook for the full year being up 1%. And just had a couple of questions on that. Obviously, Personal Health, you still have a tough comparable in, I think, in the fourth quarter of '23. So just was trying to get a bit more color just in terms of what was underpinning your conviction in keeping orders positive? And maybe just on the order front, just sort of looking back over the last two quarters, you've had quite high volatility between the orders, up 9 in the last quarter, down 2. What sort of really changed on a sequential basis because that's obviously a pretty big move quarter-on-quarter. My second question was just around trends in Personal Health, whether you've seen any sort of down trading. You mentioned obviously, consumer confidence has softened in China, but has that resulted in any one down trading within that segment? Or is that just a sort of operational leverage effect?

Yes. So, on the first one, so operational full year, so -- and also even the order flow through the quarters. So, I think what you see is that kind of we are year-to-date on plus 1% with a double-digit decline in China and then an offsetting growth in the rest of the world. In the rest of the world, currently, North America is really coming up very strong in order growth. What we do see in North America, and that's a bit where you see also some of the lumpiness coming in that you have, especially monitoring with very sizable deals. You saw some of that in Q2. We're working on more and that has an impact. The other piece is also that some of the service growth is also kind of playing part because you're converting some of our equipment also into service that makes that kind of the quarter-on-quarter kind of flow is becoming a bit less predictable, and you need to look at a longer-term trend. And that's why I'm excited to see that actually, we are dialing up that order momentum across the globe and in particular, in the strongest market of the world, which is North America. And we also expect that to continue. That's also what we said for the full-year outlook. And that we also will take into 2025. And then on PH, we see also there the two kind of growth track that we see in the world. So, you see China on a significant pressure. It's not necessarily a specific down trade. It's just really a lack of sell-up because actually, if you look to how we are doing in China, we have been gaining share in grooming. We see that actually in Oral Care, some of the new brands actually are stepping out because they were trying to get in and also sometimes with the lower value propositions, and they see that momentum is being under pressure. Of course, we need to be looking at the overall market momentum globally as well, and we see that it's picking up in other markets. We had the new lounges modern child care, we saw with the kind of clearance on the AI baby monitor. Actually, Motor & Child care has been on a very strong trajectory in course with orders also outside of China. So, we also see that we can capture the margins in Personal Health, and that's also we see that we are holding EBITDA strongly despite a significant volume decline. So, I think the overall value capture out of personal health based on strong innovations, we see still as strong and also going into next year.

Can I just ask one quick follow-up, just where your order book is now relative to where you were at the start of the year?

In what specific sense?

In sort of absolute magnitude, is it bigger or smaller now than the beginning of 2024? You mentioned year-to-date orders are up 1%. You've got sales growth that's panned out as well. So, I just wondered where you were in terms of order book in terms of the conversion. Has it gone up or down since the beginning of the year?

No, it's more -- I would say, it's more or less flat kind of in terms of there's no significant change versus the beginning of the year. You see that there's not a lot of delta between the current sales and orders. Of course, there's a big delta in between China and the rest of the world. So, we are building up the momentum in orders. And I think you see, therefore, that kind of that will kind of start to show also towards next year. And then we also still had some depletion of backlog, right, because that was -- what was happening in particular in the PD space, which was having the supply chain challenges, as you know. So, it really depends on the modality kind of where you see the different trends. But overall, I would say, it's more or less in line on a healthy level. We are growing the momentum outside of China, but China is having a big impact.

Understood. Thank you.

Our next question comes from the line of Falko Friedrichs from Deutsche Bank. Please go ahead.

Thank you. Good morning, everyone. And my first question is on your sales guidance cut for 2024. Considering your previous answer that China is about 10% of group sales, it seems to be a pretty dramatic cut here. So, is it fair to assume that the rest of the world grows rather at the low end of the 3% to 5% range this year? And then my second question, I'm sorry, if I missed it on China stimulus, what's your latest sort of best guess when these measures start to kick in? Or is that a topic that we sort of should put in the back seat for now? Thank you.

So, on the outlook, Falko, so as I said, so in China, you see distinct bigger impact from Personal Health. So -- and that has been really kind of material for the personal business. You also saw the growth in the quarter, right, turning significantly negative. That's also where you see that actually it's not 10% for personnel actually significantly more. So, that was the big impact that you see. And therefore, also for the rest of the world, whilst we don't guide upper or lower, is actually solid in the growth range that we have been guiding for. And also, we now with lack of visibility. We took some prudence into that outlook for the year, which I think is the reasonable approach to take given that we saw the Q3 developments. Let's also now be cautious on Q4 what is happening on the ground, and that's something that we took into the outlook.

Thank you. And the stimulus in China?

The stimulus in China, yes, that's I think where we didn't see that coming into the market yet. I think that also has been part of why we on first instance in July, we're expecting some of that might come in and that would then stabilize the market. That did not happen, right? And therefore, we kind of also remain prudent on that. We know it's -- there's discussions on it. We know that kind of customers put in their lists, but we have not kind of seen it materially coming into new order flows that we can act upon.

Okay. Thank you.

The next question comes from the line of Edward Ridley-Day from Redburn Atlantic. Please state your question.

Thanks, very much. Just a couple of follow-ups, please. I think historically, on Personal Health, you've highlighted that it was around high teens or even slightly higher as a percent of sales that's coming from China at least until last year, if you could confirm that was reasonable thinking. And in terms of the D&T business, obviously tough comp, as you've highlighted. We already talked about the different growth between the three units there. Commentary from your peers suggest clearly ITT market is very strong on the base of procedure recovery. So, could you give us any color at all on the growth in IGT imaging and ultrasound within D&T?

Yes. So, on the Personal Health question, so you are right with high teens, right? So that's also what I signaled earlier, right, it's significantly higher than the 10%. So, it is indeed a sizable chunk of the personnel business. Now I think the good news was that we're also seeing a very solid growth outside and that's dialing up, but it's just kind of the impact and especially then if you have a quarter or 2. It has a sizable impact on your total personnel segment impact and therefore, our total sales. So, I think you're right in that assumption. Then on D&T, indeed, ICT strong, but also in PD. We have been seeing growth sales growth momentum. MR, for example, where we now have lead times back to market we have been really dialing up the sales momentum also on the ground, and you see that dialed into the D&P segment. Ultrasound is more disproportionately dependent on China. So also, you see that impact reflected in the ultrasound run rate. because we have seen that slowing with a relative higher dependence on China in the total mix because they were earlier significantly build up. We expect that over time to come back when China comes back. But for the moment that, for example, impacted the run rate in PD.

Great. Thank you, very much.

Due to the time, the last question is a follow-up question from Lisa Clive with Bernstein. Please go ahead, mam.

Could you comment on trends in North America? It seems like you have strong demand, good order book. I think some investors have been concerned that a lot of stability in the business that's independent on that market and concerns that it could potentially soften. So, if you could just comment on what you're seeing there, that would be helpful.

Yes. So, if I look to the North American market, and I think that is -- first of all, it comes back on the back of the underlying fundamentals. So financial strength of the system really has been sequentially strengthening since COVID, right, where we came out of a negative market, where most of the hospitals were a negative territory. They started to become neutral. This year, we see positive and you see especially the stronger systems turning more positive and actually are consolidating, acquiring. And that then also leads to opportunities in further standardizing their platforms onto kind of strong offerings and that's where kind of we are included and we see then also the impact in our order book. I think that is something that is one trend. The other trend which you also have seen there is a lot of patient demand and there are still wait lines in North America, which was quite unprecedented before COVID because the system was being able to deal with quite some volume. And that's driven by, on one hand, kind of the staff shortage that is really playing part but it's also in terms of dialing up to procedure volume. And that's where you see Canavan the demand in IGT. That is strong. You see the procedures growing. That is strong and driving fundamental growth. And then also with the radiology challenges and the pathology challenges, of course, our workflow solutions for radiology and pathology are really in demand. When I was in Chicago two weeks ago, this was really talk of the town with the big systems. I was at Afema conference. This is a big part. We expect the same to come at RSNA. So, we see that the underlying is a healthy demand that need to be fulfilled and catered for. And then it's more also about kind of what is the implementation ability for the market to kind of dial up because there are also staff shortages in some of the installation capacity. But I think we are quite positive on the trends that we have seen in North America with sequential strengthening and improvement.

Okay. Great. And just one last follow-up question, circling back to China. You were growing about 4% in the 5 years before the pandemic, you've now guided 5% to 6%. Obviously, this year is going to fall well short of that given the rollover in China and a few other factors. But if you grow 5% to 6% and China is not a double-digit growth market and sort of continues to limp along, where will that growth come from? And how confident can we be in that outlook?

Yes, I think -- so there are two parts in answering that, Lisa. One is -- of course, we are looking at the different segments that we have within Philips where we also shared in Shontel that we're active in certain part of the market for 70%, we are part of the market that actually is going on an average higher pace. And that has then globally seen, but we also see that pace very much outside of China. So that's something where we will go after. And that is in IGT, there's a personal health outside of China at the moment that is kind of with ultrasound that is with monitoring. So very strong segments where we see kind of that there is the long-term growth potential and also margin potential. And then you see that kind of -- there are some of the markets that are also more dependent on China that will have more significant impact to cater for. And last but not least, it's not that we don't expect China to come back, right? It's not that we -- this will be a trend that will be there forever. We just don't know exactly when it's going to come back up. And when it comes back up, we also expect there will be demand because there is just a significant patient base to be catered for and significant amount of hospitals in need of solutions. So, we also expect that will start to contribute then if you take a bit of a longer-term perspective. But in the plan period that we originally had looked at, of course, now we need to cater a bit more for growth outside of China. And that's also something where we see that we are dialing up momentum. And you also saw that this quarter, right? So, we said we delivered outside of China, growth in line with our 3% to 5% range, and we also continue to fully focus on that. And then I mentioned earlier, North America is important in that. We have grown markets like Indonesia, like some of, what we see happening in Saudi, but also what is happening in LatAm. And ultimately, kind of its driven on the back of standard setting and strong innovations that we have, where we know that demand is there. So, we are kind of well positioned to capture the growth when it kind of happens. And we need to make sure that -- and we have been working on that with execution of our plan, that supply chain works, which currently is fully on par and also that we have an agile organization that can go after it with a cost competitive mode because the margins will remain razor focused on all that we do. So that kind of we keep that trajectory just ongoing kind of more independent of the sales momentum that we see globally in the market.

That was the last question, Mr. Jakobs, please continue.

So, thank you all for dialing in. As we said, I think what we see in the world currently is strong delivery of margin that we also reiterated for the full year at the upper end. Sales that we adjusted signaling further deterioration in China and also taking a prudent approach on to that into Q4, whilst we're dialing up momentum in the rest of the world, and we stay fully focused on executing on our plan, where planned to date, we're ahead on sales margin and on cash and we have been making significant progress in resolving some of the issues with the recall. So, we focus on what we can control. We keep driving that with strength and with pace and look forward to talk to you in upcoming opportunities.