Medtronic FY Conference Summary Company Overview - **Company**: Medtronic (NYSE: MDT) - **Industry**: Medical Technology (MedTech) - **Focus Areas**: Cardiovascular, Neuroscience, Medical-Surgical, Diabetes Key Business Insights - Medtronic is positioned to accelerate revenue and earnings growth through innovation and strategic portfolio management [2][4] - The company has a diversified portfolio targeting high-growth, high-margin opportunities, with a total market opportunity of $100 billion [2] - Medtronic's diabetes business, generating nearly $3 billion in revenue, is planned to be separated via an IPO by the end of the calendar year [2] Generational Growth Drivers 1. **Pulsed Field Ablation (PFA)**: - Represents a $13 billion market opportunity, growing at 25% annually [5][6] - Expected to reach $2 billion in trailing revenue by the first half of fiscal 2027 [6] - Focus on increasing catheter utilization and expanding software offerings [6] 2. **Symplicity (Hypertension Treatment)**: - Addresses uncontrolled hypertension affecting 50% of adult Americans [8][9] - Over 18 million U.S. patients are eligible, with a 1% market penetration representing a multi-billion-dollar opportunity [9] - Plans to innovate with a transradial approach and combined denervation techniques [9][10] 3. **AltaViva (Neuromodulation Device)**: - Targets urge urinary incontinence (UUI) with a potential $1 billion revenue opportunity from a 1% penetration of the eligible patient pool [10][11] - Significant physician training and direct-to-consumer awareness initiatives are underway [11] 4. **Hugo (Robotic-Assisted Surgery)**: - Recently received FDA clearance for urology indications, with plans to expand into hernia and gynecology [12][14] - Differentiated by modularity, open console design, and integration with digital ecosystems [14][15] Operational Improvements - Implementation of the Medtronic Performance System has enhanced operational execution and quality outcomes [3] - Achieved a 5% gross cost improvement in COGS, with backorder levels at all-time lows [3] - Focus on margin expansion and increased R&D investment to fuel future growth [2][16] Strategic Initiatives - Commitment to tuck-in M&A to supplement organic growth, particularly in high-growth areas [17][41] - R&D spending is targeted to increase from 8.5% to 10% of revenue, prioritizing generational growth opportunities and high-growth franchises [26][29] - The diabetes business spin-off aims to simplify operations and redirect capital to higher-return areas [30] Market Position and Competitive Landscape - Medtronic is focused on maintaining leadership in established franchises while pursuing new market opportunities [39][40] - The company is positioned to capture significant market share in emerging areas like renal denervation and surgical robotics [40][54] Financial Outlook - Anticipated revenue growth driven by the successful launch of new products and strategic investments [16][39] - The company is optimistic about achieving durable revenue acceleration and margin improvement over the coming years [16][19] Conclusion - Medtronic is at a pivotal moment, leveraging its innovation-driven approach and strategic initiatives to enhance its market position and drive future growth [17][18]

Financial Data and Key Metrics Changes - The company reported over 30% growth in the most recent quarter, indicating strong performance and momentum in the business [66] - Preliminary revenue guidance for 2026 is projected in the high teens, reflecting a thoughtful approach to setting expectations [65][66] Business Line Data and Key Metrics Changes - The long-term continuous monitoring segment, which the company pioneered, is growing at high teens percent year-over-year, outpacing the overall market growth [9][10] - The company has gained one to two points of market share in the long-term continuous monitoring segment, now holding a low 70% share of that market [19][20] Market Data and Key Metrics Changes - The overall ambulatory cardiac monitoring market in the U.S. is estimated at 6.7 million tests, growing at mid-single digits, while the long-term continuous monitoring segment is experiencing faster growth [8][9] - The aging population is a significant tailwind for the market, increasing the risk of cardiac arrhythmias and the need for monitoring [10] Company Strategy and Development Direction - The company is focusing on expanding its presence in the primary care market, with a goal to increase the percentage of XT patches used by primary care physicians from 30% to potentially over 40% [12][14] - The company is investing in innovative channel partnerships that allow for proactive monitoring of patients, which is expected to enhance market penetration [22][30] Management's Comments on Operating Environment and Future Outlook - Management expressed optimism about the company's positioning to capitalize on market opportunities, particularly with the increasing awareness of cardiac arrhythmias and advancements in therapies [10][11] - The company is committed to maintaining profitable growth while investing in innovation, aiming for a 400 basis points expansion in adjusted EBITDA year-over-year [64] Other Important Information - The company is actively working on international expansion, having launched into five new markets, including Japan, which presents a significant opportunity for growth [54][55] - The company is addressing FDA comments regarding cybersecurity as part of the review process for Zio MCT, with no expected contribution to 2026 revenue [41][42] Q&A Session Summary Question: What is driving the accelerated growth in the ambulatory cardiac monitoring market? - Management highlighted several factors, including the shift to primary care, increased consumer awareness, and the aging population as key drivers of growth [10][11] Question: How is the company leveraging its channel partners? - The company has seen success with 18 active channel partners, with all pilot programs transitioning to full commercial programs, indicating strong value propositions [34][35] Question: What is the status of the FDA submission for Zio MCT? - The company received comments from the FDA and is working through the review process, with no expected revenue contribution from Zio MCT in 2026 [41][42] Question: Can you provide an update on the international business? - The company is making progress in international markets, particularly in Japan, and expects to see meaningful contributions starting in 2027 [54][55] Question: What are the reimbursement updates for the monitoring services? - Medicare rates for long-term continuous monitoring are expected to increase by approximately 8% next year, while rates for MCT may see a slight decrease [76]

Financial Data and Key Metrics Changes - The company reported over 30% growth in the most recent quarter, indicating strong performance and momentum in the business [66][67] - Preliminary revenue guidance for 2026 is projected in the high teens percentage range, reflecting a thoughtful approach to setting expectations [65][66] Business Line Data and Key Metrics Changes - The long-term continuous monitoring segment, which the company pioneered, is growing at high teens percentage year over year, outpacing the overall market growth [8][19] - The company has gained one to two points of market share in the long-term continuous monitoring segment, now holding approximately 70% of that market [19][20] Market Data and Key Metrics Changes - The overall ambulatory cardiac monitoring market in the U.S. is estimated at 6.7 million tests annually, growing at mid-single digits, while the long-term continuous monitoring segment is experiencing faster growth [8][10] - The aging population is a significant tailwind for the market, with more individuals entering Medicare and increasing the risk of cardiac arrhythmias [10] Company Strategy and Development Direction - The company is focusing on expanding its presence in the primary care market, with a goal to increase the percentage of XT patches used by primary care physicians from 30% to potentially over 40% [12][14] - The company is investing in innovative channel partnerships that allow for proactive monitoring of patients, which is expected to enhance market penetration [22][32] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the company's ability to capitalize on market opportunities, particularly in the context of improving therapies and increasing consumer awareness [10][11] - The company is optimistic about its international expansion efforts, having launched into five new markets, including Japan, and expects meaningful contributions from these markets in the future [55][56] Other Important Information - The company is currently working through the FDA review process for Zio MCT, with no expected contributions to revenue in 2026 [40][41] - Recent updates indicate that Medicare reimbursement rates for long-term continuous monitoring will increase by approximately 8% next year, which is a positive outcome for the company [76] Q&A Session Summary Question: What is the current state of the ambulatory cardiac monitoring market? - The market is healthy, with the long-term continuous monitoring segment growing at high teens percentage year over year, driven by factors such as improved therapies and increased consumer awareness [8][10] Question: How is the company addressing the primary care market? - The company has seen an increase in the percentage of XT patches used by primary care physicians and believes this trend will continue to expand [12][14] Question: What is the status of the FDA submission for Zio MCT? - The company submitted Zio MCT to the FDA in September and is currently addressing comments received, with no expected revenue contribution in 2026 [40][41] Question: How is the international business progressing? - The company has launched into five new markets and is optimistic about future contributions, particularly from Japan, which is a significant market for ambulatory cardiac monitoring [55][56] Question: What is the company's approach to setting revenue guidance? - The company aims to provide thoughtful guidance based on high confidence in certain areas while leaving out less predictable factors [66][67]