Key Takeaways ISRG SP procedures surged 88% y/y, with 30% higher utilization in 2Q25.ISRG SP's compact, efficient design fits ASC workflow and cost needs.ISRG dual-platform strategy targets hospitals (da Vinci 5) and ASCs (SP).Intuitive Surgical’s (ISRG) da Vinci 5 has emerged as the flagship for complex inpatient procedures, but the company’s SP platform may quietly be carving its niche as the ambulatory surgical center (“ASC”) solution. With outpatient care expanding rapidly across the United States, Intu ...

Core Insights - CONMED Corporation (CNMD) reported second-quarter 2025 adjusted earnings per share (EPS) of $1.15, exceeding the Zacks Consensus Estimate of $1.13 by 1.8%, and reflecting a 17.3% year-over-year improvement [1] - The company also raised its 2025 EPS guidance to a range of $4.40-$4.55, up from the previous range of $4.31-$4.46, indicating strong operational performance [11] Revenue Performance - CONMED's total revenues for the quarter reached $342.3 million, marking a 3.1% increase year-over-year and surpassing the Zacks Consensus Estimate by 0.8% [2] - Revenue growth was primarily driven by high-growth product areas such as BioBrace, AirSeal, and Foot & Ankle, despite some supply constraints and international market softness [2][13] Segment Analysis - The Orthopedic Surgery segment generated revenues of $140.7 million, a 0.9% increase year-over-year, with a slight decline of 0.8% in the U.S. but a 1.9% increase in international markets [3] - The General Surgery segment reported revenues of $201.6 million, up 4.7% year-over-year, with U.S. sales increasing by 4.3% and international sales rising by 5.7% [4] Geographic Sales Breakdown - U.S. sales totaled $190.6 million, reflecting a 2.8% year-over-year increase, while international sales amounted to $151.7 million, up 3.4% year-over-year [5] Profitability Metrics - Adjusted gross profit improved by 5.3% year-over-year to $193.4 million, with a gross margin increase of 120 basis points to 56.5% [6] - Adjusted operating income rose to $45.1 million from $39.8 million in the prior-year quarter, resulting in an operating margin of 15.7%, up 110 basis points [6] Financial Position - At the end of the second quarter, CONMED had a cash balance of $33.9 million, down from $35.5 million in the previous quarter [7] Future Guidance - The company raised its revenue guidance for 2025 to a range of $1.356 billion to $1.378 billion, with the Zacks Consensus Estimate at $1.37 billion [10] - For the third quarter of 2025, CONMED expects reported sales between $330 million and $337 million, with adjusted EPS estimated between $1.03 and $1.08 [11] Strategic Outlook - CONMED maintains a positive long-term growth outlook, targeting mid- to high-single-digit revenue increases through strategic drivers such as AirSeal, Buffalo Filter, BioBrace, and Foot & Ankle [14] - The company is focused on transforming its supply chain into a strategic asset to enhance procurement, planning, and production efficiency [14]

Financial Data and Key Metrics Changes - Total sales for Q2 2025 were $342 million, slightly above the high end of guidance, with year-over-year growth of 3.1% as reported and 2.9% in constant currency [6][19] - Adjusted net income for Q2 was $35.6 million, an increase of 16.4% year-over-year, and adjusted diluted net earnings per share were $1.15, up 17.3% year-over-year [7][22] - Adjusted gross margin for Q2 was 56.5%, which is 120 basis points higher than the prior year [20] Business Line Data and Key Metrics Changes - Worldwide general surgery sales grew by 4.4%, while worldwide orthopedic sales increased by 0.8% year-over-year [6][19] - AirSeal remains the largest contributor to general surgery growth, with a recurring revenue profile of 92% [8] - Buffalo Filter experienced double-digit growth, supported by legislative adoption and new product introductions [10] Market Data and Key Metrics Changes - U.S. general surgery sales grew by 4.3%, while international general surgery sales increased by 4.7% [19] - U.S. orthopedic sales decreased by 0.8%, while international orthopedic sales grew by 1.8% [19] - The global smoke evacuation market is estimated to be approximately $300 million today, with potential growth to $2 billion in the coming years [11] Company Strategy and Development Direction - The company is focused on building a stronger operational foundation to support long-term growth and deliver value [14] - Key priorities include stabilizing and scaling operations, driving efficiencies, and building a high-performance supply chain [15][16] - The company aims to maintain a strong balance sheet and reduce debt, expecting the leverage ratio to fall below 3.0 by the end of 2025 [16] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in business fundamentals and long-term strategy, actively optimizing the portfolio towards higher margin opportunities [17] - The company anticipates gradual improvement in growth rates in the second half of the year, with expectations of lower capital headwinds [43] - Management noted that supply chain challenges are being addressed, with expectations of a significantly improved position by the end of the year [33] Other Important Information - The company is committed to maintaining a strong balance sheet and reducing debt, with a focus on higher margin, high growth opportunities [17][16] - Capital expenditures in Q2 were $5.7 million, compared to $3.6 million a year ago [23] Q&A Session Summary Question: Has there been increased competition in the Buffalo Filter market? - Management noted that there have not been new players entering the market, and competition remains the same despite legislative tailwinds [30] Question: What is the current status of supply chain constraints and Salesforce expansion? - Management indicated progress in resolving supply chain issues and mentioned that sales professionals are typically added dynamically throughout the year [32][34] Question: How is the capital market performing, and what trends are being observed? - Management stated that capital demand from hospitals remains strong, but supply chain challenges have impacted capital flow [38] Question: How does the company view its share position in orthopedics amid supply constraints? - Management acknowledged a loss of market share but emphasized ongoing innovation and the strength of the Biobrace platform [40][41] Question: Can you clarify the guidance for the next two quarters? - Management expects gradual improvement in growth rates and has raised the bottom end of the revenue guidance while keeping the top end the same [43][44] Question: What factors contributed to the increase in EPS guidance? - The increase in EPS guidance was attributed to improvements in margins, currency effects, and operational performance [45]

Financial Performance - Q2 2025 - Worldwide revenue reached $342.3 million, representing a 2.9% increase in constant currency compared to the prior year period[22] - Orthopedic surgery revenue was $140.7 million, with a constant currency growth of 0.8%[22] - General surgery revenue amounted to $201.6 million, showing a constant currency growth of 4.4%[22] - GAAP EPS was $0.69, a decrease of 28.1% year-over-year, while adjusted EPS was $1.15, an increase of 17.3%[22] - Single-use products accounted for $297.8 million in revenue, while capital products generated $44.5 million[24] - Single-use products represent 87% of the total revenue[24] Financial Performance - June 2025 YTD - Worldwide revenue totaled $663.6 million, a 3.3% increase in constant currency[28] - Orthopedic surgery revenue was $279.0 million, with a constant currency growth of 2.3%[28] - General surgery revenue reached $384.6 million, showing a constant currency growth of 4.1%[28] - GAAP EPS was $0.88, a decrease of 44.7% year-over-year, while adjusted EPS was $2.09, an increase of 17.4%[28] - Single-use products accounted for $574.1 million in revenue, while capital products generated $89.5 million[30] - Single-use products represent 87% of the total revenue[30] Updated Financial Guidance for 2025 - The company updated its revenue guidance to a range of $1.356 billion to $1.378 billion, with immaterial currency impact[32] - Adjusted diluted EPS is expected to be between $4.59 and $4.74, with an estimated foreign currency impact of $(0.10)[32] - The estimated tariff impact is $(0.09), resulting in a total adjusted diluted EPS of $4.40 to $4.55[32]

Core Insights - CONMED Corporation (CNMD) reported first-quarter 2025 adjusted earnings per share (EPS) of 95 cents, exceeding the Zacks Consensus Estimate of 81 cents by 17.3% and showing a 20.3% improvement year over year [1] - The company's revenues totaled $321.3 million, reflecting a 2.9% year-over-year increase and surpassing the Zacks Consensus Estimate by 2.4% [1][2] Revenue Breakdown - Revenues in the Orthopedic Surgery segment reached $138.3 million, up 2.5% year over year, with a 3.9% increase at constant exchange rates (CER) [3] - The General Surgery segment generated revenues of $183 million, marking a 3.2% year-over-year increase and a 3.8% increase at CER [4] - U.S. sales totaled $183.8 million, up 4.2% year over year, while international sales amounted to $137.5 million, up 1.2% year over year on a reported basis and up 3.4% at CER [5] Margin and Expenses - Adjusted gross profit improved 3.4% year over year to $181.2 million, with a gross margin of 56.4%, an increase of 80 basis points [6] - Selling and administrative expenses rose 20.7% year over year to $148.8 million, while research and development expenses decreased 4.8% to $12.9 million [6] Financial Position - The company ended the first quarter with a cash balance of $34.5 million, up from $24.5 million in the previous quarter [7] - Cash flow from operations was $41.5 million, compared to $29.1 million in the fourth quarter of 2024 [7] 2025 Guidance - CONMED raised its revenue guidance for 2025, now expecting full-year revenues between $1.35 billion and $1.378 billion, reflecting lower foreign exchange headwinds [9] - The adjusted EPS guidance for 2025 is now in the range of $4.45-$4.60, up from the previous range of $4.25-$4.40 [10] - For the second quarter of 2025, reported sales are expected to be between $335 million and $340 million, with adjusted EPS estimated between $1.10 and $1.15 [11] Market Performance and Outlook - CONMED shares rose 3.4% in after-hours trading following the earnings report, indicating positive market reception [12] - The company remains optimistic about 2025, focusing on growth in minimally invasive procedures and specific product lines such as AirSeal and BioBrace [15] - Supply chain issues are improving, with a decline in backordered SKUs and anticipated annual savings of at least $20 million [16] Tariff Impact - CONMED estimates a negative impact of $5.5 million in 2025 due to tariffs, primarily from China and Europe, and is actively working on mitigation strategies [18]

Financial Data and Key Metrics Changes - Total sales for Q1 2025 were $321.3 million, representing a year-over-year increase of 2.9% as reported and 3.8% in constant currency, slightly better than guidance [7] - Adjusted net income for Q1 was $29.6 million, an increase of 19.6% year-over-year, with adjusted diluted net earnings per share of $0.95, up 20.1% year-over-year [21] - Adjusted gross margin for Q1 was 56.4%, which is 80 basis points higher than the prior year quarter [18] Business Line Data and Key Metrics Changes - Constant currency sales growth in orthopedics was 3.9%, with double-digit growth in foot and ankle products [7] - General surgery sales saw constant currency growth of 3.8%, driven by strong demand for AirSeal and smoke evacuation products [9] - U.S. orthopedic sales decreased by 2.1%, while international orthopedic sales increased by 7.9% [16] Market Data and Key Metrics Changes - U.S. general surgery sales grew by 6.9%, while international general surgery sales decreased by 3.3% due to declines in energy and critical care product lines [16] - The company noted strong demand for its products, particularly in minimally invasive surgery and areas of laparoscopy and arthroscopy [12] Company Strategy and Development Direction - The company is focused on improving supply chain operations and expects to see significant savings from these initiatives, with a target of at least $20 million in annual savings [18] - Management emphasized the importance of clinical differentiation in products like BioBrace and AirSeal, which are expected to drive future growth [8][12] - The company is working on enhancing its supply chain stability and continuity to support future growth [45] Management's Comments on Operating Environment and Future Outlook - Management acknowledged uncertainties in the macroeconomic environment but noted strong demand for their products [11] - The company remains optimistic about its growth drivers and is focused on operational improvements to enhance performance [27] - Management expects revenue growth for the year to be between 4% and 6% in constant currency, with an improved outlook due to currency effects [23][30] Other Important Information - The company received FDA clearance for a new delivery device for rotator cuff repair, which is expected to enhance surgical procedures [8] - Cash flow from operations for Q1 was $41.5 million, compared to $29.1 million in the same quarter of the previous year [22] Q&A Session Summary Question: Guidance and hospital budgets - Management indicated no concerns about softness in hospital budgets and maintained guidance for the year [30] Question: CEO's perspective on surprises - The CEO noted no negative surprises but was positively surprised by the commitment of the ConMed team and customer embrace of their technology [34] Question: Tariff impact and mitigation efforts - Management discussed the impact of tariffs, particularly from China, and outlined mitigation strategies including logistics adjustments and potential price changes [40][42] Question: Supply chain improvement initiatives - Management provided updates on supply chain improvements, focusing on procurement, planning, and production, with positive progress noted in key portfolios [45][49] Question: Growth potential post-supply chain issues - Management expressed confidence in achieving higher growth rates once supply chain issues are resolved, targeting a balanced mix of growth drivers [72][74]

Financial Data and Key Metrics Changes - Total sales for Q1 2025 were $321.3 million, representing a year-over-year increase of 2.9% as reported and 3.8% in constant currency, slightly better than guidance [7] - Adjusted net income for Q1 was $29.6 million, an increase of 19.6% year-over-year, with adjusted diluted net earnings per share of $0.95, up 20.1% year-over-year [22] - Adjusted gross margin for Q1 was 56.4%, which is 80 basis points higher than the prior year quarter [19] Business Line Data and Key Metrics Changes - Constant currency sales growth in orthopedics was 3.9%, with double-digit growth in foot and ankle products [7] - General surgery sales saw constant currency growth of 3.8%, driven by strong demand for AirSeal and smoke evacuation products [10] - U.S. orthopedic sales decreased by 2.1%, while international orthopedic sales increased by 7.9% [16] Market Data and Key Metrics Changes - U.S. general surgery sales grew by 6.9%, while international general surgery sales decreased by 3.3% due to declines in energy and critical care product lines [18] - Total worldwide orthopedic sales grew by 3.9% in Q1 [16] Company Strategy and Development Direction - The company is focused on improving supply chain operations and expects to see significant savings from these initiatives, with a target of at least $20 million in annual savings [19] - The management is optimistic about the long-term future, emphasizing strong growth drivers in minimally invasive surgery and the potential of products like BioBrace and AirSeal [12][14] - The company is working on enhancing its product portfolio and has received FDA clearance for a new delivery device for rotator cuff repair [9] Management's Comments on Operating Environment and Future Outlook - Management noted that demand for products remains strong despite macroeconomic uncertainties, with hospital systems prioritizing key areas of business [12] - The company expects to maintain its revenue guidance for the year, projecting constant currency growth between 4% and 6% [31] - Management expressed confidence in the growth potential of its four key platforms, which are expected to drive double-digit growth [56] Other Important Information - The company has made progress in reducing backordered SKUs, although it acknowledges that there is still work to be done [11] - Cash flow from operations in Q1 was $41.5 million, compared to $29.1 million in the same quarter of the previous year [23] Q&A Session Summary Question: Guidance and hospital budgets - Management indicated no concerns about softness in hospital budgets and maintained a constant currency growth guidance of 4% to 6% for the year [31] Question: CEO's perspective on surprises - The CEO noted no negative surprises but was positively surprised by the commitment of the ConMed team and customer enthusiasm for their technology [34] Question: Tariff impact reconciliation - Management clarified that the majority of previous tariff estimates were related to Mexico, which is now exempt, leaving China as the primary concern [40] Question: Supply chain improvement initiatives - The company is focusing on procurement, production planning, and production processes to enhance supply chain stability and continuity [47] Question: Capital trends and AirSeal utilization - Management reported no significant change in customer appetite for capital expenditures and noted continued adoption of AirSeal in complex procedures [61] Question: Growth potential post-supply chain issues - Management believes that once supply chain issues are resolved, the company could achieve higher growth rates, potentially in the 7% to 9% range [75]