Stryker(SYK) - 2025 Q2 - Earnings Call Transcript

Financial Data and Key Metrics Changes - The company reported double-digit organic sales growth of 10.2% and adjusted EPS growth of 11.4% for Q2 2025, compared to 9% in Q2 2024 [5][12] - Adjusted earnings per share reached $3.13, up 11.4% from the same quarter last year, driven by robust sales growth and margin expansion [13][20] - Adjusted gross margin improved to 65.4%, a 120 basis point increase over 2024, while adjusted operating margin was 25.7%, up 110 basis points [20][21] Business Line Data and Key Metrics Changes - MedSurg and Neurotechnology experienced organic sales growth of 11%, with 12.5% growth in the US and 5.7% internationally [12][16] - Instruments had US organic sales growth of 10.1%, driven by strong performance in Surgical Technologies [13] - Endoscopy saw US organic sales growth of 18.6%, fueled by demand for operating room infrastructure and new product launches [14] - Orthopedics achieved organic sales growth of 9%, with US growth of 9.7% and international growth of 7.5% [16][19] Market Data and Key Metrics Changes - US organic sales growth was 11.5%, with double-digit growth in endoscopy, neurocranial, trauma, and extremities businesses [5][16] - International sales growth was 6.5%, with notable contributions from South Korea and emerging markets [5][16] - The company anticipates continued strength in procedural volumes and capital demand, supported by healthy hospital capex budgets [8][9] Company Strategy and Development Direction - The company is focused on innovation and maintaining a healthy deal pipeline for potential M&A opportunities [6][10] - The integration of Inari Medical is progressing, with expectations of double-digit pro forma revenue growth for 2025 [11][66] - The company is optimistic about international markets as significant growth opportunities, despite current supply chain challenges [5][16] Management's Comments on Operating Environment and Future Outlook - Management expressed confidence in the durability of growth and earnings power across businesses, raising the full-year 2025 outlook [6][22] - The company expects organic net sales growth of 9.5% to 10% and adjusted EPS in the range of $13.4 to $13.6 for 2025 [21][22] - Supply chain issues are expected to persist, particularly in the medical division, but overall demand remains strong [28][56] Other Important Information - The company reached a milestone of 2,000,000 robotic procedures performed with Mako, solidifying its leadership in orthopedic robotics [9] - The launch of new products, including LifePack 35, is on track, with European approval received [10][21] - The company is actively monitoring the impact of Medicaid exchange cuts on elective procedures, noting that it represents an immaterial amount of procedures [69] Q&A Session Summary Question: What gives confidence to raise organic growth and EPS guidance? - Management cited continued procedural strength and strong capital demand as key factors, with supply issues primarily affecting the medical division [25][27] Question: How is the supply issue impacting growth? - Supply issues are limited to the medical division, with expectations for resolution throughout the year, while other segments remain strong [28][56] Question: What is driving the strength in underlying margins? - Focus on pricing, manufacturing efficiency, and operational improvements have contributed to margin strength [34][36] Question: How is the outpatient rule affecting ASC build-out? - Management sees no slowdown in ASC trends, with expectations for continued growth across various specialties [39][40] Question: What is the impact of tariffs on the business? - The estimated net impact from tariffs for 2025 is approximately $175 million, reflecting changes in bilateral agreements and manufacturing locations [43][46] Question: What is the outlook for the Mako robotic system? - The company expects continued momentum in Mako installations, with significant opportunities for growth in operating rooms that do not yet have robots [48][96] Question: How is the integration of Inari progressing? - The integration is on track, with expectations for double-digit growth in 2025 despite some initial challenges [61][66] Question: What are the company's plans for future M&A? - The company has a healthy pipeline for potential acquisitions, with a focus on tuck-in deals and the possibility of larger transactions [100][102]