Abbott(ABT) - 2025 Q4 - Earnings Call Transcript

Financial Data and Key Metrics Changes - In Q4 2025, Abbott reported a 3.8% increase in sales when excluding COVID testing sales, with adjusted earnings per share (EPS) of $1.50 reflecting a 12% growth compared to the prior year [19] - The adjusted gross margin was 57.1% of sales, an increase of 20 basis points year-over-year, while adjusted operating margin rose to 25.8%, reflecting a 150 basis point increase [19] - For 2026, Abbott forecasts adjusted EPS in the range of $5.55-$5.80, indicating a 10% growth at the midpoint, and organic sales growth expected to be between 6.5%-7.5% [20] Business Line Data and Key Metrics Changes - Nutrition sales declined in Q4 due to market share loss and increased manufacturing costs, with a focus on reigniting volume growth through price and promotion initiatives [9][10] - Diagnostics sales decreased by 3.5% due to a decline in COVID testing, while Core Lab Diagnostics grew by 3.5%, and point-of-care diagnostics saw a 7% increase driven by a new troponin test [12] - The Established Pharmaceutical Division (EPD) experienced a 7% sales increase, with double-digit growth in India and several Latin American and Middle Eastern countries [13] - Medical devices sales grew by 10.5%, with continuous glucose monitors (CGM) sales increasing by 12% in Q4 and 17% for the year, exceeding $7.5 billion [13][14] Market Data and Key Metrics Changes - The U.S. pediatric nutrition business faced challenges due to a loss of a large WIC contract, impacting overall sales [10] - Core Lab Diagnostics growth was 7% excluding China, reflecting durable demand globally [12] - EPD's growth was well-balanced across markets, with significant contributions from high-demand therapies in emerging markets [13] Company Strategy and Development Direction - Abbott's acquisition of Exact Sciences aims to enhance its position in the cancer diagnostics market, adding a high-growth business to its portfolio [8] - The company is focusing on innovation and operational excellence, with a forecast for 2026 driven by new product launches and strategic execution [8] - Abbott plans to transition its nutrition business back to a volume-driven growth model, emphasizing innovation and product development [11] Management's Comments on Operating Environment and Future Outlook - Management acknowledged challenges in the nutrition segment due to price sensitivity among consumers and rising manufacturing costs, indicating a need for strategic changes [10][26] - The outlook for 2026 is optimistic, with expectations of accelerating growth driven by a strong product pipeline and the integration of Exact Sciences [30][47] - Management expressed confidence in the ability to navigate short-term challenges in nutrition and return to positive growth in the second half of the year [28][29] Other Important Information - Abbott's investment strategy in medical devices focuses on sustaining strong performance in high-growth segments while also investing in foundational segments [15][16] - The company is committed to maintaining a growing dividend and has a strong balance sheet to support future investments [70] Q&A Session Summary Question: Concerns about revenue growth guidance - Management acknowledged a slight reduction in top-line guidance primarily due to challenges in the nutrition business but maintained EPS guidance in line with consensus [24][25] Question: Insights on the EP product portfolio - Management highlighted the successful launch of the Vault catheter and the strategic positioning of Abbott's EP portfolio, expecting to grow in line with market trends [39] Question: Outlook for diagnostics in China - Management indicated that while growth in China is expected to be stable, the U.S. and other international markets are performing well, with an overall mid-single-digit growth outlook for diagnostics [84] Question: Future of CGM growth - Management expressed optimism about CGM growth, projecting continued market expansion and penetration opportunities across various patient segments [54][58] Question: Capital allocation and M&A strategy - Management emphasized the focus on integrating Exact Sciences post-acquisition while remaining open to smaller tuck-in acquisitions [70][71]