Financial Data and Key Metrics - Q2 2023 GAAP revenue was 549million,down2561 million last year [6] - Adjusted SG&A expense was 110 million, and adjusted R&D was 22 million in Q2, with adjusted operating expenses down 2% year-over-year [7] - Adjusted EBITDA for Q2 increased 16% to 98millioncomparedto85 million last year [72] - Adjusted diluted EPS for Q2 was 1.88,up371.37 last year [72] - Full-year adjusted EBITDA guidance narrowed to 375millionto405 million, and adjusted EPS guidance narrowed to 6to6.85 per share [73][74] Business Unit Performance - Consumables business unit revenue was 237million,down1153 million, up 5% constant currency and 3% reported, with growth in ambulatory and syringe product lines [55] - Vital Care revenue was 145million,down720 million to 25millionshortfortheyear[52][80]−Thecompanyisworkingonmanufacturingconsolidationsandrealestateadjustmentstoimprovegrossmarginsmediumandlongterm[82]−Thecompetitiveenvironmentininfusionsystemsremainsstable,withcustomersexpectingallmarketparticipantstobeavailable,whichmayhavedelayedpurchasingdecisions[100]StrategicDirectionandIndustryCompetition−Thecompanyisfocusedonintegratingitsmanufacturinganddistributionnetworkstocapturesynergiesandimproveoperationalefficiency[58]−Thecompanyaimstobeareliablesupplierwithamultiyearinnovationportfolioandoptimizedmanufacturingnetwork[43]−Thecompanyisaddressingqualityremediationandregulatorycompliance,withsignificantinvestmentsinresolvingFDAwarninglettersandimprovingqualitysystems[61][66]ManagementCommentaryonOperatingEnvironmentandOutlook−ManagementhighlightedoperationalstabilityandgrowthinmostbusinessesbutacknowledgeddelaysinVascularAccessrevenuerecovery[51][80]−Thecompanyexpectssequentialimprovementinallproductlinesfortheremainderoftheyear,thoughVascularAccessdelayswillimpactoverallgrowthrates[54]−Managementemphasizedtheimportanceofinventorymanagementandproductionefficiencytoimprovefreecashflowandgrossmargins[76][88]OtherKeyInformation−ThecompanytransitionedawayfromSmithsGroup′sITsystemsandisnowfocusedonERPintegrationtooptimizelogisticsandservicenetworks[58]−InventorylevelspeakedinQ2,witha27 million increase, roughly half the recent historical average, and the company expects to slow inventory builds further in the second half of the year [88] - The company spent 12 million on restructuring and integration in Q2, primarily related to the acquisition [72] Q&A Session Summary Question: Impact of Vascular Access revenue shortfall - The company acknowledged a 20 million to $25 million shortfall in Vascular Access revenue for the year, primarily due to delays in new business and operational challenges [31][80] Question: Gross margin improvement and production slowdown - Gross margin improved in Q2 due to mix benefits and lower production slowdowns than expected, but the company expects gross margins to be around 35% in the second half of the year [32][40] Question: IT integration and synergy capture timeline - IT integration is a multiyear project, but some cost reductions and benefits can be realized before full completion [11][29] Question: Competitive environment in infusion systems - The company believes the competitive environment is stable, with customers now able to make decisions as all market participants are available [100] Question: Impact of Tornado in Rocky Mount on IV Solutions - The Tornado in Rocky Mount impacted IV Solutions, with a shortage of Pfizer-supplied products costing the company a few million dollars per quarter [97]