Medtronic Q1 2022 Earnings Report

Medtronic EPS Results

• Actual EPS: $1.41
• Consensus EPS: $1.32
• Beat/Miss: Beat by +$0.09
• One Year Ago EPS: $0.62

Medtronic Revenue Results

• Actual Revenue: $7.99 billion
• Expected Revenue: $7.88 billion
• Beat/Miss: Beat by +$107.73 million
• YoY Revenue Growth: +22.70%

Medtronic Announcement Details

• Quarter: Q1 2022
• Date: 8/23/2021
• Time: Before Market Opens
• Conference Call Date: Monday, August 23, 2021
• Conference Call Time: 8:00PM ET

Medtronic (NYSE:MDT) is a global medical technology company that develops and manufactures a broad range of therapeutic devices and health care solutions. Headquartered legally in Ireland with principal operational offices in the United States, the company markets products to hospitals, physicians and health systems worldwide and has grown from its founding in 1949 into one of the largest medical-device manufacturers serving global health-care markets.

Medtronic’s offerings span several clinical areas, including cardiac rhythm and heart failure (pacemakers, implantable cardioverter‑defibrillators and related cardiac therapies), minimally invasive and surgical technologies (laparoscopic and advanced energy devices, visualization systems and surgical innovations), restorative therapies (spine and orthopedics, neuromodulation and neurovascular treatments) and diabetes management (insulin-delivery systems and glucose monitoring solutions). The company also supplies a range of hospital products and services that support perioperative and procedural care.

Medtronic operates on a global scale, serving customers in more than 150 countries through a combination of direct sales, distribution partners and clinical service programs. Its customers include hospitals, ambulatory surgery centers and specialty clinics, and the company emphasizes clinical collaboration, training and post-market support as part of its commercial approach. Medtronic maintains a significant research-and-development focus to advance new therapies and meet evolving regulatory and clinical requirements.

The company’s executive leadership team is responsible for steering Medtronic’s strategy around innovation, reimbursement and market access; Geoffrey S. Martha has served as chief executive in recent years. Medtronic’s business model centers on developing technology-enabled therapies, expanding clinical evidence, and scaling commercial capabilities to address chronic and acute conditions across diverse geographies.

Medtronic Q1 2022 Earnings Call Transcript

Key Takeaways

• Medtronic delivered Q1 organic revenue growth of 19% and adjusted EPS up 127%, driven by elective-procedure recovery and market share gains in Cardiac Rhythm, Surgical Innovations and Spine.
• The company maintained full-year organic revenue guidance of ~9% and raised the lower end of non-GAAP EPS to $5.65–$5.75, while guiding Q2 organic growth of ~4% and EPS of $1.28–$1.30 amid Delta variant, ventilator and LVAD headwinds.
• R&D investment is up by more than 10%—the largest dollar increase in company history—with front-end spending behind key launches including the HUGO Surgical Robotic System (first cases in Chile and Panama) and the renal denervation OnMed pivotal trial (interim results due at TCT 2021).
• A disciplined capital allocation approach has produced seven tuck-in acquisitions totaling $2.3 billion since FY 2021, highlighted by the announced intent to acquire Intersect ENT to accelerate growth in an already strong ENT franchise.
• Medtronic underscored its commitment to product quality and patient safety by halting HVAD sales over adverse event trends and is embedding enhanced quality and ID&E metrics into executive incentives, with an ESG investor event set for October 13.

Presentation

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Good morning, and welcome to Medtronic's fiscal year 2022 first quarter earnings video webcast. I'm Ryan Weispfenning, Vice President and Head of Medtronic Investor Relations. Before we start the prepared remarks, I'm going to share with you a few details to keep in mind about today's webcast. Joining me are Geoff Martha, Medtronic Chairman and Chief Executive Officer, and Karen Parkhill, Medtronic Chief Financial Officer. Geoff and Karen will provide comments on the results of our first quarter, which ended on July 30th, 2021, and our outlook for the remainder of our fiscal year. After our prepared remarks, our portfolio Executive VPs will join us, and we'll take questions from the sell-side analysts that cover the company. Today's event should last about an hour. Earlier this morning, we issued a press release containing our financial statements and divisional and geographic revenue summaries.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

We also posted an earnings presentation that provides additional details on our performance. The presentation can be accessed in our earnings press release or on our website at investorrelations.medtronic.com. During today's webcast, many of the statements we make may be considered forward-looking statements. Actual results may differ materially from those projected in any forward-looking statement. Additional information concerning factors that could cause actual results to differ is contained in our periodic reports and other filings that we make with the Securities and Exchange Commission. We do not undertake to update any forward-looking statement. Unless we say otherwise, all comparisons are on a year-over-year basis. Revenue comparisons are made on an organic basis. First quarter organic revenue comparisons adjust only for foreign currency, as there were no acquisitions or divestitures made in the last four quarters that had a significant impact on total company or individual segment quarterly revenue growth.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

References to sequential revenue changes compare to the fourth quarter of fiscal 2021 and are made on an as reported basis. All references to share gains or losses refer to revenue share in the second calendar quarter of 2021, unless otherwise stated. Reconciliations of all non-GAAP financial measures can be found in our earnings press release or on our website at investorrelations.medtronic.com. Finally, our EPS guidance does not include any charges or gains that would be reported as non-GAAP adjustments to earnings during the fiscal year. With that, let's head into the studio and get started.

[Geoff Martha, Chairman and CEO at Medtronic]

Hello, everyone, and thank you for joining us today. We started off fiscal 2022 with a strong first quarter, beating street estimates on revenue, margins, and Earnings per Share. We drove market share gains across a number of our businesses, including three of our largest, Cardiac Rhythm, Surgical Innovations, and Spine. Our results reflected the recovery of elective procedures during the quarter, with most of our businesses finishing at or above pre-COVID levels. Now, while the Delta variant is having an impact on procedure volumes in certain geographies, we believe the effects will be manageable. Healthcare systems are really just better prepared and vaccination rates continue to increase. Our new operating model and the Medtronic Mindset culture enhancements are delivering results, as our first quarter performance demonstrates. Our employees are energized by the transformation of our organizational structure and the competitive culture.

[Geoff Martha, Chairman and CEO at Medtronic]

Our most recent employee engagement survey results were the strongest that we've ever had. We continue to focus on accelerating and sustaining higher top and bottom-line growth at Medtronic. In fact, we've already made a number of disciplined and targeted capital allocation decisions that drive that acceleration. We've increased our investments at the front end of major product launches in surgical robots and renal denervation, which represent large new markets for Medtronic. We're growing our R&D investments broadly across the company, complementing a long list of organic opportunities with disciplined tuck-in acquisitions, such as our recently announced intent to acquire Intersect Ear, Nose, and Throat. We expect these actions to drive share gains in our markets today, which we've talked a lot about, and to increase our weighted average market growth rate, producing stronger returns for our shareholders.

[Geoff Martha, Chairman and CEO at Medtronic]

Turning to the details of our first quarter results, we'll start again with a brief look at our market share performance. It's an important metric that our teams are being evaluated against, along with revenue growth, profit, and free cash flow. We continue to see a number of our businesses winning share, driven by our innovation and increased competitiveness. It's worth noting that when we talk about our share dynamics, we're referring to revenue share in calendar quarter Q2. We gained share in our three largest businesses this quarter.

[Geoff Martha, Chairman and CEO at Medtronic]

Our Cardiac Rhythm Management business continued to perform well above the market, adding over 3 points of share, driven by our differentiated Micra family of pacemakers, Cobalt and Crome high-power devices, and our TYRX antibacterial envelopes. In Surgical Innovations, we gain share as our endostapling and advanced energy technology continues to be the preferred and trusted instruments used by surgeons all around the world. In Spine, the ecosystem that we offer of spine implants, biologics, and enabling technologies like the preoperative planning software, robotics, imaging, and navigation, resulted in above-market growth for Medtronic. It's not just our largest businesses that are winning share. We also had share gains in some of our faster-growing businesses like Transcatheter Aortic Valve Replacement, Pelvic Health, and Pain Stim, as new evidence, technology, and sales execution resulted in Medtronic outpacing our competition.

[Geoff Martha, Chairman and CEO at Medtronic]

In Pain Stim, we did observe gradual slowdown in permanent implants and trialing procedures in the latter parts of our quarter due to the Delta variant. We do expect that this will affect the market during Q2. That said, we continue to win share and have a lot of momentum in our Intellis with Differential Target Multiplexed technology. With the launch of the Vanta Recharge-Free System, our portfolio is complete, highly competitive, and well-positioned. Now, while we're winning share in a number of our businesses, we still have areas where we have work to do. In cardiovascular, we continue to lose share in our cardiac diagnostics business. However, we do expect these trends will reverse over the course of our fiscal year as we ramp up supply of our LINQ II insertable cardiac monitoring system.

[Geoff Martha, Chairman and CEO at Medtronic]

We also lost share year-over-year in neurovascular, but we were pleased with our momentum as we ramped our recent product launches. This included our two new flow diverters, the Pipeline Flex with Shield Technology in the U.S., and the Pipeline Vantage in Europe, as well as our Solitaire X 3-millimeter stent retriever. Finally, in diabetes, we continue to execute our turnaround strategy, but as expected, we continue to lose share in the U.S. as we wait for new product approvals. We understand the current challenges we face in diabetes, and we believe our product pipeline and our differentiated technologies will return us to market growth as these products move through development, approval, and ultimately become available to patients. Speaking of new products, let's now turn to our product pipeline. Today, you're seeing the strong flow of new products launching across our businesses.

[Geoff Martha, Chairman and CEO at Medtronic]

We've launched over 190 products in the U.S., Western Europe, Japan, and China in just the last 12 months. We also continue to advance the innovation we have in development. We're increasing our R&D spend by more than 10% this fiscal year. This is the biggest dollar increase in R&D spend in our company's history. The investments we're making in our pipeline will play a key role in accelerating our top-line growth, and we're at the front end of some large opportunities to win share, create new markets, and disrupt existing markets. Starting with one of our largest future growth drivers, renal denervation. We're making good progress on our solution to go after this multi-billion dollar hypertension opportunity.

[Geoff Martha, Chairman and CEO at Medtronic]

We expect that the results of our ONMED pivotal trial will be ready for a presentation at the Transcatheter Cardiovascular Therapeutics conference in November, assuming the interim look at this Bayesian design study reaches statistical significance. The ONMED clinical trial represents the final piece of a large body of evidence that we intend to submit to the Food and Drug Administration for approval. Most notable, and something that has energized our entire company and the robotics team, the first procedures with Hugo were performed at Clínica Santa María in Chile by Dr. Ruben Olivares in June. As is said, a picture is worth a 1,000 words. Let's watch this short clip detailing this important milestone.

[Geoff Martha, Chairman and CEO at Medtronic]

It's truly amazing to see our robotic technology in use, and I want to thank the hundreds of Medtronic employees that have worked tirelessly over many years, as well as the surgeon and hospital leaders whose partnership helped make Hugo a reality. We look forward to expanding the surgical robotics market by addressing the per-procedure cost and utilization barriers that have limited robotic surgery to date. Shortly after the first urological procedures in Chile, we had the first gynecological procedures performed last month at the Pacífica Salud Hospital in Panama. We're receiving positive feedback from our early users for our approach to robotic surgery, including our thoughtful design choices.

[Geoff Martha, Chairman and CEO at Medtronic]

For example, as you can see by this picture, our open console design allows for natural interaction and participation of the entire surgical team, and it's just one of the many important differentiated features of Hugo. Looking ahead, we remain on track for CE Mark approval of Hugo following our submission in late March. We continue to make progress towards starting our U.S. Expand URO pivotal trial, where the first procedures in the U.S. will occur. Around the globe, a number of hospital systems have expressed interest in our Partners in Possibility program, joining a group of pioneering hospitals that will be among the first to use Hugo. In cardiac rhythm, we filed for CE Mark for our extravascular Implantable Cardioverter Defibrillators this quarter. Enrollment is going well in our U.S. pivotal trial.

[Geoff Martha, Chairman and CEO at Medtronic]

Extravascular Implantable Cardioverter Defibrillator represents a disruptive technology in implantable defibrillator space as it can pace and shock without leads inside the heart. It can do all this in a single device with the same size and longevity of a traditional ICD. In TAVR, we continue to advance our Evolut platform. I am pleased to share with you the news today that we just received FDA approval last week for our next generation Evolut FX TAVR system. This innovative system is designed to improve the overall procedural experience through enhancements in deliverability, implant visibility, and deployment stability. We're planning to start rolling out this next-gen system in the U.S. market later this fall. In neuromodulation, in addition to receiving FDA approval in the quarter for our Vanta recharge-free Spinal Cord Stimulator, we also received FDA approval for our SenSight directional deep brain stimulation lead.

[Geoff Martha, Chairman and CEO at Medtronic]

SenSight, combined with our recently approved Percept Primary Cell system, is the only Deep Brain Stimulation system on the market that can sense and record brain activity in addition to providing normal stimulation to treat diseases like Parkinson's and essential tremor. We'll also remain on track to submit our Evoked Compound Action Potential spinal cord stimulator to the FDA later this calendar year, which has the potential to be a disruptive technology in Pain Stim. Moving to our Pelvic Health business, as you know, we don't reveal all of our development programs underway at Medtronic for competitive reasons, but I'm going to unveil a new one today. We've been working in stealth mode on our next gen InterStim recharge-free device, and earlier this month, we submitted our PMA supplement to the U.S. FDA seeking approval. This device has some very attractive specs.

[Geoff Martha, Chairman and CEO at Medtronic]

It's designed with a 10-year battery, it's got constant current, and it's full body Magnetic Resonance Imaging compatible at both 1.5 and three Tesla. We're expecting approval in the first half of next calendar year, and we can't wait to have this best-in-class recharge-free device available for patients. In diabetes, the international launch of our MiniMed 780G insulin pump continues to go well. The 780G has the highest reported time and range of any insulin pump. Starting this fall, people with diabetes in many international markets will not only have access to the 780G, but also our no-calibration, 7-day Guardian 4 sensor and our 7-day extended infusion set, the longest lasting set on the market. This complete offering will be highly differentiated and ease patient burden, and we're working to bring this technology to other markets.

[Geoff Martha, Chairman and CEO at Medtronic]

In the U.S., the 780G and Guardian 4 sensor continue to be under active review with the FDA. We're expecting to submit our next-gen Synergy Continuous Glucose Monitoring sensor to the FDA in Q3. Synergy is disposable, easier to apply, and half the size of our current sensor. I'll now turn it over to Karen to discuss our financial performance and our guidance. Karen Parkhill?

[Karen Parkhill, CFO at Medtronic]

Thank you, Geoff. Our first quarter organic revenue increased 19% and Adjusted EPS increased 127%, significant growth as we anniversary the downturn from the pandemic impact last year. Our end markets are recovering, and we continue to launch new technology and gain market share, which is reflected in our growth and profitability. Our Adjusted EPS was $0.09 better than consensus, with the entire beat coming from higher revenue growth and operating profit. As I noted on our last earnings call, we did not adjust our first quarter results for the extra week of sales last year, given the concurrent reduction of customer bulk purchases, as these two items roughly offset each other at the total company level. That said, not all areas of the company had large quarter end customer bulk purchase activity. Diabetes, for example.

[Karen Parkhill, CFO at Medtronic]

As a result, I would point out that our diabetes growth rate would be roughly six points higher in the first quarter had we adjusted for the extra week. On our cadence of recovery, the monthly improvement trends continued. Average daily sales in June were stronger than May, and July was stronger than June. That said, we did begin to see a slowdown in certain businesses in the last few weeks of July related to the spread of the Delta variant in the United States. If not for the COVID impact in July, our first quarter performance would've been even stronger. Turning to our P&L, we saw significant year-over-year improvement in our margins, 670 basis points on gross margin and over 1,000 basis points on operating margin.

[Karen Parkhill, CFO at Medtronic]

Our operating margin was better than expected as investments we initiated in the first quarter took longer to ramp but are expected to pick up starting in the second quarter. Turning to capital allocation, we continue to balance our investment for future growth while returning cash to our shareholders, primarily through our strong and growing dividend. As we've noted for several quarters, we are increasing our level of tuck-in acquisitions, having announced seven for a total of $2.3 billion since the start of fiscal 2021. Less than three weeks ago, we announced our intent to acquire Intersect ENT. Our ENT business has quietly been a strong performer for us, led by a great team with a track record of consistently outperforming the market. With the addition of Intersect's complementary products, we can accelerate the growth profile of this business for years to come.

[Karen Parkhill, CFO at Medtronic]

The deal is accretive to our weighted average market growth rate, initially neutral, but quickly accretive to earnings, and has expected returns well ahead of our cost of capital. Turning to our guidance. As you know, it is still early in our fiscal year. We had a strong first quarter, and despite the current impact from COVID, we are optimistic about the outlook for the year. Given how early it is in the year, we are maintaining our revenue guidance for the full year at ±9%. If recent exchange rates hold, foreign currency would have a positive impact on full-year revenue of $100 million-$200 million, down from the prior $400 million-$500 million I gave last quarter.

[Karen Parkhill, CFO at Medtronic]

By segment, we continue to expect Cardiovascular and Neuroscience to grow 10%-11%, Medical Surgical to now grow 8%-9%, and Diabetes to be roughly flat, all on an organic basis. On the bottom line, we are raising the lower end of our guidance by our first quarter beat, offset by a lower expected benefit from FX. We now expect non-GAAP Diluted EPS in the range of $5.65-$5.75, an increase from our prior range of $5.60-$5.75. This includes a currency benefit of $0.05-$0.10 at recent rates, down from the $0.10-$0.15 benefit we signaled last quarter. Our second quarter is likely to reflect the current impacts from COVID, particularly in a handful of businesses in Cardiovascular and Neuroscience.

[Karen Parkhill, CFO at Medtronic]

We expect organic growth in the quarter of around 4%, with a currency tailwind of $0-$50 million at recent rates. Keep in mind that we are facing a particularly tough comp in our ventilator business, which peaked in the second quarter last year. Ex ventilator sales, we expect organic growth in the quarter around 6%. By segment, we expect Cardiovascular to grow 5%-6%, Neuroscience 6%-7%, and both Medical Surgical and Diabetes to be flat to up 1%, all on an organic basis. Excluding ventilator sales, Medical Surgical is expected to grow 8%-9%. We expect EPS between $1.28 and $1.30, with a current tailwind of about $0.04 at recent rates. As previously mentioned, we do believe the near-term COVID impact to our business will be relatively less severe than prior waves, given hospital preparedness and increasing vaccination rates around the globe.

[Karen Parkhill, CFO at Medtronic]

That said, to be conservative, our guidance does not assume that procedures canceled in the near term will be rescheduled. To the extent those procedures are simply delayed, that should be upside. We are confident as ever in the strength of our underlying business, our execution, and the impact of our new products. We saw that in the first quarter. As we move past the current impact of COVID, we feel really good about the underlying strength for the rest of the year. Before I send it back to Geoff, I'd like to step back and acknowledge how much our employees have accomplished over the last year since the pandemic started. Our results this past quarter reflect that unwavering focus by our global team to drive our business and fulfill our mission. For that, I'm incredibly proud. Back to you, Geoff.

[Geoff Martha, Chairman and CEO at Medtronic]

Okay. Thanks, Karen. Next, I'd like to cover a few ESG-related topics. Inclusion, diversity, and equity, as well as product quality. First, inclusion, diversity, and equity, something that is personally important to me and important to our success at Medtronic. Now, we best fulfill our mission when we have a workplace where Inclusion, Diversity & Equity for all of our employees is championed. While we know there's much more to be done, we've made a lot of progress here, and this is being recognized by others. I mentioned our DiversityInc award last quarter, and we were recently recognized by several other organizations for our innovative and inclusive work environment.

[Geoff Martha, Chairman and CEO at Medtronic]

We were named as one of Fast Company's Best Workplaces for Innovators in 2021, as a Best Place to Work for Disability Inclusion by the Disability Equality Index, and we were one of the 15 companies awarded the Secretary of Defense Freedom Award for our efforts to support our military and veteran employees. Next, I want to emphasize our continued focus on product quality. Striving without reserve for the greatest possible reliability and quality in our products is a key tenet of the Medtronic mission and core to our commitment to improved outcomes for patients. In fact, there is nothing more important than patient safety.

[Geoff Martha, Chairman and CEO at Medtronic]

In Q1, we made the decision to stop HeartWare Ventricular Assist Device sales. We did this because of a growing body of clinical comparisons indicating that our device had a higher frequency of adverse events than a competitor's product. This decision was consistent with our commitment to patient safety.

[Geoff Martha, Chairman and CEO at Medtronic]

Importantly, we remain committed to supporting current HVAD patients, their caregivers, and healthcare professionals. At Medtronic, we have a purpose deeply rooted in our mission. Our employees translate this mission into tangible day-to-day actions, which in turn create an impact in our society. When I reflect on product quality and ID&E, we've made progress, but there's always room for improvement. One step is ensuring that we have the right incentives in place to drive the actions that will elevate our impact. Our board and executive leadership have been evaluating our annual incentive plans. As a result of this, we're planning to further strengthen our existing quality metrics, and we intend to introduce new ID&E metrics into our incentive plans. These will help guide our plans and drive our work on a daily basis, and ultimately hold us accountable to translate our actions into even greater impact.

[Geoff Martha, Chairman and CEO at Medtronic]

For those of you that would like to learn more about our ESG efforts underway at Medtronic, I encourage you to save the date to virtually attend our first ever ESG investor and analyst event, which we're planning to broadcast on Wednesday, October 13th. You're going to hear from leaders from across Medtronic covering important topics including Inclusion, Diversity, and Equity and product quality and safety. I'll close by noting that we are on track to accelerate our revenue growth. We're executing on our pipeline, we're winning share in the marketplace with our leading technology. We have some really big opportunities ahead of us with near-term milestones in both renal denervation and surgical robotics businesses.

[Geoff Martha, Chairman and CEO at Medtronic]

The energy across the organization is palpable as we operate under a new model and instill our new cultural traits, including acting boldly, competing to win, moving with speed and decisiveness in everything that we do, and getting results and getting them the right way. To our employees, many of whom I'm sure are watching today, thank you. I truly appreciate your efforts to deliver these results. Look, these are exciting times, and I'm really looking forward to all that we're going to accomplish over the coming months. Momentum is building, and we're creating value, and there is a lot more to come. With that, now let's move to Q&A. We're going to try to get to as many analysts as possible. We ask that you limit yourself to just one question.

[Geoff Martha, Chairman and CEO at Medtronic]

If you have additional questions, you can reach out to Ryan and the investor relations teams after the call. With that, Francesca, can you please give the instructions for asking a question?

[Company Representative at Medtronic]

For the sell-side analysts that would like to ask a question, please select the Participants button and click Raise Hand. If you're using the mobile app, press the More button and select Raise Hand. Your lines are currently on mute. When you are next in the queue, we will notify you directly via the Zoom platform chat function. You will receive a request to unmute your line, which you must respond to before asking your question. Lastly, please be advised that this Q&A session is being recorded. For today's session, Geoff Martha and Karen Parkhill are joined by Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit, Bob White, EVP and President of the Medical Surgical Portfolio, and Brett Wall, EVP and President of the Neuroscience Portfolio. We will pause for a minute to assemble the queue.

[Company Representative at Medtronic]

We'll take the first question from Bob Hopkins from Bank of America. Bob, please go ahead.

[Bob Hopkins, Analyst at Bank of America]

Okay. Thank you. Thanks for taking the question. Just as a technology check here. Can you hear me okay?

[Geoff Martha, Chairman and CEO at Medtronic]

Yeah, sure. We can hear you. We can hear you just fine, Bob.

[Bob Hopkins, Analyst at Bank of America]

Excellent. Thanks, Geoff, congrats on a good start to your fiscal year. I guess since we're limited to one question, I'll ask something a little bit more short-term oriented, and that is that you guys mentioned that at the end of July, you started to see a little bit of a slowdown. I'm just curious, has that slowdown stabilized at this point? Are things still getting worse? If you could kind of give us a sense for what you're seeing geographically, especially in China, that would be appreciated too. Just want to get a sense for whether things have stabilized relative to what you saw start to happen at the end of July. Thank you.

[Karen Parkhill, CFO at Medtronic]

Hi, Bob. It's Karen. Thanks for the question. The slowdown that we started to see the last couple of weeks in July has continued into August. We do expect the Delta variant to impact us, particularly in the U.S., this quarter, and particularly in certain of our businesses in cardiovascular and neuroscience. Really those businesses that are impacted by deferrable procedures like in cardiac diagnostics, ICDs, Pain Stim, Spine, and also in those businesses that require ICU bed capacity for the procedure, like in TAVR. That said, we expect this Delta variant to infection rates to peak, probably in late August to early , and the hospital and ICU capacity to improve a few weeks after that. By the time we exit our second quarter, we expect procedures to be back to more normal.

[Karen Parkhill, CFO at Medtronic]

We've reflected all of this in our guidance for the second quarter, and we're really bullish about the underlying strength of our business, not just in the second quarter, but in the back half and the full year ahead.

[Bob Hopkins, Analyst at Bank of America]

Then on China?

[Geoff Martha, Chairman and CEO at Medtronic]

[audio ditortion] Yeah, he asked about China.

[Bob Hopkins, Analyst at Bank of America]

Yeah.

[Geoff Martha, Chairman and CEO at Medtronic]

Look, Bob, we're seeing limited impact so far in China, much less so than in the prior waves. They're pretty aggressive, if you will. When they see a COVID case, they can isolate that geographic area, and they do reduce mobility. They have kept consumer mobility, if you will. They've kept the hospitals open, and I think they handle it pretty well. We've seen limited impact so far in China.

[Bob Hopkins, Analyst at Bank of America]

Great. Thank you.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Thanks, Bob. Next question, please, Francesca.

[Company Representative at Medtronic]

We'll take the next question from Robbie Marcus from JPMorgan. Robbie, please go ahead.

[Robbie Marcus, Analyst at JPMorgan]

Great. Thanks for taking the question, and congrats on a good quarter. Maybe just to follow up on the last question a little bit here. Karen, I know you don't give quarterly guidance, but I just want to make sure the street's appropriately factoring your comments. We're a little shy of $8.2 billion in sales for consensus and $1.35 for fiscal 2Q. Maybe just help us gauge if that's an appropriate place to be given your comments on the COVID impact and any other cadence through the rest of the year you'll be willing to point us to. Thanks a lot.

[Karen Parkhill, CFO at Medtronic]

Thanks, Robbie. For the second quarter, with the impact of the Delta variant, we're expecting growth around 4%, as we mentioned. That includes what we estimate to be about 150 basis point impact from COVID. Stronger underlying growth outside of COVID. I would also remind you that we've got ventilators coming down off of our peak in the second quarter last year. That's another about 200 basis point headwind. With our decision to no longer sell and distribute Left Ventricular Assist Devices in our Mechanical Circulatory Support business, that's another about 50 basis points headwind. The true underlying strength when you take out COVID, the impact of the vents and MCS, is around 8% for the quarter. In terms of EPS, we're guiding for the quarter $1.28-$1.30. That includes a currency tailwind of about $0.04.

[Karen Parkhill, CFO at Medtronic]

If we think about the rest of the year, we'll give Q3 guidance on our Q2 earnings call. I would keep in mind that you can expect our investment to step up over the next coming quarters, really as we progress toward these important new product launches. Hopefully that's helpful.

[Robbie Marcus, Analyst at JPMorgan]

Yeah. Thanks, Karen.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Thanks, Robbie. Next question please, Francesca.

[Company Representative at Medtronic]

We'll take the next question from Matt Taylor from UBS. Matt, please go ahead.

[Matt Taylor, Analyst at UBS]

Hi, good morning, and good start to the year. Can you hear me okay?

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Sure, Matt. Yeah, we can.

[Matt Taylor, Analyst at UBS]

Fantastic. Okay. I just wanted to ask you for some more color on the progression through the quarter. The reason for the question in that way is I want to understand how things were coming back as a proxy for how they could come back again after the Delta variant passes. Can you give us any color on how strong things got in July before you saw the impact, or help us understand what the impact was in the second half of July?

[Geoff Martha, Chairman and CEO at Medtronic]

We were working through the prior waves backlog fairly quickly, and we continued to see improvement from our last earnings call. We had May was better than April, June better than May, July better than June. It wasn't till the last few weeks of the month that we started to see the pullback. Again, it's isolated to where we're feeling it is more in developed countries, the United States being a big one, Japan, Australia, New Zealand. Just use the United States as an example. It's really limited to the areas geographically in the U.S. where you have lower vaccination rates. It's that simple. Where you have higher vaccination rates, we're not seeing it.

[Geoff Martha, Chairman and CEO at Medtronic]

The other thing that if you look at like a Venn diagram of concentric circles, it's those geographies, the procedures that we're seeing are just like we saw in the first wave, the ones that slowed down first. It's either the more highly electable ones like Pain Stim or Spine or ICDs or, in our world, cardiac diagnostics. Those are more elective, I would say. Or, it's procedures that require an ICU stay, like a TAVR procedure. Those are the ones that we're seeing it, the pullback. It's in those regions of the United States, to use that example, where vaccination rates are lower. Again, hospitals are better equipped. Karen already went through. We think this is going to peak here at the end of August, the infection rates, if you will.

[Geoff Martha, Chairman and CEO at Medtronic]

Hospitalization rates will trail that by a couple of weeks. We do think this is shorter-lived and easier managed than the prior waves. That's been the progression. It hasn't quite peaked yet. Like I said, we didn't start seeing the, I would say, the pullback until the last few weeks in July. At that point, we were pretty much back to either 100%, in some cases over 100%, of pre-COVID levels in our therapies.

[Matt Taylor, Analyst at UBS]

Great. Thanks for the color. I'll leave it there. Thank you.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Thanks, Matt. Francesca, next question, please.

[Company Representative at Medtronic]

We'll take the next question from Larry Biegelsen from Wells Fargo Securities. Larry, please go ahead.

[Larry Biegelsen, Analyst at Wells Fargo Securities]

Good morning. Thanks for taking the question. For Sean, this quarter I probably got more questions on renal denervation than anything else related to Medtronic. I guess my question is, Sean, when will you know if the interim look is positive? Once you're confident it'll be positive and, if it doesn't end on this interim look, when will the trial end? Any read-through from that TRIO trial, which was another on-med trial that showed about a 4.5 mm mercury difference on ambulatory systolic blood pressure. Thanks for taking the question, Sean.

[Geoff Martha, Chairman and CEO at Medtronic]

Hey, Sean, you're on mute.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Can you hear me now?

[Geoff Martha, Chairman and CEO at Medtronic]

Yeah, we can. You were going strong, but no one could hear you.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Listen, we have no information.

[Geoff Martha, Chairman and CEO at Medtronic]

Oh, we lost Sean again. Okay, this is like our fifth earnings call. This is our first technical glitch. I was feeling pretty good. I'll see if we can get back Sean. There you go. While he's trying to get back on. Look, he was starting to say, Larry, we really haven't gotten new information since the last call we had with you. We do anticipate, because of the Bayesian trial design and how it's set up, that we know we get another interim look here in the fall. Look, there's reason for optimism here, because part of the denominator going in to the trial was the feasibility work that we did, and we know what those numbers look like.

[Geoff Martha, Chairman and CEO at Medtronic]

Look, we still have existing registries out there, and the body of evidence just continues to build, even outside through our registries and other activities going on that leads us to believe that it's positive. Look, this is why we do these trials. Then the next look, that's the question, Sean. I don't know if you're back on, Sean, but if this interim look doesn't get to where we need to get to, what's the next interim look after the fall here?

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Yeah. Can you hear me now? Am I back?

[Geoff Martha, Chairman and CEO at Medtronic]

Yeah.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Yeah, Larry, it really is dependent on the between group difference and standard deviation. We don't have a fixed date. It'll be this time or that time. It sort of gets there when it gets there. If it puts your mind at ease at all, we had the same situation going on with the SURTAVI trial, if you remember, that was also Bayesian design. It didn't reach its statistical significance on its first interim look, it did on the second one. Of course, the two-year results were almost identical to that when they finally rolled out. It'll just be pushed down. There are three looks at this. As Geoff said, we're confident we're going to get there for everything we do know, we don't know anything until the events committee lets us know that we're good to present. That's our plan.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

We're going to bat and we'll go from there. The read-through on TRIO. Look, it's good for the [audio ditortion] positive sham controlled study, and I don't think the patient population and drug regimens are comparable necessarily, so it really isn't a read-through.

[Larry Biegelsen, Analyst at Wells Fargo Securities]

Thanks, Sean.

[Geoff Martha, Chairman and CEO at Medtronic]

Okay. Thanks, Larry. Let's take the next question, please, Francesca.

[Company Representative at Medtronic]

The next question comes from Vijay Kumar from Evercore ISI. Vijay, please go ahead.

[Vijay Kumar, Analyst at Evercore ISI]

Hey, guys. Thanks for taking my question and congratulations on a solid start to the year. Geoff, maybe one on the product side. Can you remind us on the U.S. timelines for approvals on Hugo, EV-ICD, and diabetes? I'm curious now that you're placing Hugo, what has been the early learning so far? Has it been in line with expectations or perhaps surprised you to the positive? I'll pause there.

[Geoff Martha, Chairman and CEO at Medtronic]

Sure. I'll just queue up Bob on some of the more specifics of Hugo and Sean on some of the cardiovascular timing there. Look, I'll just say, look, you saw the video and the surgeon feedback has been great. Very excited. Look, as I talk to other health systems around the world, there's definitely an appetite. They want us to win here. That's a positive sign. Demand is high. Surgeon feedback initially is strong, and we just had our whole leadership team out to one of our operational centers here for the robotics business. They have a couple R&D centers around the world and a large operational center in Connecticut. Our whole X team was there, and they've just made so much progress. We're feeling pretty good right now. I'll let Bob give you more of the specifics.

[Bob White, EVP and President of the Medical Surgical Portfolio at Medtronic]

Yeah. Thanks, Geoff, Vijay, thanks for the question. We are, with the first cases behind us, really energized by the possibility that Hugo's going to bring to us. Like Geoff said, the surgeon and the Operating Room staff who've experienced Hugo has been super positive. What they've liked most, Vijay, is really the core to our system design, the modularity, the open console, the 3D visualization, the flexibility of the platform. They're really starting to think about ways that they're going to be able to apply the technology to expand robotic-assisted surgery. The other thing, Vijay, I'll share with you, Touch Surgery Enterprise, you'll recall our acquisition of Digital Surgery a couple of years ago, has been used in all the Hugo cases. The surgeons are really impressed by the analytical capabilities, the benefits of the video storage capabilities, case sharing, and the like.

[Bob White, EVP and President of the Medical Surgical Portfolio at Medtronic]

Really excited on the feedback. Then the first part of your question, with respect to U.S. commercial programs, really going to depend on the time to complete the clinical trial and the FDA review. As Geoff Martha mentioned as he kicked off the session today, we're making really good progress on our Expand URO trial. We're gaining ethics committee approval, working through the Institutional Review Board, conducting site training, getting clinical study site activation. For competitive reasons, I'm not going to go through all the sites, but we're really excited to treat our first patient in the U.S. We're feeling good. Look, we're on the path of building a multi-billion dollar surgical robotics business, Vijay Kumar. Geoff Martha, back to you.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay, thanks. I think Vijay had a question on the EV-ICD, Sean. I think it was the timing of the approval there, I believe, Vijay. Yeah.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Yes. Vijay, as you know, we filed CE Mark this quarter. The clinical trial for the U.S. approval is currently enrolling. We think that we should see the CE Mark sometime in the first half of calendar year 2022, and entry would be approximately a year later.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay. Thank you, Vijay. Let's go to the next question, please, Francesca.

[Company Representative at Medtronic]

Okay, the next question comes from Travis Steed from Bank of America. Travis, please go ahead.

[Travis Steed, Analyst at Bank of America]

Hey, good morning, and congrats on a good start to the year. I did have another question on renal denervation and thinking about the adoption curve. If the data looks something like the APOLLO study, just what's the process to get payers on board? How do you build a referral channel, and how quickly could revenue ramp? If you think about the Medicare Coverage of Innovative Technology and the delay there, do you actually need that to get to that $1 billion Renal Denervation market size in 2026?

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Yeah. Sean, do you want to take that?

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Sure. Thanks, Geoff. Thanks for the question. You're right that reimbursement is the most important thing we have to get right. Just a few things. We have regulatory approvals in CE Mark countries right now, and we have now the European Society of Cardiology/European Society of Hypertension has put out a statement in July recommending RDN as part of the treatment paradigm. Those kind of things as guidelines, recommendations, and society recommendations are important for payers to make their considerations. In the U.S., you're right, MCIT would be the best way to get the coverage approved. That's been delayed by the change in administration, and it's under review right now. Our plan really would be whether or not MCIT gives you the coverage, that we just go the same way we do it in every other therapy.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

We go building it payer by payer, geography, including the United States, where you have to get into the payment and the coding as the next steps. There is a good proportion of the patients that are going to be commercial insurance anyway, and we've been doing that work, and it was part of the reason why we built out the clinical trial strategy the way we did, showing patients on medications. It is going to be, in the commercial world, payer by payer, and it's going to be for Medicare. We'll get the MCIT ruling, we'll have coverage right away, and we'll work on the payment coding from there. It's hard to handicap just how fast the ramp goes because we don't have clarity on that last point.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay. Thank you, Travis. Let's go to the next question, please, Francesca.

[Company Representative at Medtronic]

Okay, we'll take the next question from Josh Jennings from TD Cowen. Josh, please go ahead.

[Josh Jennings, Analyst at TD Cowen]

Hi. Good morning. Thanks for taking the questions. Maybe a question for Sean on the TAVR franchise. I was just interested to hear Sorry, multi-part question, but interested to hear about how the marketing efforts and the data that's coming out on patient product-specific, patient mismatch, the cuspal overlap technique, bringing the pacemaker rate down, going to be launching Evolut FX here in the U.S., expectations for share gains in the U.S., and then maybe any updates on the timing of low-risk reimbursement in Japan and any high-level views on Medtronic's thrust into China, getting good share on market size and just timelines there for Medtronic's TAVR franchise. Thanks for taking the question.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Yeah, sure. We have picked up share in the United States as well as in Europe recently, and I think that cuspal overlap, lowering the pacemaker rate, and increasing the predictability of procedure has been really helpful. In Europe, we launched the Evolut PRO+ just recently. We got also approval, as you know, in Japan for the low-risk indication. Typically, it's about a quarter before that reimbursement gets in line with that. Then, of course, China is an opportunity for us. We've been working on the local clinical strategy there, and we have good progress going. There's a lot of our solution that'll push. China is a little bit of a nascent market yet for TAVRs. It's still on a good growth curve, but it's restricted to just a few centers within the very big cities at this point in time.

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

I think really the penetration into low risk everywhere, particularly in the U.S. and Europe, continues to be the biggest growth driver. Of course, as we expand into asymptomatic patients in the future, that will keep the growth going. Everything's looking pretty in TAVR, but for the COVID challenges that happened because of the concentration nature of that business in the short run. I feel really good about where we are with pipeline. FX is going to be a really big improvement in the predictability of what we do.

[Geoff Martha, Chairman and CEO at Medtronic]

That's been one of the biggest things that's been tough for people to learn if they've come up on expandable. That stability implant, we've got marker bands on it, so we can see exactly where it's being placed. Of course, the new implant technique has been really a home run for us.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay. Thank you, Josh. Next, let's go to the line of Anthony Petrone from Jefferies. Anthony, please go ahead.

[Anthony Petrone, Analyst at Jefferies]

Great. Thanks. Two quick ones here. Just on the commentary on your procedure volumes tracking, either at 100% or slightly above in certain categories. I guess, is the breakthrough there at the midpoint in August that we're once again at some discount to 100%? If so, where does that settle? Just on diabetes, a few quick follow-ups to Vijay. MiniMed 780G launch in Europe, is that still on track second half? The MiniMed 780G clearance as well as Integrated Continuous Glucose Monitor designation for standalone sensors, is that still expected in the second half? Thanks.

[Geoff Martha, Chairman and CEO at Medtronic]

Well, Anthony, I'll let Sean answer the diabetes questions on the procedure volumes. Yeah, like we said, we believe the cases, if you will, the COVID cases peak sometime at the end of August, early September, hospitalizations lag that by a few weeks. That would peak mid-September. We would make up those cases, hopefully, over the course of the year, we would start getting back to those pre-COVID levels. I'll point out that our guidance does not assume that we make up these cases. That is a possibility here given how quickly we recovered the cases during the prior waves that were much worse than we anticipate the Delta variant being. That's on the procedure volumes. On diabetes, you mentioned 780G in Europe.

[Geoff Martha, Chairman and CEO at Medtronic]

That is already approved. I don't know if you meant to say U.S., but in Europe, the 780G is on the market and doing really well. We're optimistic because we're seeing the performance in Europe and the best time and range of any pump, and the user feedback and the physician feedback has been off-the-charts positive. We're excited about that. You had a few other questions there about iCGM, and I'm assuming maybe your question was 780G in the U.S., though. Maybe, Sean, you want to take those?

[Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit at Medtronic]

Yeah. Thanks, Geoff. The combination of the 780G with the sensor that doesn't require confirmation, we call it non-adjunctive, has been filed with the U.S., and we're getting really good interactive back and forth reviews. That's really good. That Europe launch right in the second quarter where you have a no finger stick sensor mixed with wear infusion set and 780G, that's really a nice combination. Of course, we'd love to bring that to the U.S. as soon as possible. Things are on track as far as we can tell. As you may know, that division, FDA, has been very busy with COVID, so it's hard to handicap exactly when timelines happen. We do think we're making good progress in the review.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay. Thanks, Anthony. Let's go next to Matt Miksic from Credit Suisse. Matt, please go ahead.

[Matt Miksic, Analyst at Credit Suisse]

Hi. Thanks so much. Just a follow-up on some of the comments you made on sort of the COVID pressure in the U.S. and elsewhere. Just if you could maybe give some additional color around what the strengths and weaknesses look like regionally. Whether you're seeing so far any indication, I know, for bed availability and capacity is one element and of course, patient sentiment, willingness to get cases done is another. Wondering if you're seeing anything there. Appreciate the additional color.

[Karen Parkhill, CFO at Medtronic]

Thanks, Matt, for the question. In terms of regionally, the impact that we're seeing is mostly in the United States, and we've talked about that. We do have Japan and certain countries in Asia-Pacific, like Australia, New Zealand, and Vietnam being impacted because lockdowns are still in place there. In Europe, we're seeing the impact in the U.K. In Latin America, we're not seeing a big impact on the Delta variant at this point. Hopefully, that's helpful. In terms of patient sentiment and the impact around capacity availability, we do expect this impact to be short-lived. Really, it's because hospitals are better equipped, as Geoff talked about. Vaccination rates are increasing around the world, and patient sentiment is understanding that we need to have life go on with the COVID variant. We're seeing that.

[Karen Parkhill, CFO at Medtronic]

We do expect the recovery here to be faster certainly than it was in the first wave and even in the second wave.

[Geoff Martha, Chairman and CEO at Medtronic]

Yeah. On patient sentiment, I would say it's much better than it was a year ago, right? There was a lot of unknowns. There was no vaccination. I think you're seeing a lot of people that have a concern, have gotten vaccinated, and there's others that have not, that have a different viewpoint on the virus. All in all, patient sentiment's in a much better spot, and as Karen pointed out, hospitals are much better equipped.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay. Thanks, Matt. Francesca, let's take the next question, please.

[Company Representative at Medtronic]

We'll take the next question from Jayson Bedford from Raymond James. Jayson, please go ahead.

[Jayson Bedford, Analyst at Raymond James]

Good morning. Question, perhaps for Karen on op margin. Are you still expecting a $400 million negative impact to op margin for the year from the investments in Hugo and in RDN? How much of that was realized in 1Q? Just on 2Q, operating margin looks like it's in that 26.5%-27% range. Is that fair? Thanks.

[Karen Parkhill, CFO at Medtronic]

Yeah. Thanks for the question, Jayson. We are still expecting strong investment against both RDN and the robot. Yes, a $400 million impact to operating margin for the year from those two very important programs, which represent what we believe to be the largest opportunity in med tech. In terms of how much that hit in the first quarter, we expected some ramps in those investments plus others in the first quarter. We didn't see all of those ramps in the first quarter. We're expecting more in the second quarter, just because of the fact that we're hiring lots of people and it takes a little bit of time. We are expecting that ramp in the second quarter. In the third quarter beyond that.

[Karen Parkhill, CFO at Medtronic]

What I would say on operating margins for the second quarter is that we'll still expect a few 100 basis points improvement in operating margin for the second quarter. Despite all of that investment, we still expect very strong year-over-year improvement.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay. Thanks, Jayson. We have time for one more question. Can we take that, please, Francesca?

[Company Representative at Medtronic]

Yes. We'll take the final question from Danielle Antalffy from Leerink Partners. Danielle, please go ahead.

[Danielle Antalffy, Analyst at Leerink Partners]

Thank you everyone so much for squeezing me in. Congrats on a good start to the fiscal year. Geoff, just a question on the M&A strategy. Congrats on the Intersect deal. I think it makes a ton of strategic sense. I guess, just at a high level, is that how we should be thinking about the approach to M&A going forward more in this tuck-in vein? If you could comment on where now that Intersect's in the fold, where else we should be thinking about Medtronic looking to fill gaps? Thank you so much.

[Geoff Martha, Chairman and CEO at Medtronic]

Well, yeah. Thanks for the comments and the question, Danielle. Yeah. Like I've been saying, the tuck-in strategy is definitely the one that we're focused on, and it's been consistent with what we've been doing over the last couple of quarters. I think we've done seven deals over the last 1.5 years or so for about $2.3 billion. This one, roughly $1 billion. This is the kind of deal I would expect from us. This one happens to be earnings neutral in the first 12 months and accretive thereafter. It's accretive to our weighted average market growth rate. This segment within ENT is growing in the mid-teens. Yes, the returns are strong. Well above our weighted average cost of capital. These are the kind of deals that we like to see, and they're in areas that we're strong.

[Geoff Martha, Chairman and CEO at Medtronic]

The ENT is one of our stronger businesses, Karen pointed out in her opening remarks. Yeah. In terms of where to look beyond, that's tough to forecast. I tell you this, we are looking at all of our different operating units and the different segments that they serve. We spent a lot of time and resources looking at different opportunities and engaging different companies, and so we've got opportunities across the portfolio, and it's difficult to predict where the next one will be. We are still very focused on this tuck-in strategy, and I'd like to say that we're not buying growth here. We're growing what we buy.

[Geoff Martha, Chairman and CEO at Medtronic]

We buy these earlier-stage companies. There tends to be a lot of synergies that drive growth, whether it be technical or clinical or a big one would be commercial, especially outside the U.S., since a lot of these companies tend to be U.S.-based, these startups. That's how I'd answer that. Hopefully, we can continue to keep this going because it does add to our weighted average market growth rate.

[Ryan Weispfenning, VP and Head of Investor Relations at Medtronic]

Okay. Thanks, Danielle. Geoff, please go ahead with your closing remarks.

[Geoff Martha, Chairman and CEO at Medtronic]

Okay. Well, thanks, everybody, for the questions. We definitely appreciate your support and your continued interest in Medtronic. Look, I hope you'll join us for our Q2 earnings webcast, which we anticipate holding on November 23rd, where we'll update you on our continued progress here. With that, thanks for watching today. Hope you enjoyed the "Drumline is Back." Please stay healthy and safe, and have a great rest of your day. Thank you.

Participants

Executives

• Bob White, EVP and President of the Medical Surgical Portfolio
• Geoff Martha, Chairman and CEO
• Karen Parkhill, CFO
• Ryan Weispfenning, VP and Head of Investor Relations
• Sean Salmon, EVP and President of the Cardiovascular Portfolio and the Diabetes Operating Unit
• Company Representative

Analysts

• Anthony Petrone, Analyst at Jefferies
• Bob Hopkins, Analyst at Bank of America
• Danielle Antalffy, Analyst at Leerink Partners
• Jayson Bedford, Analyst at Raymond James
• Josh Jennings, Analyst at TD Cowen
• Larry Biegelsen, Analyst at Wells Fargo Securities
• Matt Miksic, Analyst at Credit Suisse
• Matt Taylor, Analyst at UBS
• Robbie Marcus, Analyst at JPMorgan
• Travis Steed, Analyst at Bank of America
• Vijay Kumar, Analyst at Evercore ISI