NASDAQ:OMCL Omnicell Q1 2024 Earnings Report $24.63 -1.03 (-4.01%) Closing price 05/7/2025 04:00 PM EasternExtended Trading$25.54 +0.91 (+3.67%) As of 06:52 AM Eastern Extended trading is trading that happens on electronic markets outside of regular trading hours. This is a fair market value extended hours price provided by Polygon.io. Learn more. Earnings HistoryForecast Omnicell EPS ResultsActual EPS-$0.14Consensus EPS -$0.31Beat/MissBeat by +$0.17One Year Ago EPSN/AOmnicell Revenue ResultsActual Revenue$246.15 millionExpected Revenue$235.70 millionBeat/MissBeat by +$10.45 millionYoY Revenue GrowthN/AOmnicell Announcement DetailsQuarterQ1 2024Date5/2/2024TimeN/AConference Call DateThursday, May 2, 2024Conference Call Time8:30AM ETConference Call ResourcesConference Call AudioConference Call TranscriptSlide DeckPress Release (8-K)Quarterly Report (10-Q)Earnings HistoryCompany ProfileSlide DeckFull Screen Slide DeckPowered by Omnicell Q1 2024 Earnings Call TranscriptProvided by QuartrMay 2, 2024 ShareLink copied to clipboard.There are 11 speakers on the call. Operator00:00:00morning, ladies and gentlemen. My name is John, and I will be your conference operator for today. Please note that today's call is being recorded. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session. Operator00:00:13I will now turn the call over to Kathleen Emmett, Senior Vice President, Investor Relations. Please go ahead. Speaker 100:00:22Good morning, and welcome to the Omnicell First Quarter 2024 Financial Results Conference Call. On the call with me today are Randall Lipps, Omnicell Chairman, President, CEO and Founder and Anchacha Edda, Executive Vice President and Chief Financial Officer. This call will contain forward looking statements, including statements related to financial projections or other statements regarding Omnicell's plans, strategy, objectives, goals, expectations, products or solutions, actions to streamline our international product line, holistic review of the business or market or company outlook that are subject to risks, uncertainties and other factors that could cause actual results to differ materially from those expressed or implied. For a more detailed description of the risks that impact these forward looking statements, please refer to the information in our press release issued today in the Omnicell annual report on Form 10 ks filed with the SEC on February 28, 2024, and in other more recent reports filed with the SEC. Please be aware that you should not place undue reliance on any forward looking statements made today. Speaker 100:01:34All forward looking statements speak only as of the date hereof or of the date specified on the call. Except as required by law, we do not assume any obligation to update or otherwise release publicly any revisions to our forward looking statements. Our Q1 results were released this morning and are posted in the Investor Relations section of our website at ir.omnicell.com. Additionally, we would like to remind you that during this call, we will discuss some non GAAP financial measures. Reconciliations of these non GAAP measures to the comparable GAAP financial measures are included in our financial results press release posted. Speaker 100:02:15With respect to forward looking non GAAP measures, we do not provide a reconciliation of these measures to the comparable GAAP measures as these items are inherently uncertain and difficult to estimate and cannot be predicted on a GAAP basis without unreasonable effort. With that, I will turn the call over to Randall. Randall? Speaker 200:02:36Thank you, Kathleen, and good morning, and thank you for joining us on the call today. I will walk through our solid financial performance for the Q1 of 2024 and provide an update on the current demand environment and our successful Illuminate 2024 customer event. Beginning with our results, our Q1 2024 came in above our previously announced guidance on several key metrics. Total revenues were 246,000,000 Total revenues in the quarter were $4,000,000 above the top end of our guidance range, primarily due to solid execution and timing within both technical services and our advanced services. Non GAAP gross margin for 1st quarter was 39.8%, a decrease of 380 basis points from the prior quarter, primarily due to lower revenue volume leverage. Speaker 200:03:41Our Q1 2024 non GAAP earnings per share were 0 point 0 $3 1st quarter non GAAP EBITDA was $11,000,000 1st quarter 2024 non GAAP EBITDA and non GAAP earnings per share exceeded our outlook due to the better than expected revenue as well as strong cost and operating expense management. Since our last earnings update, we have retained an external management consultant to conduct a holistic review of our business with the aim of streamlining our operations and unlocking shareholder value. Today, we announced our intention to exit 1 international product line, which was not delivering sufficient returns on our investments. This action was already under active consideration prior to hiring the external consultant. While this was a first small step, we are indeed moving forward with determination and urgency. Speaker 200:04:48Now let's turn to the current macro environment and industry landscape. As we move into 2024, there are some reports pointing to encouraging signs that health system finances are beginning to stabilize. Hospital finances reflect a strong start to 2024 with calendar year to date operating margins approaching 5%, primarily due to accelerating outpatient revenues, lower contract labor spending and lower average lengths of stay. At the same time, the interest rate environment remains challenging with forecast for rate reductions unpredictable. And we continue to see areas of the customer base that are still facing budgetary constraints. Speaker 200:05:38Therefore, we are continuing to take what we believe is a prudent and cautious approach to our business planning and management. We have begun to see market traction for some of our initial XT Amplify program offerings. The 500 plus Bed Academic Medical Center in Massachusetts is a new customer for Omnicell and is converting its automated dispensing system footprint to XT amplified cabinets. Our CarePlus solution, which is designed to improve solution adoption and provide data driven performance optimization information supported by expert services was identified by the customer as a pivotal differentiator that created unique value for their purchase decision. And as part of a 6 year extension of a sole source agreement, a Kansas based health system is seeking to maximize the value of their XT technology through XT Extend, a comprehensive console swap designed to improve a high level of security while enhancing the user experience. Speaker 200:06:57Health systems across the country continue to recognize the value of Omnicell's advanced services offering that is designed to help transform pharmacy care. In addition to adopting our central pharmacy dispensing services, a large Southern California hospital plans to leverage our IV compounding service in an effort to provide more accurate, safe and cost effective sterile compounding. Our customer base for specialty pharmacy services now exceeds 400 hospitals and clinics. We're excited to announce the opening of a new location at Good Samaritan Hospital in Indiana, We cited Omnicell's experience and expertise in specialty pharmacy program management as key to their decision to partner with us. We expect our customer base to include an additional 7 pharmacies to open in Q2 2024. Speaker 200:07:55We believe the combination of Omnicell's 340B TPA with our specialty pharmacy services program management offering is delivering growth opportunities for our customers. Our Enlivant Health brand had a strong Q1 2024. With a large buying cooperative choosing Enlivant's analytics solution as it works to transform its complex pharmacy data into actionable insights and outcomes focused on patient care and operational efficiency. We had multiple other wins in the quarter as well. On April 16, we announced XT Amplify, innovative program intended to enhance pharmacy and nursing efficiency, reduce medication errors and waste, and ultimately maximize the value of the XT Automated Dispensing System investment. Speaker 200:08:57We introduced the 1st set of solutions in this multi year program as part of our virtual illuminate 2024 customer event, where healthcare and pharmacy leaders had the opportunity to learn about the potential benefits of XT Amplify. We were joined by Jennifer Hillman, Executive Director of Pharmacy at San Antonio Based University Health, who recently completed the NextE conversion project and shared her successful experience with attendees. While it's early, we assure you that XT Amplify is intended to be just the beginning of our reinvigorated focus on new products and services, which we expect to bode well for long term growth. I hope that you can see that we are taking the necessary steps that we believe will strengthen our financial and operational performance, accelerate profitable growth and drive shareholder value. We remain confident in Omnicell's long term opportunities and continue to believe the company is uniquely positioned to transform the pharmacy care delivery model and ultimately help enable our customers drive better outcomes and increase their returns on investment. Speaker 200:10:21Now with that, I'd like to hand it over to Chacha to discuss our results. Chacha? Speaker 300:10:28Thank you, Randall. I want to thank all of our employees for delivering the results this quarter. We exceeded our guidance across all key metrics, delivered strong cash flow and managed our expenses carefully and responsibly. While we still have work to do to strengthen our financial and operational performance, we are off to a good start and I am pleased with the level of commitment and engagement I see across our company. Turning to our financial results. Speaker 300:11:03Our Q1 2024 total GAAP revenues were 246,000,000 dollars a decrease of $13,000,000 over the prior quarter and a decrease of $45,000,000 compared to Q1 of 2023. The year over year decrease reflects the impact of a continued challenging environment for some of our health system customers and the timing of our XT product life cycle. Services revenue were $113,000,000 an increase of 8% over the Q1 of 2023, which was primarily driven by growth in technical services as we continue to see the benefits from the growing installed base and pricing actions. Total revenues in the first quarter were $4,000,000 above the top end of our previously disclosed Q1 2024 guidance range, which was primarily due to solid execution and timing within both technical services and our advanced services. Non GAAP gross margin for the Q1 2024 was 39.8%, a decrease of 380 basis points compared to the prior quarter, primarily due to lower revenue volume leverage. Speaker 300:12:24We expect our non GAAP gross margin to expand in the second half of twenty twenty four as we anticipate volume leverage from higher product revenue. A full reconciliation of our GAAP to non GAAP results is included in each of our Q1 2024 and Q4 2023 earnings press releases, which are posted on our Investor Relations website. Our Q1 2024 earnings per share in accordance with GAAP was a loss of $0.34 per share compared to a loss of $0.32 per share in the prior quarter and a loss of $0.33 per share in the Q1 of 2023. Our Q1 2024 GAAP earnings per share includes the impact of $3,000,000 for the potential wind down of the MEDIMAS robotic dispensing system product line we announced today, subject to local law and statutory work council consultation requirements. If the wind down proceeds, the total non recurring costs we estimate to incur related to the wind down are approximately $15,000,000 to $20,000,000 of which we have already incurred approximately $5,000,000 If the wind down is agreed to, the RDS restructuring plan is expected to increase our annualized net operating profit and we plan to incorporate this expectation in our full year 2025 guidance. Speaker 300:13:58We do not expect the RDS restructuring plan to have a significant impact on our revenue and we do not expect to achieve significant cost or operating expense savings related to the restructuring in 2024. Our Q1 2024 non GAAP earnings per share were 0 point 0 $3 compared to $0.33 per share in the prior quarter and $0.39 per share in the same period last year. 1st quarter non GAAP EBITDA was $11,000,000 a decrease of $13,000,000 compared to the previous quarter and a decrease of $16,000,000 when compared to the same period last year. Q1 2024 non GAAP EBITDA and non GAAP earnings per share exceeded our expectations, primarily due to revenue execution and timing as well as strong cost and operating expense management as we continue to take what we believe is a prudent approach with our investment decisions. The benefits from our higher revenue and lower expenses were partially offset by higher than expected income tax expense. Speaker 300:15:09The higher first quarter income tax expense was the result of timing within the year and we continue to expect our 20 24 non GAAP effective blended tax rate to approximately 19%. At the end of the Q1 of 2024, our cash and cash equivalent balance was $512,000,000 up from $468,000,000 as of December 31, 2023. Non GAAP free cash flow during the Q1 of 2024 was $38,000,000 as we continue to see strong cash collections and working capital management. In terms of accounts receivable, these sales outstanding for the Q1 of 2024 was 94 days, an increase of 4 days over the prior quarter, primarily due to the modest decrease in revenues. Inventories as of March 31, 2024 were $103,000,000 a decrease of $7,000,000 from the prior quarter and a decrease of $38,000,000 from March 31, 2023. Speaker 300:16:18The decrease is primarily due to the strong efforts of our supply chain team as they continue to execute and make progress on our global supply chain process improvements and inventory management initiatives. For the Q2 of 2024, we are providing the following guidance. We expect total Q2 2024 revenues to be between $250,000,000 $260,000,000 with product revenues to be between $140,000,000 $145,000,000 and service revenues to be between $110,000,000 $115,000,000 We expect 2nd quarter 2024 non GAAP EBITDA to be between $14,000,000 $20,000,000 and we expect 2nd quarter 2024 non GAAP earnings per share to be between $0.10 per share and $0.20 per share. In summary, we are working with a sense of urgency to strengthen our operational and financial performance. We are pleased to have delivered the first of many expected innovations and new capabilities for our fleet of XT medication dispensing systems. Speaker 300:17:37And we believe Omnicell is well positioned for the future. With that, we would like to open the call for questions. Operator00:18:18Your first question comes from the line of Stan Berenstain from Wells Fargo. Please go ahead. Speaker 400:18:25Hi. Good morning, everybody. Just maybe a question on the XT Extend mid cycle upgrade. Can you just walk us through how we should think about this? How much of the installed base is expected to be upgraded? Speaker 400:18:38What's the timeframe expectation there? And then how many years of life does this upgrade expect to add to the cabinets? Thanks. Speaker 500:18:46Thanks, Dan. Well, we're really excited about the XT Amplify and it's really more than just a console upgrade. There are a multitude of products and services we just announced that go with the Amplify platform. And as we stated before, we will continue this multi year journey of expanding the XT Amplify to include more products and services that allow us to get into areas that we don't service today like ambulatory and surgery centers and other areas, the inpatient that don't have good visibility. So it is a multi year program with multi products and services that go beyond just a console upgrade. Speaker 500:19:31So I think we want to be really careful to get our customers expecting this innovation to actually solve some problems that we haven't been able to solve. Speaker 400:19:45Okay. Can you maybe give us a quick update on the regulatory review of the IVX robots? Are you seeing any real solution on that front? Speaker 500:19:55Definitely have. At the end of last year, there was some final resolution on some of the regulations going forward. So we've now taken that information and melded it into our customer interaction and have a more clear determination how to classify each of the robot locations and what set of regulations they're under as they deploy. Speaker 400:20:21Thank you. And maybe just to backtrack for the first question. For clients that are just doing the console upgrade, so once they do the upgrade, can you just share with us how many more years of life does the cabinet get once they do that upgrade? Speaker 500:20:40Well, it's probably customer dependent, but I think that the key is in order to get the next versions of software and hardware, you eventually have to do the upgrade or to get access to the new product lines, you have to do the upgrade. And I think the future of Amplify includes both hardware and software changes, but it isn't really about overly focusing on those piece, but the solutions we're delivering to the market. Speaker 400:21:08Great. Thanks so much. Speaker 100:21:10Thanks, Dan. Operator00:21:14The next question comes from the line of Matt Hewitt from Craig Hallum. Please go ahead. Speaker 600:21:20Good morning. Thank you for taking the questions. First off, regarding the health of the customers, Randy, it was nice to hear that you're starting to see some okay, we're feeling better with our financial position, we're feeling better about, okay, we're feeling better with our financial position, we're feeling better about our staffing positions, now we're ready to come back to the table and proceed with the plans that we had maybe thought about last year, but now we're ready? Or is it still kind of touch and go and you have the conversation and they're still kind of, I don't want to say standoffish, but holding back a little bit? Speaker 500:22:03Well, I think it really depends on the account. There are some accounts that just seem to be doing well, but there are many that are not. And there seems to be a lot of sensitivity around capital equipment deployment at these institution, particularly around inpatient. So I think we're having good discussions. People want these products. Speaker 500:22:24It's really about the timing of returning the health of the capital equipment environment in these accounts. And I would just say they're pretty prudent and cautious about it, but for the long term, I think we're in a good position. Speaker 600:22:40Got it. And then maybe a separate question regarding XT Amplify. How should we be thinking about, I guess, the adoption curve of the full XT Amplify platform? Does that change the traditional kind of model, if you will, the bell shaped curve? Or I guess another way to look at it is with these incremental capabilities, with the services, how does that change the revenues from XT as we look out over the next few years? Speaker 600:23:13Because it seems to me at least that there's more of a services component to that. So does it change the rev rec as we look out over the lifetime of Amplify? Speaker 500:23:24Well, there's still the connected devices are generally still mostly capital. We do have some connected devices that are not. But yes, I think what's going to drive our customers to move to the Amplify platform, which we just launched, and it does take a while to get into the pipeline and get decision moving. It won't be just to upgrade the console. It will be these other areas that they want to access these new innovations. Speaker 500:23:54And we didn't say that we were going to have not only a multi year roadmap of Amplify innovations, but even this year we're planning to announce more innovations by the end of the year. Speaker 600:24:07Got it. All right. Thank you. Operator00:24:14The next question comes from the line of Scott Schoenhaus from KeyBanc. Please go ahead. Speaker 700:24:20Hey, team. Good morning. Thanks for taking my question. I guess first on the end markets, did you see any change in your behavior from your customer base during the change healthcare disruption and then now post into April May, have you seen any impact, either operationally, from a labor perspective, as they had to focus on, getting the billings and claims filed. Did you see any impact from your customers on your business or forward demand? Speaker 700:24:49Thanks. Speaker 500:24:50We have not seen any impact on our business, but to be sure we're cautiously monitoring it and looking for any impact. But to this point, we haven't seen any disruption in our business. Speaker 700:25:05Okay. Thanks, Randy. And then on the XT Amplify side, I think you noted last quarter that some of the bookings guidance for this year included this, upsell. Given the traction that you've clearly seen so far, does this change the amount of bookings baked into your full year guidance for the XT Amplify? Thanks. Speaker 500:25:27No, I think we're comfortable with our position and on our outlook and on our guidance on product, which I believe was slightly higher this year than it was last year. And that did contemplate the launch of Amplify. Speaker 700:25:41And then if I could just sneak one last one, sorry, Randy. The RDS divestiture, does this signal to us that you're going to be divesting from international markets going forward? How should we read into the RDS divestiture? Speaker 300:25:58Yes. This is ChaCha. I don't think this signals that we are exiting the international market. This action that we've taken or that we're considering taking is part of an ongoing plan to ensure that we that our investments generate the right level of returns for our shareholders. And so as you know, we did engage with an outside consultant. Speaker 300:26:20So this is part of the overall strategy to continue to improve our overall financial performance and ensure that we are unlocking sustainable or long term value for our shareholders. Speaker 700:26:34Thank you. Speaker 800:26:37Thanks, Scott. Operator00:26:41The next question comes from the line of Jessica Tassen from Piper Sandler. Please go ahead. Speaker 800:26:47Hi, guys. Thanks for the question. So Speaker 900:26:50maybe to kick off, I was hoping you could just help us understand what some of the offerings in the XT Amplify suite are? So server scale, CarePlus, XT Extend, what are these solutions? And are all of them available today? Speaker 500:27:07Yes, all of them are available for order today. The Xtend is up, the centerpiece on the hardware is the console upgrade. The CARE plus allows us to go in and redesign the workflows for our customers. Server scale allows us to not have to wait on the timing of hospital budgets to get new servers to be expanded to meet greater demands for the number of connected devices on their servers. So it allows for to be able to pay it as a service so that the server pieces are included whenever they need it. Speaker 500:27:48And I just think MedChill is one of the very exciting pieces. We get a lot of feedback that customers want to go to this kind of product, which really helps you singulate down to the single SKU on a refrigerated product and have access and locking control to it. So this gives you more confidence from a pharmacy standpoint of deploying refrigerated products, which can be costly or toxic and have better control out of them instead of just an open refrigerator. So we know there's good demand for these products and that we've already started to see people highly engaged about them and wanting to get access to them. I'm not quite sure All of them will be all of them are bookable now. Speaker 500:28:38All of them will be delivered this year. Speaker 1000:28:43Got it. Speaker 900:28:43And I just wanted to know kind of how your specialty pharmacy consulting business has helped kind of inform this product development pipeline if at all? Speaker 500:28:55Yes. I think the nice aspect of specialty pharmacy is that it really engages with a very high level of the C suite and really on a monthly basis, which then really allows us the platform to talk about other ways to improve both revenues and cost impacts of the pharmacy operation. And as we look at what our health systems are going through or what they need, it's a lot of solutions that are dependent on ambulatory or outpatient clinics. And so we're excited that Amplify in its roadmap has solutions that address those places. Speaker 900:29:42Awesome. And my last question is just can you update us on trends in 340B, so both on the contract pharmacy side and on the covered entity side, maybe like year over year, quarter over quarter, just volumes would be helpful. Speaker 600:30:00Well, I Speaker 500:30:00think 340B is pretty much 3rd party administrative TPA is in line with where we were last year and it continues to be. It is also a good product to combine with our specialty pharmacy services so that when a drug is available on the outpatient or through the 3rd party administrative side, It's an extra benefit that we can offer instead of having to run it through the specialty pharmacy, on-site pharmacy. So we think it's a good product to have and to offer in combination with our specialty pharmacy service. Speaker 300:30:45Yes. I'll just add to that, that I remember the last time we spoke, think we said it, 340B is generating about $30,000,000 to $35,000,000 annually for us and we expect that to continue. Speaker 900:30:59Got it. So no growth year over year in 2024. Is that on the 340B contract pharmacy split billing side? Speaker 300:31:09That's correct. We do expect it to be flat, but we continue to it's part of our overall strategy as Randall mentioned and we look forward to combining it with our inventory optimization services. Speaker 800:31:23Got it. Thank you, guys. Speaker 500:31:25Thanks, Operator00:31:50The next question comes from the line of David Larsen from BTIG. Please go ahead. Speaker 800:31:57Hi. This is Jenny Shen on for David Larsen. Thanks I think you've mentioned some focus on outcomes based solutions and taking an outcome centric approach. Can you just elaborate on what that means, what your focus is on there and highlight some of those key outcomes. Does that potentially mean that you could move to a model where, say, your clients recognize a certain amount of cost savings or reach a certain level of adherence where you would receive a certain performance payment for that? Speaker 800:32:34Thanks. Speaker 500:32:37Yes. I think that's a little bit beyond where we're thinking at the moment, but certainly medication management is such a big beta in the outcome of any patient whether as well as the finances of any event related to a patient activity. So I think it's prudent upon us to make those connections between those pharmacy activities and the impact eventually to the patient as well as to the bottom line of the facility. So they're easier to make as you get access to more of the data and get more access and visibility to the transactions throughout a patient's episode and we continue to see that. We probably see it most in our retail cloud based solution set where we're able to inform through our retail software. Speaker 500:33:31We're able to inform the pharmacy and eventually doctors and patients how well they're adhering to their medication management regimens. So those are the kinds of outcomes we're looking at. We're not quite here yet tying it to the actual scientific outcome, so to speak. Speaker 100:33:55Anything else, Jenny? Speaker 800:33:57A quick question on cost. You've taken some good cost savings initiatives over the last few quarters. Just any additional levers you think you can pull there? Speaker 300:34:09Yes, Jenny. We do continue to evaluate and assess our overall cost structure. And this is part of our ongoing strategy, and we will make the right decisions that we think necessary that will continue to help us increase our overall financial performance and unlock shareholder value. Speaker 1000:34:31Thank you. Congrats on the quarter. Thanks. Speaker 100:34:34Thanks, Jenny. Operator00:34:39The next question comes from the line of Stephanie Davies from Barclays. Please go ahead. Speaker 1000:34:46Hi, guys. This is Anna Kredensky on for Stephanie. Thank you for taking our questions. My first is, I was curious if you could talk about how hospital buying is being impacted by the push pull of the change disruption and better utilization levels. Speaker 500:35:03I think if you're referring to the change impact, we're not seeing any impact in our business, but we're monitoring it carefully. Speaker 1000:35:14Got it. Okay. Thank you. And then as a follow-up, just given the recent cadence of forward guidance conservatism, can you walk us through what your assumptions are in the 2Q guidance? And is this reflective of a pull forward in 1Q or the softer backdrop or just setting a lower bar? Speaker 300:35:32Yes. We're very comfortable with our plan for the guidance that we provided. I know we had a good first quarter and we are not changing our outlook at this point. We continue to track to what we provided. We are seeing some headwinds with some of our customers, but we're maintaining our guidance for the year. Speaker 1000:35:58Got it. That's helpful. Thank you for the color. Speaker 100:36:05Next question? Operator00:36:08The next question comes from the line of Bill Sutherland from Benchmark Company. Please go ahead. Speaker 800:36:22That you plan, Chacha, are they fully reflected now in the model that we're seeing for, I guess, 2Q? Speaker 300:36:33Bill, I want to make sure I understand your question. Are you referring which cost takeout are you referring to? Speaker 800:36:38The ones that you've been you implemented year end, correct? Am I remembering correctly? Speaker 300:36:45Yes. Speaker 800:36:46Okay. So there's been nothing incremental year to date? Speaker 300:36:50Well, the majority of the benefits from the cost actions were realized at the beginning of the Q1 of this year. With a smaller portion, we anticipate a smaller portion to continue throughout the year, but the majority was realized in the Q1. Speaker 800:37:07Okay. And then over to Enlivant, can you give a little more color, Randy, potentially on what benefited the business and the outlook for it? Speaker 500:37:22Yes. I think we're cautiously optimistic there, but we've seen some good start to the year with some nice wins and those wins are the contracting portion and they will result in the ARR as we move forward. But it's nice to see that business. And I think that's coming because of the settling down of pharmacist and retail outlets a little bit. And so it gives us a good platform to come in and put in new innovation. Speaker 500:37:55But that business is doing solid and then we believe will eventually grow steadily over the long term. Speaker 800:38:04Has it been more about new rooftops or adding services to current clients? Speaker 500:38:10I think the most a little bit of both, but I think the most recent is rooftops. Speaker 200:38:16Okay. Because it seems Speaker 800:38:17like you have such massive market share. Okay. Thanks everybody. Speaker 500:38:22You bet. Operator00:38:25The next question comes from the line of Stan Bernstein from Wells Fargo. Please go ahead. Speaker 400:38:32Hi. Thanks for allowing me to a follow-up here. Just wanted to quickly ask on your comments regarding the services revenue pull forward. Can you just give us some color as to what contributed to the timing impact in the quarter? Thanks. Speaker 300:38:45Yes. Stan, we saw the timing impact was primarily driven by the pull forward in demand in advanced services as well as our technical services. We do expect that to even out as we go throughout the course of the year. So that's why we're tracking or maintaining the guidance outlook that we provided. Speaker 400:39:11Great. Thank you. Operator00:39:17As there are no further questions at the queue this time, this concludes our Q and A session. I would like to turn the call over back to Randall Lipps for closing remarks. Speaker 500:39:27Well, thank you for joining us today. It's really an exciting time at Omnicell to see this new innovation multiyear roadmap. It's really allowing us to engage with our customers and solving problems that have been pain points that haven't been addressed. And it really allows us to talk about the future with them, not only the future of inpatient, but outpatient and having a more holistic platform and approach to really innovate automation and deliver on the autonomous pharmacy is what the industry needs. I also want to thank the Omnicell employees. Speaker 500:40:06Thanks for the hard work and going through Q4 and launching off a good refreshing year. And I look forward to seeing you next time. Cheers. Speaker 100:40:18Thank you. Operator00:40:20Ladies and gentlemen, this concludes today's conference call. Thank you for your participation. You may now disconnect.Read morePowered by Conference Call Audio Live Call not available Earnings Conference CallOmnicell Q1 202400:00 / 00:00Speed:1x1.25x1.5x2x Earnings DocumentsSlide DeckPress Release(8-K)Quarterly report(10-Q) Omnicell Earnings HeadlinesOmnicell: Facing New HeadwindsMay 7 at 2:11 PM | seekingalpha.comOmnicell (OMCL) Price Target Reduced Amid Tariff Concerns | OMCL Stock NewsMay 7 at 9:48 AM | gurufocus.comAltucher: Turn $900 into $108,000 in just 12 months?We are entering the final Trump Bump of our lives. But the biggest returns will not be in the stock market.May 8, 2025 | Paradigm Press (Ad)Omnicell Inc (OMCL) Q1 2025 Earnings Call Highlights: Navigating Tariff Challenges and Revenue ...May 7 at 7:03 AM | finance.yahoo.comHold Rating for Omnicell Amid Tariff Challenges and Competitive PressuresMay 7 at 5:44 AM | tipranks.comWhy Omnicell (OMCL) Shares Are Trading Lower TodayMay 7 at 2:02 AM | finance.yahoo.comSee More Omnicell Headlines Get Earnings Announcements in your inboxWant to stay updated on the latest earnings announcements and upcoming reports for companies like Omnicell? Sign up for Earnings360's daily newsletter to receive timely earnings updates on Omnicell and other key companies, straight to your email. Email Address About OmnicellOmnicell (NASDAQ:OMCL), together with its subsidiaries, provides medication management solutions and adherence tools for healthcare systems and pharmacies the United States and internationally. The company offers point of care automation solutions to improve clinician workflows in patient care areas of the healthcare system; XT Series automated dispensing systems for medications and supplies used in nursing units and other clinical areas of the hospital, as well as specialized automated dispensing systems for operating room; and robotic dispensing systems for handling the stocking and retrieval of boxed medications. It also provides central pharmacy automation solutions; IV compounding robots; and inventory management software. In addition, the company provides single-dose automation solutions that fill and label a variety of patient-specific, single-dose medication blister packaging based on incoming prescriptions; fully automated and semi-automated filling equipment for institutional pharmacies to warrant automated packaging of medications; and medication blister card packaging and packaging supplies to enhance medication adherence in non-acute care settings. Further, it offers EnlivenHealth Patient Engagement, a web-based solutions. The company was formerly known as Omnicell Technologies, Inc. and changed its name to Omnicell, Inc. in 2001. Omnicell, Inc. was incorporated in 1992 and is headquartered in Fort Worth, Texas.View Omnicell ProfileRead more More Earnings Resources from MarketBeat Earnings Tools Today's Earnings Tomorrow's Earnings Next Week's Earnings Upcoming Earnings Calls Earnings Newsletter Earnings Call Transcripts Earnings Beats & Misses Corporate Guidance Earnings Screener Earnings By Country U.S. Earnings Reports Canadian Earnings Reports U.K. Earnings Reports Latest Articles Disney Stock Jumps on Earnings—Is the Magic Sustainable?Archer Stock Eyes Q1 Earnings After UAE UpdatesFord Motor Stock Rises After Earnings, But Momentum May Not Last Broadcom Stock Gets a Lift on Hyperscaler Earnings & CapEx BoostPalantir Stock Drops Despite Stellar Earnings: What's Next?Is Eli Lilly a Buy After Weak Earnings and CVS-Novo Partnership?Is Reddit Stock a Buy, Sell, or Hold After Earnings Release? 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There are 11 speakers on the call. Operator00:00:00morning, ladies and gentlemen. My name is John, and I will be your conference operator for today. Please note that today's call is being recorded. All lines have been placed on mute to prevent any background noise. After the speakers' remarks, there will be a question and answer session. Operator00:00:13I will now turn the call over to Kathleen Emmett, Senior Vice President, Investor Relations. Please go ahead. Speaker 100:00:22Good morning, and welcome to the Omnicell First Quarter 2024 Financial Results Conference Call. On the call with me today are Randall Lipps, Omnicell Chairman, President, CEO and Founder and Anchacha Edda, Executive Vice President and Chief Financial Officer. This call will contain forward looking statements, including statements related to financial projections or other statements regarding Omnicell's plans, strategy, objectives, goals, expectations, products or solutions, actions to streamline our international product line, holistic review of the business or market or company outlook that are subject to risks, uncertainties and other factors that could cause actual results to differ materially from those expressed or implied. For a more detailed description of the risks that impact these forward looking statements, please refer to the information in our press release issued today in the Omnicell annual report on Form 10 ks filed with the SEC on February 28, 2024, and in other more recent reports filed with the SEC. Please be aware that you should not place undue reliance on any forward looking statements made today. Speaker 100:01:34All forward looking statements speak only as of the date hereof or of the date specified on the call. Except as required by law, we do not assume any obligation to update or otherwise release publicly any revisions to our forward looking statements. Our Q1 results were released this morning and are posted in the Investor Relations section of our website at ir.omnicell.com. Additionally, we would like to remind you that during this call, we will discuss some non GAAP financial measures. Reconciliations of these non GAAP measures to the comparable GAAP financial measures are included in our financial results press release posted. Speaker 100:02:15With respect to forward looking non GAAP measures, we do not provide a reconciliation of these measures to the comparable GAAP measures as these items are inherently uncertain and difficult to estimate and cannot be predicted on a GAAP basis without unreasonable effort. With that, I will turn the call over to Randall. Randall? Speaker 200:02:36Thank you, Kathleen, and good morning, and thank you for joining us on the call today. I will walk through our solid financial performance for the Q1 of 2024 and provide an update on the current demand environment and our successful Illuminate 2024 customer event. Beginning with our results, our Q1 2024 came in above our previously announced guidance on several key metrics. Total revenues were 246,000,000 Total revenues in the quarter were $4,000,000 above the top end of our guidance range, primarily due to solid execution and timing within both technical services and our advanced services. Non GAAP gross margin for 1st quarter was 39.8%, a decrease of 380 basis points from the prior quarter, primarily due to lower revenue volume leverage. Speaker 200:03:41Our Q1 2024 non GAAP earnings per share were 0 point 0 $3 1st quarter non GAAP EBITDA was $11,000,000 1st quarter 2024 non GAAP EBITDA and non GAAP earnings per share exceeded our outlook due to the better than expected revenue as well as strong cost and operating expense management. Since our last earnings update, we have retained an external management consultant to conduct a holistic review of our business with the aim of streamlining our operations and unlocking shareholder value. Today, we announced our intention to exit 1 international product line, which was not delivering sufficient returns on our investments. This action was already under active consideration prior to hiring the external consultant. While this was a first small step, we are indeed moving forward with determination and urgency. Speaker 200:04:48Now let's turn to the current macro environment and industry landscape. As we move into 2024, there are some reports pointing to encouraging signs that health system finances are beginning to stabilize. Hospital finances reflect a strong start to 2024 with calendar year to date operating margins approaching 5%, primarily due to accelerating outpatient revenues, lower contract labor spending and lower average lengths of stay. At the same time, the interest rate environment remains challenging with forecast for rate reductions unpredictable. And we continue to see areas of the customer base that are still facing budgetary constraints. Speaker 200:05:38Therefore, we are continuing to take what we believe is a prudent and cautious approach to our business planning and management. We have begun to see market traction for some of our initial XT Amplify program offerings. The 500 plus Bed Academic Medical Center in Massachusetts is a new customer for Omnicell and is converting its automated dispensing system footprint to XT amplified cabinets. Our CarePlus solution, which is designed to improve solution adoption and provide data driven performance optimization information supported by expert services was identified by the customer as a pivotal differentiator that created unique value for their purchase decision. And as part of a 6 year extension of a sole source agreement, a Kansas based health system is seeking to maximize the value of their XT technology through XT Extend, a comprehensive console swap designed to improve a high level of security while enhancing the user experience. Speaker 200:06:57Health systems across the country continue to recognize the value of Omnicell's advanced services offering that is designed to help transform pharmacy care. In addition to adopting our central pharmacy dispensing services, a large Southern California hospital plans to leverage our IV compounding service in an effort to provide more accurate, safe and cost effective sterile compounding. Our customer base for specialty pharmacy services now exceeds 400 hospitals and clinics. We're excited to announce the opening of a new location at Good Samaritan Hospital in Indiana, We cited Omnicell's experience and expertise in specialty pharmacy program management as key to their decision to partner with us. We expect our customer base to include an additional 7 pharmacies to open in Q2 2024. Speaker 200:07:55We believe the combination of Omnicell's 340B TPA with our specialty pharmacy services program management offering is delivering growth opportunities for our customers. Our Enlivant Health brand had a strong Q1 2024. With a large buying cooperative choosing Enlivant's analytics solution as it works to transform its complex pharmacy data into actionable insights and outcomes focused on patient care and operational efficiency. We had multiple other wins in the quarter as well. On April 16, we announced XT Amplify, innovative program intended to enhance pharmacy and nursing efficiency, reduce medication errors and waste, and ultimately maximize the value of the XT Automated Dispensing System investment. Speaker 200:08:57We introduced the 1st set of solutions in this multi year program as part of our virtual illuminate 2024 customer event, where healthcare and pharmacy leaders had the opportunity to learn about the potential benefits of XT Amplify. We were joined by Jennifer Hillman, Executive Director of Pharmacy at San Antonio Based University Health, who recently completed the NextE conversion project and shared her successful experience with attendees. While it's early, we assure you that XT Amplify is intended to be just the beginning of our reinvigorated focus on new products and services, which we expect to bode well for long term growth. I hope that you can see that we are taking the necessary steps that we believe will strengthen our financial and operational performance, accelerate profitable growth and drive shareholder value. We remain confident in Omnicell's long term opportunities and continue to believe the company is uniquely positioned to transform the pharmacy care delivery model and ultimately help enable our customers drive better outcomes and increase their returns on investment. Speaker 200:10:21Now with that, I'd like to hand it over to Chacha to discuss our results. Chacha? Speaker 300:10:28Thank you, Randall. I want to thank all of our employees for delivering the results this quarter. We exceeded our guidance across all key metrics, delivered strong cash flow and managed our expenses carefully and responsibly. While we still have work to do to strengthen our financial and operational performance, we are off to a good start and I am pleased with the level of commitment and engagement I see across our company. Turning to our financial results. Speaker 300:11:03Our Q1 2024 total GAAP revenues were 246,000,000 dollars a decrease of $13,000,000 over the prior quarter and a decrease of $45,000,000 compared to Q1 of 2023. The year over year decrease reflects the impact of a continued challenging environment for some of our health system customers and the timing of our XT product life cycle. Services revenue were $113,000,000 an increase of 8% over the Q1 of 2023, which was primarily driven by growth in technical services as we continue to see the benefits from the growing installed base and pricing actions. Total revenues in the first quarter were $4,000,000 above the top end of our previously disclosed Q1 2024 guidance range, which was primarily due to solid execution and timing within both technical services and our advanced services. Non GAAP gross margin for the Q1 2024 was 39.8%, a decrease of 380 basis points compared to the prior quarter, primarily due to lower revenue volume leverage. Speaker 300:12:24We expect our non GAAP gross margin to expand in the second half of twenty twenty four as we anticipate volume leverage from higher product revenue. A full reconciliation of our GAAP to non GAAP results is included in each of our Q1 2024 and Q4 2023 earnings press releases, which are posted on our Investor Relations website. Our Q1 2024 earnings per share in accordance with GAAP was a loss of $0.34 per share compared to a loss of $0.32 per share in the prior quarter and a loss of $0.33 per share in the Q1 of 2023. Our Q1 2024 GAAP earnings per share includes the impact of $3,000,000 for the potential wind down of the MEDIMAS robotic dispensing system product line we announced today, subject to local law and statutory work council consultation requirements. If the wind down proceeds, the total non recurring costs we estimate to incur related to the wind down are approximately $15,000,000 to $20,000,000 of which we have already incurred approximately $5,000,000 If the wind down is agreed to, the RDS restructuring plan is expected to increase our annualized net operating profit and we plan to incorporate this expectation in our full year 2025 guidance. Speaker 300:13:58We do not expect the RDS restructuring plan to have a significant impact on our revenue and we do not expect to achieve significant cost or operating expense savings related to the restructuring in 2024. Our Q1 2024 non GAAP earnings per share were 0 point 0 $3 compared to $0.33 per share in the prior quarter and $0.39 per share in the same period last year. 1st quarter non GAAP EBITDA was $11,000,000 a decrease of $13,000,000 compared to the previous quarter and a decrease of $16,000,000 when compared to the same period last year. Q1 2024 non GAAP EBITDA and non GAAP earnings per share exceeded our expectations, primarily due to revenue execution and timing as well as strong cost and operating expense management as we continue to take what we believe is a prudent approach with our investment decisions. The benefits from our higher revenue and lower expenses were partially offset by higher than expected income tax expense. Speaker 300:15:09The higher first quarter income tax expense was the result of timing within the year and we continue to expect our 20 24 non GAAP effective blended tax rate to approximately 19%. At the end of the Q1 of 2024, our cash and cash equivalent balance was $512,000,000 up from $468,000,000 as of December 31, 2023. Non GAAP free cash flow during the Q1 of 2024 was $38,000,000 as we continue to see strong cash collections and working capital management. In terms of accounts receivable, these sales outstanding for the Q1 of 2024 was 94 days, an increase of 4 days over the prior quarter, primarily due to the modest decrease in revenues. Inventories as of March 31, 2024 were $103,000,000 a decrease of $7,000,000 from the prior quarter and a decrease of $38,000,000 from March 31, 2023. Speaker 300:16:18The decrease is primarily due to the strong efforts of our supply chain team as they continue to execute and make progress on our global supply chain process improvements and inventory management initiatives. For the Q2 of 2024, we are providing the following guidance. We expect total Q2 2024 revenues to be between $250,000,000 $260,000,000 with product revenues to be between $140,000,000 $145,000,000 and service revenues to be between $110,000,000 $115,000,000 We expect 2nd quarter 2024 non GAAP EBITDA to be between $14,000,000 $20,000,000 and we expect 2nd quarter 2024 non GAAP earnings per share to be between $0.10 per share and $0.20 per share. In summary, we are working with a sense of urgency to strengthen our operational and financial performance. We are pleased to have delivered the first of many expected innovations and new capabilities for our fleet of XT medication dispensing systems. Speaker 300:17:37And we believe Omnicell is well positioned for the future. With that, we would like to open the call for questions. Operator00:18:18Your first question comes from the line of Stan Berenstain from Wells Fargo. Please go ahead. Speaker 400:18:25Hi. Good morning, everybody. Just maybe a question on the XT Extend mid cycle upgrade. Can you just walk us through how we should think about this? How much of the installed base is expected to be upgraded? Speaker 400:18:38What's the timeframe expectation there? And then how many years of life does this upgrade expect to add to the cabinets? Thanks. Speaker 500:18:46Thanks, Dan. Well, we're really excited about the XT Amplify and it's really more than just a console upgrade. There are a multitude of products and services we just announced that go with the Amplify platform. And as we stated before, we will continue this multi year journey of expanding the XT Amplify to include more products and services that allow us to get into areas that we don't service today like ambulatory and surgery centers and other areas, the inpatient that don't have good visibility. So it is a multi year program with multi products and services that go beyond just a console upgrade. Speaker 500:19:31So I think we want to be really careful to get our customers expecting this innovation to actually solve some problems that we haven't been able to solve. Speaker 400:19:45Okay. Can you maybe give us a quick update on the regulatory review of the IVX robots? Are you seeing any real solution on that front? Speaker 500:19:55Definitely have. At the end of last year, there was some final resolution on some of the regulations going forward. So we've now taken that information and melded it into our customer interaction and have a more clear determination how to classify each of the robot locations and what set of regulations they're under as they deploy. Speaker 400:20:21Thank you. And maybe just to backtrack for the first question. For clients that are just doing the console upgrade, so once they do the upgrade, can you just share with us how many more years of life does the cabinet get once they do that upgrade? Speaker 500:20:40Well, it's probably customer dependent, but I think that the key is in order to get the next versions of software and hardware, you eventually have to do the upgrade or to get access to the new product lines, you have to do the upgrade. And I think the future of Amplify includes both hardware and software changes, but it isn't really about overly focusing on those piece, but the solutions we're delivering to the market. Speaker 400:21:08Great. Thanks so much. Speaker 100:21:10Thanks, Dan. Operator00:21:14The next question comes from the line of Matt Hewitt from Craig Hallum. Please go ahead. Speaker 600:21:20Good morning. Thank you for taking the questions. First off, regarding the health of the customers, Randy, it was nice to hear that you're starting to see some okay, we're feeling better with our financial position, we're feeling better about, okay, we're feeling better with our financial position, we're feeling better about our staffing positions, now we're ready to come back to the table and proceed with the plans that we had maybe thought about last year, but now we're ready? Or is it still kind of touch and go and you have the conversation and they're still kind of, I don't want to say standoffish, but holding back a little bit? Speaker 500:22:03Well, I think it really depends on the account. There are some accounts that just seem to be doing well, but there are many that are not. And there seems to be a lot of sensitivity around capital equipment deployment at these institution, particularly around inpatient. So I think we're having good discussions. People want these products. Speaker 500:22:24It's really about the timing of returning the health of the capital equipment environment in these accounts. And I would just say they're pretty prudent and cautious about it, but for the long term, I think we're in a good position. Speaker 600:22:40Got it. And then maybe a separate question regarding XT Amplify. How should we be thinking about, I guess, the adoption curve of the full XT Amplify platform? Does that change the traditional kind of model, if you will, the bell shaped curve? Or I guess another way to look at it is with these incremental capabilities, with the services, how does that change the revenues from XT as we look out over the next few years? Speaker 600:23:13Because it seems to me at least that there's more of a services component to that. So does it change the rev rec as we look out over the lifetime of Amplify? Speaker 500:23:24Well, there's still the connected devices are generally still mostly capital. We do have some connected devices that are not. But yes, I think what's going to drive our customers to move to the Amplify platform, which we just launched, and it does take a while to get into the pipeline and get decision moving. It won't be just to upgrade the console. It will be these other areas that they want to access these new innovations. Speaker 500:23:54And we didn't say that we were going to have not only a multi year roadmap of Amplify innovations, but even this year we're planning to announce more innovations by the end of the year. Speaker 600:24:07Got it. All right. Thank you. Operator00:24:14The next question comes from the line of Scott Schoenhaus from KeyBanc. Please go ahead. Speaker 700:24:20Hey, team. Good morning. Thanks for taking my question. I guess first on the end markets, did you see any change in your behavior from your customer base during the change healthcare disruption and then now post into April May, have you seen any impact, either operationally, from a labor perspective, as they had to focus on, getting the billings and claims filed. Did you see any impact from your customers on your business or forward demand? Speaker 700:24:49Thanks. Speaker 500:24:50We have not seen any impact on our business, but to be sure we're cautiously monitoring it and looking for any impact. But to this point, we haven't seen any disruption in our business. Speaker 700:25:05Okay. Thanks, Randy. And then on the XT Amplify side, I think you noted last quarter that some of the bookings guidance for this year included this, upsell. Given the traction that you've clearly seen so far, does this change the amount of bookings baked into your full year guidance for the XT Amplify? Thanks. Speaker 500:25:27No, I think we're comfortable with our position and on our outlook and on our guidance on product, which I believe was slightly higher this year than it was last year. And that did contemplate the launch of Amplify. Speaker 700:25:41And then if I could just sneak one last one, sorry, Randy. The RDS divestiture, does this signal to us that you're going to be divesting from international markets going forward? How should we read into the RDS divestiture? Speaker 300:25:58Yes. This is ChaCha. I don't think this signals that we are exiting the international market. This action that we've taken or that we're considering taking is part of an ongoing plan to ensure that we that our investments generate the right level of returns for our shareholders. And so as you know, we did engage with an outside consultant. Speaker 300:26:20So this is part of the overall strategy to continue to improve our overall financial performance and ensure that we are unlocking sustainable or long term value for our shareholders. Speaker 700:26:34Thank you. Speaker 800:26:37Thanks, Scott. Operator00:26:41The next question comes from the line of Jessica Tassen from Piper Sandler. Please go ahead. Speaker 800:26:47Hi, guys. Thanks for the question. So Speaker 900:26:50maybe to kick off, I was hoping you could just help us understand what some of the offerings in the XT Amplify suite are? So server scale, CarePlus, XT Extend, what are these solutions? And are all of them available today? Speaker 500:27:07Yes, all of them are available for order today. The Xtend is up, the centerpiece on the hardware is the console upgrade. The CARE plus allows us to go in and redesign the workflows for our customers. Server scale allows us to not have to wait on the timing of hospital budgets to get new servers to be expanded to meet greater demands for the number of connected devices on their servers. So it allows for to be able to pay it as a service so that the server pieces are included whenever they need it. Speaker 500:27:48And I just think MedChill is one of the very exciting pieces. We get a lot of feedback that customers want to go to this kind of product, which really helps you singulate down to the single SKU on a refrigerated product and have access and locking control to it. So this gives you more confidence from a pharmacy standpoint of deploying refrigerated products, which can be costly or toxic and have better control out of them instead of just an open refrigerator. So we know there's good demand for these products and that we've already started to see people highly engaged about them and wanting to get access to them. I'm not quite sure All of them will be all of them are bookable now. Speaker 500:28:38All of them will be delivered this year. Speaker 1000:28:43Got it. Speaker 900:28:43And I just wanted to know kind of how your specialty pharmacy consulting business has helped kind of inform this product development pipeline if at all? Speaker 500:28:55Yes. I think the nice aspect of specialty pharmacy is that it really engages with a very high level of the C suite and really on a monthly basis, which then really allows us the platform to talk about other ways to improve both revenues and cost impacts of the pharmacy operation. And as we look at what our health systems are going through or what they need, it's a lot of solutions that are dependent on ambulatory or outpatient clinics. And so we're excited that Amplify in its roadmap has solutions that address those places. Speaker 900:29:42Awesome. And my last question is just can you update us on trends in 340B, so both on the contract pharmacy side and on the covered entity side, maybe like year over year, quarter over quarter, just volumes would be helpful. Speaker 600:30:00Well, I Speaker 500:30:00think 340B is pretty much 3rd party administrative TPA is in line with where we were last year and it continues to be. It is also a good product to combine with our specialty pharmacy services so that when a drug is available on the outpatient or through the 3rd party administrative side, It's an extra benefit that we can offer instead of having to run it through the specialty pharmacy, on-site pharmacy. So we think it's a good product to have and to offer in combination with our specialty pharmacy service. Speaker 300:30:45Yes. I'll just add to that, that I remember the last time we spoke, think we said it, 340B is generating about $30,000,000 to $35,000,000 annually for us and we expect that to continue. Speaker 900:30:59Got it. So no growth year over year in 2024. Is that on the 340B contract pharmacy split billing side? Speaker 300:31:09That's correct. We do expect it to be flat, but we continue to it's part of our overall strategy as Randall mentioned and we look forward to combining it with our inventory optimization services. Speaker 800:31:23Got it. Thank you, guys. Speaker 500:31:25Thanks, Operator00:31:50The next question comes from the line of David Larsen from BTIG. Please go ahead. Speaker 800:31:57Hi. This is Jenny Shen on for David Larsen. Thanks I think you've mentioned some focus on outcomes based solutions and taking an outcome centric approach. Can you just elaborate on what that means, what your focus is on there and highlight some of those key outcomes. Does that potentially mean that you could move to a model where, say, your clients recognize a certain amount of cost savings or reach a certain level of adherence where you would receive a certain performance payment for that? Speaker 800:32:34Thanks. Speaker 500:32:37Yes. I think that's a little bit beyond where we're thinking at the moment, but certainly medication management is such a big beta in the outcome of any patient whether as well as the finances of any event related to a patient activity. So I think it's prudent upon us to make those connections between those pharmacy activities and the impact eventually to the patient as well as to the bottom line of the facility. So they're easier to make as you get access to more of the data and get more access and visibility to the transactions throughout a patient's episode and we continue to see that. We probably see it most in our retail cloud based solution set where we're able to inform through our retail software. Speaker 500:33:31We're able to inform the pharmacy and eventually doctors and patients how well they're adhering to their medication management regimens. So those are the kinds of outcomes we're looking at. We're not quite here yet tying it to the actual scientific outcome, so to speak. Speaker 100:33:55Anything else, Jenny? Speaker 800:33:57A quick question on cost. You've taken some good cost savings initiatives over the last few quarters. Just any additional levers you think you can pull there? Speaker 300:34:09Yes, Jenny. We do continue to evaluate and assess our overall cost structure. And this is part of our ongoing strategy, and we will make the right decisions that we think necessary that will continue to help us increase our overall financial performance and unlock shareholder value. Speaker 1000:34:31Thank you. Congrats on the quarter. Thanks. Speaker 100:34:34Thanks, Jenny. Operator00:34:39The next question comes from the line of Stephanie Davies from Barclays. Please go ahead. Speaker 1000:34:46Hi, guys. This is Anna Kredensky on for Stephanie. Thank you for taking our questions. My first is, I was curious if you could talk about how hospital buying is being impacted by the push pull of the change disruption and better utilization levels. Speaker 500:35:03I think if you're referring to the change impact, we're not seeing any impact in our business, but we're monitoring it carefully. Speaker 1000:35:14Got it. Okay. Thank you. And then as a follow-up, just given the recent cadence of forward guidance conservatism, can you walk us through what your assumptions are in the 2Q guidance? And is this reflective of a pull forward in 1Q or the softer backdrop or just setting a lower bar? Speaker 300:35:32Yes. We're very comfortable with our plan for the guidance that we provided. I know we had a good first quarter and we are not changing our outlook at this point. We continue to track to what we provided. We are seeing some headwinds with some of our customers, but we're maintaining our guidance for the year. Speaker 1000:35:58Got it. That's helpful. Thank you for the color. Speaker 100:36:05Next question? Operator00:36:08The next question comes from the line of Bill Sutherland from Benchmark Company. Please go ahead. Speaker 800:36:22That you plan, Chacha, are they fully reflected now in the model that we're seeing for, I guess, 2Q? Speaker 300:36:33Bill, I want to make sure I understand your question. Are you referring which cost takeout are you referring to? Speaker 800:36:38The ones that you've been you implemented year end, correct? Am I remembering correctly? Speaker 300:36:45Yes. Speaker 800:36:46Okay. So there's been nothing incremental year to date? Speaker 300:36:50Well, the majority of the benefits from the cost actions were realized at the beginning of the Q1 of this year. With a smaller portion, we anticipate a smaller portion to continue throughout the year, but the majority was realized in the Q1. Speaker 800:37:07Okay. And then over to Enlivant, can you give a little more color, Randy, potentially on what benefited the business and the outlook for it? Speaker 500:37:22Yes. I think we're cautiously optimistic there, but we've seen some good start to the year with some nice wins and those wins are the contracting portion and they will result in the ARR as we move forward. But it's nice to see that business. And I think that's coming because of the settling down of pharmacist and retail outlets a little bit. And so it gives us a good platform to come in and put in new innovation. Speaker 500:37:55But that business is doing solid and then we believe will eventually grow steadily over the long term. Speaker 800:38:04Has it been more about new rooftops or adding services to current clients? Speaker 500:38:10I think the most a little bit of both, but I think the most recent is rooftops. Speaker 200:38:16Okay. Because it seems Speaker 800:38:17like you have such massive market share. Okay. Thanks everybody. Speaker 500:38:22You bet. Operator00:38:25The next question comes from the line of Stan Bernstein from Wells Fargo. Please go ahead. Speaker 400:38:32Hi. Thanks for allowing me to a follow-up here. Just wanted to quickly ask on your comments regarding the services revenue pull forward. Can you just give us some color as to what contributed to the timing impact in the quarter? Thanks. Speaker 300:38:45Yes. Stan, we saw the timing impact was primarily driven by the pull forward in demand in advanced services as well as our technical services. We do expect that to even out as we go throughout the course of the year. So that's why we're tracking or maintaining the guidance outlook that we provided. Speaker 400:39:11Great. Thank you. Operator00:39:17As there are no further questions at the queue this time, this concludes our Q and A session. I would like to turn the call over back to Randall Lipps for closing remarks. Speaker 500:39:27Well, thank you for joining us today. It's really an exciting time at Omnicell to see this new innovation multiyear roadmap. It's really allowing us to engage with our customers and solving problems that have been pain points that haven't been addressed. And it really allows us to talk about the future with them, not only the future of inpatient, but outpatient and having a more holistic platform and approach to really innovate automation and deliver on the autonomous pharmacy is what the industry needs. I also want to thank the Omnicell employees. Speaker 500:40:06Thanks for the hard work and going through Q4 and launching off a good refreshing year. And I look forward to seeing you next time. Cheers. Speaker 100:40:18Thank you. Operator00:40:20Ladies and gentlemen, this concludes today's conference call. Thank you for your participation. You may now disconnect.Read morePowered by