Cardinal Health Q4 2022 Earnings Call Transcript

Quartr
Provided by Quartr
August 11, 2022

There are 13 speakers on the call.

Operator

Good day, and welcome to the 4th Quarter and Full Year 2022 Cardinal Health, Inc. Earnings Conference Call. Today's conference is being recorded. At this time, I would like to turn the conference over to Mr. Kevin Moran, Vice President of Investor Relations.

Operator

Please go ahead, sir.

Speaker 1

Good morning, and welcome. Today, we will discuss Cardinal Health's 4th quarter and year end fiscal 2022 results along with our outlook for fiscal year 2023. You can find today's press release and earnings presentation on the IR section of our website atir.cardinalhealth.com. Joining me today are Mike Kauffman, Chief Executive Officer Jason Holler, Chief Financial Officer and Trish English, Chief Accounting Officer. During the call, we will be making forward looking statements.

Speaker 1

The matters addressed in the statements are subject to the risks and uncertainties that could cause actual results to differ materially from those projected or implied. Please refer to our SEC filings and the forward looking statements slide at the beginning of our presentation for a full description of these risks and uncertainties. Please note that during our discussion today, our comments will be on a non GAAP basis unless they are specifically called out as GAAP. GAAP to non GAAP reconciliations for all relevant periods can be found in the schedules attached to our press release. During the Q and A portion of today's call, we kindly ask that you please limit yourself to one question, so that we can try and give everyone an opportunity.

Speaker 1

With that, I'll now turn the call over to Mike.

Speaker 2

Thanks, Kevin, and good morning, everyone. As I am sure many of you have seen, A short time ago, we issued a press release announcing that I am stepping down as CEO and as a Board member of Cardinal Health, but will continue to serve through August 31. Effective September 1, Jason will become Cardinal's new CEO. He has also been appointed as a Board member effective today. They say timing is everything and I believe as we start a new fiscal year, The time is right for me to step away as CEO and open the door for a new leader to take Cardinal Health forward over the coming years.

Speaker 2

I have been blessed to be part of the Cardinal Health family for 32 years. In that time, I've seen our company grow and evolve in many ways. We are truly essential to care and I'm honored to have been part of it. Jason has been a tremendous partner over the past 2 plus years and has been instrumental in many of our strategic initiatives. He deeply understands our business, priorities and industry landscape And the Board and I are confident that he is the right person for the job.

Speaker 2

With that, I would like to turn the call over to Jason.

Speaker 3

Thanks, Mike. I really appreciate the kind words and the opportunity to work closely with you these past few years. Let me start by saying how excited I am to be taking on this new responsibility. I am grateful for the trust and the confidence the Board of Directors is placing in me. I would also like to thank you, Mike, for the leadership and the many contributions to the company over the years.

Speaker 3

I hope to preserve the culture that you've helped engrain into the fabric of our organization, and I look forward to what I know will be a smooth transition. I also want to welcome Trish English, who will be serving as our Interim Chief Financial Officer. Trish most recently served as our Chief Accounting Officer and has been a valuable member of Cardinal Health family for over 16 years. I look forward to continuing to work with her in this new capacity while we conduct an external search for a permanent CFO. So first stepping into the details of our financial performance for the quarter, let me step back and summarize the key points this past year.

Speaker 3

Within our Pharma segment, while we experienced the effects of industry wide inflation and encouraged incremental technology investments, we grew the business 5%, consistent with both our original guidance for the year as well as our long term growth targets. Medical business was more significantly impacted by these inflationary dynamics, which drove a significant impact on our results. However, we have strong mitigation actions in place, including pricing, We'll present a plan to you today that mitigates all of the inflationary and global supply chain constraint impacts, plus an additional 8% of compounded annual growth by fiscal 2025. Underlying these operating results this past year was a significant focus on cash flow, which results in increased financial flexibility. We are absolutely focused on shareholder value and intend to deploy these incremental funds to additional share repurchases for fiscal 2023.

Speaker 3

While we remain in a dynamic environment, I'm excited to share further details of our plans with you today and commit to continue to provide increased clarity to the drivers and Key metrics underlying our performance. So let's now turn to some of the details driving our results in the 4th quarter, beginning with the Pharma segment on Slide 6. 4th quarter revenue increased 13 percent to $43,000,000,000 driven by branded pharmaceutical sales growth from existing and net new PD and specialty customers. Segment profit increased 26 percent to $451,000,000 driven by generics program performance and a higher contribution from brand sales mix, partially offset by inflationary supply chain costs. As we previously noted, this also reflects a favorable comparison due to the prior year inventory adjustments.

Speaker 3

During the quarter, our generics program, including Red Oak, saw strong performance continue to experience consistent market dynamics. Regarding the inflationary supply chain costs, we saw impacts in areas such as transportation and labor, which we expect to continue into next year. We also incurred higher costs supporting sales growth. And with ongoing progress in opioid litigation matters, We saw a decrease of approximately $15,000,000 in opioid related legal costs. Turning to Medical on Slide 7, 4th quarter revenue decreased 11% to $3,800,000,000 due to the divestiture of the Cordis business and lower products and distribution volumes.

Speaker 3

Medical segment loss of $16,000,000 in the 4th quarter was due to net inflationary impacts and global supply chain constraints in products and distribution. On a year over year basis, the favorable comparison to the prior year $197,000,000 PPE inventory reserve was mostly offset The net inflationary and global supply chain constraint impacts, a lower contribution from PPE and the Cordis divestiture. During the quarter, our Products and Distribution business saw an approximate $100,000,000 impact from net incremental inflation and supply chain constraints. This reflects a gross impact of approximately $125,000,000 and approximate $25,000,000 offset from our mitigation actions, which includes our initial wave of price increases on 5 Cardinal Health brand categories that went into effect back in March. I'll elaborate on our plans for further mitigation in fiscal 2023 and beyond shortly.

Speaker 3

As mentioned, it continues to be a highly dynamic medical environment Our Q4 results came in lower than we had previously expected. This primarily reflects overall volume softness in our products and distribution business, including a lower contribution from PPE. Stepping back, demand for PPE has fluctuated significantly over the past couple of years. We saw lower volumes as we exited Q3 and the 4th quarter experienced further declines. We believe this primarily reflects customers' higher inventory levels and to a lesser extent some PPE category specific customer losses driven by supply constraints during the pandemic.

Speaker 3

We continue to have strong conviction in our overall value proposition, which includes leading brands and clinically differentiated products. For context, PPE represents approximately 15% of sales in our overall Cardinal Health brand portfolio as you'll see on Slide 20. Moving below the line, interest and other increased by $36,000,000 to $64,000,000 due to a decrease in the value of our deferred compensation plan investments As a reminder, deferred compensation gains or losses reported in interest and other are fully offsetting corporate SG and A and net neutral to our bottom line. Additionally, in the 4th quarter, a one time write down of an equity investment impacted EPS by $0.06 per share. The increase in other expense was partially offset by lower interest due to debt reduction actions.

Speaker 3

As indicated, we repaid the $280,000,000 of remaining June 2022 notes at maturity. Our 4th quarter effective tax rate finished at 25.4%, approximately 3 percentage points higher than the prior year. The net result was 4th quarter EPS of $1.05 an increase of 36%, primarily reflecting the growth in Pharma segment profit. Now, transitioning to our consolidated results for the year. Fiscal 2022 revenues increased 12 percent to $181,000,000,000 driven by the Pharma segment.

Speaker 3

Gross margin decreased 3% to $6,500,000 due to the Cordis divestiture. Total company SG and A increased 1%, reflecting inflationary supply chain costs, our previously mentioned IT investments and higher costs to support sales growth, mostly offset by the Cordis divestiture and benefits from cost savings initiatives. Operating earnings decreased 12%, which primarily reflects a year over year headwind of approximately $300,000,000 related to net inflationary impacts and global supply chain constraints in Medical, partially offset by Pharma segment profit growth. Interest and other increased 24 percent to $165,000,000 largely due to the items affecting the 4th quarter. Of note, this came in higher than our guidance primarily due to the equity investment write down in the quarter.

Speaker 3

Our annual effective tax rate finished at 22.1%. The net result was fiscal 2022 EPS of $5.06 Now turning to the balance sheet. In fiscal 2022, we generated robust operating cash flow $3,100,000,000 This includes the previously defined tax refund of nearly $1,000,000,000 and favorable timing of working capital. Additionally, in fiscal 2022, we made approximately $500,000,000 in litigation payments, primarily related to opioid settlements. In July, we made our 2nd annual payment under the National Opioid Settlement Agreement of approximately $375,000,000 which will be reflected in Q1 fiscal 23 operating cash flow.

Speaker 3

We are focused on deploying capital in a balanced, disciplined and shareholder friendly manner. This year, we invested approximately $385,000,000 of CapEx back into the business to drive future growth, paid down approximately $850,000,000 in debt And returned $1,600,000,000 to shareholders through share repurchases and dividends. We ended the year with a cash position of $4,700,000,000 which does reflect some timing favorability with no outstanding borrowings on our credit facilities. As for the segment's full year results, beginning with Pharma on Slide 10, Pharma revenue increased 14 percent to $165,000,000,000 reflecting consistent drivers with the 4th quarter. Pharma segment profit increased 5 percent to $1,800,000 driven primarily by generics program performance and an improvement in volumes compared to the prior year.

Speaker 3

This was partially offset by investments in technology enhancements and inflationary supply chain costs. To be helpful, the tailwind from Improved volumes and the headwind from incremental IT investments effectively offset in fiscal 2022, each approximately $80,000,000 on a year over year basis. Additionally, we saw an approximate $50,000,000 headwind from inflationary supply chain costs, primarily in the second half of the year. Moving to Medical on Slide 11. Fiscal 2022 medical revenue decreased 5% to $15,900,000,000 primarily due to the divestiture of the Cordis business.

Speaker 3

To a lesser extent, lower products and distribution volumes were partially offset by growth in At Home Solutions. Segment profit decreased 63 percent to $216,000,000 primarily due to the net inflationary impacts and global supply chain constraints in products and distribution. Additionally, the favorable comparison to the prior year PPE inventory reserve was offset by a lower contribution from PPE and the divestiture of the Cordis business. Now for our fiscal 'twenty three guidance on Slide 13. We expect earnings per share in the range of $5.05 to $5.40 which reflects the following assumptions.

Speaker 3

1st, for the enterprise, we expect interest and other between 140 to $170,000,000 which assumes approximately $550,000,000 in debt pay down for the March 2023 notes at or before maturity. We are assuming a non GAAP effective tax rate in the range of 23% to 25%. We anticipate diluted weighted average And supporting our capital allocation priorities, we expect adjusted free cash flow in the range of $1,500,000,000 to $2,000,000,000 which excludes litigation payments and any other significant and unusual or non recurring items. As for the segments, beginning with Pharma on Slide 14, We expect revenue growth in the range of 10% to 14%, driven by growth in existing and net new PD and Specialty customers. We expect segment profit growth in the range of 2% to 5% based on the following key assumptions.

Speaker 3

We expect continued stability and overall pharmaceutical volumes along with consistent market dynamics within our generics program. Continuation of the inflationary supply chain costs we've seen in the last two quarters should result The completion of ERP technology enhancements should be an approximate $30,000,000 tailwind. We expect opioid related legal costs, including initial costs for implementation of the settlement and injunctive relief terms of approximately $80,000,000 in fiscal 2023, a $20,000,000 tailwind. And we see increased contributions from our growth areas, primarily specialty, including biosimilars. Before moving to Medical, a couple of points in the Pharma fiscal 2023 case.

Speaker 3

Similar to last year, we expect the year over year segment profit growth to be significantly back half which primarily reflects the year over year impact of inflationary supply chain costs in the first half. Specifically, in the Q1 of next year, We expect segment profit between $400,000,000 $420,000,000 While we do not typically provide quarterly guidance, we thought additional color may be helpful given the puts and takes over the last Now turning to Medical on Slide 15. We expect revenue to decline in the range of 3% to 6% due to lower PPE sales and lab testing volumes. We expect segment profit ranging from a decline of 10% to growth of 10%, reflecting the following assumptions. We expect a similar net impact of approximately $300,000,000 from inflation, global supply chain constraints and mitigation actions in fiscal 2023 or a minimal impact on a year over year basis.

Speaker 3

This assumes an approximate $475,000,000 gross impact from inflation Global supply chain constraints partially offset by $175,000,000 of mitigation actions, including pricing and evolving our commercial contracting. While still significantly elevated relative to historical levels, we're encouraged by the recent improvements in spot rates Certain cost drivers such as international freight and some commodities. As a reminder, these product costs are capitalized And historically been reflected in our P and L results on a 1 to 2 quarter delay. However, in the current period of elongated supply chains, It is closer to 2 quarters. Our current assumption is that the impact of inflation and global supply chain constraints will peak in the Q1 of fiscal 2023 can gradually decrease over the next couple of years.

Speaker 3

Additionally, along with the pricing actions that went into effect at the start of the year, We are implementing additional waves of increases over the course of fiscal 2023. We continue to expect that as we exit fiscal 2023, The run rate of our mitigation actions will offset at least 50% of the gross impact from inflation and global supply chain constraints. In terms of other key assumptions for Medical in fiscal 2023, as the operating environment continues to normalize, we expect an approximate $50,000,000 tailwind from an improvement in PPE margins. We plan to sell through the majority of higher cost PPE in the first half of the year and for PPE margins to normalize as we exit the year. We expect the PPE tailwind to be offset by similar headwind from lower lab testing volumes.

Speaker 3

We also anticipate a headwind of approximately $50,000,000 from re baseline incentive compensation following fiscal 2022 underperformance. And finally, we expect increased contributions from our strategic growth areas, primarily at Home Solutions. On Medical's quarterly cadence, While we are assuming a similar segment profit total in fiscal 2023 versus fiscal 2022, we do expect the cadence to be the reverse of the prior year. Specifically, in the Q1, we expect segment profit ranging from a loss of $20,000,000 to profit of $20,000,000 We expect the gross impact of inflation and global supply chain constraints in the Q1 to be approximately $150,000,000 with approximately 25% of this offset through our mitigation actions. As for the rest of the year, we expect Substantial majority of segment profit to come in the second half of fiscal twenty twenty three, particularly in the Q4.

Speaker 3

This sequencing primarily reflects our assumptions around inflation, While there are many moving parts in fiscal 'twenty three, We are confident in our long term outlook and are reiterating our previously announced long term targets for our businesses and for double digit combined EPS growth and dividend yield over longer normalized period. Additionally, we are introducing a new target for at least $650,000,000 in Medical segment profit by fiscal 2025, driven by the medical improvement plan that we are introducing today. Slide 17 highlights our 4 areas of focus to improve medical performance. Number 1, Mitigate inflation and global supply chain constraints. We plan to fully address the impact of inflation and global supply chain constraints through mitigation initiatives by the time we exit fiscal 2024 and We're targeting to exit fiscal 2023 offsetting at least half of the gross impact on our business.

Speaker 3

Our second wave of price increases went to effect on July 1 on 4 more categories. We plan on the next wave commencing on October 1. In addition, we've executed distribution fee increases for certain suppliers We are actively working with customers and GPOs to adjust language in our product and distribution contracts as they renew, allowing for greater price flexibility to respond to current and future macroeconomic dynamics. 2, optimize and grow the Cardinal Health brand portfolio. Our $4,600,000,000 Cardinal Health brand portfolio, which includes nearly $4,000,000,000 of non PPE categories, offers leading brands and clinically differentiated products.

Speaker 3

Plan to grow Cardinal Health brand sales by a compounded annual growth rate of at least 3%, which will generate $75,000,000 or more of incremental segment profit over the next 3 years. This growth will be achieved through 2 key areas of focus. 1st, R and D and new product innovation. We see opportunities in key categories such as nutritional delivery where we will be launching the next generation kangaroo enteral feeding platform. 2nd is increased product availability as a result of investments within targeted categories such as surgical gloves and electrodes.

Speaker 3

For example, in our surgical glove portfolio, we are investing $125,000,000 for construction of a new manufacturing facility dedicated to increased supply for leading Protexis brand gloves. 3rd area of focus is to accelerate our growth businesses primarily at home solutions. These businesses have growth rates in excess of our core along with a higher margin opportunity and we've been making investments to drive at least $60,000,000 of total segment profit by fiscal 2025. At Home Solutions, for example, is now a $2,400,000,000 business that has consistently grown top line at around 10% as patient care continues to shift into the home. And finally, our 4th area of focus is to continue our simplification and cost optimization efforts.

Speaker 3

We expect actions that increase productivity in our manufacturing plants, distribution centers, supply chain and back office to yield at least $50,000,000 of net Cost savings by fiscal 2025. Going forward, we are focused on driving simplification through value improvement projects, transportation management and further optimizing our sourcing and manufacturing footprint where possible. We expect these initiatives to share some additional color, where we have received a number of investor questions, we operate a highly diverse global supply chain with approximately 2 thirds of our Cardinal Health We have invested in additional self manufacturing capabilities, many in our own North American facilities. And today, approximately half Our Cardinal Health brand revenue comes from North America in total. To best serve our customers, we continue to believe in the importance of a diverse global And we are focused on responding to any global supply chain disruptions with resilience and agility.

Speaker 3

In summary, We believe the introduction of measurable proof points in each of these four areas of focus provides visibility to measure progress against our plans going forward. Now let's turn to the Pharmaceutical segment where we continue to focus on strengthening our core PV business and investing in our growth businesses, primarily specialty. Environment Distribution with our significant technology enhancements that we've been working on over the past several years substantially completed, We now focus our attention on increasing productivity, maximizing working capital efficiency and prioritizing the customer experience. With our generics program anchored by the scale and expertise of Red Oak, we continue to further enhance our capabilities as we focus on share of wallet and maximizing margins. We recently held our retail business conference where over 4,000 customers attended live for the first time in 3 years and had an opportunity to see and experience our latest innovations.

Speaker 3

They also had the chance to register for services that would help them create an online shopping portal, advisory support to optimize reimbursement and central fill compliance packaging services. In Specialty, we are continuing to see downstream momentum in oncology and emerging therapeutic areas driven by our offerings, including the Vista TS. We recently announced a tuck in acquisition of the Bankair GPO and an investment in their main services organization. These will further strengthen Specialty Solutions' cornerstone rheumatology GPO, which offers innovative office management solutions and robust specialty drug access to over 1300 rheumatology providers nationwide. Upstream, with biopharma manufacturers, we are investing for future growth in our 3PL business as evidenced through our cold chain storage expansion, which increases our current capacity by 200%.

Speaker 3

We also continue to see strong growth in SynXis, our patient hub, where our technology solutions help biopharma customers remove barriers to And with biosimilars, we are proactively addressing common barriers to adoption by investing in education campaigns to build awareness, Clinical comfort and ensure accessibility. We continue to be excited about the future growth in the space and remain well positioned as new biosimilars come to market. In closing, while there's a lot of work to be done, I'm excited to work with our 44,000 teammates in executing our plans to grow in fiscal 2023 and beyond. With that, I will now take your questions.

Operator

Thank you. We will take our first question today from Lisa Gill of JPMorgan. Please go ahead.

Speaker 4

I want to say best of luck to you, Mike Kauffman. It's been great working with you all these years, And I look forward to hopefully staying in touch and congratulations, Jason, on becoming CEO. I really want to start with Obviously, you talked about this huge ramp getting the medical side of the business back to $650,000,000 profit. And Jason, you just talked about 4 different areas. I really want to just focus on the first area and that's growing Cardinal brand products.

Speaker 4

And Obviously, for someone like myself that's followed the company for a long time, that's kind of ebbed and flowed as far as the focus of the company. Can you talk about 1, why now you think that you can really accelerate that? 2, I think you've talked about nutritional. We've had others that have had problems in that area, right? Why do you think that that's a good area for Cardinal to go into?

Speaker 4

And then secondly, when we think about physician preference, etcetera, what are you hearing in the market around private label product to give you some of the insights as to the opportunities that you see here specific to Cardinal brand products. So I'll stop there.

Speaker 3

Yes. Great list to start off the discussion. Thanks, Lisa. So first of all, Let's start with your first one there about why now. So ebbs and flows, I understand what you mean.

Speaker 3

And of course, I think what you're referring to is we especially talked about the Sales force, right before the pandemic, we've made a significant restructuring to have that team very much focused on driving our Cardinal brand mix. And then COVID occurred And it went from a sales focused challenge to now a supply chain challenge. And of course, our sales team as well as our customers were Very much focused on PPE and in getting care to COVID patients and the change in the mix was not exactly the highest priority. So I think it's always been a focus of Cardinal, but we recognize that we needed to change our priority to align with our customers' priority over the last couple of years. But behind the scenes, especially with the pandemic, our medical team realized that we needed to invest in our own supply chain capability, their own products And a lot of the capacity that's necessary for the manufacturing, either whether it's our own products or source products to ensure further resiliency.

Speaker 3

So now that we are getting a little bit more normalized and we see that we have to invest in our supply chain, it not only helps provide resiliency to our customers, It also allows us to grow high margin products where we have the right to win and expand our margins further. So now is the right time as we start to move on and allow Our sales team can get reengaged and focused on driving that volume, but of course, we need the capacity in the products to allow them to be successful. You asked a specific question about nutritional. That's just one area, right? We have a very broad diverse product line.

Speaker 3

We are successful in the category today. The King Group Brand is a market leader. So this is not necessarily we're getting into it. In fact, that's what gets me so excited about this item, this opportunity. The 2 items I referenced, Surgical Gloves and Nutrition are already areas where we're significant leaders.

Speaker 3

We are with good margins, good growth. We have the opportunity to just continue our leadership through additional products and additional capacity. So it's actually a lower risk strategy than entering in separately. As it relates to your last question, again, we have a very broad, diverse products and we can manufacture, we can source We're going to use all tools available to us and use that diverse capability internal, external with partners or ourselves And this continued to adapt and evolve as the market demands and when we look at the supply chain, it's the rates that go behind that. Next question please.

Operator

Thank you. Our next question comes from George Hill of Deutsche Bank. Please go ahead.

Speaker 5

Yes. Good morning, guys. And Mike, I'll echo Lisa's comments and wishing you well. And I guess, Jason, I don't mean this question to sound insensitive, but I guess given the company's recent performance, could you talk about why the Board choose to not run a process To replace Mike and why you guys kind of went with an internal promotion. And just kind of I don't know if you're able to comment at all just kind of on the Board's perception of company performance And how it kind of wants to evaluate management going forward?

Speaker 3

Well, I certainly will not attempt to speak for the Board. But what I will say is that, my time both here as well as elsewhere in industry, I'm very focused, very tenured on driving operational performance within the business. I have made a mark within this organization. I've been very focused on capital deployment, driving cash in the company And have made that impact. When I think about why I feel like I'm the right person going forward here, We have a lot of great aspects within the organization.

Speaker 3

We have wonderful culture. We have wonderful products, leading positions, great growth areas. So what the pandemic has shown us is that we need to go back to some level of basics here in terms of the operational core and driving efficiency, driving simplification. So Probably doing fewer things, but doing them better. And that focus and that attention to derisking the model and driving this We need to keep doing more of the same while also continuing to grow those growth areas of which of course specialty is the largest one.

Speaker 3

So we're in a very different phase there. And then with this plan today, we're really highlighting how aggressive we're going to be with our capital deployment That when we generate that cash $3,100,000,000 in 2022, we're going to deploy it effectively. I'm well positioned to take us through Those challenges that we've been faced with and I'm going to be absolutely focused on taking the next steps here.

Speaker 1

Operator, next question please.

Operator

Thank you. We now move to A. J. Rice of Credit Suisse. Please go ahead.

Speaker 6

Hi, it's Jonathan Young on for A. J. I just want to echo my congrats to Jason and Mike as well. So you mentioned the various costs have been coming down within the Medical segment and understanding there is a lag between when the spot prices Come down versus when it flows through your P and L. Should we take it that any further decline in the spot prices would be upside to the medical outlook for FY 'twenty three and beyond?

Speaker 6

And then alongside that, you talked about the 3% revenue CAGR for the Cardinal Health brand products. I guess, what are you assuming in terms of Pricing growth moving forward and alongside that utilization. Thanks.

Speaker 3

Okay. So to start with the spot prices, well, that's why we always talk about the net impact is because Obviously, there's a gross impact and then the pricing and other contracting items that create that net. And so As I think about that dynamic, in the short term, as I think you indicate and understand, depends on what it is, right? This inventory cost like the freight, International Freight, the product freight or the commodities that will be rolled in and that will be more of a 2 quarter lag. But as it relates to the domestic transportation, that piece, which hasn't moved very much in either direction, that is a little bit more real time.

Speaker 3

So it kind of depends on what cost Long term, we believe there's going to be a parity to pre pandemic levels for this. So, if costs weaken, get lower than some of the pricing actions may change in the near term, I don't think pricing is going to change. Under all these pricing scenarios, we're still not covering expected to cover more than half of that impact. So overall, We think in the short term, yes, the costs are going to flow more to minimizing the impact of what we have. But again, that would be most likely in the second half of the year.

Speaker 3

In terms of the 3% CAGR, I'm not sure I fully understand the price question there, but within our Cardinal Health, It's specifically related to that $4,000,000,000 bucket that I referenced in my comments that the underlying volume is what that's related to. There is pricing that goes along with that, but I would say it's more on the volume side than the pricing side that's driving that type of CAGR. It's not double dipping on the pricing actions. That is presuming a normalized level of inflation and pricing. And so then it would be more volume driving that incremental value.

Speaker 3

Next question?

Operator

Thank you. Moving to Michael Schirney of Bank of America. Please go ahead.

Speaker 7

Good morning. And Mike, Obviously, a theme here, but wish you best wishes as you move on. It's been a pleasure working with you over the years. Maybe, Jason, to dive a little bit also into the medical transformation plan, as you think about the totality of Cardinal as you step into the CEO seat, As you think about the moving pieces that you have and the drivers to push back towards growth, can you give us a sense as well on how much the linkage between the pharma and medical side We'll be able to help allow you to hit these targets that you've laid out. And how do you view the synergies, especially among this revamped medical outlook between these two segments going forward.

Speaker 3

Yes. So when I step back and think about that plan, the area that is There's a couple of areas that could be impacted that have connectivity there. Probably the first one is the simplification and continued cost optimization. Those types of initiatives Our wide ranging and as we implement a particular project to reduce cost, it's a lot of cherry picking between the segments and the corporate When one person has a good idea, we push those across all of them. And in some cases, we're leveraging that scale.

Speaker 3

We're doing a lot of centralization of work To standardize and offshore back office activities, things of that nature using digital tools that When we can invest in those types of technologies and capabilities centrally and blow that out to the whole organization. So that's certainly a piece of it. And then when we talk about the growing our Cardinal Health brand portfolio, while there's not a lot of crossover selling, We do have the same customers. And so those relationships, those discussions can spawn into a variety of different opportunities. So that's not A huge enabler of that type of item, but it could be a component of it.

Speaker 3

And I would say that that's Probably the areas that there's the most overlap.

Operator

We move now to Elizabeth Amsellem of Evercore.

Speaker 4

Hi, guys. Thanks so much for the question. Best wishes, Mike, and excited to work with you in your new role, Jason.

Speaker 3

I have a

Speaker 4

question just in terms of you talked about, I think, on the last call that you had gotten 50% of SKUs sort of at a higher, you've been able to pass through higher costs there. I was wondering if you could update that because I know you said in your slides, obviously, So you were going to have offset about 50% of that gross impact exiting 23%. And I know there are a variety of things in there. So I was just wondering if you could update us on that.

Speaker 3

Yes. So that reference to 50% of SKUs was reflective of the expected July 1st Price increases. So that is effective July 1. Now since then, we've now discussed and are informing everyone of the October 1 increases. I didn't Provide that exact number, but remember that's just the percentage of SKUs that we're touching.

Speaker 3

I think the more important way to think about it It's the percentage of mitigation that we're targeting. So let me kind of walk through the flow and how I think you should think about it for this upcoming year. So So just as an anchor point, I just walked it through in the prepared comments. In Q4 of 2022, what we just finished is about a 20% Mitigation. So we indicated there was $125,000,000 gross impact with $25,000,000 of pricing, so a 20% mitigation.

Speaker 3

We expect that 20% with the July increases and phasing that in over the quarter, that's going to increase that to 25% average for the first Quarter of 2023. Now we would expect that to continue to increase each and every quarter over the course of the year as we Roll through various other increases. I mean these are the big waves, but there's always one of the other increases along the way and our supplier fees that go along with this too. And then that 25%, we expect to double by the time we exit fiscal 2023. So we would expect a run rate of about 50% by the time we exit fiscal 2023.

Speaker 3

And then, as I indicated in my comments, we would expect to exit fiscal 2024 With 100% mitigation, by the time you get to the end of 2024, we would expect that part of this inflation continues to come down. So our gross impact in 2024 would trend lower and then our pricing would trend higher until effectively those two numbers offset.

Operator

Thank you. We now move to Stephen Valiquette of Barclays. Please go ahead.

Speaker 8

Yes, thanks. I also just want to congratulate Mike on rewarding 30 plus years at Cardinal. And Jason, here's to you, Hoping you'll have 30 plus years at Cardinal as well. I think it will put you in your late 70s, but I think you can do it.

Speaker 3

I'm not sure the

Operator

math works. That's the question.

Speaker 8

Just the 10% to 14% revenue growth in pharma jumped out is pretty high. Guess I was curious for more color on the drivers of growth within that. That's for fiscal 2023 obviously. Yes. A little more color on the double digit top line within the 5.

Speaker 3

Sure. Well, Yes. No, yes, okay, got it. I think there's a couple of key points.

Speaker 9

First of all, it's very consistent with

Speaker 3

what we've done this past year And that was driven by a couple of key drivers. And I think you should think about the drivers as being similar. Because one of those drivers we've referenced a few times is some net new business that we referenced came in beginning in Q3 of 2022. So that would be a little bit more of a front end loaded type of revenue benefit as we see fiscal 2023. And then we've also been highlighting the strength And our large customers, large book PD specialty and we've seen some really good volume in the brand category.

Speaker 3

And so, as you know, some of that larger customers and some of the brand volume doesn't always bring with it a tremendous amount of margin, But that's one of the reasons why you see very robust revenue growth and still profit growth well within the range of what we've indicated for both our short and long term goals. But Those are the biggest drivers.

Operator

Thank you. Next, we move to Ricky Goldwasser of Morgan Stanley. Please go ahead.

Speaker 10

Yes. Hi, good morning. And Mike, all my very best wishes. And Jason, congrats and good luck. So a couple of follow-up questions here.

Speaker 10

So just to get a sense in Jason, thank you for clarifying the $150,000,000 in a headwind in gross headwind in the first quarter versus the €125,000,000 So as we think about it, it seems like you're in your guidance, right, you're assuming that The headwinds are going to get worse in the Q1 versus the run rate the exit run rate. Just want to make sure that I'm thinking about this correctly. Ensign will slowly improve throughout the year. As we think about the mitigation, I think your numbers imply about $38,000,000 right, in Mitigation from better pricing in the Q1. When you're saying 50%, should we assume basically a double from that, so 75,000,000 just wanted to kind of understand the reference of that 50%.

Speaker 10

And then an additional question on The Cardinal brand, because it seems that that's a really important part of sort of the longer term plan. It seems that it's about 29% of Revenue for the segment that comes from Cardinal Health brand. So one, how do you envision this revenue mix, What it will be by 2025? And then how should we think about sort of the EBIT mix? It's 29% of revenue and what percent is it of profits today?

Speaker 10

Thank you.

Speaker 3

Okay. So starting with the pricing, I think you got it fairly close, but let me clarify a few points. Yes. You got the math right for Q1. That would be pretty close To how you should think about it.

Speaker 3

So yes, the gross impact is increasing a little bit from the $125,000,000 in Q4 to the $150,000,000 in Q1. And that is Just to make sure we connect all the dots. Yes, spot prices we see are starting to soften in a few areas, not all areas, there's some going But generally speaking, there's some benefit there, which but it's not impacting our P and L because it's got that 2 quarter lag. So when you think about when the international freight specifically, it started reducing dramatically about 2 months ago, it was 2, 3 months ago, there's a really big reduction. So you wouldn't expect that and it didn't reduce it's been a consistent reduction over the last several weeks.

Speaker 3

So it's going to take some time for that to flow through. So certainly Q1 is not going to see any of that benefit. And that's why you see the gross impact still increasing is because that's from 5, 6 months ago as well. As we think about the exit and you're trying to get the math on the pricing, does the pricing double From that 37, 38, probably not because what you're missing I think in your math is that, that 150 should come down over the course of the year. We are anticipating it will come down in part because of that international freight.

Speaker 3

So that will begin to come down And then pricing will continue to go up, but by the time we exit, again, that exit rate would be around that 50%, But lower than the $150,000,000 and higher than the $37,000,000 $38,000,000 from the Q1. As it relates to the revenue mix, That's hard to say. I'm not ready to answer that specifically. The one thing I'll highlight is We indicated $2,400,000,000 of revenue for at home is a meaningful number when you look at that. So it's a matter of are you doing calculations on the full segment or only on Medical Products and Distribution at $2,400,000,000 of revenue.

Speaker 3

It's been growing consistently at 10%. We expect it to continue growing robustly. And so that will in a way have a mix effect, so a percentage of revenue in the total segment That will be a bigger piece in medical price distribution, most likely be a smaller piece. So we'll need to do a bit more math before we can respond more clearly on that one.

Operator

Thank you. We now move to Eric Percher of Nephron Research. Please go ahead. Mr. Pertjoe, your line is open.

Operator

We'll move to our next question, Charles Rhyee of Cowen. Please go ahead.

Speaker 11

Yes. Thanks for taking the question. And Mike, congratulations and best wishes with everything. And Jason, I look forward to working continue working with I wanted just to maybe follow-up. Jason, you talked about really using the cash and deploying it and obviously you've outlined An amount per share repurchase.

Speaker 11

When you think about getting to this 650,000,000 sort of target in medical operating profit. Can you talk about maybe sort of M and A and other kind of capabilities that you might want to Ed, I know that we spent the last few years actually divesting assets, but is part of that growth Inorganic as well. And then secondly, producer price index kind of fell It was below what people expected. When we think about the gross impact from inflationary pressures, Are you starting to see some of that ease as well, given sort of this July report? Thanks.

Speaker 3

So the short answer for the medical improvement plan is no, M and A is not a cornerstone of that plan. We will be looking to always augment especially our growth businesses. So when we talk about that second point, accelerating our growth businesses, primarily at Home Solutions, that is very much an organic investment story. We are investing in distribution capacity that 10% growth does mean that we have some constraints and we need to invest in that to ensure that that business can continue to grow Profitably. So that is not a cornerstone.

Speaker 3

In fact, I would say maybe a little bit of the opposite. A lot of what this plan is, is very focused on the core. Very focused on we have we just increased our CapEx guidance this year from where it's been in the past. That was hinted at and signaled last quarter where we talked about some of these capacity investments that again we feel are relatively low risk and a good return. So it's more of that type of investment that we're focused on That we believe is a better balance of risk and return as we drive this plan forward.

Speaker 3

We won't ever ignore it And it could be a pillar or I'm sorry, it could be an enabler at some point later on, but it's not the focus and not necessary for what we're doing. As it relates to PPI, I think, this one maybe I kind of talked about a lot of the pieces, but one area that It's often referenced as a key driver for a lot of our costs is just oil in general. That has come down. So PPI in general, I don't pay much attention to. I do look at the price of oil at least 2, 3 times a day.

Speaker 3

It does have an impact on a lot of input costs and we talk about Polypropylene, polyethylene, polystyrene, all these polys have some input costs that are petroleum based That does impact it, but the supply demand dynamics are so wonky right now that it's hard to see a one for one Transition of these input costs and I think at some point that will come through, but we're really not seeing it that much. We are seeing lower diesel costs, so that's Going in the right direction that I would expect at some point will help with the transportation rates, but we're not necessarily seeing those elements. Where it is most striking is the international freight and that continues to be the one that is clearly running lower, But it's just going to take time for that to run through our P and L. But I wouldn't call that an inflation driven or input cost driven point. The cost of It's the supply and demand dynamics that were all out of whack early on in the pandemic That appear to be getting a bit more in line and that's why at this point I believe that that cost will maybe not keep going down at the pace that's going down, but it does feel like We're seeing more flattened down days for those costs than updates.

Speaker 3

Everything else, we're going to have to get more data to be able to provide additional input.

Operator

Thank you. We now move to Kevin Calindo of UBS.

Speaker 12

Hi, thanks for taking my call. And again, congrats to both you, Mike and Jason. I guess my question is going back to the Medical segment. There's a lot of execution that needs to take place between now and 2025 to hit These targets, are you happy with the team in place? How do you enhance your probability of success here Internally, is it bringing in new people, more people or do you feel the team in place can do it?

Speaker 12

And the second part of that question is a lot of this is price increases, which you've talked about. How are you competitively Position now when it comes to price. You talked earlier about losing some share in medical because of PPE capacity and availability earlier, how are you now positioned competitively when it comes to pricing? And is our customers asking for any offsets Anywhere else? I know you've talked about some guarantees and the like, but just want to understand the competitive positioning as well.

Speaker 3

Yes, I am happy with the team in place. This is our plan. They've been working on this for quite some time. We have shared elements of it conceptually with our investors with you all in the past. What this is doing is putting a finer point on this plan and making it more visible, the commitments that we're making.

Speaker 3

We are leaning into some of the investments I mentioned before, especially on the CapEx. I do think that we need to continue to Augment some of the capabilities. We have several very key new team members in that team that when you think about a lot of the supply chain Challenges that we're talking about over especially this past year and even with last quarter, we have augmented the team significantly with Terrific talent, industry relevant talent, but most importantly, products talent, talent that knows the supply chain, knows manufacturing that was able to make an immediate impact in finalizing this plan and allowing us to take it over line. So I would not be presenting it this way if I didn't have the confidence that we have the people behind it to actually execute it. The other thing I'll say about a plan like this is I Absolutely understand the intent of your question because there's several things that need to happen here.

Speaker 3

And one thing I've learned in my 2 years here is that It's not what's on the piece of paper that ends up taking it sideways. It's the things that are unforeseen like COVID and like inflation. And so with that said, that's why you see after every single one of these actions at least or $60,000,000 plus or $50,000,000 plus is because our internal plans Are definitely more aggressive than this. And we know that there's going to be some unforeseen things that are going to make us Exceed some of these items so that we can hit it. So yes, a lot of execution, but we have the team and we have the plan in place and that's where we have to start.

Speaker 3

As it relates to your question on competitiveness, I think I'd like to answer that maybe a little bit more broadly Because let's just talk about inflation. As long as we have a cost competitive Sourcing manufacturing footprint, then inflation that we incur Absolutely needs to be pushed down to the final customer. By its nature, inflation in most industries in most periods of time Don't get absorbed in the supply chain. There's not especially in distribution, there's not the margin to absorb inflation. And so when that higher cost lists the industry's costs over longer periods of time, we would expect that to flow generally But how you get there is a very choppy type of process.

Speaker 3

That's why this is taking 2, 3 years. It's also, certainly because the contracting nature where a lot of this, is rolling over into more permanent contracts in addition to the shorter term actions. So there's nothing about industry dynamics, there's nothing about our competitiveness that indicates that we should be losing margin here. We have to be versatile and move our Supply chain if we're uncompetitive in a particular area, but if we're competitive from a cost perspective, there's no reason we shouldn't go back to historical margins.

Operator

Thank you. We now take our last question today from Eric Percher of Nephron Research. Please go ahead.

Speaker 9

Thank you. Am I coming through this time? Yes. Perfect. So Jason, as you take on the new role, I think a couple of questions came down to what you will do different.

Speaker 9

And what I heard during the call was You've had a desire to be more aggressive on returning capital to shareholders and opioid settlement behind you, strong balance sheet, we're going to see that. I heard the focus on cost management. I want to ask, are there other elements that you think are important for us to understand? And then I want to also ask pointedly, Will you reassess the portfolio and consider whether medical and pharmacy need to be together long term?

Speaker 3

Yes. So let me start. Whenever I step into any project, Let alone a rule. It is always about defining where's the best opportunity to create value? Where's the opportunities?

Speaker 3

Where are the challenges? And what is clear to me is that until we can get better evidence of The progress on our medical business, we're going to be challenged. And so that is why I'm so focused on this medical improvement plan, why we provided such Clarity on it is that it is absolutely one of, if not my greatest focus, especially in the near term. And when you think about kind of any type of process to fix anything, it has to be 1st and foremost defining what the challenge is. And I do want to step back for a moment.

Speaker 3

When you think about the challenges in medical, I know there's been a lot of adjustments. I know there's been a lot of noise. But when you think about The vast majority of the issues, they do stem from one very common theme. It is related to the supply chain. Now I can start and highlight all the external influences with that and blame things that have happened to us and then it's very, very true.

Speaker 3

When you think about where we were pre COVID, this type of business, this type of industry was extremely stable. Our volume was predictable, especially in areas like PPE. To think about going up 5x10x in terms of demand overnight and then not having a supply chain that could adjust with It really impacted our ability to execute in that environment. And our diverse low cost global footprint What went from a strength to a challenge pretty much overnight. So now we've learned from that.

Speaker 3

That's what this plan is talking about. It's building in resiliency and capacity into our system, so we can be a lot more flexible. We can derisk the model, while also growing profitable categories. So this is very much a cornerstone of what needs to be the focus, but it's not just cost, it's simplification To reduce cost, it's also about driving the right volume, driving organic volume, driving high margin volume and simplifying everything about We operate so that we can be more nimble and we can be risk. And then again within both segments, There is an absolute need to continue to grow our growth businesses.

Speaker 3

What you heard me say today was more of an emphasis on specialty and on at home. Of course, we love all of our growth businesses. But what I'm really indicating here is

Speaker 8

for

Speaker 3

us to achieve the $650,000,000 what we need are those Businesses to continue to grow the top line and to have a good flow through on that incremental volume that comes with it. And with that, then we have high confidence that we'll be able to get the pieces of growth for both segments necessary to hit their longer term objectives. So that is very much a growth based story, but it's about again prioritization and being really, really focused on The core of both businesses so that these two growth businesses can build from there. In terms of the portfolio, Hey, it's something that I believe in continually evaluating our portfolio for all of our businesses and the company has demonstrated this in the past. You know about China and Nava Health and more recently Quartus.

Speaker 3

We've monetized several $1,000,000,000 over the last several years through those activities and was responsible with the capital deployment thereafter. I'm not going to attempt to define what the appropriate long term course of action is for this business, for the medical business. But under all scenarios, what's really, really clear to me is that the near term actions Need to be very focused on this improvement plan and then that will set us up for the best actions thereafter.

Operator

Thank you. I would now like to turn the call back over to Mr. Mike Kauffman for any additional or closing remarks.

Speaker 2

Thank you. Before Jason ends the call, I would like to say that I appreciate all of your congratulations and comments and enjoyed working with all of you. I look forward to a smooth transition with Jason and have complete confidence in his leadership. Jason, to you.

Speaker 3

Yes. Thanks, Mike. I want to also thank everybody for taking the time to be on the call today and for all your questions. In addition to the leadership succession, I acknowledge that we drew a lot out at you today, including new disclosures, various puts and takes and examples of incremental actions that we are taking. We did all this in an effort to provide additional visibility as we are confident and excited about these opportunities to drive growth.

Speaker 3

But there are 3 key takeaways I want to make sure that you have. First, we are committed to improving our results as demonstrated by the introduction of our medical improvement plan. 2nd, We continue to be encouraged by the resiliency of our Pharma segment, which continues to meet both our short and long term objectives. And third, that we continue to take actions that are in our shareholders' best With that, thank you and have a great day.

Operator

Thank you. Good bye. Ladies and gentlemen, That will conclude today's conference call. Thank you for your participation. You may now disconnect.

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Earnings Conference Call
Cardinal Health Q4 2022
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