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Operator
Good morning and thank you for standing by.
Welcome to Abbott's second quarter 2012 earnings conference call.
(Operator Instructions).
This call is being recorded by Abbott.
With the exception of any participants' questions asked during the question and answer session, the entire call including the question and answer session is material copyrighted by Abbott.
It cannot be recorded or rebroadcast without Abbott's expressed written permission.
And I would now like to introduce Mr. John Thomas, VP, Investor Relations and Public Affairs.
John Thomas - VP, IR and Public Affairs
Good morning and thank you for joining us.
Also on today's call will be Tom Freyman, Executive Vice President, Finance and Chief Financial Officer; and Larry Peepo, Divisional Vice President of Investor Relations.
Tom will review the details of our financial results for the quarter and outlook for the year.
Larry and I will then discuss the highlights of our major businesses.
Following our comments, as always, we will take any questions that you might have.
Some statements made today may be forward-looking, including the planned separation of the research-based pharmaceutical company AbbVie from the diversified medical products company Abbott and the expected financial results of the two companies after separation.
Abbott cautions that these forward looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated in the forward-looking statements.
Factors that may affect Abbott's operations are discussed in Item 1A, Risk Factors, to our Annual Report on the Securities and Exchange Commission Form 10-K for the year ended December 31, 2011 and are incorporated by reference.
We undertake no obligation to release publicly any revisions to forward-looking statements as a result of subsequent events or developments.
In today's conference call, as we always do, non-GAAP financial measures will be used to help investors understand our ongoing business performance.
These non-GAAP financial measures are reconciled with the comparable GAAP financial measure in our earnings news release and regulatory filings from today which will be available on our website, at Abbott.com.
And with that, I will now turn the call over to Tom.
Tom?
Tom Freyman - EVP, Finance and CFO
Thanks, John.
For the second quarter of 2012, Abbott delivered ongoing earnings-per-share that exceeded our guidance range, reflecting growth of nearly 10%.
And we're confirming our full-year ongoing EPS guidance range for 2012.
We also made significant progress in our work to separate our research-based pharmaceutical business into a new publicly traded company, and we remain on track to complete the separation at the end of this year.
For the second quarter, we reported ongoing diluted earnings per share of $1.23, an increase of nearly 10% over the prior year, exceeding our ongoing EPS guidance range of $1.20 to $1.22.
Sales for the quarter increased 6.7% on an operational basis, that is excluding an unfavorable 4.7% impact from exchange rates.
Operational growth was driven by strong performance across a number of our products and businesses, including emerging market operational growth of more than 12%.
Including the negative impact of exchange, reported sales increased 2%.
In the second quarter we experienced one of the larger exchange effects we've seen in a single quarter in some time.
This exchange impact was approximately 1% more unfavorable than our estimate when we provided guidance in April, reflecting changes in rates since that point in time.
Given the significant impact of exchange on topline results, to understand underlying growth across our businesses is particularly important this quarter to focus on operational growth; that is, growth before the impact of exchange as detailed in our earnings news release.
For example, exchange trimmed almost 10% off reported growth in our international proprietary pharmaceuticals and established pharmaceuticals businesses in the quarter.
Both businesses reported accelerating operational growth in the quarter, at or above our previous expectations.
To help you understand underlying growth in both proprietary pharmaceuticals and diversified medical products businesses, John and Larry will also outline exchange impacts in detail in their remarks as well as other transitional effects impacting some of the businesses, such as the phase-out of Promus royalty revenue in the vascular business.
As we will discuss today, exchange is expected to continue to impact sales in a significant way in the second half, in particular in the third quarter.
During the quarter we also saw continued meaningful improvement in the adjusted gross margin ratio, up 310 basis points from the prior year to more than 63% as a result of the many margin improvement initiatives we've been implementing across our businesses, as well as the impact of exchange.
In the quarter we saw improvements in the operating margin ratios over the prior year in our Vascular, Nutritionals and Diagnostics businesses.
In the quarter we delivered a 170 basis point improvement in the Company's adjusted operating margin ratio while continuing to invest in the business.
Ongoing R&D investment approached 10% of sales, reflecting continued progress across our new product programs.
We also increased SG&A investments behind many of our key products and businesses to drive future growth.
Turning to our outlook for 2012, today we're confirming or full year 2012 ongoing earnings per share guidance of $5.00 to $5.10, which represents growth of 8.4% over 2011 at the midpoint of the range.
With our planned separation on track for completion at the end of this year, the guidance we provided continues to reflect a full-year outlook for the Company in total.
Regarding sales growth for 2012, we continue to forecast full-year operational growth in the mid-single digits.
Based on current exchange rates, we would see a negative impact of exchange on sales of approximately 3.5% for the full year, which is 1 percentage point more negative than our previous guidance.
We continue to forecast reported sales growth, that is net of exchange, in the low single digits for the full year.
Also for 2012 we are forecasting continued improvement over the prior year in our adjusted gross margin ratio, which we expect to exceed 62% for the full year.
This reflects the favorable impact of efficiency initiatives, mix and the impact of foreign exchange, partially offset by the expected continued decline in US lipid cells as well as the phase-out of Promus royalty revenues in our vascular business.
We're forecasting continuing investments to drive growth in 2012 and beyond, with full-year ongoing R&D of 9.5% to 10% of sales and ongoing SG&A of approximately [28%] of sales.
Overall we continue to expect to expand our operating margin ratio by around 100 basis points in 2012.
We are forecasting ongoing net interest expense of approximately $425 million and we continue to expect an ongoing tax rate of 14.5% to 15% for the full year 2012.
Turning to the outlook for the third quarter, we are forecasting ongoing earnings per share of $1.26 to $1.28.
We forecast specified items of $0.15 in the third quarter, primarily reflecting one-time costs related to separation and costs of previous restructuring integration actions.
I will discuss one-time separation costs in more detail in a moment.
Our operational sales growth in the third quarter is expected to be in the mid-single digits.
At current exchange rates, we see a roughly 5 percentage point negative impact from exchange in the third quarter, resulting in reported sales growth in the low single digits.
We are forecasting an adjusted gross margin ratio of approximately 62% in the third quarter, an increase from the third quarter of 2011.
As mentioned, we remain on track with our plans to separate Abbott at year-end into two leading healthcare companies -- one in diversified medical products, which will continue to be named Abbott, and the other in research-based pharmaceuticals named AbbVie.
We expect the separation will provide two unique and compelling investment opportunities for shareholders.
Our transition organization has been fully engaged in the separation since our announcement, and we continue to work through the details of separating the two organizations.
The process is proceeding according to plan and is going well.
Most recently, last month, we filed our initial Form 10 for AbbVie.
It provided historical results for AbbVie on a GAAP basis for the past three years and for the first quarter of 2012.
These historical results include an allocation of certain costs previously held at the corporate level to the business.
In addition, senior management assignments for AbbVie were identified.
Also since the April call we have established new short-term credit facilities for both companies, which will back up commercial paper borrowings as well as a bridge credit facility to support the previously discussed refinancing of long-term debt in anticipation of separation.
In the second half of this year we expect to file amendments to the Form 10 as more information becomes available.
These amendments will include 2012 quarterly results for AbbVie as we progress through the year, and pro forma adjustments to reflect the impact of expected debt, cash balances and interest expense for AbbVie as an independent company.
We would expect amendments to our filing until it is declared effective later in the year.
Also, we're now in a position to forecast 2012 one-time costs associated with the separation.
Through the first two quarters of 2012 we have incurred $0.06 per share in separation costs and we expect to incur another $0.17 per share in the second half of 2012.
This is now included in our forecast of specified items for 2012.
As previously indicated, as we establish AbbVie's capital structure we will also expect to incur one-time [Bond B] financing costs.
As you know, all of Abbott's debt is currently carried by the parent company, and ultimately a portion of the debt will be carried by AbbVie.
So we have plans to execute a tender process for a portion of the existing Abbott debt, funded by the proceeds of debt to be issued by AbbVie.
We expect the AbbVie debt to be issued prior to separation, while AbbVie is still a wholly owned subsidiary of Abbott.
The expected one-time financing costs associated with that process will be largely a result of today's interest rates being significantly lower than the rates currently paid on Abbott's bonds.
We will provide a forecast of these one-time costs which will be a function of the dollar amount of bonds tendered and market conditions as we get closer to the tender date in the second half of 2012.
Regarding the timing of separation, we're on track to be ready to separate at the end of this year, assuming approvals progress as expected.
Given this likely timing, for a number of reasons it would make sense for Abbott and AbbVie to become separate companies beginning on the first day of the New Year.
As you can imagine, there are many aspects of the separation that will be simplified by completing the full year 2012 as one Abbott and beginning to 2013 as separate companies.
Shortly after final review and approval of the transaction by our Board expected later this year, we would issue a news release that would announce a special dividend distribution all of the outstanding shares of Abbott -- of common stock of AbbVie to Abbott shareholders as well as the distribution ratio, record date and payment date for the distribution, which would be the first date that AbbVie is an independent company.
As we proceed towards the separation date, we will be initiating a comprehensive investor relations effort to provide investors with more information regarding the two companies.
This will include roadshows for both companies with their respective senior management teams.
So, in summary, we're delivering on our expectations for 2012 and confirming our 2012 ongoing EPS guidance, which reflects strong top-tier performance as we execute the steps necessary to separate Abbott to two leading healthcare companies at the end of this year.
With that, let's turn to the business operating highlights.
John?
John Thomas - VP, IR and Public Affairs
Thanks, Tom.
I'm going to start with our diversified medical products businesses and then Larry will discuss the proprietary pharmaceutical business which will become AbbVie.
Operational sales for our diversified medical products businesses increased 4.5% in the second quarter, excluding the negative impact of foreign exchange.
So, on a reported basis, sales were roughly flat.
As you know, this year we're experiencing a negative transitional impact to our topline growth rate from the phase-out of certain royalty revenues in our Vascular business, as well as the shift to direct distribution in certain markets in our international Nutrition business.
Excluding these transitional impacts, sales for diversified medical products approached 7% this quarter.
We also continued to expand operating margins in the quarter across our diversified medical products businesses including Nutrition, Diagnostics, Vascular and Diabetes Care.
So let me start with Nutrition, where global sales in the quarter increased more than 8% on an operational basis and more than 6% on a reported basis, which of course includes the impact of foreign exchange.
In the US, sales increased 13%, with US pediatric nutritional sales increasing 25%.
We continue to increase our share position in the US infant formula market with Similac and remain the clear market leader.
We expect continued growth of our Similac brand this year as we launch new products to support it in the prenatal segment of the market.
Our toddler brand, PediaSure, continues to grow at a double-digit pace.
And in the second quarter we launched a new PediaSure Sidekicks Clear beverage that is helping to drive growth.
US adult nutritional sales increased 3% in the quarter as we exited certain lower margin brands in the quarter as part of our ongoing margin improvement initiatives.
Excluding this impact, sales increased in the high single digits driven by strong growth of both Ensure and Glucerna.
In fact, these two products combined are on track to generate roughly $2 billion in full-year global sales this year alone.
We continue to launch new innovations to these product lines that are driving sustainable growth.
In the second quarter we launched a new product called Ensure Clear, which is a new fruit-flavored Ensure brand with the same supplemental nutrition as our traditional Ensure shakes.
Outside of the US, nutritional sales increased 4.5% on an operational basis with both pediatric and adult nutrition growing at a similar mid-single-digit rate.
As we saw in the second quarter, topline growth in international nutrition sales this year is expected to be lower than underlying demand as we transition from a distributor model to a direct distribution model in certain markets.
As we've discussed, this new distribution strategy is another component of a comprehensive initiative in our global Nutrition business to drive significant gross and operating margin improvement.
In fact, we expect to improve AN operating margin from the low teens in 2011 to our target of more than 20% by 2015 through these and numerous other efforts.
In addition to the direct distribution I mentioned, we are also focused on manufacturing, distribution and logistics where we are improving our production processes and building more efficient plants that are closer to our customers, particularly in fast-growing emerging markets.
Construction of three manufacturing facilities are underway in the US, China and India.
We're also reducing product costs in our Nutrition business, such as packaging costs, ingredient costs and material costs.
And, we are improving our mix.
We are assessing both product and geographic mix to focus on our more profitable Nutrition segments.
We're implementing a number of these improvement initiatives in this year, 2012, which are expected to drive significant operating margin expansion in this business beginning next year in 2013 and beyond.
As we look ahead to the third quarter in our global Nutrition business, we expect high single digit growth on an operational basis and mid to high single digit growth on a reported basis, with the impact of foreign exchange.
This third-quarter outlook for nutritionals includes mid to high single digit growth in the US and double-digit operational growth internationally, with mid-single-digit growth internationally on a reported basis.
Let's move on to established pharmaceuticals, which includes international sales of our branded generics portfolio.
Sales in the quarter increased nearly 4% on an operational basis.
Including a nearly 10% negative impact of foreign exchange, reported sales declined mid-single digits.
Emerging markets represent about 60% of total EPD sales, and in the second quarter, emerging market sales increased in the low double digits on an operational basis.
We're growing in these markets as we continue to expand our presence and launch new brands, packaging enhancements and new formulations.
Our large and growing portfolio of more than 500 established pharmaceuticals consists of trusted, well-known brands that have broad use throughout the world.
Over the next several years, we expect to bring the benefits of these medicines to much broader patient populations through registrations across multiple geographies, as well as launches of improved formulations to enhance efficacy and improve convenience.
So, as we look ahead to the third quarter in EPD, we expect mid-single-digit growth on an operational basis, that is before the expected nearly 10% negative effect of foreign exchange.
As a result, reported sales for the third quarter in EPD are expected to decline in the mid-single digits.
In Core Laboratory Diagnostics, which includes amino assay, hematology and blood screening, global sales increased 8.6% on an operational basis this quarter.
Reported sales increased 3.3%, including a more than 5% negative impact from foreign exchange.
In the US, sales increased 15%.
The strong growth was driven by continued uptake of our [architect] amino assay and Prism blood screening systems, driven by strong commercial execution.
Outside of the US, sales increased 7% on an operational basis and 1% on a reported basis.
We delivered strong growth in emerging markets with sales in China, Brazil and Russia collectively increasing approximately 30% on an operational basis.
In each of these markets, we continue to expand our presence with numerous new account wins internationally.
In Point of Care Diagnostics, worldwide sales increased more than 14% on an operational basis, and in Molecular Diagnostics worldwide sales increased 5.5% on an operational basis.
So, looking ahead to the third quarter in our global Diagnostics business, we expect mid to high single digit growth on an operational basis and low single digit growth on a reported basis.
So, let me move on now to medical devices and our vision care business, where global sales increased low single digits in the second quarter on an operational basis.
This was driven by mid-single-digit operational growth in cataract, our largest, most profitable and fastest-growing segment within vision care.
We also saw continued strong double-digit cataract growth in a number of key emerging markets such as India and China.
Looking ahead to the third quarter in vision care, we expect low single-digit sales on an operational basis and roughly flat sales on a reported basis.
In our global Diabetes Care business, worldwide sales increased 3.3% on an operational basis and declined 1% on a reported basis.
US sales increased more than 8% as we continued to execute on our strategy to drive share gains among insulin-using patients, as well as a rollout new blood glucose meter InsuLinx in the US.
International sales are roughly flat on an operational basis and down more than 7% on a reported basis, including an 8% negative impact from foreign exchange.
Looking ahead to the third quarter in Diabetes Care, we expect a low single digit decline on an operational basis and a mid-single-digit decline on a reported basis, with better growth expected going into the fourth quarter.
In our Vascular business, reported sales in the quarter included the impact of the phase-out of certain royalty and supply arrangement revenues, including Promus, as well as a negative impact of foreign exchange.
Excluding these impacts, worldwide Vascular sales increased 4.6%.
As a reminder, the US Promus transition will be completed by the end of this year, and that positions our Vascular business in 2013 for stronger reported sales growth.
Operating margin in our Vascular division remain strong, increasing year over year.
In the second quarter our Vascular business delivered strong growth internationally, increasing 11% on an operational basis.
Sales in emerging markets, which comprise more than 20% of total Vascular sales, grew more than 25% on an operational basis.
Worldwide sales of our XIENCE drug-eluting stent franchise were approximately $400 million in the quarter, and that is an increase of 5.6% on an operational basis.
Outside of the US, which is about 65% of our worldwide drug-eluting stent business, sales grew more than 10% on an operational basis.
In Japan in the second quarter we launched XIENCE PRIME, our next-generation drug-eluting stent, where we continue to hold leading share in the exclusive position in the long length Everolimus eluting stent segment.
In the US, XIENCE sales declined modestly year-over-year despite the expected trialing related to a new competitive product.
And we're on track to launch our next-generation XIENCE XPEDITION in the second half of this year in Europe and in 2013 in the United States.
XPEDITION combines the impressive safety and efficacy of XIENCE and sets a new standard for deliverability.
Also in our pipeline we continue to expect to launch ABSORB, our bioresorbable vascular scaffold in Europe by year-end.
To date more than 1000 patients have received ABSORB.
And Endovascular sales increased in the low single digits on an operational basis, including nearly 10% growth internationally.
In structural heart, MitraClip, which is our product for the treatment of mitral regurgitation, continues to see strong demand outside of the US with sales of $23 million this quarter.
So as we look ahead to the third quarter and our global Vascular business, including the expected decline of royalty and supply arrangement revenues, as I mentioned earlier, as well as the negative impact of foreign exchange, we would expect reported sales to decline mid-single digits, including roughly 5% of negative foreign exchange impact.
Finally, we continue to execute on our margin expansion programs, as Tom mentioned, in then each of our major diversified medical products businesses with Nutrition, Diagnostics, Vascular and Diabetes Care seeing especially good improvement in the second quarter.
As a result the adjusted operating margin increased 170 basis points over 2011, as Tom mentioned.
We expect continued steady margin expansion for our diversified medical products businesses over the course of this year and going forward into 2013 and beyond.
So, with that, let me turn it over to Larry and he will review the Proprietary Pharmaceuticals business.
Larry?
Larry Peepo - Divisional Vice President of IR
Thanks, John.
Worldwide Proprietary Pharmaceuticals sales increased 9.3% on an operational basis excluding the negative impact from foreign exchange.
On a reported basis, global sales increased 4.9% including growth of nearly 8% in the US and reported growth of approximately 1% internationally, which as Tom mentioned includes nearly 10 percentage points of negative exchange.
In immunology, global HUMIRA sales increased 23% on an operational basis and more than 16% on a reported basis.
Performance was driven by strong growth in the US and internationally, consistent with the underlying trends we saw throughout the quarter.
We're continuing our development efforts for HUMIRA, including the study of new indications.
We recently received a positive opinion in the EU for the treatment of axial spondyloarthritis, a condition associated with chronic back pain and stiffness that can also be accompanied by the presence of arthritis, inflammation in the eye or G.I. tract.
Upon a final decision from the European commission, HUMIRA will be the first and only the medication for this chronic condition, and this approval will mark the eighth major indication for HUMIRA in the European Union.
HUMIRA's utility across a growing number of diseases is one of the many attributes that set it apart from other competitive agents.
HUMIRA currently holds the number one global share position, and demand continues to outpace the global market where we are seeing strong market growth both in the US and internationally.
We are well on track to achieve our sales growth outlook for HUMIRA in 2012.
Moving on to AndroGel, where US sales were approximately $275 million, up more than 26%.
AndroGel holds a strong leadership position in the testosterone replacement market, where growth is being driven by increasing diagnosis and treatment of low testosterone.
AndroGel 1.62, our new low-volume formulation, has quickly become a leading therapy in the category, now accounting for more than half of AndroGel total franchise sales.
US sales of PriOn were $88 million, up more than 12%.
PriOn maintains market leadership in the pancreatic enzyme market where we continue to capture the vast majority of new prescription starts.
US sales of Lupron were $140 million.
Our six-month formulation approved last year continues to perform well, driving share gains and further expanding our category leadership.
US sales of Synthroid were approximately $120 million in the quarter.
Synthroid maintains strong brand loyalty and retains more than 20% market share despite the entry of generics into the market many years ago.
Moving on to our more mature lipid franchise where, as expected, global TriCor TRILIPIX sales were $388 million, down 6.6%.
And sales of Niaspan were $211 million, down 14.7%.
As discussed last quarter, our lipid franchise has been impacted by softness in the overall branded cholesterol market as well as continued impact from last year's [ACORE] and AIM-HIGH study results.
So, as we look ahead to the third quarter in our global Proprietary Pharmaceuticals business, we expect low single-digit growth on operational basis.
We are forecasting a negative impact from foreign exchange of roughly 4.5%, which will lower our reported growth in the quarter.
Moving onto our Proprietary Pharmaceuticals pipeline, where we continue to make good progress, starting with our renal care pipeline where we have compounds in development for chronic kidney disease and acute kidney injury.
Bardoxolone is a promising treatment in Phase 3 development for CKD with our partner Reata.
Data to date have been unprecedented, showing treatment with Bardoxolone produces significant and sustained improvements in kidney function.
Enrollment in the Phase 3 study is ahead of schedule, reflecting the significant demand for new therapies.
We expect results from this 2000-patient global trial in 2013.
Also in development for the treatment of kidney disease is Atrasentan.
Results from a Phase 2 dose-ranging trial showed Atrasentan reduced protein in the urine, a symptom that is often predictive of renal function.
A Phase 2b study in patients with diabetic kidney disease is currently underway with results expected later this year.
We recently acquired global rights to a novel investigational compound from Action Pharmaceuticals for the prevention of acute kidney injury or AKI.
AKI is a prevalent competition in patients undergoing major cardiac and abdominal surgery.
There are currently no pharmacologic treatments for AKI, which is known to be associated with increased short and long-term mortality, as well as prolonged hospitalization and permanent decline in renal function.
ABT-719, as we now know it, is currently in Phase 2b development with potential market entry in the 2015 timeframe.
Moving onto immunology, where we have a number of next-generation programs underway, all with the objective to raise the bar with differentiated efficacy and safety.
This high bar is important, as we believe the success of new compounds will be based on their ability to offer incremental efficacy and safety benefits beyond what is currently available to physicians and patients today.
Our programs span both small molecule and biologic targets -- our next-generation oral JAK1 inhibitor in development in partnership with Galapagos, because it's currently in Phase 2a development for RA, with the potential to start Phase 2b next year.
We believe this molecule, which preferentially targets the JAK1 pathway, differentiates it from other JAKs in development and may lead to a better overall profile.
The early Phase 2a results presented at the EULAR meeting last month confirmed this compound's promising profile.
BT-061 is our anti-CD4 biologic in development and partnership with Biotest.
The compound is currently in Phase 2 clinical trials for RA and psoriasis.
Our DVD-Ig platform holds promise in the treatment of RA as well as other conditions.
This proprietary technology unites two antibodies and a single molecule with dual variable domains.
Last year we started a Phase 1 study of ABT-122 which pairs two established mechanisms -- anti-TNF and IL-17 -- with the goal of elevating efficacy and improving the overall clinical profile in RA.
Additionally ABT-9A1, which pairs IL-1 alpha and IL-1 beta is currently in Phase 1 for osteoarthritis.
We're also evaluating a number of other oral candidates including an internal JAK1 candidate, a Syk inhibitor, as well as next-generation antioxidant inflammation modulators, or AIMS, through our collaboration with Reata.
Moving on to neuroscience where we are developing compounds to address conditions such as Alzheimer's disease, Parkinson's, schizophrenia, pain and MS. Daclizumab is a next-generation biologic for MS currently in late stage development with a partner company.
Results from the Phase 3 study are expected in 2014.
ABT-126 is our alpha-7 NNR.
It is currently in mid-stage development for Alzheimer's disease and schizophrenia.
Preclinical and clinical data for this mechanism indicate the potential for improvement in a number of cognitive areas associated with both conditions.
We recently initiated Phase 2b studies in CDS and Alzheimer's disease.
We are also developing an intestinal gel for the treatment of advanced Parkinson's disease.
The gel, currently in advanced clinical development in the US and marketed as Duodopa in Europe, consists of two compounds with proven efficacy in this disease.
We expect to complete our US registration submission this year.
Moving onto oncology, where we're focused on developing targeted treatments that inhibit tumor growth and improve response to common cancer therapies.
Elotuzumab is being developed with a partner company for the treatment of multiple myeloma, the second most common blood cancer.
The Phase 3 study, which is evaluating elotuzumab and standard of care in both refractory and first-line multiple myeloma, is ongoing.
We also have active [park] and Bcl-2 inhibitor programs currently underway, as well as a number of other early-stage oncology compounds in development.
Moving onto women's health, where we're studying elagolix for the treatment of uterine fibroids and endometriosis.
The compound has a unique profile that provides symptom reduction while avoiding the significant bone loss or other adverse effects that can sometimes be associated with current treatments.
The Phase 2b or Phase 2 clinical program for fibroids is ongoing and we recently initiated the Phase 3 study in endometriosis.
And finally, turning to our HCV program where we have a broad portfolio with compounds in development spending three mechanisms of action including protease, non-nucleoside polymerase and NS5A inhibitors.
We presented Phase 2 data at the EASL meeting in April, demonstrating Abbott's 12-week interferon-free regimen is capable of delivering 93% to 95% cure rate across all genotype 1 treatment-naive patient subtypes.
Data showed that the regimen, which included just two of our three compounds in development, was well tolerated and most adverse events were mild in severity.
We're building on these strong results with data from our large global Phase 2b Aviator trial, a 14-arm 560-patient study that includes various combinations of all three compounds in our portfolio.
We expect to present results from this study at the American Association for the Study of Liver Diseases meeting this fall.
We expect to start our Phase 3 program in 2013 with commercialization in 2015, putting us in a very competitive position.
We have a high level of confidence that our HCV compounds in development will dramatically change the treatment landscape.
So, in summary, this quarter Abbott delivered strong performance with ongoing EPS growth of nearly 10%, exceeding our guidance range, and a gross margin ratio of more than 63%, up 310 basis points from the prior year.
We confirmed our outlook for 2012 ongoing earnings per share and remain focused on the process of separating Abbott into two leading healthcare companies, which is on track to be completed at the end of this year.
With that, Tom, John and I would be glad to take your questions.
Operator?
Operator
(Operator Instructions) Mike Weinstein, JPMorgan.
Mike Weinstein - Analyst
Thanks.
Good quarter.
Let me just ask one question.
Just on the guidance, you kept her guidance unchanged.
We've obviously seen companies this week that have trimmed their guidance for the year because of the currency move.
Is there way to calculate what the FX move has meant to your bottom line?
I know you guys will be well hedged, but any way to do that math for us to give a sense of what you're absorbing here?
Tom Freyman - EVP, Finance and CFO
Well, Mike, as we talked about, clearly there was a significant topline impact across the businesses, and we tried to provide some pretty good detail on that.
As we have talked about in the past, and you alluded to it, the way we were structured around the world in terms of our manufacturing sites and kind of our cost centers and really the way we have organized ourselves, our read as we compare ourselves to others -- and it's hard to do because we don't know what is going on another companies -- is that because of that, we are probably somewhat less exposed to currency movements.
I would say that certainly it's not zero.
We have had some effect this year, but the way we have looked at it, and we have gone through the year, is that things like this happen every year.
And we try our best to manage through it.
When John talked about the plants in nutrition that we're building around the world, I think it is indicative of the approach we've taken to some degree.
Certainly when we build those plants and get them closer to the customers, it makes a lot of sense from a logistics perspective.
And in terms of minimizing inventories and the like, when you're closer to the markets.
Another benefit we see from that, and we really do factor it into our thinking as we look at plant locations, is that there is a better match of currency between revenues and costs.
And I think we have been pursuing that thinking for a number of years as we make our investments, and I think that does help us be a little bit less exposed.
So, certainly we have had some impact this year.
But it has fallen into the range of the types of things that happened to the business every year, which it is our job to manage.
And because of some the margin performance you are seeing this quarter, some strength in the businesses, we're able to confirm our guidance for the 2012 year.
Mike Weinstein - Analyst
And with the Form 10 filed this quarter, let me just ask a couple of questions that I've gotten a lot in the last several weeks.
One of them is, as we look to 2013, so we assume January 1, 2013 there's the two separate companies, how should we think about the earnings impact of the separation?
I think when you guys talked last October you were hoping to offset some of that naturally dilutive impact, having to create a separate infrastructure for AbbVie.
Should we look at it as, okay, take the 2013 EPS estimate for consensus or your own estimate, and then separate that between the two companies?
Or should we assume that there is some dilution off of the 2013 current Abbott number as we separate the two companies into separate entities?
Tom Freyman - EVP, Finance and CFO
Certainly it is too early to talk about 2013 right now.
As we get into the fall and we pursue the road shows that we talked about for the two separate companies, it will be a much more appropriate time.
And really, once we get through a bit more of the year, get through some of our planning processes, fully assess what is happening in the environment as we move into next year, that is the time when it is best to talk about our outlook for 2013.
So it's a little early now.
To your question, it is -- and we have talked about this, that it is clear that we need to set up headquarters functions for AbbVie.
We need to incur -- AbbVie will be incurring public company costs such as the audit fees associated with becoming a public company, those types of things, and their guidance will factor that in.
It's interesting.
I have seen analyst modeling that from other transactions they had seen, and certainly there will be some impact.
As you mentioned, we did establish a longer-term goal to offset those types of costs to the extent we can.
And we're working on that as we speak, and will be able to talk more about that in the fall.
Mike Weinstein - Analyst
Okay.
Maybe just one last question.
There's obviously a lot of questions about the dividend and how you're going to allocate that between the two entities.
I don't expect you to give the answer today.
But maybe you can help, because when people saw the Form 10 and they saw the tax rate for AbbVie in the Form 10, and that got to a whole discussion of US free cash flow versus OUS free cash flow and the ability of AbbVie to support a significant dividend, despite what looks like a significant portion of its cash flow coming outside of the US.
Can you just talk to that and just talk about AbbVie's ability to support a significant dividend, given what looks like the vast majority of its profits are coming OUS?
Tom Freyman - EVP, Finance and CFO
I think the key is when you look at the Form 10, and as we look at our forecast for AbbVie, and everyone has known this for some time.
There is very significant cash in that company.
We recognize, and as we think through -- and ultimately the AbbVie board will determine the amount of dividend.
But it is pretty clear as the current board and management team thinks through this this type of business should have a substantial dividend.
When we talk about the total Abbott dividend being at least equal to the existing --between the two companies, I should say, be at least equal to the Abbott dividend to the time of separation, it's very likely that the larger portion of that will be coming from AbbVie.
And they will definitely have the cash flow to support a competitive dividend going forward.
That is another item that we'll be going through in detail exactly how that will work in the fall when we talk about 2013 for both companies.
Mike Weinstein - Analyst
Perfect.
Thanks, Tom.
Operator
David Lewis, Morgan Stanley.
David Lewis - Analyst
Hey, Tom, I wanted to come back to Nutritionals.
It still remains probably one of the bigger drivers of the Abbott margin story heading into next year and beyond.
So, I know you have done some of this publicly, but could you maybe quantify the CapEx and derivative and spend required to get to those Nutritional margins by 2015?
And I wonder; you keep talking about 2015.
Do you see 2015 as the peak margin?
Or do you talk about 2015 because that's really the inflection year for margin?
Tom Freyman - EVP, Finance and CFO
I wanted to -- I'll answer the last part of your question first.
We're never satisfied, so it was a convenient point in time where a lot of the initiatives we now have underway have been fully implemented, and certainly gets us back into the range of the levels that we think this business should have at a bare minimum.
But you can never rest, and certainly there will be a lot more thinking over the next two or three years to continue that type of improvement as we go beyond 2015.
I think the best example of that is our own Diagnostics initiative here, where we have accomplished tremendous things in the first three or four years of that division's margin expansion improvement program.
As I look at this quarter's margins in diagnostics and I think of where we were four years ago, and as I talk to that team and listen to their plans as we move forward, the more you work on these things the more opportunity you find.
And I think that is the type of model we're going to continue to apply across all of our businesses.
To your question on capital, to me the most encouraging thing about the capital investments we're making in Nutrition is that it is really just driven by demand.
And when we're building plants in Asia to support rapidly growing markets and developing markets, that is a very good thing.
And the US plant we announced a couple of months ago, that is driven by a great opportunity we have in the US in the liquids area.
So that is the kind of capital we like to invest.
It has high returns and will certainly be a positive for the sustainable cash flow, both in the Nutrition business and the new Abbott in the future.
There are some moderate levels, or I would even think modest levels of capital that we would be investing in some of our existing plans to improve our efficiency.
But again, those would be the types of things that would add good financial returns, rapid paybacks and would be well spent on behalf of shareholders.
So I think all of the news in Nutrition is good and we want to keep building on the success we have had so far.
David Lewis - Analyst
Okay.
And then Larry, just thinking about HUMIRA, I think most investors would have been surprised to see HUMIRA accelerate yet again here in the second quarter, but that based on our math seems to be what you have done.
So if you think about maybe price being less of a tailwind in the second quarter, it sort of implies that HUMIRA is either seeing greater share gains than we would've expected or just better general market growth for anti-TNFs.
Can you just help us understand what you think are the primary drivers of that sort of re-acceleration if pricing got a little softer incrementally?
Larry Peepo - Divisional Vice President of IR
Sure, well, if you look at the underlying trends you will see very strong growth for HUMIRA.
So, as I said on my remarks, the fundamentals continue to support this level of growth.
There is a little bit of price as you mentioned in there.
But I think the key points for us, really, are in a couple of these larger portions of the market including dermatology, which continues now to grow double digits, we've actually seen a nice acceleration in that derm market over the last year or so.
Some of that is just our own commercial effort and execution.
Some of that is awareness of the products in the market place via advertising, et cetera.
So I think that has become a pretty big component of our growth, and we're gaining share there, displacing the former product that was at the top.
We are now number one here in the US in dermatology.
In the gastro space, we continue to see very strong double-digit growth there as well, with HUMIRA gaining share and growing faster than that market.
Again, awareness of the disease and really just the overall strength of HUMIRA in gastro as well as dermatology really.
The results from the studies in both of those disease states position HUMIRA quite well relative to the competition.
I would say rheumatology is growing well, mid-single digit.
Obviously it's a more mature market, but we see good share strength there for us as well with our growth outpacing the market place.
So I think it is really the three major components of that overall market, Abbott's overall execution, the product strength and I think it really points to the durability of that product longer-term.
David Lewis - Analyst
Okay, just one more quick one, maybe for John.
John, you mentioned some comments about Vascular and where think their franchise can be by the fourth quarter.
I just wonder, do you think the US Vascular business can begin getting better in the third quarter?
Or is that something we really should be thinking closer to the fourth?
John Thomas - VP, IR and Public Affairs
No, we -- the fourth quarter was a comment about Diabetes Care specifically.
It will definitely be getting modestly better as we go into the back half of the year.
The main point there is what I talked about in terms of this being a royalty transition year, with Promus revenues coming out of the mix or the noncommercial piece of it, and an impact as well as FX.
And the trends are actually pretty good.
So if you look at what is happening there, and even with the competitive launch of the product that I mentioned coming into the market, XIENCE alone was only down about 2%.
And the latest share data that we've gotten in the last couple of days indicates that from May to June, we've actually picked up a couple of sure points in the US as well.
And as you know, worldwide we continue to do very well with that product and the growth in particular in emerging markets has been outstanding.
We also have a number of new products launching, XIENCE PRIME in Japan just recently, and then XPEDITION will be coming with better deliverability later in the year in the fourth quarter, to your point, in helping that business to improve.
And meanwhile, on the bottom line, the business is holding up quite well and doing well in terms of expanding margins.
David Lewis - Analyst
Great, thanks very much guys.
Operator
Jami Rubin, Goldman Sachs.
Jami Rubin - Analyst
Thank you.
I just have a few questions.
Tom, what was the impact of foreign exchange on the 300 basis point improvement in gross margins?
I don't recall foreign exchange being called out so much before and I just want to understand that.
Tom Freyman - EVP, Finance and CFO
Right, similar to the first quarter it was roughly half of the improvement.
I don't know.
Those of you that follow us for a long time have seen quarters where exchange is a negative, and throughout the first half of the year it's been about half of our margin improvement.
The rest has been executing on the gross margin improvement initiatives we've talked about in detail.
Jami Rubin - Analyst
So you would expect, then, gross margins to further improve if currency has gotten worse, correct?
Tom Freyman - EVP, Finance and CFO
Well, our guidance is factored in current exchange rates.
That is typically what we do.
We don't try to forecast changes.
So I think if rates were to hold at this level, you would see gross margins in line with our guidance that we provided.
To your point though, if the euro did weaken quite a bit, yes, you would probably see a little bit more favorable gross margin.
But I personally would rather have the sales stability and deliver gross margin improvement through our own initiatives.
Jami Rubin - Analyst
And just if you could comment on what you are seeing in terms of European austerity measures, I mean looking at your numbers it would appear that the currency has been obviously the biggest headwind to international sales.
But is there any way that you could quantify what you are seeing in terms of pricing dynamics, tendering?
J&J certainly called that out yesterday on their conference call, and if you are seeing any changes in terms of collectibles in some of the markets or receivables.
And just my last question, and I think it refers to an earlier question that was asked, if we look at -- and again, related to separating the two companies -- if I look across S&P 500 and other precedent separations that have occurred, it seems that the typical costs that we see regarding additional corporate costs is around 2% of net sales.
Is that a fair assumption to make for Abbott?
Or are there differences that we should take into consideration?
I understand you're not going to give that guidance, but as we're starting to think about this, is 2% of sales fair.
Tom Freyman - EVP, Finance and CFO
That's a lot of questions.
I think I will start on the receivables situation.
We saw during the quarter a significant improvement in southern Europe.
Between the -- these governments are taking their situation seriously.
They have implemented austerity measures.
And in a couple of markets in particular, we saw really, really strong payments in the quarter.
And so I think we feel very good about our business in southern Europe and our ability to sustain that.
In terms of Europe generally, and I guess it is the mix of our business, while certainly it is not a big growth driver right now, and in certain pockets, in particular our Diabetes Care business we have felt a little bit of pressure from austerity.
When you look overall at Abbott, it has been a fairly modest impact.
I think part of that is due to the quality of our products and the differentiation in the market, and just basically the fundamental demand for them.
As we said a couple of years ago, we had a little more price than we typically have.
But that is largely normalized this year on the Pharmaceuticals side of the business.
So I would say that Europe from a demand perspective is a relatively modest matter for us at the current time.
Just on your question on headquarters costs, again, we will talk about the modeling of these two companies in the fall.
And I just don't think it would be productive to talk about what other companies have done in this area at this time.
Jami Rubin - Analyst
And just -- I'm sorry, I just -- one last question.
Does your tax rate guidance assume the R&D tax credit by the end of this year?
Tom Freyman - EVP, Finance and CFO
No.
As you know, the credit is not operative this year, so our guidance does not assume that.
Jami Rubin - Analyst
Thank you very much.
Operator
Glenn Novarro, RBC Capital Markets.
Glenn Novarro - Analyst
Good morning.
Two questions.
On the Pharmaceutical guidance, does that assume that -- particularly the third quarter guidance that you gave, does that assume TriCor faces a generic competition?
And if it does and there is no generics, we have calculated that the impact would be favorable up to $0.05.
So I don't know if that is in the ballpark, but would you let that fall to the bottom line or would that be reinvested?
And then I have a follow-up on stents.
Tom Freyman - EVP, Finance and CFO
Just to talk about track our TriCor, as John and Larry talked about, clearly the lipids space is very soft right now.
The branded products are down around 29%, 30% year to date.
And for us, we have identified these as mature franchises and we are definitely planning for generic competition in these areas.
And our guidance for the third quarter does assume generic competition, because as you know, there are competitors that have a right to watch at any time.
I have heard people talk about delays.
All I would say on that, and you have kind of touched on it, Glenn, if there was a delay that is certainly something we can't count on.
And it's not something that is really meaningful -- would be meaningful beyond 2012 if it were to happen.
We need to plan for these products to basically be generic.
And we talked about that in the fall, so that is our planning assumption going forward.
And to your point, if something was delayed we would very likely reinvest that back into the business because it really wouldn't be a sustainable benefit.
Glenn Novarro - Analyst
Okay.
On the US stent business, the competitor that you referenced, it is the Medtronic stent Resolute, do you know whether or not we are through the trialing period?
It seems like maybe it is because, John, you referenced that you recently picked up share gains.
So I'm wondering if the trialing period is ending there and now XIENCE is back in a position to recapture share.
And then do you have any market dynamics particularly in the US that you can share with us with respect to stent pricing, DES penetration and PCI volume?
John Thomas - VP, IR and Public Affairs
Sure, yes.
So to your first point, yes, it is hard to say the trialing is over.
It is still relatively new.
But it is encouraging in terms of the recent trends that we have seen with the two major market share data services that we use.
We have picked up, in June, 2 to 3 share points depending on which service you use.
So that competitive product has picked up about 10 share points.
And with the different products that we have launching and XPEDITION coming and so forth, there are a number of things there that we are encouraged about.
We also -- we have picked up a couple of major share account wins recently, and we have a number of plans in place with the team to compete against that.
And obviously with our depth of data and the deliverability and the overall profile of XIENCE, we have clearly the best in class product here.
So we still hold the market leadership position here in the US.
We do expect to regain share, particularly as we go into the fourth quarter.
As we look at the market dynamics overall, price has been -- it is encouraging.
The trend has been more low-single digit decline, so it continues to moderate on a sequential basis.
So it's about the third quarter in a row of mid-single digit type year-over-year declines, but moderating sequentially to low single digits on price.
So that has been encouraging.
Clearly outside of the US we're -- it is a different situation.
PCI volume definitely impacted the overall market.
It was down about 5% in the US.
So despite that and the competitive entry that you mentioned, XIENCE, as I said before, was only down about 2% in the US.
So, that dynamic we expect to improve as we go into the back half of the year in the DES penetration.
It has been running around 79% recently.
Glenn Novarro - Analyst
And just one follow-up, the competitor launch which took 10 points; is that continuing to move higher?
Or is that kind of stabilized based on the (multiple speakers)
John Thomas - VP, IR and Public Affairs
It is stabilized and trending slightly downward.
Glenn Novarro - Analyst
Okay, great.
Thank you very much.
Operator
Rajeev Jashnani, UBS.
Rajeev Jashnani - Analyst
My question was on the Vascular business.
I was wondering if maybe you could talk about the margins for that business.
The margins are up this year despite the royalties going down.
And maybe you could talk about what the outlook for that and continued margin expansion there is, especially given the -- because a significant portion of that is coming from emerging markets now, which I had thought might have been at a lower margin.
But maybe you could touch on that as well.
Thank you.
Tom Freyman - EVP, Finance and CFO
Sure.
The Vascular team has done a tremendous job in terms of operating more efficiently, particularly in the manufacturing area.
And that has really helped blunt the impact of the Promus royalties on the margin ratio and the operating margin.
So that is really what the story is about.
The emerging market pricing is actually quite -- in a number of these markets is actually quite reasonable.
They tend to be multitier markets where some of the branded products you see in the developed world are -- there is a readiness to pay a premium.
And so the pricing is actually quite good in these markets and is really not a negative drag on the operating margin of the business.
I will say for Vascular, it's got a good operating margin.
That team is looking to certainly continue to improve.
But relative to some of our other businesses, it is in a reasonable range and I think you would see relatively modest incremental improvements from here as opposed to step changes.
Rajeev Jashnani - Analyst
That's helpful.
And if I could ask one follow-up on the EPD business, it looks like it was a pretty nice improvement there from the second quarter through the first quarter.
Maybe if you could talk about austerity measures specifically on that business, whether you contemplated that or whether you envision that getting any worse.
And maybe you could just touch on what drove the improvements during the second quarter from the first quarter.
Thank you.
Tom Freyman - EVP, Finance and CFO
Well, I think you have captured it properly that when we look at the EPD performance it's very good progress, in line with what we have been talking about.
The growth rate is marching up towards that mid-single range, which is what we would have been expecting for this year and what we expect in the second half.
To remind everyone, this is a business that when you wait out all of the markets; we're targeting the two upper growth sustainably here.
And I think the progress you saw in this quarter gives us a good feeling that that is achievable.
And hopefully as we progress through the year, we will continue to build your confidence in that business with the sales growth in the third and fourth quarters.
I think the bigger -- the most important aspect of this business, obviously, is the emerging markets piece where demand continues to be strong.
I think what we're starting to see is the execution starting to play out.
This team has really only been in place effectively a year and a half or so.
They're gelling quite nicely.
Their strategic plans are beginning to be implemented, and I think we're just starting to see better execution in the field as we get the right people into place and deliver on the strategic plans.
And over time, the developed markets will be a smaller part of this business.
And I think it will -- as the emerging markets grows, and I think it will provide a nice growth boost as well.
Rajeev Jashnani - Analyst
Thank you very much.
Operator
Jeff Holford, Jefferies.
Jeff Holford - Analyst
Hi, thanks for taking my questions, I've got three.
The first is on the gross margin, just on the actual operational efficiency gains there.
Can you give us a bit more color on what divisions or products that is coming from?
Tom Freyman - EVP, Finance and CFO
Well, as we mentioned in our remarks the three big improvements in the quarter -- and you will see this in the 10-Q when it comes out in a segment footnote -- was Diagnostics, where we're now above 20%.
Not many people would have thought that a few years ago.
Nutrition, we saw about 150 basis point improvement over the prior year.
There are some seasonality effects from that business.
But we expect, again, a nice improvement for the full year in that business.
And the Vascular business we saw over 200 basis points of improvement in the quarter, again from the types of things I talked about on the last question.
So those were the three big movers for the efficiency gains.
And even though it is a smaller business, not to minimize it, our Diabetes Care business -- which is a $1 billion business -- is also showing very nice margin improvement, and John mentioned that in his remarks as well.
Jeff Holford - Analyst
Then I don't know if you can comment on what level of buybacks were made during the quarter, because maybe there was some share options exercised as well.
And just related to that also, if the group is doing it now in its capital allocation process, which parts post-separation are more likely to do buybacks?
Tom Freyman - EVP, Finance and CFO
Well, we did around $600 million in buybacks in the second quarter.
That brings the year-to-date number to about $1.6 billion.
So, we have been active there.
And similar to my other responses, and I know we are getting close -- as we get into the fall here we will be able to provide a lot more color into the companies -- but certainly as each talks about the intended use of their cash flows, whether it is dividends, share buybacks or investments in the business, the teams will cover those issues or those opportunities when we get into the fall.
Jeff Holford - Analyst
Thanks.
And just the last question is obviously you've got some exciting data coming up in hep C in November.
During any of those studies or separate to those studies, have you started doing any co-formulation work with any of the actives?
And I don't suspect you have yet, but when will you start to look at co-formulation of some of those actives?
John Thomas - VP, IR and Public Affairs
You can assume that we have done a fair amount of work already in co-formulation.
Tom Freyman - EVP, Finance and CFO
With our own products, you are talking about.
John Thomas - VP, IR and Public Affairs
Yes, with the three products that we have in our development portfolio.
Jeff Holford - Analyst
Great, thanks very much.
John Thomas - VP, IR and Public Affairs
You can assume that is underway.
Tom Freyman - EVP, Finance and CFO
Thank you.
John Thomas - VP, IR and Public Affairs
Operator, I think we have time for one more question.
Operator
Tony Butler, Barclays Capital.
Tony Butler - Analyst
Good morning, thanks very much for squeezing me in.
If I may go back to Vascular just a minute, I'm very respectful of the comments you made around PCI volume for Q2.
But if I look back to the Q1 call, you did forecast for Q2 despite FX, and the royalty agreements, that you would have high single digits.
So I'm curious if in fact Resolute coming to market had a greater short-term impact, if you will, than you might have expected.
And I have one follow-up.
Thank you.
John Thomas - VP, IR and Public Affairs
Okay, yes, Tony.
Hi, this is John.
Yes, I think it is fair to say it had a little bit more impact than we probably originally had forecasted.
Also PCI volume being down 5% was a factor as well.
But like I said, the trend here recently is upward.
And the share count or the share gains over the last month, May to June, looked promising.
There is also a number of initiatives that we are doing.
And as I said before in the response to another question, recently we won a couple of big accounts and that will factor in as we go through the rest of the year.
The team is obviously very focused and execution will be important, and we have every confidence that that team will take the challenge.
And they are already seeing the results of that in the latest data.
And in general, I think there's a number -- there is a cadence of products launching here that are pretty unique in terms of the timing and the overall attributes across all of the segments of the Vascular business.
So in DES and endovascular, in our other carotid area and so forth, we have a number of balloons, guide wires, new catheters, XPEDITION launching, so generally we're very encouraged.
The US is improving, ex-US we continue to do very well, and I mentioned double-digit growth in the emerging markets in my commentary.
So, overall, it is a pretty good story.
And the bottom-line impact on the business is what we have been talking about a lot.
And that obviously has been very good, and Tom mentioned that 200 basis point improvement.
So we're working on it.
Tony Butler - Analyst
Thank you for that.
And then finally, the direct distribution model for which nutritionals is switching, could you perhaps provide a timeline when you believe that will be fully implemented?
And then lastly, if you are to split apart on January 1, if we assume that, do you actually host a Q4 call in January on the consolidated business?
Thank you very much.
John Thomas - VP, IR and Public Affairs
What was your first question Tony?
Tony Butler - Analyst
Yes, it was really on the direct distribution model in nutritionals.
When do you fully believe that will be implemented?
John Thomas - VP, IR and Public Affairs
Yes, the key thing there is -- this is a selective program.
It's only certain markets.
It's not -- we are already direct in a number of markets, and in certain markets it makes sense for us to continue to work through distributors.
So, it is only selected markets.
The vast majority of that should play through this year.
There is probably a modest amount in 2013, and we had a fair amount of it in the second quarter here.
So I think it is really important to just keep in mind that this is only select markets, and the majority will play through this year.
Tony Butler - Analyst
Thank you.
(multiple speakers)
John Thomas - VP, IR and Public Affairs
And you mentioned --
Tony Butler - Analyst
Q4 call.
John Thomas - VP, IR and Public Affairs
That is a good question, and it is a unique situation for us as well, and we will be talking that through with the management team.
Obviously if this timing plays out the way I outlined on the call, it will be kind of a unique period of time when the report, the total company, but clearly investors will be focused on the future 2013.
And it will clearly be necessary for both management teams to be talking about that.
So, the exact way we structure it has not been determined.
But we are talking about that and we should have some answers for you in the coming months.
Tom Freyman - EVP, Finance and CFO
Last thing, Tony, I would say -- I wanted to mention this and I forgot to.
On your question about Vascular, just remember when you exclude the Promus royalty transition, which is this year and obviously will improve going forward into 2013, if you exclude that situation and that backs the underlying business there through the mid-single digits globally.
So I think we're pretty pleased with that overall.
Okay.
Operator?
Operator, do you want to close out the call?
Actually, let me just remind everybody of the replay.
Sorry about that.
Replay of the call will be available after 11 Central Time today on our website at Abbottinvestor.com and after 11 Central via telephone at 402-220-9697.
The confirmation code is 3458.
The audio replay will be available until 4 o'clock Central on Wednesday, August 1. Again, thanks everybody for joining us today.
Operator
Thank you.
And this concludes today's conference.
You may disconnect at this time.