美國雅培 (ABT) 2016 Q2 法說會逐字稿

Good morning and thank you for standing by.

Welcome to Abbott's second-quarter 2016 earnings conference call.

(Operator Instructions)

This call is being recorded by Abbott.

With the exception of any participant's 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 express written permission.

I would now like to introduce Mr. Scott Leinenweber, Vice President, Investor Relations.

Good morning and thank you for joining us.

With me today are Miles White, Chairman of the Board and Chief Executive Officer; Tom Freyman, Executive Vice President, Finance and Administration; and Brian Yoor, Senior Vice President, Finance and Chief Financial Officer.

Miles will provide opening remarks Brian will discuss our performance in more detail.

Following their comments, Miles, Tom, Brian and I will take your questions.

Before we get started, some statements made today may be forward-looking for purposes of the Securities Litigation Reform Act of 1995 including the expected financial results for 2016.

Abbott cautions that these forward-looking statements are subject to risk and uncertainties that may cause actual results to differ materially from those indicated in the forward-looking statements.

Economic, competitive, governmental, technological and other factors that may affect Abbott's operations are discussed in Item 1A Risk Factors to our annual report on Securities and Exchange Commission Form 10-K for the year ended December 31, 2015.

Abbott undertakes no obligation to release publicly any revisions to forward-looking statements as a result of subsequent events or developments except as required by law.

Please note that second-quarter financial results and guidance provided on the call today for sales, EPS and line items of the P&L will be for continuing operations only.

On today's conference call as in the past non-GAAP financial measures will be used to help investors understand Abbott's ongoing business performance.

These non-GAAP financial measures are reconciled with the comparable GAAP financial measures in our earnings news release and regulatory filing from today which will be available on our website at Abbott.com.

Our commentary on sales growth refers to operational sales growth which excludes the impact of foreign exchange unless otherwise noted.

As you recall, Abbott issued a press release on April 28, 2016 announcing the transaction with St.

Jude Medical.

Please refer to that release for additional important information about Abbott, St.

Jude and related matters.

With that, I will now turn the call over to Miles.

Okay, thanks, Scott.

Good morning.

Today we reported adjusted earnings per share of $0.55 above our guidance range.

Sales increased 6.5% in the quarter led by strong performance in Established Pharmaceuticals, Medical Devices and Diagnostics.

As you know, earlier in the quarter we took an important strategic step with our announcement to acquire St.

Jude Medical.

Abbott and St.

Jude combined will have a highly competitive medical device portfolio including an industry-leading new product pipeline across cardiovascular, neuromodulation, diabetes and vision care.

This strategic action builds upon the steps we've taken to achieve critical mass and leadership positions across each of our four businesses.

In Diagnostics and Nutrition where we hold market-leading positions today we've been investing in R&D and infrastructure in high-growth geographies that have strengthened our global scale and competitiveness.

And in Established Pharmaceuticals, or EPD, we've taken a number of strategic steps over the last couple of years to position our business for long-term growth.

EPD now operates entirely in emerging geographies and holds leading positions in many of the largest and fastest growing pharmaceutical markets for branded generics in the world including India, Russia and Latin America.

All four of our businesses will now hold leading positions in large and growing markets that are aligned with healthcare and demographic trends, providing a strong foundation to deliver top-tier growth over the long term.

I will now briefly review our second-quarter results.

And I will start with Diagnostics where we achieved sales growth of 6% in the quarter, driven by continued above-market performance in Core Laboratory and Point of Care diagnostics.

Our Diagnostics business has been a solid and continuous outperformer in the Company and in its industry over the past several years.

There's an opportunity here to further maintain if not improve upon this growth trajectory as we prepare to bring multiple next-generation systems to market across every area of diagnostics where we participate.

We will provide more details on these systems and our launch plans during the second half of the year.

In Nutrition sales grew around 4.5% in the quarter or more than 6% excluding the impact of Venezuela.

Growth in the quarter was led by US Pediatric and international Adult Nutrition.

In the US above-market performance in Pediatric Nutrition was driven by continued growth of recently launched products including non-GMO products for infants and toddlers.

In Adult Nutrition double-digit international growth was led by Ensure and continued expansion of the Adult Nutrition market where Abbott is the global leader.

In Medical Devices sales growth in our Vascular business was led by share gains in our core stent business and double-digit growth of MitraClip, our market leading device for the minimally invasive treatment of mitral regurgitation.

Our endovascular business also contributed another quarter of strong growth, driven by vessel closure products and Supera, our unique peripheral stent for the treatment of blockages in the leg.

And earlier this month we received FDA approval for Absorb, the only fully dissolving vascular stent.

This first of its kind product is an important addition to our market leading drug eluting stent portfolio in the US.

In medical optics sales growth of 5.5% was led by double-digit growth in our cataract products business where we continue to capture share and drive growth with our portfolio of premium cataract lens products.

Last week we further strengthened our portfolio in the US with the FDA approval for our TECNIS Symfony lenses, the first and only lenses that provide a full range of continuous high-quality vision following cataract surgery.

In diabetes care international sales growth of more than 15% was driven by continued consumer uptake of our new and innovative FreeStyle Libre device in Europe.

We continue to see strong demand as consumers and healthcare professionals become increasingly aware of the many benefits of this innovative device.

There are now more than 125,000 patients utilizing FreeStyle Libre in Europe and we're working to bring this novel technology to new markets including the United States.

And in Established Pharmaceuticals, or EPD, our strategy of targeting key geographies with a broad portfolio across select therapeutic areas continues to deliver strong results.

Sales growth of 9.5% or 14% excluding the impact of Venezuela was led by balanced growth across several markets including India, China and several countries in Latin America.

The acquisitions and subsequent integrations of both CFR Pharmaceuticals and Veropharm have exceeded our expectations and are contributing to strong growth overall.

So in summary it was a good quarter and we're particularly pleased with the steady cadence of new product approvals and recent launches that are contributing to growth including FreeStyle Libre, MitraClip Absorb and Symfony.

And we took another important step to strengthen our strategic position and long-term growth potential with our announced acquisition of St.

Jude Medical.

I will now turn the call over to Brian to discuss our results and outlook for the year in more detail.

Brian?

Okay, thank you, Miles.

Sales for the quarter increased 6.4% on an operational basis.

That is excluding an unfavorable impact of 3.2% from foreign exchange.

The negative impact from exchange was somewhat higher than previous expectations due to modest strengthening of the US dollar relative to other currencies in the quarter.

Reported sales increased 3.2% in the quarter.

Regarding other aspects of the P&L in the quarter the adjusted gross margin ratio was 57.6% of sales, somewhat above our previous guidance.

Adjusted R&D investment was 6.5% of sales and adjusted SG&A expense was 31.6% of sales, each in-line with previously issued guidance.

Turning to our outlook for the full-year 2016, our adjusted earnings per share guidance range of $2.14 to $2.24 from continuing operations remains unchanged and reflects double-digit underlying growth offset by the impact of foreign exchange on our operating results.

We continue to forecast operational sales growth in the mid single digits for the full year.

Based on current exchange rates, we expect exchange to have a negative impact of around 2.5% on our full-year reported sales, somewhat higher than previous expectations of negative 2%.

This would result in reported sales growth in the low single digits for the full-year 2016.

We continue to forecast an adjusted gross margin ratio of around 57% of sales for the full year which includes underlying gross margin improvement initiatives across our businesses.

We forecast adjusted R&D investment of around 6.5% of sales and adjusted SG&A expense of approaching 31% of sales for the full year.

We now forecast net interest expense of around $100 million, reflecting changes in interest rate assumptions on both our borrowing rates for debt and the income we earn on some of our investments, and around $35 million of non-operating expense.

Turning to our outlook for the third quarter, we forecast adjusted earnings per share of $0.57 to $0.59, again reflecting double-digit underlying growth partially offset by the impact of foreign exchange on our results.

We forecast operational sales growth of mid single digits in the third quarter.

And at current exchange rates we'd expect a negative impact from exchange of around 1.5%.

Turning to other aspects of the P&L, for the third quarter, we forecast an adjusted gross margin ratio somewhat above 57%, adjusted R&D investment around 6.5% of sales and adjusted SG&A expense of around 30% of sales.

Finally, we project specified items of $0.19 in the third quarter, reflecting the same items as we identified for the full year in our earnings release.

Before we open the call for questions, I'll now provide a quick overview of our third-quarter and full-year operational sales growth outlook by business.

For Established Pharmaceuticals we forecast high single-digit sales growth for both the third quarter and full year; in Nutrition we forecast low to mid single-digit sales growth for both the third quarter and full year; in Diagnostics we forecast mid single-digit sales growth for both the third quarter and full year; and lastly in our Medical Devices businesses, for Vascular we now forecast low single-digit sales growth for both the third quarter and full year, in diabetes we forecast high single-digit growth for the third quarter and mid single-digit sales growth for the full year, and in medical optics we forecast low to mid single-digit for the third quarter and mid single-digit sales growth for the full year.

With that we will now open the call for questions.

(Operator Instructions) Mike Weinstein, JPMorgan.

Good morning, guys.

Thanks for taking the questions.

Miles, let's start with a couple of items if we could if I'm sure everybody would love to get an update on the two transactions in both St.

Jude and Alere.

So, in particular on Alere I think people would love to hear your comments.

And then second, fundamentally it was a good quarter.

I think the mix of growth was a little bit different than what we saw the last couple of quarters.

If there is one business that probably is worth spending a few more minutes on it's the international Pediatric Nutritionals business.

We've seen a couple of the local companies announce weaker results.

Your quarter this quarter wasn't as good as some of your recent quarters, so maybe you can talk about what's going on in some of those markets, obviously in particular China.

Thanks.

As usual Mike, you are spot on.

You know I feel like you must've been in the room or something here.

Let me deal with the transactions first.

And I will go right to the one that you targeted, Alere.

From our perspective there's been no change.

They still haven't filed a 10-K.

Our access to information has been limited.

And they did put out a press release with an update that I think was, at least from my perspective, overenthusiastically embraced from one of their analysts.

But to that extent, the update they put out basically provided no particular new information and was a requirement they had with their bondholders for the extensions they got on the requirements in their agreements.

And the information they put out was characterized as preliminary, unaudited, summary-only, etc.

So I think from our perspective no change other than the passage of time.

And that's about all I can say about it at this point.

So I'm not an odds predictor here, so I have no particular prediction to make other than the information that's here and there's no more really to say about it since the last time you asked me the question.

So moving to St.

Jude, I'd say everything is tracking well.

We've got a second request from the FTC which we'll certainly respond to.

I'd say there's not much in the way of surprises there.

All of our planning going forward is going according to plan.

There's no surprises, no negatives.

Their performance appears to be tracking according to our forecast, our expectations and for their forecast.

In fact, I'd say their report this morning looks to me like their best quarter in about the last six anyway.

And they are trending in the right directions as we predicted and forecasted and saw in our due diligence.

So I'd say with regard to St.

Jude, everything is tracking well.

We still hope to close that before year-end.

I think that will be a close call just as we work our way through the administrivia of the FTC's request and so forth and whatever we may have to do there.

But I'd say there's no big surprises at all.

We're just going to try and complete the work that we've already indicated.

And everything there is tracking according to plan.

With regard to the mix of business, I'd say you can see in our numbers it's a strong quarter across the board, across the world in all of our businesses but one.

And the Nutrition business is weaker and the weakness is primarily focused on China pediatric, really nowhere else.

What's been not only forecasted by some of our global competitors but also our own experience has been a slowing of growth in the China pediatric market.

Last year at this time I think that market was probably 13%, 14% growth estimated and this year it's probably just under half that would be our estimate.

And I think that's probably consistent with what some of our competitors have seen or expressed as well.

But we're seeing about half the growth rate as a market rate that we've seen in the past.

And that's clearly it's softening the sales growth rate and we've seen that and we are seeing that.

We have not yet seen in any data that there's any share change that's impacting us but our growth rate is clearly slower.

So I'm a little cautious on the second half.

I don't expect that to change on this particular business.

I don't expect that growth rate or that let's just call it softness -- it's not softness in terms of decline, it's just slower growth.

It's still a pretty healthy growth rate compared to anywhere else in the world and it's good growth rate.

It's just not the double-digit growth rate it was last year or the year before.

And as you know, that market has been a pretty high grower from a growth rate standpoint for quite some time.

So that's an adjustment to for all of us to adjust to.

I don't know whether that's a long-term change in the market.

I know that there's an increasing breastfeeding rate in China.

But in terms of other fundamentals we see channel shifts and so forth.

But channel shifts shouldn't impact the overall market over time here.

So other than the dynamics of just lower growth or slowing demand I'd say that's about the best way I can characterize it.

As I said, the market growth at 6% is still a healthy rate.

It's just not the one that we've been used to and enjoyed for the past several years.

Maybe I could just get in two quick follow-ups.

So one on the Alere question, can you just talk about some of the items that you're still waiting on beyond just the filing of the 10-K?

And then second, Brian, you raised your estimated FX impact on the top line for the Company.

I assume there is an incremental FX headwind on the bottom line and that's in part why you're not raising 2016 guidance.

But if you could shed any light on that, that would be great.

With regard to I guess Alere, some information has been provided to us.

We've made a number of requests regarding books and records and things that we want to audit and have access to.

Some of that's been provided to us and a fair amount of it has not and continues not to be.

So there's really nothing more I can say at this point, Mike, unfortunately.

The announcement that they put out was not that forthcoming and I certainly wouldn't share the optimism that one of their analysts expressed about their announcement.

But I think we're just in a waiting situation here.

With regard to guidance, I mean I'll just preempt Brian a little bit here.

You will recall we did raise guidance after the first quarter.

And I think I want to be careful how I state this because all of our businesses are running really strong here but I am a little cautious on the second half.

Part of it is FX but part of it is just watching underlying market growth, particularly keeping an eye on China.

That doesn't mean I'm negative on China at all.

I'm not.

But I think it's premature to forecast raising guidance on the second half of the year.

So I think we will just keep our powder dry there.

Mike, around $0.01 to $0.02 on the back half.

Perfect.

Thank you, guys.

I appreciate you taking the questions.

Matt Taylor, Barclays.

Good morning, thanks for taking the questions.

I wanted to start with Medical Devices.

Your results there even excluding the royalty were better than recent trends and you called out some new products.

I was wondering if you could give us some more details on the contributions of those and what you expect out of Absorb or any other meaningful products going forward.

I will give you a little bit of overview and then I will ask Brian for a little help on some of the details here.

But the Vascular business is doing better.

And a couple of things there.

MitraClip is certainly a contributor to that and so also is the endovascular business.

On the core stent business, and there is still pricing pressure there because it's an intensely competitive market among three of us, but at the same time we're gaining share.

And I think that business if I would characterize it is doing better and stronger than it has been in the last, call it, year and a half.

So I'm pretty pleased with the progress there and the performance of the team.

The royalty situation itself, there is a catch-up in there which inflates the number, the growth number for this quarter because it's catch-up of the past.

But it's also we are going to have that royalty going forward here so that will be something we will clearly have in the future which has not been there for the past few quarters.

So that's a plus.

But if you take out the impact of that catch-up in the royalty, the growth in the Vascular business in the quarter is better than we've seen in quite some time.

Brian, do you want to add any detail to that?

Yes, Matt, we are growing mid single digits even but for the royalty here.

MitraClip had a really strong quarter.

We're seeing great adoption uptake and utilization in the centers we're in there.

And our endovascular business continues to perform well.

It's growing double digits, the combination of both Supera for the SFA, as you know, as well as our vessel closure business.

And as far as the other side of like medical optics, you continue to see us grow, outpacing the market in cataracts, particularly with our premium lenses and just excited about the cadence of portfolio that's coming here, particularly with Symfony to continue to build upon that.

And then, of course, you know the story on FreeStyle Libre.

The optics market, particularly in the US, as you know, has experienced a fair amount of price decline in the Lasix business.

And setting that aside, the performance in the cataract and intraocular lens business has just been stellar.

And we're really pleased with that.

We're pleased with our R&D group for the products that they put out, pleased with the reception by customers.

And to be growing in healthy double digits in that segment, well, it's great fun.

All of these businesses have had their times when they've been down or waiting for new products but these businesses are all doing really well.

Great.

And I just want to follow up on Diagnostics.

You've talked for a while about the potential for a refresh of the Core Lab and Molecular systems.

It was wondering if you could give us a little bit more thoughts on timing, the feature upgrades and what really matters there and how that can contribute to growth for DF.

We've got a number of new systems coming here, all of which have been under development for a few years in our Diagnostics business.

And we're starting to see those roll out now and we will see over the next let's say two, three years.

First of all, we just launched AlinIQ which is an informatics program that is designed to help labs with productivity and their own cost management and so forth, which we think is going to be exceptionally well received.

That's launched.

Following that we've got five systems coming.

There is a next-generation system in our Point of Care business that will begin to launch in Europe in the second half of this year, probably in the fourth quarter then in the US in 2017.

Then the Core Lab systems for both immunoassays and clinical chemistry testing will begin to roll out, as well.

We expect European launch before the end of the year and the US in 2018, early in 2018.

Blood screening, same thing, late in the year in Europe, late this year in Europe, a brand-new system.

Beyond that hematology the following year 2017, early 2017 in Europe.

And then all of these early on in 2018 in the US.

And then finally in our Molecular business in the second half of 2017 we begin to roll out a new system in Europe.

So that's a lot and that's unprecedented.

No Company in our business has ever put that many new systems out.

Not just refreshments, they are not just software updates or upgrades or incremental improvements on existing systems.

They are all complete new refresh systems or redone and with some new advantages and so forth.

So we're pretty excited about the entire product line.

Diagnostics has been doing really well with the mature products in its line.

And when you think about the complete line of new products coming over the next couple of years to that business I think that's just really a great shot in the arm there for a business that's been outperforming as it is anyway.

Customers will start to see those systems at the AACC Conference in Philadelphia later this month.

In a number of the industry trade shows in the US and Europe we will clearly be introducing those systems to customers so they get a preview in advance.

So I think the future for Diagnostics looks pretty good.

Thank you.

Rick Wise, Stifel.

Good morning, Miles, good morning everybody.

Miles, just to start with sort of a bigger picture question, a lot of the pushback that I get in talking about the acquisitions, that St.

Jude, Alere, seems to revolve around a few points that both are challenged, even troubled assets, that you're taking on too much integration challenge at once, the uncertainty around an equity raise, the lack of certainty around how Abbott will add value, improve, or better run particularly St.

Jude and maybe a little lack of clarity about the Abbott senior management team, how that's going to change, who's going to lead the effort, again particularly on the device side.

While I personally don't agree with these thoughts, I'd be curious just looking at the big picture here, again, given your long track record of successful opportunistic M&A, how is St.

Jude, Alere set up better or worse than some of the past challenges you've faced?

Why are these the right deal after another few months of thinking about it?

What needs to be done to ensure that these are the right moves today for Abbott shareholders?

Well I'd say a couple of things.

And I understand the sentiments of investors in general.

I think that, first of all I'd say it's not a skeptical or cautious attitude on the part of investors with just about everything, not particular to Abbott or specific to Abbott but I think there's just a lot of caution out there.

All that frothy, robust enthusiasm of a year and half ago is definitely not there now.

And yet the market is at a near high, but in our business that, businesses, that enthusiasm or at least that attitude doesn't seem to be that lit up.

So we put this in the context of all of that.

I think what I find in the feedback from investors is they just want a lot more clarity and a lot more visibility so that they can forecast or model or know where all this is going to go.

Because I can put a historic -- I can lean on historical track record and say hey, look, AMO wasn't a great performing business when we bought it but right now it is doing exceptionally well.

The assets we assembled as EPD were not at the time great assets.

I'd say CFR was a pretty great asset, but a lot of the assets that we put together weren't necessarily super performing assets.

And right now I'd say we've got one of the gems in the branded generic business globally because of the markets and the things we're in.

And I think the track record of how we integrate or how we manage our businesses is proven.

We're not intimidated at all by the integration.

Frankly, that part I think we've shown we're really good at.

We've got an experienced team in place.

I'm not worried about that at all.

And, frankly, in the case of St.

Jude the organizations are so well aligned I think that one will go extremely well and extremely smoothly.

I don't consider St.

Jude to be a particularly challenged organization.

I think that they've got a great pipeline of products.

I think they've got a lot of good products.

They went through a fairly significant organizational structural change over the last two years that I think proved to be somewhat disruptive to the operation of the organization.

We are well aware of that.

We are well aware of what it meant, how it works, etc.

But understanding that, I think we've got a pretty good idea of how to integrate St.

Jude and run it going forward.

With regard to the management team, the management team that will be running our device businesses will be a mix, probably a fairly balanced mix of Abbott and St.

Jude people.

Where we believe that there's clear benefit to Abbott management, talent, etc., or experience that we can bring to the party we certainly intend to do so.

And we've pretty well aligned out what we think that is.

And we will also have the benefit of some of the most experienced and best managers and so forth at St.

Jude.

I think St.

Jude has been probably more maligned in the last year than it's deserved because they missed earnings in the third and fourth quarter and they've had some delays in product approvals.

But to be honest, if they had an MRI compatible CRM product I don't think we'd be hearing nearly as much criticism of St.

Jude.

And it's amazing how one thing or maybe if they were achieving the reimbursement of CardioMEMS faster, that's about it.

Beyond that their businesses are booming.

All their other businesses are doing super well and they've already shown that they can recover share when they get a CRM approval by their performance in Japan.

So I think it's been overblown, Rick.

And I understand when investors are disappointed it takes them a while to recover from that and then they are skeptical.

And then they look at Abbott and say, well, why do you think you can do it better?

And my answer to that is I think we can do it better and I think St.

Jude can do it better and so does St.

Jude.

And I think that the two of us together both believe that, first of all, they resolve their MRI compatibility issue and continue to run the business well, which they are.

This business is going to do not only how analysts expect and we expect, which is growth of 4.5%, 5% or more, but frankly maybe even better than that.

As I've indicated on other calls, St.

Jude's own estimates of how they are going to do are even higher than that.

Our deal was done based on estimating, frankly, same kind of growth rates analysts estimate which put them at call it 4.5% to 5% going forward.

And right now they are tracking towards that with their performance in all their businesses.

We're just waiting for an approval of an MRI compatible CRM and I think this changes.

As I look forward I think the breadth of the business and the combination with Abbott and the improved performance in our own Vascular business is nothing but up.

While right now you've got this period where there is uncertainty, uncertainty about when will it close and you haven't forecasted what it will do and so forth I think a lot of our investors are just more cautious.

But I look at it and we look down the road at our own projections and what we believe we're going to do and I think okay, the stock is whatever it is today, $42 or whatever, I don't think investors are ever going to see another point to buy-in at this level.

That's what I think, I actually believe that.

And I think our track record has proven we know how to integrate it, we know how to manage it, we know how to do well with it.

We know how to add value to it.

We know what the breadth of offering is.

We know the quality of their pipeline and the quality of their people.

You don't just buy it for the portfolio and leave it alone.

You buy it and you put the best management you can in place and you run it the best you can.

We've got really excellent management in our Medical Devices business and I think they've got excellent people, too.

So in spite of the fact that they disappointed investors I think the investors got to get over last year and look forward here because I don't think we bought some challenged property here.

Alere, yes, it has challenges.

They acknowledge they have got challenges, too.

And, frankly, they've had challenges for a number of years and the management team that's there right now has been there just a little more than two years.

They have dealt well with a lot of the challenges Alere has.

Now they clearly have more, and to be honest no matter what kind of teeth grinding and gnashing we go through with them here or they are going through, etc., one thing I'm certain of is that they are trying to do everything they can their way to address the challenges in the Company.

I don't think otherwise.

So whether it all works out the way originally planned or not don't know.

Can't predict.

As I've said many times we like the products and to us it's an opportunistic opportunity to expand our Diagnostics business.

Our Diagnostics business is one of the most consistent, top-performing businesses in our country and in its industry and they've proven they know how to manage cost.

They know how to manage product, they know how to manage the commercial operations.

They know how to grow, they know how to compete.

This business is one of our best, most reliable businesses in the Company and to expand that footprint with more products is just an opportunistic plus.

If for some reason it didn't work out we still have one of the top-performing companies in the industry but if we can add to it, well then even better.

So I think to address further investors having two deals in the hopper at the same time is a lot of moving parts for investors.

It leaves some things uncertain.

It leaves the issue, as you said, the equity issuance uncertain.

Obviously if for some reason both of these didn't happen there wouldn't be a need or a desire to do that because we're trying to balance our overall debt and equity balance sheet.

So we'll see, we just don't know at this point.

And I think there's other ways that we can consider addressing that issue around the equity issue.

In fact, I have had the feedback from investors that they are concerned, at least they don't like it because it's dilutive.

And I'm aware of that but I don't think we're anywhere close to where we have to make a decision on the equity issuance.

At this point we're planning for it but we're only going to do it if it's in our interest to do it, balance our balance sheet.

So full transparency, we're planning to do it but there's other ways it may well be addressed and we're nowhere close to a resolution of that.

I think that the uncertainty of that for investors just has them cautious, concerned and so on.

I think what I tell most people is look, by January this is all going to be pretty clear and it's going to be resolved one way or another.

And we'll know whether we are going to do something like that or not.

I think the same thing is true of we get asked a lot about the Mylan shares and what are we going to do and are they going to play a role and the answer is to be determined.

Unclear.

Right now my sense is if I don't have to sell those shares I'm not going to.

So I think that there's enough moving parts here.

I actually like the moving parts, even though investors want real clarity I don't want to make any of these decisions until I actually have to.

And there's probably a number of months that are going to go by before we have to.

And it's unfortunate, it leaves a little bit of uncertainty not only for Abbott's shareholders but for Mylan's, too, to some degree.

But if we don't have a need to sell those shares I don't intend to.

At least not anytime soon, let me put it that way.

So I think those are all moving parts.

I think there's some frustration out there.

I think people want to buy this stock, I think they want to be in the stock, I think they want the ride that we think we have ahead of us here for the coming years.

They just don't know whether there's going to be some surprise they can't anticipate.

And right now I think all the possible outcomes here are pretty evident.

And I don't see anything that's going to take us backwards, but I certainly see a lot of things that are going to take us forward.

And I'm pretty optimistic about it.

I just think that we and investors have to ride through about, call it, six months of less certainty on some of the choices here until it starts to resolve.

And that's not going to be next month, it's going to be a while.

That's great perspective.

One tiny quick follow-up.

Obviously FreeStyle Libre is off and running in Europe.

You said you are working to bring it to the US.

What's needed to make that happen, what's the kind of timing should we expect for FreeStyle Libre in the US?

Thanks so much.

Gosh, I'm not sure how specific to be about that.

We're going to submit as soon as possible.

And I would estimate it is approved in the US, is my estimate and my guesstimate, in the first quarter.

That's what I would guess.

And there's two stages to this: there's a Libre Pro and then a Libre Consumer.

So I think that our ambition would be to get this approved probably within the next six to eight months, something like that but we'll see.

There's a number of steps that are going to happen here in the interim.

In the meanwhile I think it's doing exceptionally well in its rollout in Europe.

We've had a really good reception from the states and countries with regard to reimbursement, which I think is unusual.

Thus far Libre's success has been driven by consumer pay and direct consumer pay.

And we are achieving our goals of getting key countries in key places to agree to reimburse the product which should, frankly, make a big difference in the performance in the market.

And it's already trending north at a pretty good clip.

So I'm pretty enthusiastic about Libre.

And, of course, when you got a product that's as good as that is and trending like it is you're in a big hurry to get it approved in the US yesterday.

So that's where we are.

Brian, do you want to add anything to that or Scott?

No, I think that was perfectly characterized.

Thanks.

Thank you.

Glenn Novarro, RBC Capital Markets.

Hi, good morning, guys.

My first question relates to St.

Jude.

They did report this morning, and I thought what was very important is the fact that all their new products and timelines were reaffirmed this morning, which really set St.

Jude up to rebound and have a strong 2017.

And Miles, you mentioned St.

Jude's internal forecast, we read it in the proxy 10% revenue growth for the next five years which is well above what the street is modeling.

I'm curious --

It's above what I modeled.

Okay, and it's above what I modeled.

What is in that forecast that gets them to that 10%?

I guess another way to say it is what are the upside surprises that could exist within the St.

Jude outlook portfolio over the next five years if you can maybe call some out to us?

And then putting the two companies together there could be sales dissynergies.

I think you are hoping for sales synergies.

How soon do you think you can achieve those sales synergies?

Thank you.

Okay, a couple of things.

First, before I phone a friend next to me here for some of the details underlying specific products, I would tell you that, first of all, if you've got a robust portfolio of new products coming that's always a good thing.

And we're naturally always optimistic about the uptake of products, the penetration of products, the introduction of products and so forth.

And it's always a constant balance of being sufficiently enthusiastic and pushing your organization hard enough on how you want to take those products to market.

And then there's always the speed bumps.

Something slows you down somewhere whether it's reimbursement or the timing of an approval or whatever.

And in all my years in the industry I have never seen on a particularly consistent basis any company, including my own, deliver its new products on time, on plan, on schedule without some kind of delay.

Even with Libre our ambitions, in terms of our own internal goals we're probably a couple months behind where we wanted to be, months, a couple of months.

And yet we have pretty stiff goal in our own minds about what we're trying to do here.

And if you look at the product its screaming north at a rocket-like pace, which is a good thing.

And all it takes is some minister somewhere to slow down his decision a few weeks and you're off by a couple weeks.

So when I look forward at St.

Jude and I look at the 10%, is it potentially possible?

Yes, it's potentially possible but it's a lot of green lights, it's a lot of green lights without any speed bumps.

And the reality of life is there's a lot of speed bumps.

So I would have judged it back a little bit in terms of just caution.

I think they're aspirational about the pace at which those new products come.

I don't think there's any disagreement on our part with them about how good the products are, how well received they'll be, what competitive response will be and so forth.

I also think they're going to benefit from some great market growth rate behind a lot of these products.

They don't have to go tear it way from somebody else in competition hand-to-hand combat.

The CRM business is hand-to-hand combat, but a lot of the other businesses here are, frankly, just plain innovative, new, and relying on growth and training physicians in usage and so forth.

So I think that while they would -- their estimates really were sort of in that 9% and up range.

I think we're just being naturally cautious at the unknown and I think analysts are too.

When we looked across a consensus of analysts for St.

Jude the consensus was around 4.5% to 5% growth going forward here for the next five years.

And what's ironic about that is I've spoken to a lot of these analysts because we know them covering us as well and they'll say, yes, I know that's what my model says but I'm just not sure they are really going to do that.

And that's because their growth rate was more flat over the last five years.

But the growth rate was flat over the last five years because they didn't have some of these products or a Thoratec or some of the other businesses they've got now.

And right now they've got a heck of a lot more in the pipeline and a heck of a lot more that they've added to the company since say three, four years ago.

So I don't think the last five years growth rates are relevant as a comparison.

I think what they've got and what they've done is and I think right now the growth rate is only suppressed because they've got difficulty with not having an MRI compatible claim on their CRM and CRT products.

You take that away and this business is already at analyst projections and analyst projections have been more robust than the past history.

So I think St.

Jude is one of those stories where once you disappoint some investors in a couple of quarters the investor doesn't believe the projection of the future as much as he believes the rearview mirror.

So I think they've got to put the points on the board and earn back a little credibility that what they've projected is actually going to happen and I think the sentiment will change on St.

Jude.

Now I'm not investing in sentiment, I'm investing in real products and real Company and real business.

And I think that what they're tracking at right now is giving the evidence that what they projected is valid.

These businesses if you look at all the segments of businesses they are really doing great.

The one soft spot in the Company is CRM and they do have to get better reimbursement status for CardioMEMS.

Okay, that's two things and they are all over that and we're comfortable with how they are all over that.

And the rest of the Company is doing gangbusters.

So I think they just got to show the evidence here over time.

Rick, I've already forgotten the second half of your question.

Well, it's Glenn, not Rick.

Sorry.

And second -- it's all right Miles -- and it's sales synergies.

So there's the potential for dissynergies but as I look at this deal both companies are very compatible and so there conceivably should be sales synergies.

So maybe comment on how soon that can happen.

Glenn, may I call you Bob?

Yes, sure.

I apologize.

It was such a windy answer, I lost track.

In any case, I think the synergies are going to be easy to get.

I think the commercial synergies and that, first of all, it depends on the integration of your sales forces, the integration of your sales management structures, your commercial management structures.

I think it depends on how we construct our whether it's integration or cooperation across boundaries with multiple businesses, that will -- and how customers embrace that, particularly in the US will determine how rapidly that goes.

Having said that, the companies have had some experience that way for some time already because we've had a joint marketing agreement with St.

Jude for a number of years between our stent business and their CRM business.

So we're already well familiar with each other.

Of course, the dynamics change when you are part of the same Company and that's a positive, it gets better.

So I think that the nature of the kind of commercial synergy we would look for in the broader portfolio of products that we offer, how we approach our accounts, how we can service our accounts, etc., I'd say that planning is well underway, if not starting to be in practice in a number of cases.

And between Mike Rousseau, the CEO of St.

Jude, and Robert Ford, our EVP, and that organization or these two organizations I think the two of them and their people have planned and cooperated exceptionally well going forward here.

So I think we hit the ground running as if the two companies have been together for a long time.

I don't really foresee a lot of hiccups or bumps here.

All right.

And since you called me by the wrong name, Miles, can I squeeze in one more question?

Sure.

Okay.

The Mylan stake, when you do sell the Mylan stake, the cash that you realize, will that be considered O-US trapped cash and if so how do you handle the tax liability if you bring it back indeed to pay for Alere or St.

Jude?

I remember a few years ago when Tom was CFO you brought back cash and the liability was called out as a one-timer.

Is that something you would consider doing?

Thanks.

No, I don't anticipate that.

Okay, but the cash would be considered international cash.

Is that correct if you do sell the stake?

Glenn, I would assume we can navigate this without the tax friction.

I think we've shown a propensity across the corporation through our buybacks and other means to access our cash in an efficient way.

And I think you can assume the same about this if, to Miles's point, if we're in a situation where we sell the stock.

Okay, thank you.

I don't think we're going to have that hiccup.

Operator, we'll take one more question.

Larry Biegelsen, Wells Fargo.

Hey guys, thanks for taking the question.

Just, Miles, on Libre a clarification question.

First-quarter 2017 is that the professional version or the consumer version?

As far as I know you haven't disclosed yet when you're filing the consumer version in the US.

And second, on the Dexcom panel tomorrow, what do you think the implications are for Libre?

And I did have a follow-up, thanks.

Hey, Larry, this is Scott.

I will just touch base on the professional version very quickly.

As you know, we filed for that device in the middle of last year.

We are working with the FDA on that and that is the approval we would expect in the next six to nine months on that particular point.

Obviously, as it relates to as you know the Dexcom panel tomorrow, we're really excited about the US market.

We think there's lots of opportunity there.

We think Libre is a unique technology.

It's a discussion we will be watching closely to see how the FDA is thinking about these novel technologies and how to apply them for diabetic patients' needs in today's market.

Thanks.

And then lastly, we saw J&J adopt ASU 2016-09 yesterday and had some implications for their tax rate.

What are the implications for you guys and when do you plan to adopt it?

Thanks for taking the questions.

So we don't need to adopt until 2017, Larry.

And we're still assessing what that means in terms of our ongoing earnings on a year-to-year basis because there's some moving parts there.

We're still assessing -- we won't adopt until we have to.

Thanks a lot, guys.

Thank you, operator and thank you for all of your questions.

That concludes Abbott's conference call.

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The audio replay will be available until 4 p.m.

Central Time on Wednesday August 3. Thank you for joining us today.

Ladies and gentlemen, thank you for participating in today's conference.

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Everyone have a wonderful day.