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Operator
Hello and welcome to BD's fourth fiscal quarter and full fiscal year 2016 earnings call. At the request of BD, today's call is being recorded. It will be available for replay through November 10, 2016, on the Investors page of the BD.com website or by phone at 800-585-8367 for domestic calls, and area code 404-537-3406 for international calls, using confirmation number 94169710. (Operator Instructions)
Beginning today's call is Ms. Monique Dolecki, Vice President of Investor Relations. Ms. Dolecki, you may begin.
Monique Dolecki - VP IR
Thank you, Kristi. Good morning, everyone, and thank you for joining us to review our fourth fiscal quarter results. As we referenced in our press release, we are presenting a set of slides to accompany our remarks on this call. The presentation is posted on the Investor Relations page of our website at BD.com.
During today's call, we will make forward-looking statements, and it is possible that actual results could differ from our expectations. Factors that could cause such differences appear in our fourth fiscal quarter press release and in the MD&A section of our recent SEC filings.
We will also discuss some non-GAAP financial measures with respect to our performance. A reconciliation to GAAP measures can be found in our press release and its related financial schedules and in the slides. A copy of the release, including the financial schedules, is posted on the BD.com website.
As a reminder, we annualized the acquisition of CareFusion in March, and as such our fourth-quarter results reflect the new BD in both the current and prior-year periods. In addition, comparable prior-year revenues are adjusted to exclude the sales related to the terminated agreement with CareFusion for the sale of F&P's respiratory care products. The impact to the bottom line is not material. Comparable organic revenues are adjusted to further exclude the impact of non-annualized acquisitions and closed divestitures.
The fiscal 2017 comparable revenue guidance provided today will exclude revenues of closed divestitures, most notably the Respiratory Solutions business that was divested in October of 2016 just after our fiscal year-end. In the fourth quarter, the Company recorded a noncash impairment charge for capitalized internally used IT software assets. This charge, along with the details of the purchase accounting and other smaller adjustments and the comparable basis revenue results can be found in the reconciliations to GAAP measures in the financial schedules in our press release or the appendix of the Investor Relations slides.
Leading the call this morning is Vince Forlenza, Chairman, Chief Executive Officer, and President. Also joining us are Chris Reidy, Chief Financial Officer and Chief Administrative Officer; Tom Polen, Executive Vice President and President of the Medical segment; and Alberto Mas, Executive Vice President and President of the Life Sciences segment. It is now my pleasure to turn the call over to Vince.
Vince Forlenza - Chairman, CEO, President
Thank you, Monique, and good morning, everyone. First, congratulations to the Cub fans out there, especially the BD associates in Chicago. In the words of Brian Weinstein: Go Cubs.
Moving on to my presentation, as we stated in our press release we are extremely proud of our accomplishments in our first full fiscal year as the new BD. As you already know, the acquisition of CareFusion 18 months ago significantly accelerated our strategy, and the powerful combination of BD and CareFusion continues to deliver positive results. We've seen significant benefits as a result of this transaction from a customer, employee, and shareholder standpoint, and we think there's more to come.
Turning to slide 4, I'd like to highlight some key achievements in fiscal-year 2016. First, our results reflect our consistent performance and the benefit of our diverse geographic and product portfolio. Legacy BD remains solid, and the CareFusion portfolio has performed in line with our expectations.
Second, emerging markets continue to be a key growth driver for the Company. We experienced some headwinds this year, particularly in the Middle East and Africa, but remain confident that emerging markets are well positioned for continued growth. We also continued to create new growth opportunities for CareFusion products in these markets and expand their global reach by leveraging BD's international infrastructure.
We're on track with our new product approval and submission plans and look forward to providing more color at our Analyst Meeting later this month. Developed markets continued to show stabilization, and growth has accelerated over the past year.
Third, we made key strategic decisions to optimize our portfolio. This included the divestitures of BD Rx and the spine business in conjunction with the joint venture for the Respiratory business which we just completed in October.
These actions further enabled the organization to prioritize and invest in the most important opportunities for future growth. We were deliberate in increasing our R&D investment in targeted high-growth areas and fully utilized the benefit of the medical device tax suspension.
Fourth, we remain focused on our operating effectiveness and efficiency initiatives, which have generated significant margin expansion. This year we drove approximately 200 basis points of underlying margin expansion, which includes approximately $120 million in cost synergies. We also delivered robust earnings growth of almost 30%, which is greater than our initial expectations.
Lastly, we closed our first full year as the new BD, having achieved all important milestones and also demonstrated that we are successfully executing on our acquisition of CareFusion. As we look forward, we continue to build on our solid foundation and look to fiscal year 2017 and beyond with confidence.
Moving to slide 5, you will see that guidance for fiscal-year 2017 on a currency-neutral basis. For the fiscal year 2017, we expect currency-neutral revenue growth of 4.5% to 5% based on our current view of the environment and various macroeconomic factors. There are a number of items that could bring us to the top or bottom end of that range, including: a stronger or weaker flu season than expected, the performance of new product launches, emerging market growth, and pricing.
On the bottom line, we will continue to deliver high-quality earnings growth. For fiscal-year 2017, we expect EPS of $9.45 to $9.55 -- or $9.62 to $9.72 currency neutral -- which reflects growth of 12% to 13%.
Now I'd like to turn the call over to Chris to will walk you through our financial performance in the fourth quarter and full year, along with the additional details about our fiscal-year 2017 guidance.
Chris Reidy - EVP, CFO, Chief Administrative Officer
Thanks, Vince, and good morning, everyone. Moving on to slide 7, I'd like to begin by discussing our fourth-quarter revenue and EPS results as well as the key financial highlights for the quarter and the total year.
Total fourth-quarter revenues of approximately $3.2 billion grew 6.4% on a comparable basis. Fully diluted adjusted EPS came in ahead of our expectations at $2.12, growing at 16.5% over the prior year. As Vince mentioned earlier we are very pleased with our solid finish to the year as the first full year as a combined entity with CareFusion.
For the total year, revenues grew 4.3%. We significantly expanded our margins and captured approximately $120 million in synergy cost savings. Adjusted EPS of $8.59 exceeded our expectations, driven by solid revenues, margin expansion, and an improved tax rate. In addition to the cost synergies, tax synergies have materialized sooner and have exceeded the benefits we anticipated in the early days of the transaction.
We are also pleased to announce that we have continued to delever, as we reduced the debt associated with the acquisition of CareFusion. We are currently at 3.3 times gross leverage and remain on track to achieve our commitment of 3 times gross leverage by March of 2017.
On slide 8 I'll review our revenue growth by segment on a currency-neutral basis. Fourth-quarter revenue growth was 6.4% for the total Company. In the quarter, pricing was about flat.
BD Medical fourth-quarter revenues increased 7.9%. Medication and Procedural Solutions growth was 6.6%, which reflects strength in Flush, ChloraPrep, and safety engineered products. Revenues in Medication Management Solutions, or MMS, grew 12.8%. This was driven by double-digit growth in both dispensing and infusion sales.
Respiratory Solutions revenues increased 12.7%, as expected. This reflects strong capital installations and a favorable comparison to the prior-year period.
Growth in Diabetes Care was 3.6%. This reflects solid growth in pen needles, which was partially offset by an unfavorable comparison to the prior-year period.
Pharmaceutical Systems growth of 5.1% reflects strength in our self-injection platform. For the total year, BD Medical grew 4.7%.
BD Life Sciences fourth-quarter revenues increased 2.7%, primarily driven by growth in Preanalytical Systems and Biosciences.
Diagnostic System revenues were about flat compared to the prior year. This reflects continued strength in core microbiology and BD MAX, which grew double digits in the quarter. This growth was offset by the timing of Kiestra installations outside the US, which I'll speak to in just a moment. For the total year we are extremely pleased with our microbiology business, with Kiestra growing at about 19%.
Preanalytical Systems growth of 4% was driven by safety engineered products and growth in the US and emerging markets.
BD Biosciences growth of 4% was driven by continued strong research instrument placements in the US and reagent sales. For the total year, Life Sciences grew 3.4%. The headwinds we experienced in Africa negatively impacted segment results by 60 basis points, bringing underlying growth to 4% for the total year.
Moving to slide 9, I'll walk you through our geographic revenues for the fourth quarter on a currency-neutral basis. US growth was very strong at 7.2%. This was comprised of BD Medical growing at 7.7% and BD Life Sciences growing at 5.8%.
BD Medical's performance reflects strong growth in capital placements and a wide range of infusion disposable products in our Medication and Procedural Solutions business. Growth was also driven by our Pharmaceutical Systems business.
BD Life Sciences growth reflects strong performance across the segment in the US. The growth in our Biosciences business was driven by high-parameter research instruments including FACSSymphony, our FACSCelesta mid-level analyzer, and the launch of the FACSMelody.
Our US Diagnostics business saw continued growth in microbiology, including Kiestra and the BD MAX molecular platform. The Preanalytical Systems business grew 5%, driven by safety engineered products.
Moving on to international, revenues grew 5.2%. This is below our normal growth rate which is primarily related to the Life Sciences segment. The Medical segment grew 8.2%, this was driven by strong performance from infusion disposable products in the MPS business and strong performance in China. Growth was also driven by Medication Management, reflecting double-digit growth in both dispensing and infusion.
Growth in the Life Sciences segment was about flat compared to the prior year. We experienced a decline in Diagnostic Systems due to the timing of Kiestra installations. Increased installations in the third fiscal quarter negatively impacted the fourth fiscal quarter in conjunction with a tough comparison to the prior-year fourth quarter.
Biosciences growth was slower in the quarter due to continued declines in Africa, as we anticipated. The Preanalytical Systems business grew 2.9%, driven by strength in China, which was partially offset by a tough comparison to the prior-year period.
On slide 10, developed markets grew a healthy 5.8%, bringing the total-year growth to 4.1%. Emerging market revenues 8.5%, currency neutral, bringing our year-to-date growth rate to 5.3%. China growth for the fourth quarter was 17.7%, bringing the total-year growth rate to 10.1%.
Growth in emerging markets this fiscal year was slower than initially expected in the Middle East and Africa, and we believe those challenges are largely behind us after we exit the first quarter of fiscal-year 2017. Emerging markets remain an important growth driver and, given our robust international footprint, we are well positioned to drive growth well into the future. Looking into fiscal-year 2017, we expect emerging markets to grow high single digits, driven by a diversified base, with China growing low double digits, continued strength in Latin America, and fewer headwinds in EMA and Africa.
In terms of developed markets, we believe the stability we have seen in the market over the past 12 to 18 months will continue, yielding a growth rate of about 4%.
Moving to global safety on slide 11, currency-neutral sales increased 5.9% and grew to $783 million in the quarter. Safety revenues in the US grew 5.7%. This reflects continued strength of safety catheters as well as a benefit from the timing of orders across our hypodermic products.
International sales grew 6.2%, currency neutral. International performance in the Medical segment was driven by continued strength in China, and safety revenues grew 13.8% in emerging markets. Medical safety sales grew 7%, driven by infusion disposables, catheters, and a range of safety engineered products. Life Sciences safety sales, which were driven by our Preanalytical Systems unit, grew 4% in the quarter.
Slide 12 recaps the fourth-quarter income statement and highlights our currency-neutral results. Revenues grew a strong 6.4% in the quarter. Gross profit was strong, growing faster than revenues at 7.9%; and I'll provide more details on gross profit in just a moment.
SSG&A as a percentage of revenue was 24.4%. We are very pleased with the leverage we're getting, which is masked in this quarter by key strategic investments and product launches in both segments.
R&D as a percentage of revenues was 7.8%, which is higher than normal due to the timing of spend, as anticipated. As a result of the medical device tax suspension, we were able to make additional investments in a number of high-growth areas. After normalizing for the significant additional investment in R&D, underlying operating income would have grown about 10% in the quarter.
Our tax rate declined to 16.2% in the quarter due to the reinstatement of the R&D tax credit, tax synergies materializing earlier than expected, and continued favorable geographic mix. In the quarter, adjusted earnings per share were $2.12, which is a 16.5% increase versus the prior year.
Turning to slide 13 and our gross profit and operating margins for the fourth quarter, on a performance basis gross profit margin improved by 90 basis points, driven by continuous improvement initiatives. This was more than offset by significant currency headwinds of 110 basis points.
On an operating margin basis, we're extremely pleased to have delivered about 100 basis points of underlying margin expansion. As I mentioned on the previous slide, the leverage we are getting in SSG&A as we continue to drive cost synergies is being masked in the quarter by investments in key product launches. In addition, margin expansion was partially offset by significant R&D investments, as expected, and unfavorable currency.
I'd like to take a moment on slide 14 to highlight some of our key operational achievements for fiscal-year 2016. The acquisition of CareFusion provided BD a unique opportunity to leverage the transaction to optimize the combined organization through functional transformations, and we have made significant progress in this area.
All of our efforts have yielded results, and we are on track to deliver continued synergies. In aggregate, we have achieved over $170 million in total cost synergies to date.
We have also driven significant margin expansion on a multiyear trajectory. Starting with fiscal year 2015, we delivered 100 basis points of operating margin expansion; this year we achieved another 200 basis points; and we believe we are well positioned to deliver another 175 to 225 basis points in fiscal-year 2017.
Over those three years we will have driven over 500 basis points of cumulative margin expansion, and I believe that we continue to drive robust performance with additional synergies in conjunction with continuous improvement going forward. We're extremely proud of the organization's ability to continue improving on our skills and expertise by executing against our synergy commitment initiatives through these transformations.
Moving on to slide 15, I'd like to highlight our robust EPS growth, which exceeded our expectations this year. Starting with 2015 EPS of $7.16, we had communicated last November that we would grow EPS 22% to 23% on a currency-neutral basis. Beyond our initial expectations, we delivered an incremental 400 basis points for margin improvement.
We also realized incremental benefits from our tax rate improvement, which yielded 300 basis points, bringing EPS to $9.24. Unfavorable currency headwinds impacted earnings per share by 900 basis points. Despite that significant headwind, we were still able to deliver $8.59 of earnings. On a currency-neutral basis, earnings grew 29.1%, which we believe demonstrates our ability to deliver on our commitment.
Moving on to slide 17, there are a number of factors to consider when discussing our earnings per share in fiscal-year 2017. For modeling purposes, and to ensure consistency, I'd like to provide more color on our EPS guidance.
First, as I mentioned, we are extremely pleased with strong EPS growth this year. Looking forward, we expect currency-neutral EPS to grow between 12% and 13%. This is partially muted by the impact of the Respiratory JV as we've previously communicated. Pension also presents a headwind next year of approximately 100 basis points.
Contributing to EPS growth is approximately 200 basis points from the adoption of a new accounting standard related to the tax accounting on our stock compensation programs. In addition, we estimate that currency will once again present a headwind. Our guidance assumes a euro-to-dollar exchange rate of $1.10. On an adjusted basis, we expect to achieve very strong earnings of $9.45 to $9.55.
Turning to slide 18 I'd like to walk you through the balance of our guidance expectations for the full fiscal-year 2017. As Vince mentioned earlier in the presentation, we expect revenue growth of 4.5% to 5%, with BD Medical growing 4.5% to 5%, and Life Sciences growing between 4% to 5%. Growth in both segments contemplates a small amount of pricing pressure.
From a phasing perspective, we expect currency-neutral revenue growth in the first quarter to be below this range. This is primarily due to some lingering softness in the EMA region and the timing of tenders in our Biosciences business. This will result in a currency-neutral revenue growth of about 4% in the first fiscal quarter.
We expect revenue growth to return back to our guidance range in the second fiscal quarter, with continued acceleration over the back half of the year. We expect gross profit margin to be between 53% and 54%, which is a significant milestone for BD. SSG&A as a percentage of sales is expected to be between 23.5% and 24%.
Our guidance also reflects continued investments in emerging markets as well as costs related to new product launches and registration cost. We expect our R&D investments to be in line with fiscal-year 2016 at about 6% to 6.5% of revenues, as we continue to invest in new products and platforms.
As a result of the items I just detailed, operating margin is expected to be between 23% and 24% of revenues, up from 20.8% this year. Excluding the unfavorable impact of foreign currency, we expect our underlying operating margin to improve by 175 to 225 basis points. This also excludes slight pension headwinds.
We expect our tax rate to be between 17% and 19%, driven by tax synergies, favorable geographic mix, and a benefit from accounting change in our stock compensation program. For fiscal year 2017 we anticipate our average fully diluted share count to be approximately 219 million.
Cash flow is expected to remain strong, with operating cash flow of about $2.7 billion in fiscal-year 2017. Capital expenditures are expected to be about $700 million. In summary, we have good momentum exiting this fiscal year and, looking forward into 2017, we are building off a solid foundation.
I'm confident that fiscal-year 2017 will be another strong year of performance, positioning us well for continued success. Now I'd like to turn the call back over to Vince, who will provide you with our concluding remarks.
Vince Forlenza - Chairman, CEO, President
Thank you, Chris. Moving on to slide 20, we are pleased with the progress we continue to make on our pipeline and believe we have the most robust pipeline in the Company's history. We have recently obtained a number of approvals; I'll touch on just a few.
On the Medical side of the business, we are pleased that our partner Fresenius received their first FDA approval for IV solution products. Additional approvals are expected, and we are on track to start shipping these products late in the first half of the year.
Last quarter we received our first orders for FlowSmart, our new insulin infusion set, where Medtronic serves as our distribution partner. Early patient feedback has been extremely positive.
On the Life Sciences side of the business, we are pleased that the FDA has approved the BD MAX vaginal panel and also the GC/CT/TV assay. We launched our new Phoenix ID/AST instrument; we launched the FACSMelody and received approval for Barricor in the US.
We plan to share more about our pipeline on November 17 at our upcoming Analyst Day. Also on Analyst Day we will discuss the Company's strategy and vision for the future, and how we are helping to address healthcare's most pressing challenges. The segment leaders will do a deep dive into our business units, which will include some key product launches that we will be unveiling for the first time.
We will conclude the day with a financial framework that will outline our plans for sustainable revenue growth, continued margin expansion, strong cash flow generation, and capital deployment and ultimately demonstrate how all of those things will drive long-term value, not only for our customers and patients they serve, but also for our employees and our shareholders.
Moving on to slide 21 I would like to reiterate the key messages from our presentation today. First, we're extremely pleased with our first fiscal year as the new BD. We believe that we have demonstrated that we can successfully execute on the integration of the largest transaction in the Company's history.
Second, the diversity of our portfolio from a product and geographic perspective provides consistent and reliable earnings growth. Third, we continue to invest in key strategic areas and at the same time deliver significant margin expansion and double-digit earnings growth.
We're looking forward to sharing more details about our pipeline at our Analyst Day in two weeks. We believe we have the most robust pipeline in the Company's history, and we look to fiscal-year 2017 and beyond with confidence.
Finally, I would like to say thank you to all of our associates around the world for our successful first full fiscal year as a combined Company with CareFusion. It's a testament to the hard work of all of our employees that we delivered on our commitments. I believe we have a tremendous opportunity to create a true industry leader as we continue to advance the world of health.
So with that, thank you. We will now open the call to questions.
Operator
(Operator Instructions) Mike Weinstein, JPMorgan.
Mike Weinstein - Analyst
Good morning, guys, and thanks for taking the questions. So, as a starting point, Vince, I'd love to hear your thoughts just as you look to FY17 about some of your end markets. Some of the businesses as I look over the fourth quarter and the full-year 2016 do look a little bit better; some businesses were a bit more challenged.
So maybe just focusing a bit on the more challenged businesses first, can you just talk a little bit about some of the headwinds you saw, particularly internationally in the Life Sciences business this quarter, this year, and how you think about some of those end markets in FY17? And then if you think about that in aggregate, that 4.5% to 5% revenue growth target for FY17, what gets you to the higher end of that range? Thanks.
Vince Forlenza - Chairman, CEO, President
Yes, Mike, sure. Happy to do that. You know, I feel good about the 4.5% to 5%, and let me walk through the markets. And I'll hit the Biosciences issue which you brought up, which was really the real drag, along with, quite frankly, the flu early on in the year.
From a market perspective -- let me just start with the developed markets. The developed markets certainly have stabilized, and you've seen that -- our growth rate going up in the developed markets, in the US. The US was very strong, by the way, including Biosciences. Europe was good. Japan was good. So we feel good about our position in developed markets and the product pipeline we have for those marketplaces.
If I come to the emerging markets, the issue really this year was, number one, Saudi Arabia, where we saw the government do a 35% cut of all types of expenses, not just healthcare, and that will annualize during the year. We already saw stabilization in Saudi Arabia.
In terms of Africa, Africa was basically CD4 testing. And CD4 testing was driven by, one, some conversion to viral load; and two, actually confusion over a change in the purchasing organization for CD4 and viral load. We think we have one more quarter of that; we did start to see some CD4 orders come in the fourth quarter and a little bit of a rebound. But we know we have that in the first quarter, and then that annualizes and improves.
Coming back to opportunities, China -- you saw the strong growth in China in the fourth quarter. If you actually go back and look at China, after the first quarter, where we had some inventory takedown, China was strong for the other three quarters. We expect that to continue.
It was especially strong this year on the Medical side of the business. And we think we are well positioned with the work that Tom and the regulatory team have been doing with the CareFusion product lines there. As I've mentioned on previous calls, we've started with some of those product lines -- the simpler disposables -- and I'm sure Tom will talk more about that later on in the call.
If there was any softness in China this year from a true demand standpoint, it was on the Life Sciences side and it was related to those anticorruption campaigns. What we saw was stabilization starting in the third quarter and continuing into the fourth quarter.
And Alberto can mention to you, he's starting to get ramped up. The Bruker deal in China as well, which was a whole new thing for us, we had to learn how to do that and work our way through some issues.
So we feel good about China. The rest of Asia has been good.
Latin America has performed well this year in, spite of all those issues in Brazil. It's been the rest of the geography that has done fine.
Coming back to the 4.5% to 5%, then the other element that you have to think about is two other things. One is, we will not have Respiratory anymore; and that has been a bit of a headwind for the Company. And then we think in the back half of the year you'll start to see more traction with our product launches. Things like Barricor, they have to do the validation first, so that takes a little while to get going. Customer feedback has been excellent.
Alberto can talk about the product launches that you heard for BD MAX. Those are really critical assays to that program, we're excited about them.
So there's a whole list of these things and we'll show you more about that as we do the Analyst Day. So that's the way we're thinking about it.
Chris Reidy - EVP, CFO, Chief Administrative Officer
One way to sum that up -- this is Chris -- is that if you back out the light flu season and the headwinds from Africa and Saudi, the rest of the business was at the high end of the 4.5% to 5% this year alone. We see those headwinds abating after the first quarter, because they really came up in the second quarter -- second, third, and fourth of this year.
So we still have a little bit of a tough compare in the first quarter that we talked about, particularly in Saudi and Africa. But once we get through that, with the new product launches that we're seeing, the strength of the rest of the business, we feel real good about our prospects for 2017.
Vince Forlenza - Chairman, CEO, President
So what takes you to the top end of the range? Obviously, if those product launches, we get faster traction on them, number one.
Two, with flu -- flu was very mild last year. It's hard to believe that it would be milder, so if we got a strong flu season that would take us up, too. Those are probably the two factors that I see. So thanks, Mike, for the question.
Operator
David Lewis, Morgan Stanley.
David Lewis - Analyst
Good morning. Two quick questions; I'll just throw them both at you here and jump back in queue. I guess first off, hats off to Antoinette and the tax team, reaching your target here at least two years earlier from our model.
So Chris, is this a structural new low? Can you do better?
And obviously you're reinvesting these savings both in the fourth quarter and next year. Can you give us a sense of where the 2017 reinvestment is going? And can you do better than these levels long-term?
Then for Vince or Tom, OUS Pyxis and Alaris very strong in this particular quarter. Can you talk about the drivers and update us on how those numbers relate to progress on the CareFusion cross-sell? Thanks so much.
Chris Reidy - EVP, CFO, Chief Administrative Officer
Sure, David. Thanks for the question and thanks for the call-out to Antoinette and team. We've been talking about taking the tax rate down to the high teens for some time now, and we've been making great progress against that.
As we mentioned on the last call, the tax synergies coming from CareFusion happened faster and greater than we ever expected, and so we're seeing the benefit of that. So as we look out into next year we see that bringing us to the high teens.
Then we've got the benefit of the stock comp accounting adjustment. That brings us down to the 17% to 19% range.
So this move down is part of the march down in the tax rate that we have been seeing, coupled with the benefits that we're getting from the synergies from CareFusion. So we really feel good about that.
We've also closed out a lot of tax exams in multiple jurisdictions. We're part of the IRS's CAP program, so they're auditing us on a real-time basis, so the sustainability of this tax rate is extremely strong and we feel real good about it.
Vince Forlenza - Chairman, CEO, President
Okay. Thanks, Chris. Tom, you want to pick up on the second part?
Tom Polen - EVP, President Medical
Hi, David. As you mentioned, MMS had a very strong quarter at a little under 13% growth in the quarter, about 7% growth for the full year. Maybe just to touch base on the two areas that you mentioned, Pyxis and Alaris, certainly Pyxis ES continues to go very well.
We had talked earlier in the year about some of the process improvements we had made to accelerate the installation process. I think you are seeing the results of that work come to fruition now with faster installations, getting those systems in.
We now have over 1,100 sites live on ES, or about a third of our install base is now upgraded to the ES platform. The receptivity is very solid and we expect strong demand on that going forward.
Alaris, we continued to gain about 2 to 3 points of category share this past year in FY16, and we're looking at a similar progress outlook for FY17 as well. So we certainly do have organizations that are cross-selling those as an integrated offering.
You'll see at Analyst Day us talk about some new informatic capabilities and other new products coming out that will further strengthen the integration and the value that we can deliver to customers who are using that complete end-to-end offering. So we'll look forward to talking to you about that very shortly.
Vince Forlenza - Chairman, CEO, President
Thanks, Tom.
Operator
Kristen Stewart, Deutsche Bank.
Kristen Stewart - Analyst
Hi, good morning; thanks for taking the question. I was just wondering as you're approaching your, I guess, targeted debt levels, how you guys are thinking about M&A beyond that? Are you guys looking at doing some strategic tuck-ins? Or just given the success that you have had with CareFusion, whether or not you'd be willing to do another larger deal, or would it be back to doing just more share repurchase activity?
Vince Forlenza - Chairman, CEO, President
Kristen, thanks for the question. When we think about M&A, we are strategy driven and shareholder value driven. So the size of the transaction actually follows from the strategy.
As Chris mentioned, we're about 3.3 right now. By the time we get to March we're pretty sure that we're going to be meeting our requirements to the rating agencies.
What I would say is that gives us more flexibility around those strategic imperatives. So we believe we now have the capability to do large and, of course, continue to have that capability to do tuck-ins, and a little bit more flexibility to do the tuck-ins in the short run than we've had over the last two years.
So, I'm not sitting here saying we're going back to do a large one. We will be strategy driven around this, with increased flexibility and capability that we have built over the last couple years. Chris, you want to talk about share buybacks?
Chris Reidy - EVP, CFO, Chief Administrative Officer
Yes, sure. What I would say, though, is in addition to that, the continued strong cash flow is terrific. So we have a lot of flexibility; and as Vince mentioned, the balance sheet will be very strong. It is strong now at the 3.3, but when we get to 3 times leverage we get a lot of increased flexibility.
So as we think about the use of that cash flow, we'll probably do something on the dividend rate. You know that the payout ratio has come down a little bit; we increased 10% a year for the last couple years. The good news is our EPS was going up over 20%. So the payout ratio has come down a little bit, and we'll have to address that going forward.
I think CapEx, as you think about it will be in the $700 million range. That's pretty consistent with where it has been. So that leaves a lot of cash left over. We'll allocate some of that for tuck-in acquisitions, and that will still leave a lot of cash left over. And we're not going to let that cash build up on the balance sheet, so we'll return to doing some share buybacks.
You'll hear more about that at Analyst Day. And certainly as we approach the March period of getting to the 3 times leverage we'll be giving a little bit more specificity on where we're going. But the good news is really strong cash flow and a really solid balance sheet with a lot of flexibility.
Kristen Stewart - Analyst
Okay, great. Then just one other question. You had mentioned building in a little bit more pricing pressure into the forecast. Can you maybe comment on where you're seeing a little bit more pricing pressure or expecting that to occur?
Vince Forlenza - Chairman, CEO, President
We haven't really seen the environment change all that much. We know that there is going to be pricing pressure. We've talked a lot about it being in Europe. And of course over the last few years, we continue to see consolidation in the US marketplace.
So I think we're being prudent in terms of how we're thinking about this and we'll continue to work as we have in the past to offset it.
Chris Reidy - EVP, CFO, Chief Administrative Officer
And it's already built into the range of guidance that we are giving. So it's kind of the -- part of the range is the pricing.
Kristen Stewart - Analyst
Okay. Thanks very much, guys.
Operator
Rick Wise, Stifel.
Rick Wise - Analyst
Good morning, Vince; hi, Chris. Maybe I'll start off with the gross margin. Chris, you emphasized -- underscored the excellent gross margins and hitting significant milestones. I'd just be curious to hear your thoughts on your aspirational goals from here over the next two to four, three to five years.
And maybe talk about the drivers: volume, cost, mix? I mean, what gets us to those higher levels I have no doubt you aspire to?
Chris Reidy - EVP, CFO, Chief Administrative Officer
Sure. Thank you, Rick. We are really pleased with what we've seen this year. The FXN growth rate was 140 basis points. That's a little bit of synergy from CareFusion, but more it's just a continuous improvement that we've demonstrated that we can execute on within our operations group over the last few years.
And as we look forward, the guidance that we gave of 53% to 54% -- and that would be inclusive of FX headwinds and pricing headwinds, etc. -- is extremely strong. It's a significant milestone for us to hit that 53% to 54%.
We do see a little bit of more synergies coming, because as we execute on the synergies that affect gross profit and the cost of goods sold -- which we said would come towards the latter end of our synergies, and that is the way that's playing out. But again, continued -- continuous improvement in that area. So feel really good about the gross profit margin.
Also, that flows down to the operating margin. So as we mentioned, this year 200 basis points; last year 100 basis points; next year in that 200 basis points kind of range; 500 basis points in total, again driven both from execution of the synergies as well as continuous improvement initiatives. So feel real good about that.
And as we look forward even past next year, 2018 will have continued cost synergies and you'll see some benefits from that. So all in all, really strong margin improvement and we feel real good about it.
Operator
Larry Keusch, Raymond James.
Larry Keusch - Analyst
Thanks. Good morning, everyone. I was just wondering if we could go back and expand a little bit on -- I know Tom talked a little bit about Alaris. But I was wondering if you could weave in some thoughts around the Fresenius IV solution that was approved; a little bit about what you do anticipate launching with towards the end of the first half; and what drives that share gain for the year that you're suggesting of 200 to 300 basis points?
Tom Polen - EVP, President Medical
Sure. Hey, Larry; this is Tom. That share gain that we saw this year is actually relatively consistent with the share trajectory that we've seen over the last, let's call it four to five years within the Alaris platform.
I think what customers certainly value in the platform around the Power of One, the ability to do not just large volume but also syringe-based and narcotic infusions off the same platform, as well as its leading interoperability position with electronic medical records are some of the key reasons why people have been choosing it at a higher rate and continue to do so going forward. Again, we do have some new technologies being added to the platform which we'll share also at the upcoming Analyst Meeting.
So we're very positive on the outlook there. As we think about IV solutions and we've mentioned before, you're going to see, I would expect, a rolling series of approvals on that platform.
This is the first -- of course there's a number of different formulations of IV solutions as well as bag sizes, when you think about building out a portfolio that customers really need to run their institutions. So what you just saw get approved was the first in a series of products. We would expect additional products to be coming out over the months ahead.
And that leads us up to where we'll have an early critical mass of a portfolio for a launch at the end of the first half of the year. Thank you.
Operator
Vijay Kumar, Evercore ISI.
Vijay Kumar - Analyst
Hey, morning, guys. It looks like the numbers were actually a lot better than what it seemed like at first blush. Just maybe a couple of questions on the guidance, Chris or Vince. What does the guidance assume from a pricing assumption for next year?
And can you just talk about the quarterly cadence, Chris? Because obviously this year was back-half loaded on the revenue front; and given the flat share count and your comments on free cash generation, it looks like maybe there's some upside from cap deployment potentially. Thanks.
Vince Forlenza - Chairman, CEO, President
Yes, pricing is just slightly negative in the plan. And as Chris said, it's already in the guidance.
Chris Reidy - EVP, CFO, Chief Administrative Officer
Yes, which is no different than the beginning of just about any year. You've got to look at that. The pricing environment, as Vince said, hasn't really changed.
So then I think the next part of your question came to the phasing of the revenue going forward. As we said, we do see some headwinds continuing as we annualize the headwinds from Saudi and Africa. That will bring us down in the area of about 4% in the first quarter, plus or minus 20 basis points, particularly as that's a high quarter for the flu, so it could go one way or the other on us.
But then the ramp in the second quarter brings us back well within the range, the high end of the range. And the ramping of new products we see in the second half of the year brings us back to a strong 4.5% to 5% range. So that feels real good.
In terms of capital deployment, the share buybacks: we are committed to not buy back any shares other than what we've already done for Respiratory, which we've talked about. But we're not looking to do anything until we get to the 3 times leverage. We want to hit that commitment that we had, and that brings us through March, so halfway through the year.
Then from that point on, you're right, there could be some. But you don't get the full-year of impact of that at that point, so more to come on that. But there is some potential as we buy back shares to have a little bit of impact on 2017; but probably more likely the impact would be on 2018.
Operator
Brian Weinstein, William Blair.
Brian Weinstein - Analyst
Hey, guys; thanks for taking the question. You'll obviously excuse the crackly voice this morning. It was a late night for us in Chicago -- and a good one, a very good one.
Vince Forlenza - Chairman, CEO, President
I can imagine that. Congratulations.
Brian Weinstein - Analyst
Thank you. We wanted to ask about US headwinds that we've heard about from others, specifically flu year-over-year was a tough comp for a lot of people. Utilization seems to be a little weaker. We're hearing about things taking longer to get through committees on capital projects and workdown of inventory at distributors.
So how do you guys think about those? And how do you think about the US market going forward? What are the positive offsets that you're seeing to those? And are you guys seeing any of those same headwinds that I described? Thanks.
Vince Forlenza - Chairman, CEO, President
Well, we're generally not procedural driven. An Alaris conversion to make the hospitals safer and more effective, they are not being driven by this on-the-margin procedures. In fact, Tom was talking about interoperability before.
And just to give you an example, Brian, we were at one account and we're saving 5 million keystrokes a year. It's the kind of thing that you want to do in this environment, and it was a very intentional part of our strategy. So what I would say is generally across the board we're seeing pretty good stability and some increase.
We're just getting started with Kiestra, for example, in the US, which is a major cost saving whether it's in the hospital market or in the clinical lab market. So we don't have a lot of exposure to the kind of headwinds that you were mentioning.
Chris Reidy - EVP, CFO, Chief Administrative Officer
I think what demonstrates that, Brian, is the 7.2% growth we saw in the US across the Company, which was strong in both segments: 7.7% in Medical and 5.8% in Life Sciences. I'd also point to Biosciences growing in the US around 8% for the quarter and for the year. A lot of that was new product introductions, the Symphony, Celesta, the new Melody introduction, whatever, so the US is feeling particularly strong for our business.
Operator
Jon Groberg, UBS.
Jon Groberg - Analyst
Hey; thanks a million. So, Vince, it's the first Analyst Day coming up in November here since 2011. And I know you don't want to give away all the details, but just big-picture maybe you can help us understand what you hope people take away from the meeting.
Vince Forlenza - Chairman, CEO, President
Yes. I hope that they take away a true understanding of when we are talking about this move to complete solutions for the customer based on anchor products, and then value-added services, all the way to complete solutions, what that means from a portfolio standpoint. When I'm saying that we have the most robust pipeline in the history of the Company, I want you to understand what that all means. And we will lay that out for you in a lot of detail.
So, that's number one on the list: that you understand why we have that confidence going forward. And I think it's going to be fun, quite frankly. It was fun doing this five years ago, so I'm looking forward to it. And now we're going to take that and Chris is going to give you a financial model of how this all holds together.
Lastly, we're going to talk about the capabilities that it's going to require to do all this. We're going to show you how we built the capabilities foundationally over the last five years, and then how we build upon them. Tom mentioned informatics, for example. But we'll also get into how we approach emerging markets, what's different about our strategy, and why we see that continuing to work -- and some of the other capabilities that we will be bringing to bear, which all is an extension of the work we've done over the five years. So that's the kind of day, and we look forward to seeing you there, Jon.
Jon Groberg - Analyst
Great. Look forward to it. Thanks.
Operator
Bill Quirk, Piper Jaffray.
Bill Quirk - Analyst
Great; thanks. Good morning, everybody. A couple of questions here. First off, international safety. Vince, you mentioned China in particular is a standout. Just remind us where we are on the ongoing European conversion.
And then secondly, the Life Sciences business at least relative to Medical has been a little less predictable. We certainly appreciate all the new product launches, both in launch as well as in near-term development.
Do you think this can improve the predictability of the business? Or do you think we may have to look at some tuck-in deals to improve the consistency? Thanks.
Vince Forlenza - Chairman, CEO, President
Well, let me just take Life Sciences first. The lumpiness that we've seen on Life Sciences, there's two elements.
One is just Kiestra, which is a positive thing. These are big installations; they are $2 million. So you are seeing some quarterly jump-arounds as customers are ready for us to install. Because there are some major changes that they have to make to the laboratory, number one.
Number two, we've had this issue with Africa, and that's been a bit of a problem. We think that's going to annualize.
Are we interested in tuck-in acquisitions there? Absolutely, as we are on the Medical side.
I'm just going to ask Alberto to comment on Kiestra and what you are seeing from a pipeline standpoint and how you see the US market evolving. Because we just got started there.
Alberto Mas - EVP, President Life Sciences
Yes, good morning. Where we're seeing the most growth and positive growth is in the US market. Traditionally this has been an acquisition that was based in Europe and the market was most developed there; but we're beginning to see some significant traction here in the US. In fact, the sales this last year doubled versus the previous one, admittedly on a small base, but we're seeing a lot of positive momentum, especially as we build the platform.
And you'll hear the capabilities of the platform that you'll hear about in the Analyst Day. So we will continue to build on those capabilities, and that gets the customers very excited about the future of the platform, not only the pricing of the platform.
Vince Forlenza - Chairman, CEO, President
Great. So the second part of the question was on: Where are we in Europe from a safety conversion standpoint? If I remember right, Tom Polen gave you a baseball analogy last quarter. So what inning are we in, Tom?
Tom Polen - EVP, President Medical
Hey, Bill; Tom. We're in the middle innings when it comes to EU safety -- and maybe it will be in overtime as well, like there was last night. But overall we see safety continuing to perform well in Europe.
Compliance with the regulation certainly is fueling that. We see implementation strongest in the conventional hospital settings; a little weaker in the alternate settings. That's true in most markets where individual doctor compliance may be less than a large governed hospital setting.
Strongest conversion rates we see in infusion therapy and blood collection; a little bit lagging in injection. That's also the exact same trend that we saw in the US. So still good growth prospects there and we're in the middle innings.
You also mentioned China. Overall in emerging markets, we see safety in the very early innings, at less than 15% conversion. So still quite a ways to go.
Operator
Derik de Bruin, Bank of America.
Derik de Bruin - Analyst
Hi; good morning. A lot of the questions have been answered, but I just wanted a little more color on your emerging market expectations. There was a number of reductions in terms of the outlook and the growth over the year -- or during 2016. I realize a lot of that was due to the Africa and the Middle East situation.
But I just -- what gives you confidence that that's going to reaccelerate this year, other than tougher comps -- or easier comps? What are you seeing right now that gives you confidence that that's going -- you're not going to have to face another slower year?
Vince Forlenza - Chairman, CEO, President
I think you have to start with Saudi Arabia, which was a major impact to our emerging market growth this year. As I said, government policy was: Cut all expenses by 35%.
Now, if you're going to run your healthcare system you can't just stop buying product, number one. So our expectation was they were running down their inventories, and then they would start to buy.
What we've seen in this quarter was stabilization there. It didn't come all the way back to positive growth, but it was significant improvement. So that gives us a sense that our hypothesis in this case is right, number one.
Number two, it's really Africa and the annualization of Africa. It was still negative, but we started to see -- and Alberto could give you more detail -- some CD4 orders starting to come in, which we did not see.
And then we saw good performance across Asia, as I was mentioning before. I expect that to keep happening. I expect Latin America, that Brazil is going to remain status quo, and we're going to continue to see strong growth in the other marketplaces. But Alberto, any other comments on CD4?
Alberto Mas - EVP, President Life Sciences
Yes, I just want to go back to a comment that you said before in terms of the change in the supply chain that created a little bit of instability in the ordering process and the delivery. That created a little bit more variance than we had anticipated.
Vince Forlenza - Chairman, CEO, President
Yes, where people didn't know how to order, yes. And that's behind them. And Chris?
Chris Reidy - EVP, CFO, Chief Administrative Officer
I think the other point is that China, we saw a little bit of inventory adjustments in the first quarter of last year. But since then, as Vince mentioned earlier, it's been growing very nicely; and you see the fourth quarter grew extremely nicely -- a little bit of an easier compare there, but still very strong.
Vince and I and Tom just got back from China. I can tell you that there's a lot of enthusiasm for some of the newer products that we're bringing in. So we see a lot of good stability. And as we mentioned, we're looking at low double digits on China in the next year.
Vince Forlenza - Chairman, CEO, President
Then the last piece is that we do expect to start getting some traction with the CareFusion products, and that's 10s of basis points for the Corporation, but it's more than that, obviously, from emerging markets.
Operator
Doug Schenkel, Cowen and Company.
Doug Schenkel - Analyst
Hi, good morning; just a couple topics. First, could you provide a bridge for 2017 operating margin guidance? I guess I'm just trying to get at how much of this is synergies, removal of Respiratory, mix, etc.
Then second, on the topic of new products, what was new product contribution to 2016 revenue growth? And looking ahead to 2017, it seems like new product contribution to organic growth should account for a bigger part of overall growth as you accelerate revenue synergies and some important launches, such as the infusion sets. Could you comment on that? Thank you.
Chris Reidy - EVP, CFO, Chief Administrative Officer
This is Chris on the first part of that question. As we look at the margin next year, the roughly 200 basis points of operating margin, about 50 basis points of that from the normal continuous improvement kind of stuff; another 50 basis points coming from cost synergies; and about 100 basis points coming from the Respiratory JV coming off our income statement, so we get a benefit there.
On the gross profit, it's roughly the same kind of area. There's a benefit from Respiratory. About half of it coming from Respiratory, about half of it coming from CI and synergy.
Vince Forlenza - Chairman, CEO, President
In terms of new products, the growth that you are seeing in Biosciences is really driven by the new product instrumentation. So I can point you directly to that.
But in terms of the other major new product launches that we are talking about, they really haven't gotten traction yet. Barricor, people are just starting to validate Barricor. The approvals on BD MAX we just got in the last month or so, so they really haven't hit. Then you're talking about 10s of basis points in terms of the CareFusion products in the emerging markets at this point in time.
We haven't done the work -- we haven't completed the work, let me say it that way, in terms of trying to get a really good analysis around breaking out new product from the entire Company as we're going through the CareFusion integration. We haven't counted the geographic extension of those products as new products. But we're working our way through that, and you'll have a better sense after the Analyst Day of how this is coming together.
Operator
Matt Taylor, Barclays.
Matt Taylor - Analyst
Hi, thanks for taking the question. I was wondering if you could comment, given that you do have some bigger product cycles here coming up in the fiscal year and one of the more robust pipelines at the Company, could you comment on some of the bigger opportunities -- like fluids, diabetes, and some of the diagnostic launches -- in terms of how we should expect the revenue contributions from those to flow? Help us size them, and just give us some thoughts on timing.
Vince Forlenza - Chairman, CEO, President
I'll ask Tom to start with talking about diabetes and FlowSmart. Okay?
Tom Polen - EVP, President Medical
Hi, Matt; this is Tom. Certainly we're excited about the upcoming launch or the recent launch of the infusion set. In September we did make our first shipments to Medtronic on the MiniMed Pro-set with our FlowSmart technology. Medtronic has begun shipping that to patients, and the feedback that we're hearing is very positive.
There's been a number of bloggers actually write their experience. You can look that up online. But it's very, very good feedback that's moved into the marketplace just over the last couple months. We do expect that that pilot will expand to a broader full launch in early Q2, and that's well on track.
I think back to one of the earlier questions, as we think about within the Diabetes Care business we do expect -- and obviously we don't give guidance by business unit -- but we expect an uptick in 2017 in Diabetes Care driven by that FlowSmart launch. And that's on track, proceeding as planned.
Vince Forlenza - Chairman, CEO, President
Okay. Alberto, why don't you comment on BD MAX and Barricor as well in terms of phasing on those things?
Alberto Mas - EVP, President Life Sciences
Yes. For the BD MAX, the two approvals we got in the US, FDA approvals, we're very excited about because they are very unique assays. They are very differentiated assays that will bring a lot of value to the market.
The CT/GC/TV assay is the first one that is integrated, which is a guideline from the CDC, to do the three tests all-in-one. And we're the only ones that will have it in the same assay.
The vaginal panel will be a significant improvement versus the only approved assay -- the Affirm, actually, that we have out there. Will be better accuracy, more targets, and much improved performance from that side.
That will take a little bit of time to be built into the sales as people evaluate and accounts evaluate and convert to these. But we are very, very optimistic, and all the interest has been very high on both accounts.
And on Barricor, similar thing. The evaluations are beginning to happen. There's more than 50 accounts currently evaluating the Barricor products, and that momentum we anticipate to continue in the rest of the year.
Vince Forlenza - Chairman, CEO, President
So if you think about it, Alberto, from a cycle standpoint, an evaluation of a new assay takes about how long, generally? 90 days, customer?
Alberto Mas - EVP, President Life Sciences
Yes, I would say between -- the quickest 45 to -- it can be to 100 days. So somewhere in there.
Vince Forlenza - Chairman, CEO, President
Then you have to -- they got to work off their old inventory and whatnot.
Now, the last piece we haven't mentioned at all and we will talk to you about it at the Analyst Day, of course it's genomics. In genomics, where we stand there is for BD CLiC we are putting our first instruments as early access into customer accounts. So they will just start to do their validations as well.
So I don't expect that to be a big contributor this year. I expect since it's such new technology it's going to take a little longer. But we're also starting to get good feedback there. Anything else you want to add?
Alberto Mas - EVP, President Life Sciences
And we will be issuing and launching new protocols as well, new assay protocols, as we go along the year. And that will build up momentum at the same time.
Vince Forlenza - Chairman, CEO, President
Yes. Really coming into, I think, 2018 with those protocols. Okay, thanks very much for the question.
Operator
Richard Newitter, Leerink Partners.
Richard Newitter - Analyst
Hi, guys; thanks for squeezing me in. You've now had some time to digest all the opportunities that maybe you had in front of you -- that CareFusion had in front of it but didn't have the means to exploit. I'm thinking a little bit more about the dispensing business in Europe.
I know the business model in that part of the world is just different and it hasn't historically lent itself well. But I do believe you had begun to talk a little bit about Rowa and leveraging that technology. I'm just wondering if that's going to factor in, in 2017 in the cross-sell or the synergy phase of the acquisition integration.
Any kind of thoughts there? Is that something we could hear more about at the Analyst Day? Thanks.
Vince Forlenza - Chairman, CEO, President
Yes, you will hear more about it at the Analyst Day. It's not so much a cross-selling opportunity, but an additional opportunity is the way that I would think about that.
We will share that, because we haven't detailed what that product line looks like for you, and there's multiple aspects to that. So yes, we'll be happy to talk about that. Thanks for the question.
Operator
Thank you. I will now turn the floor back over to Vince Forlenza for closing remarks.
Vince Forlenza - Chairman, CEO, President
Well, thank you all for your participation on the call today. It was a pleasure going through what was a strong year for BD, to talk about 2017; and we're looking forward to getting together with you at the Analyst Day in two weeks. So thanks very much and we'll see you there.
Chris Reidy - EVP, CFO, Chief Administrative Officer
Thanks, everyone.
Operator
Thank you. This does conclude today's teleconference. Please disconnect your lines at this time and have a wonderful day.