Baxter International Inc
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Baxter International Inc
Earnings Call Analysis
Q2-2024 Analysis
Baxter International Inc
Baxter International reported a solid second quarter for 2024, surpassing their guidance on both revenue and earnings. The company achieved a 3% increase in sales on a reported basis and a 4% rise at constant currency rates. Their adjusted earnings per share (EPS) from continuing operations stood at $0.68, up 24% compared to the same quarter last year. This robust performance was driven by heightened demand, improved pricing for their products, and operational efficiency, even amidst challenges such as adverse foreign exchange impacts and a higher tax rate.
Baxter’s various segments showcased notable growth. The Medical Products and Therapies (MPT) segment experienced a 5% growth at constant currency rates, fueled largely by the launch of the Novum IQ large-volume pump and steady demand across the segment. The Pharmaceuticals segment saw an impressive 11% growth in constant currency, bolstered by strong sales in specialty injectables and drug compounding. The Healthcare Systems & Technologies (HST) segment grew by 1%, driven by significant growth in Care and Connectivity Solutions (CCS) and mitigated by a decline in the Front Line Care (FLC) division. In Kidney Care, sales were flat overall but up 3% at constant currency rates, with acute therapies showing strong growth but offset by declining sales in in-center hemodialysis products and lower sales in China due to government procurement initiatives.
Margins improved significantly, with an adjusted gross margin increasing by 80 basis points year-over-year due to operational efficiencies and pricing initiatives. Adjusted SG&A expenses rose by 10 basis points, and R&D spend increased slightly, demonstrating Baxter's commitment to investment in innovation. The company continues its strategic focus on robust capital allocation and cost optimization. A pivotal part of their strategy is the planned separation of the Kidney Care business, aiming to enhance strategic clarity and flexibility. This separation is anticipated to occur between late 2024 and early 2025.
Baxter has raised its full-year 2024 sales outlook, with expectations for sales growth in various segments. The MPT segment is projected to grow by about 5%, up from the prior 4-5% guidance. Pharmaceuticals is expected to grow by 7%, while HST sales are anticipated to remain flat year-over-year. For Kidney Care, a sales growth of 1-2% is expected. The company's adjusted EPS for the full year is projected to range between $2.93 and $3.01 per share, surpassing the prior guidance. In the third quarter of 2024, Baxter anticipates global sales growth of 3-4% on a reported basis and 4-5% at constant currency, with adjusted EPS expected to be between $0.77 and $0.79 per share .
Baxter continues to prioritize innovation, especially in infusion technology, with planned launches of new categories of pumps and smart software driven by artificial intelligence. Investments are also directed towards new product launches within HST, pharmaceuticals, and advancing several molecules. The company is determined to capitalize on high-margin, high-contribution products, enhancing its competitive edge in the market.
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Good morning, ladies and gentlemen, and welcome to Baxter International's Second Quarter 2024 Earnings Conference Call. [Operator Instructions] As a reminder, this call is being recorded by Baxter and is copyrighted material. It cannot be recorded or rebroadcast without Baxter's permission.
If you have any objections, please disconnect at this time. I would now like to turn the call over to Ms. Clare Trachtman, Senior Vice President, Chief Investor Relations Officer at Baxter International. Ms. Trackman, you may begin.
Good morning, and welcome to our second quarter 2024 earnings conference call. Joining me today are Jose Almeida, Baxter's Chairman and Chief Executive Officer; and Joel Grade, Baxter's Executive Vice President and Chief Financial Officer.
On the call this morning, we will be discussing Baxter's second quarter 2024 results along with our financial outlook for the third quarter and full year 2024. With that, let me start our prepared remarks by reminding everyone that this presentation, including comments regarding our financial outlook for the third quarter and full year 2024. The status and anticipated timing of our ongoing strategic actions, including the proposed Kidney Care separation and the potential impact of our recent pricing actions, regulatory matters, and the macroeconomic environment on adults of operations, contain forward-looking statements that involve risks and uncertainties.
And of course, our actual results could differ materially from our current expectations. Please refer to today's press release and our SEC filings for more detail concerning factors that could cause actual results to differ materially. In addition, on today's call, non-GAAP financial measures will be used to help investors understand Baxter's ongoing business performance.
A reconciliation of the non-GAAP financial measures being discussed today to the comparable GAAP financial measures is included in the accompanying investor presentation and also available in our earnings release issued this morning, which are both available on our website. Now I'd like to turn the call over to Joe. Joe?
Thank you, Claire, and good morning, everyone. Thank you for joining us. Our second quarter 2024 results reflect the continued progress and momentum of our ongoing strategic transformation. Our performance in the quarter was strong, reinforcing the benefits of our redesigned operating model fueled by the commitment and hard work of our outstanding Baxter team.
I will start the call today with some brief commentary on our strong second quarter performance before turning the call over to Joel to provide more detail on our results as well as our outlook for the rest of the year. Then as always, we open up to your questions. As you saw in this morning's earnings release, Baxter's second quarter results exceeded our previously issued guidance on both the top and bottom line.
This performance further enhances our confidence in our ability to continue executing against our strategic priorities and build upon this underlying momentum. As such, we have increased our full year sales outlook and adjusted EPS guidance accordingly. Our second quarter performance provides further evidence that the steps we have taken to date to centralize and streamline our operating model are yielding results. These actions allow for improved visibility, both externally and internally to our markets as well as increased accountability for our segment leaders.
These benefits, coupled with enhanced operational rigor have enabled our teams to better identify opportunities to accelerate innovation to drive growth and expand margins. Turning to some of the highlights from the quarter. Second quarter sales from continuing operations grew 3% on a reported basis and 4% at constant currency rates.
As a reminder, continuing operations exclude the impact of our biopharma solutions business, BPS, which we divested at the close of the third quarter of 2023, in line with our strategic transformation road map. Sales growth was broad-based with all 4 Baxter segments delivering growth above our expectations, reflecting positive demand and improved pricing for products across much of the portfolio.
On the bottom line, adjusted earnings per share from continuing operations were $0.68. These results were driven by our top line performance, combined with our continued on operational efficiency across the company with ongoing contributions from our integrated supply chain network. Our strong operational performance more than offset the negative impact from foreign exchange and a higher-than-expected tax rate in the quarter.
Now looking at performance by segment. Medical products and therapies are MPT-delivered, second quarter sales growth of 4% at reported rates and 5% constant currency rates. Growth was fueled by demand across the segment and results included first U.S. sales of our leading-edge Novum IQ large-volume pump with those IQ safety software.
Customer interest is high for the Novum platform, including both large volume and syringe pumps with their ability to advance connectivity and intelligent infusion therapy. These pumps are already live and in use and multiple sites, making a difference for caregivers and the patients they serve.
We have a healthy funnel of opportunities and anticipate continued strong steady uptake from Novum across the balance of 2024 and beyond through the upgrades of existing customers and conversions of new customers. Our Pharmaceuticals segment grew 9% at reported rates and 11% at constant currency rates.
Performance was driven by double-digit growth in our specialty injectables portfolio, reflecting the recent launches of a range of new differentiated injectables as well as significant growth in our drug compounding business. Growth in the segment was partially offset by lower sales of inhaled anesthetics. Health care systems and technologies, or HST performance advanced to 1% at both reported and constant rates.
Our Care and Connectivity Solutions division delivered mid-single-digit growth, reflecting positive market demand and strong U.S. capital orders, which increased meaningfully both sequentially year-over-year. Growth in the quarter was partially offset by an expected decline in the Front Line Care division, primarily due to a difficult comparison though the prior year period and continued softness in the U.S. primary care market.
Overall, HST results in the quarter benefited from the operational improvements that we are in process of implementing to enhance ongoing performance. As we discussed last quarter, we expect to see these efforts continue to yield positive results as 2024 continues and going forward. Finally, Kidney Care was flat year-over-year at reported rates and grew 3% at constant currency rates.
Performance continues to be fueled by demand for our acute therapies portfolio plus strong growth for peritoneal dialysis products due to positive volume and pricing globally. Growth was partially offset by an expected decline in sales of in-center hemodialysis products due to select product and market exits.
Looking ahead, we remain confident and excited about the future of our company and our potential to continue to accelerate sales growth, expand our margins and drive innovation that will deliver benefits to our customers shareholders and many other stakeholder communities. As you all know, we launched our strategic transformation in January of 2023 to recast as a more simplified, more agile, a more focused company, passionate in its commitment to operational excellence and better positioned to accelerate growth customer-inspired innovation.
Among the elements central to our plan was the separation of the KidneyCare business from Baxter in order to provide both companies with improved strategic clarity and greater flexibility to pursue the unique investment priorities. We are continuing to make steady progress towards the separation and while the ultimate pathway has not yet been determined.
We currently expect the separation will occur in late 2024 or early 2025. With the separation of Kidney Care, we have a unique opportunity to redefine ourselves while also remain firmly grounded in what has powered our success for nearly a century. Our life sustaining mission our focus on essential health care, our commitment to innovation and at the heart of it all. our employees whose unparalleled dedication in terms our aspirations into impact. Together, we are united energized and eager to take Baxter into a future of sustained health care leadership. With that, I'll pass it over to Joel to provide more detail on our results for the quarter and outlook for the balance of the year.
Thanks, Joe, and good morning, everyone. As Joe mentioned, we are pleased with our second quarter results, which came in ahead of our expectations and further reinforce our goal of consistently meeting and exceeding our financial objectives. Second quarter 2024 global sales of $3.8 billion increased 3% on a reported basis and 4% on a constant currency basis and, as mentioned, compared favorably to our previously issued guidance.
Outperformance in the quarter benefited from better-than-expected sales in many product categories and particularly in patient support systems, infusion therapies, peritoneal dialysis and pro compounding. As compared to the prior year period, sales excluding Kidney Care, increased approximately 5% on a constant currency basis.
On the bottom line, adjusted earnings from continuing operations totaled $0.68 per share, increasing 24% versus the prior year period and ahead of our prior guidance of $0.65 to $0.67 per share. Results in the quarter were driven by strong operational performance, with continued momentum commercially partially offset by a negative impact from nonoperational items totaling $0.05 per share due to foreign exchange and a higher-than-anticipated tax rate.
Now I'll walk through our results by reportable segments. Commentary regarding sales growth will affect growth at constant currency rates. Sales of our Medical Products and Therapies, or MPT segment, were $1.3 billion increasing 5%. Within MPT, second quarter sales from our infusion therapies and Technologies division totaled $1 billion and increased 5%.
Sales in the quarter benefited from strong growth internationally across the division, particularly for our IV solutions and Infusion Systems products, which benefited from both volume and pricing gains. Solid demand for nutrition globally also contributed to growth in the quarter. Sales from Advanced Surgery totaled $277 million and grew 4%, reflecting solid growth internationally. For our Healthcare Systems & Technologies, or HST segment, sales in the quarter were $748 million and increased 1% coming in ahead of our expectations.
Within the HST segment, sales in our care and Connectivity Solutions, or CCS, division were $452 million, growing 4% or Performance rebounded in the quarter driven by a significant growth in orders, both sequentially and year-over-year for our CCS products. As Joe mentioned, the actions we are taking to enhance our operational rigor and improved execution are early results.
These factors contribute to orders growth across our CCS division of more than 40% compared to the prior year and over 60% sequentially. Results in the quarter included upgrades to both existing customers and competitive gains within our Patient Support Systems business. We are very encouraged by the growth of orders in the U.S. this quarter, which will be phased in over the course of the second half of this year and into 2025.
Overall, we believe the initiatives we are implementing to improve commercial execution will continue to lead to improved performance, both in the second half of this year and beyond. Front Line Care sales in the quarter were $296 million, declining 4%, in line with our expectations and represented a double-digit improvement sequentially. We Growth in the quarter continued to be impacted by a difficult comparison to the prior year as backlog reductions positively contributed to growth in the prior year period.
Performance in the quarter was also impacted by ongoing softness in the primary care market, which negatively impacted growth in both our connected monitoring and intelligent diagnostics product portfolios. The timing and release of government orders in the U.S. also impacted growth in the quarter. We expect this division to return to growth in the second half of the year as growth for products in other settings such as cardiology and acute is anticipated to more than offset the continued softness in primary care and lower government orders.
The adverse to the prior year impact from the backlog reduction will also benefit performance in the second half of the year. Moving on to Pharmaceuticals. Sales in this segment were $602 million increasing 11%. Performance in the quarter reflects double-digit growth in our U.S. injectables portfolio driven by new product launches as well as strong demand for services within our drug compounding portfolio internationally, which has benefited from supply constraints for certain customers that are expected to ease in the second half of the year.
Performance in the quarter was partially offset by lower sales of inhaled anesthetics globally. Sales in the quarter for our Kidney Care segment totaled $1.1 billion increasing 3%. Within Kidney Care, global sales for chronic therapies were $917 million, increasing 1%. Strong PD growth in the quarter was partially offset by the expected negative impact from certain product and market exits in our in-center HD business as well as lower sales in China due to government procurement initiatives.
We estimate that these items negatively impacted sales by just over $50 million in the quarter. Sales in our Acute Therapies business were $201 million representing growth of 9%, driven by strong demand and competitive conversions in the United States. Other sales, which represent sales not allocated to the segment and primarily include sales of products and services provided directly to certain of our manufacturing facilities were $22 million and declined 5% during the quarter.
Now moving on to the rest of the P&L. Our adjusted gross margin totaled 1.2% and represented an increase of 80 basis points over the prior year. The year-over-year improvement in gross margin primarily reflects the strong operational efficiencies we are realizing within our integrated supply chain network, resulting from execution of the margin improvement programs we're implementing and the anniversary of the negative margin impacts from inflationary pressures that drove higher cost of goods sold in the prior year period.
Pricing initiatives in select markets also positively contributed to margin improvement in the quarter. Product mix and foreign exchange partially offset margin expansion in the quarter. Adjusted SG&A totaled $873 million or 22.9% as a percentage of sales an increase of 10 basis points from the prior year period as we are making select investments to support our growth objectives and new product launches.
SG&A leverage is expected to continue to improve as sales ramp over the course of the year. Adjusted R&D spend in the quarter totaled $175 million, and represented 4.6% as a percentage of sales, an increase of 10 basis points compared to the prior year period and reflects our continued investments in advancing new products across the portfolio and bringing innovation to patients across our segments.
These factors resulted in an adjusted operating margin of 13.7%, an increase of 50 basis points versus the prior year driven by the factors above, which more than offset a negative impact on operating margins of approximately 70 basis points due to foreign exchange. Net interest expense totaled $85 million in the quarter, a decrease of $39 million versus the prior year period, driven by debt repayments in the fourth quarter of 2023 associated with the proceeds of our BPS divestiture.
We plan to continue to repay debt in 2024, consistent with our stated capital allocation priorities. During July, faster finalized a bank finance bridge loan in the form of a delayed draw term loan or DTTL and move a public bond financing with a total size of $2.05 billion.
The DTTL provides certainty and ability to fund debt maturities coming due in the fourth quarter and the events we haven't completed the Kidney Care separation by that time. We expect to utilize proceeds from the separation to repay the loan, if outstanding. We felt this was a better option as compared to bond financing given the more temporary nature of the cash need and the high cost of issuance in new term debt in current markets.
Adjusted other nonoperating income totaled $20 million in the quarter compared to an expense of $22 million in the prior year period, which included losses on both foreign exchange and marketable securities. The adjusted tax rate for the quarter of 23.9% came in higher than expectations and increased as compared to the prior year tax rate of 17.8%. The year-over-year increase is primarily driven by the geographic mix of earnings, decreased utilization of foreign tax credits in the current year period and a nonrecurring foreign tax incentive in the prior year period.
And as previously mentioned, adjusted earnings from continued operations totaled $0.68 per share and increased 24% versus prior year primarily driven by improved commercial performance and a reduction in interest expense, offset by the impact of foreign exchange and a higher tax rate. Let me conclude my remarks by discussing our outlook for the third quarter and full year 2024, including some key assumptions underpinning the guidance.
On a constant currency basis, this increase reflects the outperformance we realized in the second quarter and continued momentum for our businesses. Constant currency sales guidance for the full year by reportable segment is as follows: For MPT, we now expect sales growth of approximately 5%. This is an increase from the prior guidance of 4% to 5% and reflects the outperformance year-to-date and continued momentum for our Novum platform.
Sales in our Healthcare Systems & Technologies segment are expected to be approximately flat to prior year, consistent with prior guidance. This guidance reflects improved performance in the second half of the year but also assumes the installation of some CCS orders are phased to 2025. In addition, our guidance assumes FLC performance also improves in the second half of the year, put that both primary care and government orders declined in 2024, neither of which we believe represent market share losses.
We expect both the primary care market and orders for the government will improve in 2025. We now expect pharmaceutical sales growth of approximately 7%, which compares favorably to prior guidance of 6% to 7% and reflects the strong start to the year and continued momentum for our new product launches as well as increased contribution from drug compounding.
The contribution from drug compounding is expected to meaningfully slow in the second half of the year as supply constraints for certain hospital customers ease and the business focuses on driving more profitable growth. Collectively, sales for these 3 remaining Baxter segments are now expected to increase approximately 4% in 2024 and exit the second half of the year at the higher end of our prior expectation of 4% to 5%.
For Kidney Care, we now expect sales growth of 1% to 2% as compared to 2023. This also compares favorably to prior guidance and reflects the underlying momentum of this business. Now turning to our outlook for other P&L line items. We continue to expect adjusted operating margin to increase by more than 50 basis points in 2024.
We expect our nonoperating expenses, which include net interest expense and other income and expense to total approximately $330 million in aggregate during 2024. We now anticipate a full year adjusted [indiscernible] of approximately 23%. We expect our diluted share count to average 511 million shares for the year.
Based on all these factors, we now anticipate full year adjusted earnings excluding special items of $2.93 to $3.01 per diluted share, which also compares favorably to prior guidance of $2.88 to $2.98 per diluted share and reflects the outperformance we realized in the second quarter and expect for the remainder of the year, and includes an incremental headwind from nonoperational items totaling approximately $0.02 per share.
Specific to the third quarter of 2024, we expect global sales growth of 3% to 4% on a reported basis and 4% to 5% on a constant currency basis. And we expect adjusted earnings, excluding special items, of $0.77 to $0.79 per diluted share. With that, we can now open up the call for Q&A.
[Operator Instructions]
I would like to remind participants that this call is being recorded, and a digital replay will be available on the Baxter International website for 60 days at www.baxter.com. Our first question comes from Robbie Marcus of JPMorgan.
Congrats on a nice quarter. Two for me. I wanted to start with the revised guidance. And it looks like it's pretty much going higher from the second quarter beat and then third quarter upside versus the Street. So you gave a lot of detail, but I was hoping you could just walk us through the underlying drivers? And did I get the raise and impact, correct?
Rob, it's Joe. Yes, I think certainly, the new guidance is actually starts with the performance we had in Q2. We had a strong operational quarter, and obviously, that's part of what's carrying through to the rest of the year. What I would just say, in general, though is that our businesses continue to have strong momentum in them. And so I think when you think about this from a sales factor, it's the recovery continued recovery over the course of the year sequentially in HST.
We've raised the guidance for MTT as well from a sales perspective as well as pharma. And so I think the -- and all those businesses, again, are continuing to improve from a sales perspective. So on the top line, that's probably the really key driver. From a margin perspective, we continue to expect a positive progress from a pricing standpoint -- from an ISV standpoint, I think our margin improvement programs and the continued work there are also a part of obviously what's driving ultimately the bottom line beat as well. The offset to some of that from an operating margin perspective, we do make -- we're making continued investments in our business from a sales and marketing standpoint, from an R&D perspective from a new product launch perspective.
And so those things continue to impact the opposite direction as well as we've got an MSA in pharma that I think you're aware of was related to BPS sales. So that's an offset. And then finally, on the bottom line from a -- we do have a headwind from an FX and a tax rate perspective.
But again, punchline here, continued sales momentum, margin expansion with a couple of the offsets I talked about.
And maybe just a quick follow-up here. The HST had a tough first quarter. It looks like it improved sequentially in second quarter. Front Line Care is still negative year-over-year. Maybe just speak to the underlying trends you're seeing in the 2 businesses there and your confidence in a reacceleration and return to positive growth in the second half of the year.
We feel that a great deal of the operational issues are being addressed and behind us. We still are addressing them and will be throughout the 2024 calendar year. Primarily the one involved in one of our plants transfers is being addressed and is really, really good shape at the moment.
I want to make sure that we also have -- our sales force is doing a fantastic job. We did a significant amount of revamp in there. So we see that going well. We also see a very positive trend in capital and the positive trend in capital allows us to have very strong, one of the strongest quarters we ever had in orders that was the second quarter. So we see that going extremely well.
This is in the CCS business, which is our beds and nurse call systems. FLC completed a different dynamic. That has to do with the primary care market that has significant shift during 2024 with big players coming in and out. We believe our market share is still growing in debt slightly, but it's very high, and we feel that business is going to come back into normality towards the end of the year as well as government orders, which has been very, very low.
And the most important factor was the comp versus last year. All in all, I think HST has during the quarter, we see some very interesting dynamics in the market with our product offering gaining ground and stable market share and possibly growing into Q3 and Q4.
Travis Steed of Bank of America Securities is on line with a question.
I wanted to ask about the kidney co separation. I think it was new that you added early 2025. So I wanted to ask about that. And has your thinking changed at all on spend versus sell? And I also noticed in the impairment charge on that business. So what's not sure if there's anything to kind of read into that impairment charge this quarter?
So a couple of things on this. First of all, thanks for the question, Travis. From a timing perspective, again, look, we're continuing to make progress and continue to move forward on a dual path to ensure that we're ready for both the -- from a sale end and a spin process. And so we're obviously doing that in a way that's going to maximize our shareholder value for all of our stakeholders. And so we continue to make solid progress, what I would say.
I think the timing difference -- I just look at it as we continue to evolve the process, and moving forward. Again, I think we're in a good place from the perspective of both, but the timing has shifted little bit as we continue to move through the year. And so our plan is to still continue to get it done by the end of 2024, but it could move into the early part of 2025, which is why we put the guidance out that it did.
From a goodwill perspective, the way I would take that is we've had now a process where we actually had bidders put a value into what goodwill is. And so as we assess that relative to, obviously, the value of the books, there's a negative impact there from a goodwill perspective. I would say this in the event that there was a sale moving forward, we would be recognizing a gain on that sale.
So there's a little bit of a timing issue from that perspective. But it's just part of a normal process to reassess our goodwill. And now that again, we have an actual kind of what I call market value for that, so to speak, and that's where that came from.
Great. I wanted to ask a follow-up on the margins. So first of all, the second half total company, you've got a couple of hundred basis points second half margin ramp. So I wanted to ask about the confidence and kind of what's driving that. But also if you think about the segment margins in the first half of the year, all the margin expansion for the total company was more in the renal side and the core Baxter business down year-over-year. Wanted to kind of think about how we get confidence that ex the renal code longer term, like the RemainCo Baxter business is going to be expanding margins kind of the 50 basis points or so a year that you've kind of set out in the past?
Sure. Let me start by taking -- how some of the drivers of our margin perspective, and then I'll get to the second part of your question. Our margin drivers continue to be from a couple of different things. One is, again, our top line -- obviously, our top line growth and some of the new product launches that are coming into play. That's both a short-term and something over the longer term, that's going to be a driver from a margin perspective. pricing, we continue to see upside opportunities from a pricing perspective -- in the current year, it's been primarily outside the U.S. We looked for some of that inside in the U.S. next year is, again, some of the GPO contracts take hold, et cetera, et cetera, but we continue to take pricing.
IFC continues to be an area where we expand our margins, again, both the margin improvement programs, just the efficiencies we continue to gain from some of our investments in automation, et cetera, et cetera. And so that's where the kind of the really key drivers and why we feel continue with confidence in our ability to actually drive our margins going forward.
I think from an ex kidney perspective, there's a couple of things that I would just say. Number one, as we move to a vertical structure in this company, we've continued to refine the process of allocations. So some of this from an ex kidney perspective is an impact, again, as we continue to refine our allocation methodology.
And you see some of that again, impacting where the rent between kidney and some of the margins ex kidney. The other part to it, from just -- as I mentioned in some of my comments in the earlier question, we are continuing to invest in R&D. We are continuing to invest in new product launches and things that ultimately are going to drive growth that are impacting operating margins in general. So that's the -- hope that answers your question.
David Roman of Goldman Sachs is on the line with a question.
I wanted just to start on the revenue outlook for the balance of the year and recognizing the comment on exiting the year at the higher end of the 4% to 5% on the core Baxter business. But as you look at the sort of guidance that you've provided for Q3 and the balance of the year, I think that implies revenue growth in Q4 below 1%. Can you maybe just help us understand the drivers of the phasing of revenue for the balance of the year? And then I have one follow-up on the strategic capital allocation side.
Sure. Thanks for the question. Yes, the primary driver of some of the movement there in terms of, I'll call it the speed map in the fourth quarter is really a product mix impacted. It starts with compounding and pharma. We've had some -- again, that's been a significant driver of some of the upside in addition out into the other parts of the business, and that actually starts to slow down in the second half of the year, but particularly in the fourth quarter.
And so I would say that's really one of the key drivers of some of -- a little bit of the phasing from what you call it, third quarter perspective and, again, the squeeze math on the fourth quarter.
Got it. And then maybe just a follow-up. If you look at kind of the increases in discretionary spending on the SG&A and R&D side. Could you maybe go into a little bit more detail about the internal capital allocation priorities, where are those incremental dollars in SG&A and R&D are being deployed? And maybe any early look you can give us into some of the either product launches or geographic expansion initiatives that may come out the other side of these investments?
Listen, just adding a bit to Joe's previous answer, is compounding. We had a customer in Australia, which had maintenance planned into their hospitals. And we took a great deal of their volume. So you see there for winning down in the third and fourth quarter which we knew about it. So we need to the squeeze method in the fourth quarter, you cover to you get, but primarily driven by that part of the business, having a specific event in the first and second quarter. Moving to the capital allocation.
Our capital allocation now are putting kidney here on the site is driven by innovation. So what is the highest innovation drivers for the company is going to be in infusion technology. So we have more investment to do into new categories of pump more software. We have intelligent software coming out in 2025 with artificial intelligence, attaches to the pump.
We also have 5 new product launches that we're planning in the next 12 months for HST, significant ones, really good ones. We need to put the money behind to close the gap in the research and developing repairs as well as the commercial launch. So that is where we allocate the money, and we have some molecules in pharmaceuticals.
So you're talking about infusion systems, specifics into PSS and care communications. And what we call the injectable specialty drugs, primarily via flu style that we have coming out of one of our facilities. So all the capital allocation is going into products that have higher margin and higher contribution to the company, plus associated to that is the spending that goes along. So it's a good spending -- spending put for good use we did work internally to understand the major drivers of shareholder value to be able to achieve that.
Larry Biegelsen of Wells Fargo is on the line with a question.
Congrats on the nice quarter here. Joe, I was hoping you could just give us a refresher on the key assumptions for Kidney Co sale or spin. The tax basis, how might it look different from the BPS sale? Just the margins for Kidney Co first half was 10.9%, which is much higher than in prior year. So when we're trying to estimate the dilution what should we think about for margins and the stranded cost assumptions and use of proceeds would be helpful. Any color on that.
Sure. Thanks for the question. Let me just start with the -- again, a little bit of from a margin perspective. Again, our first quarter with kidney, you'll recall, was -- had some substantial onetime impact that drove that margin at what I'll call a disproportionately high level. So I think as we've talked about kidney in general, the think about that, I think, as a high single-digit sort of low double-digit margin profile at this point. And again, that was somewhat inflated so particularly in Q1, will be the way I would answer that question.
From a stranded cost perspective, Alan, look, this is an area we haven't specifically given that type of guidance yet on it. What I will tell you is that, that's one of the key initiatives that I'm driving personally in terms of our ability to, again, to reduce the diluted impact on that. And so I think that's something we're going to -- you'll hear more about as we go forward.
But that's really -- we haven't come out yet and given that type of information. And we have plans which are now underway and again, we're starting the execution of that to get way ahead of it. Certainly, from a sale or spin perspective, obviously, the overarching goal is to maximize shareholder value. And so we're going to do what is best in order to accomplish that. And if I weigh the puts and takes on some of that kind of stuff, obviously, all valuations being equal, so to speak, there are certain advantages of the sales from the perspective of more cash earlier from the perspective of valuation, certainly, et cetera. But obviously, there's lots of parts to play in that.
And then from a tax perspective, I guess, to answer your final question, I think I look at that as a part of the overall economics of what we're going to do. I think there's been a lot of questions on tax leakage, et cetera, et cetera, et cetera. But in the end, it really is about economics in terms of what we end up with from a tax proceeds and then it will maximize the shareholder value.
Vijay Kumar of Evercore ISI is on the line with the question.
Joe, I just want to go back on the fourth quarter implied sort of 1% organic. And if I heard you correctly. Is the only thing that's changing is a direct compounding, so should the exit rates for NPT, HST, technical, they should all be in that sort of annual range rate in the low to mid-singles for NPD HSD, Kidney Co in the 1% to 2%. And the only thing that changes for Q4 is drug compounding. Is that correct?
It's primarily that in some kidney. But I think the drug compounding is the main part of it. We have talked about the fact that there are ex kidney exit rate for the year would be in the 4% to 5% range. So I think the -- but yes, it's primarily compounding and then some slowdown in kidney.
So Vijay, the kidney part is primarily driven by value-based procurement in that specific business. So as we await the inclusion or not -- we look at our forecast and we look -- that is the biggest impact that we're going to have in kidney is VBP. Of course, that associated with drug compounding have muted the good growth and results of the rest of the business as of Baxter.
Understood, Joe. And maybe Joe, a bigger picture question for you. If I just go back the last 18 months, there's been a lot of moving parts challenges. A lot of questions raised on is Baxter losing share? When I look at your order commentary within HST in some of the performance in the core business, it looks like we're back to 4 plus. When we look at the sort of the forward trajectory here, right, the implied exit rate? Is that 4% plus organic, sustainable, any one-offs we should be aware of? I know this year, we had China VBP and some product exits. Any other noise factors that we need to be aware of as you look at the outlook in your comments on share losses?
Let me start and begin from the end of your question. On VBP, VBP is a factor in kidney care. It is a very muted factor in the rest of Baxter because our presence in China is quite different. Kidney holds the vast majority of profitability in China for Baxter in the product offering as well.
So put that aside now, so VPP Baxter ex kidney is a nonevent at the moment. Moving to share. We had the first quarter for HS. And that greatly was self-inflicted. We had execution issues, which are behind us. As you could see, we had really good performance in PSS. Our orders are significantly up, and we're back on the settle on that without any hesitation.
I see us moving forward into Q3 and Q4 with possibility of share gains in that space. due to our offering and our ability to bring Baxter together, okay? We have a great offering that actually underscore our mission to save and sustain lives, and that is becoming more clear to hospital customers and IDNs when we present them and we've seen a movement towards Baxter what called the Baxter accounts.
The other portion of the market share, which has been spoken as of lately in some of the other cost is on the pump. Baxter will continue to gain plus the noon can get up to 2% market share points on a yearly basis and hopefully more as we continue to see great opportunities. Baxter has converted some really large and important accounts from the competition with our Novum pump.
So I want to make sure that we are a really strong company competing in the marketplace, and we're having some successes, as you can see by our guidance going into Q3 and Q4. And in Q4, just to close the loop on that is depressed primarily by Kidney Care going into negative growth territory for sales and the reduction into compounding sales.
Danielle Antalffy of UBS is on the line with a question.
Congrats on a good quarter here. Joe, I wanted to ask a high-level question. And that was really -- you've been undertaking a sort of a restructuring over the last few quarters here. I'm just curious about, Joe, where you think you guys are? Have you completely turned the corner?
This is obviously quite a good quarter, relatively speaking, and even not on an absolute basis. So have you guys during the corner where are there still more areas for improving execution that you see going forward? Or are we as to more consistent improvement from here? And I'll leave it at that.
Thank you, Danielle. Listen, one of the things I want to underscore has been Baxter's capability, bringing together a life-saving portfolio of products. And we have made significant progress in the last 2 years in our enterprise accounts and how Baxter connected products now are starting to show to our customers and how interested they are. So I feel that commercial execution, not by segment or division, only, but as a company has been very successful of late. And we're starting to see that coming around.
Second, thing is now moving down from the sales into the ISC. We have turned the corner. our colleagues in supply chain and our presidents of the segments have worked very, very closely and have devised and are implemented and executing really good plans in terms of cost optimization. And we can see that in our margins start to turn the corner and we have made great changes to accomplish that.
Going down 1 level, SG&A is all about what Joe spoke about, is our stranded costs associated with other efficiencies primarily in G&A. This is where the recipe is for the next 12 to 24 months. is to optimize the Baxter shared services organization even further, and there's great opportunity there. as well as contain and offset the stranded cost, so we can show progressively in the next year 2, 3, consistent improvement in operating income margins.
Matt Miksic of Barclays is on the line with a question.
Congrats on a really strong quarter here. I wanted to just touch on a couple of things that I don't know where high words of frame down yet in the call, one was just where you are in terms of the pricing sort of resets that you talked about a Paramount?
And then also just any sense that you can get from the sort of patient support side of the business or, call it, the capital equipment side of the business that maybe speaks to overall demand in the market that you're seeing around investment in infrastructure and capacity that's come up a few times this earnings cycle.
As we had previously disclosed, we have negotiated 2 very large GPO agreements and conversations now have moved to the IDN level. As expected, customers are being thoughtful and thorough about evaluation evaluating their options. We believe now with the novel launch and our ability to provide product -- our supply chain resilience, by the way, is second to none.
We have proven that over the years. And that resonates with our customers tremendously. The association of that and the ability to have a large volume parenteral pump as well as a syringe pump on a novel platform on the market, it makes a huge difference. So I feel optimistic that we're going to close those negotiations in the next 4 months and be able to move on 2025 with these things behind us.
And by the way, pricing has been a contributor to Baxter in Q2 2024 was about 100 basis points and expect to be roughly 100 basis points for the full year.
Yes. And then I'll just take that from a capital perspective, you'd asked about investments in capacity and other types of things. I mean I think the way I think about this, obviously, is as we contemplate our world post separation, this certainly is an opportunity from -- to reevaluate the -- if I'll call our overall network. Yes, there's a lot of things that are intertwined, while kidney is part of our company and the ability to actually really reevaluate that once and the separation does happen is really going to be a key driver of how we think about our network, how we think about our manufacturing, how we think about our distribution network, et cetera.
So again, as we think about our capital spend moving forward, and again, with now the ability to allocate capital, if you will, in a way that it's really focused on both companies to where both companies didn't really focus their capital on their highest priorities Again, that's really how we're going to think about the way we evaluate our capital investments and our infrastructure moving forward.
Rick Wise of Stifel is on the line with a question.
Joe, I was just hoping you would expand on your Novum comments. Where are we in the rollout? Is this is you talked about the positives about high customer interest and the healthy backlog or funnel of orders. Does adoption does growth accelerate in the second half and into '25. Is that the right way to think about it? And are you seeing more orders than you were expecting last quarter or sort of in line?
We found -- as a matter of fact, we have sales of Novum in the second quarter, which we did not expect to have, but we're a little faster in having the product ready for the market. What we've seen is great interest, it plays well for our ability to compete. As you know, expectors a great product, but it does not have a syringe pump and having a syringe pump makes a huge difference. So we're very happy with the momentum that we've got Novum.
We've been showing that to very large hospital systems and small as well. Our team is very hard at work and we feel confident in the technology. So we have the ability to take market share. I think that is an important thing. This is about providing our patients and our customers with the best technology on the market. not reengineered technology from many, many years ago.
Got you. And Joel, maybe just one for you. You obviously -- you and Joe highlighted multiple times in multiple ways, front Line Care and your optimism that things improve from here. And I was hoping you'd just dig in a little deeper on the turnaround. So will patient care and government, is that potentially going to get better? And maybe talk about that transition to cardiology and acute, I think with those are 2 areas you mentioned. What do you do to get there? And how soon can it have a positive impact.
Welcome. So Rick, let me break up a little bit, write-down FLC for our frontline care to all listening to the call. Primary care is one segment, one division of that business. We have other divisions such as cardiology and monitoring. Those are going very well. we have no issues in the acute care space. So let's focus on specific the patient -- the primary care physician office, we believe this market has 2 dimensions.
One is the amount of backlog we had in 2023 that we're able to catch up and ship and sell and fulfill orders that were outstanding. The second one is the is the slowdown in churn that we've seen due to several of these large primary care of its exiting the market and moving. The demand is still there. Primary care demand is still there. We're #1 shareholder gaining a slight share with 80-plus percent market share already. So we see that coming back because the demand is not going anywhere. The demand is high.
So is the churn due to the changes on the market as well as what we saw last year were catching up with government orders is a completely different thing altogether. So eventually, the government will need to buy the products that are needed for the government. And when that happens, we'll see the orders come in. We are a very large supplier of the government, and I feel comfortable that those problems that we've seen in '24 with the decline in primary care -- this year will turn the corner in 2025.
The business has solid folding good technology. On the other side of Frontline Care, we have technology that will be launched in early in mid-2025 to competing to monitoring, and we are very happy with new launches that will happen in the MedSurg monitoring products that we have coming out in mid-2025. So technology launches will fuel FLC in 2025 as well as the comp between 24 and 25 in a reemerging of the primary care and probably resuming orders with the government.
Pete Chickering of Deutsche Bank is on the line with our final question
Nice quarter thanking here. Looking at the infusion pumps, what do you think the market is growing sort of in 2024? And are you guys sort of picking up or still losing share this year? And with all the RFPs out for '25 and beyond, do you see yourselves as market share gainers or sort of market share maintainers? And then on the strong pricing rate gains were infusion that you talked about, as you think about pricing in 2025, should we see an acceleration of this pricing for next year?
Peter, can you repeat the last part of the question on the pricing, please?
Yes. So look, you talked about like 100 basis points of pricing sort of this quarter. and that continue in the back half of the year? Shouldn't that be accelerating in 2025 as you think about the GPO contracts?
Yes. So this is Joel. Let me take that. I think the way I would think about that is we talked about some pricing of maybe 100 basis points this year as part of the game that was, again, mostly outside the U.S. across our portfolio. We think about that about that same pricing bump from next year as we think about as we move into the GPO contracts that come through and again, that's primarily U.S. pricing.
So I think that's the way I would interpret that. I don't know that I'd call it accelerating necessarily, but I would call it consistent with what our expectations were for this year heading into next year.
And Peter, answering your question on the infusion pump. First of all, we are market share gainers and have been for a long time. just about 100 basis points a year. This will accelerate and is accelerating with Novum, we're going to see Q3, Q4 into 2025.
So we find that we have great interest in our pump. I think there is a churn -- a natural churn of the market in terms of number of pumps that need to be replaced. And our objective is to be in every competitive account with our new technology.
And then a quick follow-up to David's question. Not asking for 2025, but the [indiscernible] the year with revenues growing under sort of 1% with compounding slowing due to competitors issues lapping. I guess, how should we model revenue growth compounding in the fourth quarter? And then like what are the head or the tail that would be thinking about for 2025 revenues?
Can you just repeat that? So your phone is going in and out during that question. I apologize. Do you mind repeating that one more time, please?
Yes. So apology. So a follow-up to David's question just about the fourth quarter revenues. Rents in the year growing less than 1%, with compounding becoming a headwind in the fourth quarter. So I guess the question number #1 is, how should we model comp and the growth in the fourth quarter? And number two, with the compounding slowing, how should we think about headwinds and tailwinds for 2025 revenue growth?
Yes. I mean look, I think the main thing here is really we're going to continue to see, again, improvements in HST. So that's where I'm going to start with. In other words, we have seen that over the course of this year as that HST business has continued to accelerate again. We think there will be a strong exit rate for that business, and [indiscernible] continue to accelerate into 2025.
I think as we talked about from a pharma perspective, again, compounding is going to be a portion of that that's going to that's going to drag. I don't know that we've specifically guided the actual compounding business. but that is something that is going to be continued -- it's slowing, as Joe talked about, for various customers that that's that that's happened.
From an MPC perspective, again, we continue to believe we've got some really solid momentum going into 2025, certainly coming out of 2024. And then obviously -- so just to kind of summarize all that, I think the -- while there is a bit of a squeeze map from the -- we talked about the kidney and the compounding.
The reality of it is, is that we have a 4% to 5% growth ex kidney that we're heading into exiting the year with and heading into next year. So that momentum is really strong in ex kidney, and that's the part that we feel really excited about as we head into 2025.
Peter, just reinforcing and underscoring. Our exit rate is 4% to 5%. We feel comfortable with that. That's where Baxter is taken into 2025. And we tend to think that our business and innovation can drive even further going into '26 and '27.
Ladies and gentlemen, this concludes today's conference call with Baxter International. Thank you for participating.