Baxter International - Q2 2024
August 6, 2024
Transcript
Operator (participant)
Good morning, ladies and gentlemen, and welcome to Baxter International's Second Quarter 2024 Earnings Conference Call. Your lines will remain in a listen-only mode until the question-and-answer segment of today's call. At that time, if you have a question, you will need to press star one keys on your touchtone phone. If anyone should require assistance during the conference, please press star, then zero on your touchtone phone. 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. Trachtman, you may begin.
Clare Trachtman (SVP and Chief Investor Relations Officer)
Good morning, and welcome to our second quarter 2024 earnings conference call. Joining me today are Joe 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 our results of operations, contain forward-looking statements that involve risks and uncertainties.
Of course, our actual results could differ materially from our current expectations. Please refer to today's press release in 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?
Joe Almeida (Chairman and CEO)
Thank you, Clare, 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.
Clare Trachtman (SVP and Chief Investor Relations Officer)
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 a 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 roadmap. Sales growth was broad-based, with all four 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 emphasis 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, or MPT, delivered second quarter sales growth of 4% at reported rates and 5% at 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 Dose 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 at 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. Healthcare 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 a strong U.S. capital orders, which increased meaningfully, both sequentially and 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 to 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 2023 to recast Baxter as a more simplified, more agile, and more focused company, passionate in its commitment to operational excellence and better positioned to accelerate growth through customer-inspired innovation. Among the elements central to our plan was a separation of the Kidney Care business from Baxter in order to provide both companies with improved strategic clarity and greater flexibility to pursue their unique investment priorities. We are continuing to make steady progress toward 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 remaining 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 turns our aspirations into impact. Together, we are united, energized, and eager to take Baxter into a future of sustained healthcare leadership. With that, I will pass it over to Joel to provide more detail on our results for the quarter and outlook for the balance of the year.
Joel Grade (EVP and CFO)
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. Our performance in the quarter benefited from better-than-expected sales in many product categories, and particularly in Patient Support Systems, infusion therapies, peritoneal dialysis, and drug compounding. As compared to the prior year period, sales excluding Kidney Care increased approximately 5% on a constant currency basis.
Clare Trachtman (SVP and Chief Investor Relations Officer)
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-$0.67 per share. Results in the quarter were driven by strong operational performance, with continued momentum commercially, partially offset by negative impact from non-operational 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 reflect growth at constant currency rates. Sales in 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 and 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%. 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 improve execution are yielding results. These factors contributed 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. 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 anniversary of the prior year impacts 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 from 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 a 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 41.2% 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 are implementing and the anniversary of the negative margin impacts from inflationary pressures that drove higher costs of goods sold in the prior year period. Price 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% 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% 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, Baxter finalized a bank-financed bridge loan in the form of a Delayed Draw Term Loan, or DTTL, in lieu of a public bond financing with a total size of $2.05 billion. The DTTL provides certainty of ability to fund debt, maturities coming due in the fourth quarter in the event 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 needs and the high cost of issuing new term debt in current markets.
Adjusted other non-operating 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 non-recurring foreign tax incentive in the prior year period. As previously mentioned, adjusted earnings from continued operations totaled $0.68 per share and increased 24% versus the prior year, primarily driven by improved commercial performance and a reduction in interest expense, offsets 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. For full year 2024, Baxter now expects total sales growth of approximately 3% on both reported and constant currency basis, which is an increase from prior guidance of 2%-3% 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%-5% and reflects the outperformance year to date and continued momentum for our Novum platform.
Sales in our Healthcare Systems and Technologies segment are expected to be approximately flat to the 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, but that both Primary Care and government orders decline in 2024, neither of which we believe represent market share losses. We expect both the Primary Care market and orders to the government will improve in 2025. We now expect Pharmaceuticals sales growth of approximately 7%, which compares favorably to prior guidance of 6%-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 three 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%-5%. For Kidney Care, we now expect sales growth of 1%-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 non-operating 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 tax rate 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-$3.01 per diluted share, which also compares favorably to prior guidance of $2.88-$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 non-operational items totaling approximately $0.02 per share.
Specific to the third quarter of 2024, we expect global sales growth of 3%-4% on a reported basis and 4%-5% on a constant currency basis. We expect adjusted earnings, excluding special items, of $0.77-$0.79 per diluted share. With that, we can now open up the call for Q&A.
Operator (participant)
Thank you. We will now begin the question-and-answer session. If you have a question, please press the star one keys on your touchtone phone. If you wish to remove yourself from the queue, again, press star one. If you are using a speakerphone, please lift the handset to ask your question. So that we may be respectful of everyone's time, please limit your comments to one question and one follow-up question if necessary. We appreciate everyone's patience and would like to provide as many of you as possible the opportunity to ask a question. We will pause for a moment while the list is being compiled. 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. Your question, please.
Robbie Marcus (Senior Analyst)
Oh, great. Thanks for taking the questions, and congrats on a nice quarter. Two from me. One is 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? Thanks.
Joel Grade (EVP and CFO)
Hi, good morning, Robbie, it's Joel. Thank you for the questions. 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 carried through to the rest of the year. What I would just say in general, is though, is that our businesses continue, to have strong momentum in them. And so I think when you think about this from a sales perspective, it's the recovery, the continued recovery over the course of the year, sequentially in HST. Again, we've, we've raised the guidance for MPT as well from a sales perspective, as well as Pharma. And, and so I think the... And, all those businesses, again, are continuing to, improve from a sales perspective.
Clare Trachtman (SVP and Chief Investor Relations Officer)
So on the top line, that's part of the really key driver. From a margin perspective, we continue to expect positive progress from a pricing standpoint, from an ISC 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. You know, the offset to some of that, you know, from an operating margin perspective, you know, we're making continued investments in our business, from a sales and marketing standpoint, from an R&D perspective, from new product launch perspective. And so those things continued impact in the opposite direction, as well as, we've got an MSA in Pharma that I think you're aware of, it was related to BPS sales.
So that's, that's an offset. And then finally, on the bottom line, we 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.
Robbie Marcus (Senior Analyst)
Thanks. 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 two businesses there and your confidence in a reacceleration and return to positive growth in the second half of the year. Thanks.
Joe Almeida (Chairman and CEO)
Hi, Robbie, good morning. 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 plant transfers is being addressed and is in really, really good shape at the moment. I want to make sure that we also have our sales force is doing a fantastic job, and we did a significant amount of revamping 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. It was the second quarter. So we see that going extremely well.
Clare Trachtman (SVP and Chief Investor Relations Officer)
This is in the CCS business, which is our beds and nurse call systems.
... FLC, completely 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 that slightly, but it's very high, and we feel that business is gonna come back into, into, 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, I think HST has turned a corner. We see some very interesting dynamics on the market with our product offering gaining ground and stable market share and possibly growing into Q3 and Q4.
Robbie Marcus (Senior Analyst)
Great. Thanks a lot.
Operator (participant)
Travis Steed of Bank of America Securities is on the line with a question. Please state your question.
Travis Steed (Managing Director of Equity Research)
Hey, thanks for taking the question. I wanted to ask about the Kidney Care separation. I think that it was new that you added early 2025, so I wanted to ask about that. And has your thinking changed at all on spin versus sell? And also noticed in the impairment charge on that business, so wasn't sure if there's anything to kind of read into that impairment charge this quarter.
Joel Grade (EVP and CFO)
So a couple of things on this. First of all, thanks for the question, Travis. From a timing perspective, you know, again, look, we're, we're continuing to make progress, and continuing to move forward in what, you know, in a dual path to ensure that we're ready for both from a, you know, sale and, and a, spin process. And so, we're obviously doing that in a way that's gonna maximize our shareholder value, for all of our stakeholders. And so, you know, we continue to make solid progress, what I would say. I think the timing difference, you know, again, I just look at it, you know, as we've continued to evolve the process and move it forward.
Clare Trachtman (SVP and Chief Investor Relations Officer)
Again, we're in a good place from the perspective of both, but the timing has shifted a 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 I only put the guidance out that it did. From a goodwill perspective, you know, the way I would take that is we've had a process where we actually have had bidders put a value into what the goodwill is. And so as we assess that relative to, yeah, obviously, the value on the books, there's a negative impact there from a goodwill perspective.
I would say this, you know, 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, this is 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.
Travis Steed (Managing Director of Equity Research)
Great. Thanks a lot. I wanted to ask a follow-up on the margins. So first of all, the second half total company, you got a, you know, a couple 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 on the renal side and, you know, the core Baxter business down year-over-year.
Clare Trachtman (SVP and Chief Investor Relations Officer)
I wanted to kind of think about how we get confidence that, you know, ex the RenalCo longer term, like the RemainCo Baxter business is gonna be, you know, expanding margins, you know, kind of the 50 basis points or so a year that you've kind of set out in the, in the past.
Joe Almeida (Chairman and CEO)
Sure. Let me, let me start by taking what I'll call some of the drivers of our margin perspective, and then I'll, and I'll get to the second part of your question. The 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, you know, new product launches that are coming into play. That's both a, a short term and something over the longer term that's gonna 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, we look for some of that, inside of, in the U.S. next year as, again, some of the GPO contracts, take hold, et cetera, et cetera.
Clare Trachtman (SVP and Chief Investor Relations Officer)
And we continue to take pricing. ISC continues to be an area where we, we expand our margins. Again, both the margin improvement programs, just the efficiencies we continue to gain from some our investments, in automation, et cetera, et cetera. So that's, that's where the kind of the really key drivers and why we feel continuous confidence in our ability to actually drive our margins going forward. I think the, from an ex-Kidney perspective, there's, there's a couple of things that I would just say. Number one, as we've moved 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, you know, difference between Kidney and some of them, you know, margins, ex Kidney. The other parts of 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 gonna, again, drive growth but are impacting operating margins in general. So, that's the... Does that answer your question?
Travis Steed (Managing Director of Equity Research)
Yeah. Thanks a lot. Appreciate that.
Operator (participant)
David Roman of Goldman Sachs is on the line with a question. Please state your question.
David Roman (Managing Director)
Thank you, and good morning, everybody. 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%-5% on the core Baxter business.... But if 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.
Joe Almeida (Chairman and CEO)
Sure. Thanks, thanks for the question. Yeah, the primary driver of some of the movement there, in terms of what I'll call the squeeze math in the fourth quarter, is really product mix impact, and it starts with compounding in Pharma. And we've had some, again, that's been a significant driver of some of the upside, in addition, obviously, other parts of the business. And that actually starts to slow down in the second half of the year, but in particular in the fourth quarter. And so I would say that's really one of the, you know, the key drivers of some of the little bit of the phasing, again, from what you can call a third quarter perspective in the, again, the squeeze math on the fourth quarter.
David Roman (Managing Director)
Got it. And then maybe just to 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 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.
Joel Grade (EVP and CFO)
Good morning, David. How are you?
David Roman (Managing Director)
Well, thank you. Nice to talk to you.
Joel Grade (EVP and CFO)
Likewise. 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 their volume dwindling down in the third and fourth quarter, which we knew about it. So when you do the squeeze method in the fourth quarter, you get what you get, but primarily driven by that part of the business, had a specific event in the first and second quarter. Moving to the capital allocation. Our capital allocation now, putting Kidney here on the side, is driven by innovation. So what is the highest innovation drivers for the company? Is gonna be in infusion technology. So we have more investment to do into new categories of pump, more software.
Clare Trachtman (SVP and Chief Investor Relations Officer)
We have intelligent software coming out in 2025 with artificial intelligence that that attaches to the pump. We also have five 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, to close the gap in the research and development, regulatory affairs, as well as the commercial launch. So that is where we allocate the money, and we have some molecules, so in Pharmaceuticals. So you're talking about infusion systems, specifics into PSS and care and connectivity, and what we call the injectable specialty drugs, primarily VIAFLO-style that we have coming out of one of our facilities. So all the capital allocation is going to products that have higher margin and higher contribution to the big company.
Plus, associated to that is the spending that goes along. So it's a good spending, spending put for good use. We did a lot of work internally to understand the major drivers of shareholder value to be able to achieve that.
David Roman (Managing Director)
Very helpful. Thank you for taking the question.
Operator (participant)
Larry Biegelsen of Wells Fargo is on the line with a question. Please state your question.
Larry Biegelsen (Senior Analyst)
Good morning. Thanks for taking the question, and congrats on the nice quarter here. Joe, I was hoping you could just give us a refresher on the key assumptions for KidneyCo sale or spin. You know, the tax basis, you know, how might it look different from, you know, the BPS sale? Just the margins for KidneyCo, you know, first half was 10.9%, which is much higher than in prior years. So, you know, when we're trying to, you know, estimate the dilution, you know, what should we, you know, think about for margins and the stranded cost assumptions and use of proceeds would be helpful. Any color on that? Thanks for taking the question.
Joe Almeida (Chairman and CEO)
Sure. Thanks for the question. Let me just start with the... Again, a little bit from a margin perspective. You know, again, our first quarter with Kidney, you'll recall, was had some substantial one-time impact that drove that margin at what I'll call a disproportionately high level. So I think, you know, as we've talked about Kidney in general, you know, 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 would be the way I would answer that question. From a stranded cost perspective, look, this is an area we we haven't we haven't specifically given that type of guidance yet on it.
Clare Trachtman (SVP and Chief Investor Relations Officer)
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 you know reduce the dilutive impact on that. And so I think you know that's something we're gonna you'll hear more about as we go forward. But but that's really. Again, we haven't come out yet and given that type of information. And we have plans already underway you know starting the execution of that to get way ahead of it. You know certainly from a sale versus spin perspective you know obviously the overarching goal is to maximize shareholder value, and so we're gonna do what is best in order to accomplish that.
You know, if I weigh the puts and takes on some of that kind of stuff, obviously, you know, all else, you know, valuations being equal, so to speak, you know, there are certain advantages of a sale from the perspective of, you know, more, you know, cash earlier from the perspective of valuations, certainly, et cetera. But obviously, there's lots of parts to play in that. Then, from a tax perspective, I guess, to answer your final question, you know, 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's, it really is about economics in terms of what we end up with from a net pro-- net tax proceeds, and then, again, what maximizes shareholder value.
Larry Biegelsen (Senior Analyst)
All right. I'll leave it at that. Thanks for taking the question, guys.
Joe Almeida (Chairman and CEO)
Thank you, Larry.
Operator (participant)
Vijay Kumar of Evercore ISI is on the line with a question. Please state your question.
Vijay Kumar (Senior Managing Director of Equity Research)
Hey, guys. Thanks for taking my question. Joe, I just want to go back on the fourth quarter, you know, implied sort of 1% organic. And if I heard you correctly, is the only thing that's changing is the drug compounding? So should the exit rates for MPT, HST, KidneyCo, they should all be in that sort of annual range, right, in the low to mid singles for MPT, HST, KidneyCo in the 1%-2%, and only thing that changes for Q4 is drug compounding. Is that correct?
Joe Almeida (Chairman and CEO)
It's primarily that and 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 rates for the year, you know, being in the 4%-5% range. So I think... But yeah, it's primarily compounding and then some slowdown in Kidney.
Clare Trachtman (SVP and Chief Investor Relations Officer)
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 at that, 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 businesses of Baxter.
Vijay Kumar (Senior Managing Director of Equity Research)
Understood, Joe. And maybe, Joe, a bigger picture question for you. If I just go back the last, you know, 18 months, it'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+. You know, when we look at the, sort of the, forward trajectory here, right, the implied exit rate, is that 4%+ organic, sustainable, any one-offs, you know, 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 and, you know, your comments on, share losses?
Joe Almeida (Chairman and CEO)
Let me start 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 and the product offering as well. So put that aside now. So VBP, Baxter, ex Kidney is a non-event at the moment. Moving to share. We had a tough first quarter for HST, 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 saddle on that without any hesitation.
Clare Trachtman (SVP and Chief Investor Relations Officer)
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 are called the Baxter accounts. The other portion of the market share, which has been spoken as of lately, some of the other calls, is on the pump. Baxter will continue to gain 1%, plus the Novum can get up to 2% of 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.
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. The 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.
Vijay Kumar (Senior Managing Director of Equity Research)
Fantastic. Thanks, guys, and congrats on the execution.
Joe Almeida (Chairman and CEO)
Thank you.
Operator (participant)
Danielle Antalffy of UBS is on the line with a question. Please state your question.
Danielle Antalffy (Senior Analyst)
Hey, good morning, everyone. Thank you so much for taking the question. Congrats on a good quarter here. Joe and Joel, I wanted to ask a high-level question, and that was really, you know, 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, and even not relative, you know, on an absolute basis. So have you guys turned the corner? Where are, there's still more areas for improving execution that you see, going forward, or are we on the path to more consistent improvement from, from here? And I'll leave it at that. Thanks so much.
Joe Almeida (Chairman and CEO)
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 two 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 as 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 implementing, executing, and executing really good plans in terms of cost optimization.
Clare Trachtman (SVP and Chief Investor Relations Officer)
We can see that in our margins, it's starting to turn the corner, and we have made great changes to accomplish that. Going down one level, as G&A is all about what Joel spoke about. It's our stranded costs associated with other efficiencies, primarily in G&A. This is where the recipe is for the next 12-24 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 costs so we can show progressively in the next year, two, three, consistent improvements in operating income margins.
Danielle Antalffy (Senior Analyst)
Thank you.
Operator (participant)
Matt Miksic of Barclays is on the line with a question. Please state your question.
Matt Miksic (Equity Research Analyst)
Hey, thanks so much. And congrats on a really strong quarter here. Wanted to just touch on a couple of things that I don't know were sort of framed out yet in the call. One was just, you know, where you are in terms of the pricing sort of resets that you talked about a fair amount. And then also, you know, just any sense that you can get from the sort of patient support side of the business or, you know, call it the capital equipment side of the business, that maybe speaks to, you know, overall demand in the market that you're seeing around investment in infrastructure and capacity as that's come up a few times this earnings cycle.
Clare Trachtman (SVP and Chief Investor Relations Officer)
And again, congrats, and thanks so much for taking the questions.
Joe Almeida (Chairman and CEO)
Thank you. As we had previously disclosed, we have negotiated two very large GPO agreements, and conversations now have moved to the IDN level. As expected, customers are being thoughtful and thorough about evaluating their options. We believe now with the Novum 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 Novum platform on the market, it makes a huge difference. So I feel optimistic that we're going to close those negotiations in the next four months and be able to move on in 2025 with these things behind us.
Clare Trachtman (SVP and Chief Investor Relations Officer)
Oh, 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.
Joel Grade (EVP and CFO)
Yeah, 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 would think about this, obviously, is as we contemplate our world post-separation, you know, this certainly is an opportunity to reevaluate our overall network. Yeah, 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 the separation does happen is really going to be a key driver in how we think about our network, how we think about our manufacturing, how we think about our distribution network, etc.
Clare Trachtman (SVP and Chief Investor Relations Officer)
So, you know, 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's really focused on both, allows both companies to where both companies can 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.
Operator (participant)
Rick Wise of Stifel is on the line with a question. Please state your question.
Rick Wise (Managing Director)
Good morning to you both. Joe, I was just hoping you would expand on your Novum comments. Where are we in the rollout? Is this... 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? Are you seeing more orders than you were expecting last quarter, or sort of in line?
Joe Almeida (Chairman and CEO)
Rick, good morning. We found, as a matter of fact, we have sales off 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, Spectrum is a great product, but it does not have a syringe pump, and, and having a syringe pump makes a huge difference. So we're very happy with the momentum that we're getting in 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.
Clare Trachtman (SVP and Chief Investor Relations Officer)
You know, this is, this is about providing our patients and our customers with the best technology on the market, not a, a re-engineered technology from many, many years ago.
Rick Wise (Managing Director)
Gotcha. 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 gonna get better? And maybe talk about that transition to cardiology and acute. I think those were two areas you mentioned. What do you need to do to get there, and how soon can it have a positive impact? Thank you both.
Joe Almeida (Chairman and CEO)
You're welcome. So Rick, let me break down FLC for our Front Line 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 the Primary Care physician office. We believe this market, it has two 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 slowdown in churn that we've seen due to several of these large Primary Care outfits, you know, exiting the market and moving.
Clare Trachtman (SVP and Chief Investor Relations Officer)
The demand is still there. Primary Care demand is still there. We're number one shareholder, gaining a slight share with 80%+ of 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 with catching up with, with the backlog? 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 2024 with the decline in Primary Care this year, we'll turn the corner in 2025. The business has solid footing, good technology. On the other side of Front Line Care, we have technology that will be launched in mid-2025 to compete into monitoring, and we're 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 count between 2024 and 2025, a reemerging of the Primary Care and probably resuming orders with the government.
Rick Wise (Managing Director)
That's a great overview. Thanks, Joe.
Joe Almeida (Chairman and CEO)
You're welcome.
Operator (participant)
Pito Chickering of Deutsche Bank is on the line with our final question. Please state your question.
Pito Chickering (Analyst)
Hey, good morning, guys. Nice quarter, and thanks for fitting in here. Looking at the infusion pumps, you know, what do you think the market is growing, sort of, you know, you know, in 2024? And are you guys sort of picking up or sort of losing share this year? And with all the RFPs out for 2025 and beyond, do you guys see yourselves as market share gainers or sort of market share maintainers? And then on the strong pricing gains for infusion that you talked about, as you think about pricing in 2025, should we see an acceleration of this pricing for next year?
Joe Almeida (Chairman and CEO)
... Peter, can you repeat the last part of the question on the pricing, please?
Pito Chickering (Analyst)
Yeah, so like you talked about, you know, like 100 basis points of pricing sort of this quarter, and that continued into the back half of the year. Shouldn't that be accelerating in 2025, or as you think about the GPO contracts?
Joel Grade (EVP and CFO)
Yeah, 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 gain that was, again, mostly outside the U.S., across our portfolio. We think about that same pricing bump for next year as we think about, you know, 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.
Joe Almeida (Chairman and CEO)
Peter, answering the 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, and 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, you know, in every competitive account with our new technology.
Pito Chickering (Analyst)
Then a quick follow-up to David's question, you know, not asking for 2025. But, you know, but, you know, like, rest of the year with revenues growing under sort of, you know, 1%, with compounding slowing due to competitors' issues lapping. I guess, you know, how should we model revenue growth compounding in the fourth quarter? And then, you know, like, what are the headwinds and tailwinds that we should be thinking about for 2025 revenues?
Joel Grade (EVP and CFO)
Yeah. Can you just repeat that? So your phone was going in and out during that question, I apologize. Do you mind repeating that one more time, please?
Pito Chickering (Analyst)
Apologies. A follow-up to David's question, just about the fourth quarter revenues. You know, we're exiting the year growing less than 1%, with compounding becoming a headwind in the fourth quarter. So I guess the question, number one, is how should we model compounding growth in the fourth quarter? And number two, with the compounding slowing, how should we think about headwinds and tailwinds for 2025 revenue growth?
Joel Grade (EVP and CFO)
Yeah, 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've seen that over the course of this year, as that HST business has continued to accelerate, and then we think there will be a strong FX rate for that business, and that will continue to accelerate into 2025. You know, I think as we talked about from a Pharma perspective, again, compounding is going to be a portion of that that's gonna, that's gonna drag. I don't know that we've specifically guided the actual compounding business, but that is something that is, again, going to be a continued...
Clare Trachtman (SVP and Chief Investor Relations Officer)
It's slowing, as Joe talked about, for various custom reasons, that's happened. From, you know, from an MPT perspective, again, we continue to believe we've got some really solid momentum going into 2025, certainly coming out of 2024. And then, yeah, obviously, so just to kind of summarize all that, I think the... While there is a bit of a squeeze math from the, we talked about the Kidney and the compounding, the reality of it is that we have a 4%-5% growth, ex Kidney, that we're heading into, you know, the exiting the year with and heading into next year. So that momentum is really strong, again, ex Kidney, and that's the part that we feel really excited about as we head into 2025.
Joe Almeida (Chairman and CEO)
Peter, just reinforcing and underscoring, our exit rate is 4%-5%. We feel comfortable with that. That's where Baxter's taking into 2025, and we tend to think that our business and innovation can drive even further going into 2026 and 2027.
Pito Chickering (Analyst)
Great. Thanks so much.
Joel Grade (EVP and CFO)
Thank you.
Operator (participant)
Ladies and gentlemen, this concludes today's conference call with Baxter International. Thank you for participating.