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    Baxter International Inc (BAX)

    Q1 2024 Earnings Summary

    Reported on Jan 10, 2025 (Before Market Open)
    Pre-Earnings Price$40.34Last close (May 1, 2024)
    Post-Earnings Price$39.10Open (May 2, 2024)
    Price Change
    $-1.24(-3.07%)
    • Baxter expects to achieve 4-5% growth excluding the Kidney Care division, driven by its diversified portfolio with multiple growth drivers, including acute care products, pharmaceuticals, and infusion pumps.
    • Strong pipeline of innovative products, with over seven significant launches in the HST segment in 2025, and plans to launch 25 new high-margin injectable pharmaceuticals, supporting future growth and profitability.
    • Operational improvements and increasing demand in the HST segment, with improved order flow and operational actions expected to drive growth in the second half of 2024, leading to a 4% to 5% exit rate growth by year-end.
    • Growth is expected to slow in key segments due to market exits and government pricing initiatives, particularly in the Kidney Care segment, which is facing reduced volumes in China and is projected to have flat to 1% growth for 2024, compared to mid-single-digit growth without these impacts.
    • The Healthcare Systems & Technologies (HST) segment is underperforming, with a 9% decline in sales, facing operational challenges, order timing issues, and difficulties in key markets like China due to restrictions and competitive pressures, raising concerns about the segment's recovery.
    • The company's strong margins in Q1 were aided by non-recurring factors, such as benefits from the closure of a dialyzer facility, and these benefits are not expected to continue, potentially leading to margin pressure in subsequent quarters.
    1. HST Growth and Outlook
      Q: When will HST normalize and can Baxter exit fiscal '24 with 4% growth?
      A: Baxter is committing to exiting 2024 with around 4–5% growth, excluding the Kidney business. The Healthcare Systems & Technology (HST) segment underperformed in Q1 due to postponed orders and operational issues, which are being addressed. Orders have improved from Q1 into Q2, and there's a healthy funnel of opportunities for the rest of 2024. The company is confident in the recovery of HST and expects to see growth acceleration in the second half of the year.

    2. Margin Outlook and Drivers
      Q: What drove the strong margins in Q1, and what is the outlook going forward?
      A: The gross margins in Q1 were driven by strong operational efficiencies and positive manufacturing variances from the Integrated Supply Chain (ISC). Pricing also contributed modestly. There was favorability related to the closing of the dialyzer facility, which benefited Q1 but won't recur in Q2. Baxter continues to execute margin improvement initiatives designed to offset inflation, with a focus on operational efficiencies and pricing actions.

    3. Spin-off or Sale of Kidney Business
      Q: When will Baxter decide on spinning off or selling the Kidney business?
      A: Baxter will be separating the Kidney business in the second half of 2024. The company is contemplating both options—spin-off or sale—and will choose the one that maximizes shareholder return.

    4. Novum IQ Pump Impact
      Q: How is the Novum IQ pump contributing to performance and competitive dynamics?
      A: The Novum IQ pump had no impact on Q1 results, but it's expected to contribute in the second half of 2024 as shipping begins. Baxter has secured orders, including a full conversion from a competitor. The Novum IQ pump, with modern design and productivity features, is anticipated to drive competitive conversions and significant impact in 2025.

    5. Pharmaceuticals Growth Prospects
      Q: What is the outlook for the Pharmaceuticals business, particularly injectables?
      A: The Pharmaceuticals business, especially injectable pharmaceuticals, is performing strongly with 8% growth in the first quarter. Baxter is launching new molecules and premixes, which have high gross margins of 70% to 85%, helping offset price erosion. The focus is on innovation, with plans to launch more than 25 different products in 2025, leveraging their US-based Galaxy technology.

    6. Margin Expansion Opportunities
      Q: How will Baxter continue margin expansion in the core business excluding Renal?
      A: Baxter sees margin expansion opportunities from volume growth, pricing improvements, operational efficiencies, and procurement initiatives. They are leveraging scale and focusing on the Integrated Supply Chain to positively impact margins. The company is also hiring leadership for global business services to enhance the operating model.

    7. R&D Investment
      Q: Is Baxter reducing R&D investment as it grows slower than sales?
      A: Baxter has actually increased R&D investment in the HST segment. While R&D may show a slowdown as a percentage of sales, the dollar value has improved. The company continues to hire and is exploring additional R&D centers, emphasizing innovation to drive 4–5% top-line growth.

    8. HST Geographic Expansion
      Q: Has the HST geographic expansion taken longer than expected?
      A: Baxter has seen good performance in Western Europe and Latin America, expanding Hillrom's opportunities in these markets. They are enhancing focus on capital sales in Asia Pacific by increasing talent and making organizational changes. China remains challenging due to 'Made in China' restrictions, but overall, Baxter is optimistic about international growth.

    9. Connectivity Solutions and Pipeline
      Q: What are the plans for Connectivity Solutions and future pipeline initiatives?
      A: With the Novum IQ pumps, Baxter now has a suite of devices that connect via their Canexus gateway, enabling devices to communicate and improve hospital productivity. The company is focusing on innovation to bring specific solutions that enhance efficiency in hospital settings. Baxter plans to demonstrate these capabilities at their Investor Day later this year.