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EARNINGS CALL TRANSCRIPT
EARNINGS CALL TRANSCRIPT 2017 - Q1
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Executives

Joseph Wolk - VP, IR Dominic Caruso - EVP and CFO.

Analysts

Jami Rubin - Goldman Sachs Michael Weinstein - JP Morgan Joanne Wuensch - BMO Capital Markets Larry Biegelsen - Wells Fargo Matt Miksic - UBS Bob Hopkins - Bank of America Merrill Lynch Dane Leone - BTIG David Lewis - Morgan Stanley.

Operator

Good morning and welcome to Johnson & Johnson’s first quarter 2017 earnings conference call. All participants will be in listen-only mode until the question-and-answer session of the conference. This call is being recorded. If anyone has any objections, you may disconnect at this time.

[Operator Instructions] I would now like to turn the conference call over to Johnson & Johnson. You may begin..

Joseph Wolk Executive Vice President & Chief Financial Officer

Hello. This is Joe Wolk, Vice President of Investor Relations, and it is my pleasure to welcome you to review Johnson & Johnson’s business results for the first quarter of 2017. Accompanying me on the webcast is Dominic Caruso, Executive Vice President, Chief Financial Officer. Thank you for joining us today.

Our results for the first quarter were consistent with our expectations and aligned to the guidance we provided in January. As you have likely seen in this morning’s press release, we are updating our 2017 guidance to include Actelion assuming closing of the transaction in June.

The public tender offer for Actelion is nearing completion and has been declared successful based on the number of shares tendered, subject to satisfaction of remaining closing conditions. We sought regulatory approval in seven jurisdictions and have satisfied requirements in six of them with antitrust approval by the European Commission pending.

Dominic will provide further insights on the transaction as well as the impact on all elements of guidance in his remarks following my commentary on results for the company and the three business segments. A few logistics before we get into the details.

This review is being made available via webcast accessible through the Investor Relations section of Johnson & Johnson website at investor.jnj.com where you can also find additional materials, including today's presentation and accompanying schedules. Please note that this morning's presentation includes forward-looking statements.

We encourage you to review the cautionary statement regarding such statements included in today's presentation as well as the company's Form 10-K which identifies certain factors that could cause the company's actual results to differ materially from those projected.

Our SEC filings, including our 2016 Form 10-K, along with reconciliations of the non-GAAP financial measures utilized for today's discussion to the most comparable GAAP measures are all available at investor.jnj.com.

A number of the products and compounds discussed today are being developed in collaboration with strategic partners or licensed from other companies. This slide acknowledges those relationships. After prepared remarks from Dominic, the remaining time of today’s webcast will be made available to answer your questions.

We anticipate today's webcast to last approximately 60 minutes. Now on to the results for the first quarter of 2017. Worldwide sales were $17.8 billion for the first quarter of 2017, up 1.6% versus the first quarter of 2016. On an operational basis, sales were up 2% as currency had a negative impact of 0.4%. In the U.S., sales were up 0.6%.

In regions outside the U.S., our operational growth was 3.6% as the effect of currency exchange rates negatively impacted our reported- OUS results by 0.8 points. Excluding the net impact of acquisitions and divestitures, operational sales growth was 1.2% worldwide, declining 0.7% in the U.S. and increasing 3.4% outside the U.S.

I will provide the same reference for each segment. Turning now to earnings. For the quarter, net earnings were $4.4 billion and diluted earnings per share were $1.61 versus $1.59 a year ago.

Excluding amortization expense and special items for both periods, adjusted net earnings for the current quarter were $5 billion and adjusted diluted earnings per share were $1.83, representing increases of 3.8% and 5.8% respectively, compared to the same period in 2016. On an operational basis, adjusted diluted earnings per share grew 7.5%.

Dominic will provide further detail regarding earnings in his remarks. I’ll now comment on quarterly business segment sales performance beginning with consumer, highlighting items that build upon the slides that are currently being presented.

Unless otherwise stated, percentages quoted represent operational sales change in comparison to the first quarter of 2016 and therefore exclude the impact of currency translation. Worldwide consumer segment sales totaled $3.2 billion, growing operationally 0.8%.

Excluding the net impact of acquisitions and divestitures, total adjusted operational sales growth declined 2.3% worldwide.

As an overarching theme across most consumer franchises, the first quarter results were negatively impacted by global category slowdown, as commented to a numerous reports published in recent weeks by consumer staples analysts and peer commentary highlighting higher gas prices, retailers reducing inventory levels and delayed tax refunds among many factors for slower growth.

That slowdown is reflected in results for five out of the six categories we compete in. Additionally, after several quarters of higher consumption for many of our products, we did see that moderate primarily in baby care and wound/other.

Finally, we did see macroeconomic conditions such as high unemployment, high inflation, and low consumer confidence impacting our performance in the Latin America region. Switching to specific platforms.

The beauty franchise includes the acquisitions of Vogue, NeoStrata and La Lumiere Light Mask which in total contributed approximately 13 points of growth for the franchise. Vogue sales globally totaled $98 million for the quarter. While worldwide and U.S. market shares remained relatively flat compared to the same period of 2016, the U.S.

beauty market is estimated to have contracted by a little more than 1%. Aveeno Adult and NEUTROGENA were each down approximately 1 point. The OTC franchise grew 1.5% but when accounting for divestitures, the adjusted growth was approximately 2.4%.

Both adult and children's TYLENOL outpaced the respective categories and adult TYLENOL has ascended to be the number two branded product. Growth for the franchise was negatively impacted by approximately 4 points due to unfavorable comparisons for ZYRTEC and RHINOCORT brands in the U.S.

where promotional inventory builds were experienced in the first quarter of 2016. Concluding the consumer segment, oral care was impacted by the market contracting versus the first quarter of 2016 by approximately 3%. Worldwide market share is flat. However U.S. market share is down by about a half point compared to Q1 2016.

Regarding our pharmaceutical segment, worldwide sales of $8.2 billion grew 1.4%. Excluding the net impact of acquisitions and divestitures, operational adjusted sales growth was 2.2% worldwide.

As we commented to in the first quarter of 2016, favorable prior period price adjustments or gross to net contributed approximately $200 million to the first quarter 2016 results in the U.S. This is a comparative headwind for the first quarter 2017 growth rate of 2.5 points which when added would take the worldwide pharmaceutical growth rate to 4.7%.

On a product basis, the negative impact on U.S. growth rates is approximately 13 points for STELARA and 4 points each for XARELTO and REMICADE. In oncology, DARZALEX continued its strong performance with worldwide sales of $255 million as it’s experiencing strong adoption following mid-year 2016 launches outside the U.S.

DARZALEX maintains its leadership in line 4 plus multiple myeloma and we are seeing accelerated adoption in the U.S. for the multiple myeloma one prior line setting pursuant to the approvals of dose indications late last year. IMBRUVICA in the U.S.

gained approximately 8 points of market share across all lines of therapy based on the fourth quarter data and the CLL market is estimated to have grown approximately 20%. Outside the U.S. we continue to experience strong uptake in the G5 countries. Negative ZYTIGA growth in the U.S.

was the result of higher utilization of independent patient assistance foundations, a dynamic that has carried over from the fourth quarter of 2016. In immunology, the U.S. market is estimated to have grown approximately 5%. STELARA in the U.S. gained 0.6 points of market share in psoriasis versus the first quarter of 2016.

We are very pleased with the uptake of STELARA in Crohn's disease following the launch late last year of this new indication as more than 6000 patients are utilizing STELARA for Crohn's treatment. REMICADE in the U.S.

when accounting for the 2016 prior period price adjustments referenced earlier was modestly higher with volume growth, partly offset by increased discounting. The REMICADE export business continues to see the impact of biosimilar competition in Europe. INVOKANA, INVOKAMET sales in the U.S. were negative due to lower price.

In addition to increasing discounts for managed care contracting, there was also an impact from channel mix with a higher composition of sales now occurring in the Medicaid channel. For XARELTO, total prescription market share is up more than 2 points versus a year ago, as warfarin share is down to 51% versus 58% in the first quarter of 2016.

We are seeing some higher discounting in managed care and government channels for preferred access physicians. We equalize annual costs associated with the Medicare coverage gap, also known as the donut hole, over each quarter throughout the year.

The timing of when these costs were assigned to each brand in 2016 had an impact for year-on-year comparisons. Taking this into account, coupled with the impact from last year's favorable prior period price adjustment previously referenced, growth for XARELTO for the quarter was approximately a positive 2%.

In neuroscience, our paliperidone palmitate long-acting injectable portfolio achieved strong results in all major regions due to increasing market share. CONCERTA in the U.S. is experiencing negative price due to the re-entry of generic competition.

Other neuroscience was impacted by the 2016 divestiture of the Noramco API business which accounted for $60 million of lower sales. I’ll now turn our attention to the medical device segment. Worldwide medical devices sales were $6.3 billion, growing 3.4%.

Excluding the net impact of acquisitions and divestitures, adjusted operational sales growth was 1.7% worldwide. Vision Care results now include the Medical Optics business which we acquired from Abbott in a transaction that closed on February 27. The one month of sales totaled $124 million for that business.

The contact lens business grew approximately 5%, continuing its trend of market share gains through new product introduction, namely OASYS 1-Day products globally and variants of the DEFINE lens outside the US.

Hospital medical device growth of 2% was driven by our priority platforms which as a reminder we consider to be electrophysiology, endocutters, energy, knees and trauma. Combined, that set of businesses grew operationally 6.5%.

Electrophysiology grew approximately 17% worldwide as atrial fibrillation procedures continued to grow, estimated at 11% for the quarter in the U.S. and 14% outside the U.S. Strong adoption of newer product offerings in ablation and advanced catheters continued. This business has grown double digit percentages in 29 out of the last 30 quarters.

Within the advanced surgery category, endocutters grew 10% primarily driven by GST and PBS growth globally. Energy growth of 6.9% was driven by the inclusion of the Megadyne acquisition and strong OUS performance from new products in China and Europe. The specialty surgery business was down compared to the first quarter of 2016 driven by U.S.

declines in the aesthetics and advanced sterilization businesses. Within orthopaedics, knee growth was driven by continued uptake of ATTUNE outside the US, particularly in China and the Middle East Africa region. Trauma, including sales from the acquisition of Biomedical Enterprises was flat versus a year ago.

Growth in hips was generated by continued uptake of the CORAIL primary stem system in the U.S. and the launch of the GRIPTION platform in China. Pricing pressure continued across the major categories in orthopaedics but was partially offset by favorable mix. For the quarter in the U.S.

net price in hips was negative 2.1%, knees negative 1.7%, positive 0.2% in trauma and positive 2.8% in spine. That concludes the segment highlights for Johnson & Johnson's 2017 first quarter. For your reference, here is a slide summarizing notable developments that occurred in the first quarter.

It is now my pleasure to turn the call over to Dominic Caruso. .

Dominic Caruso

we are expecting operational sales growth of between 5.8% and 6.8%; we continue to deploy good cost management and expect to maintain or slightly improve our pretax operating margins.

Our operational adjusted earnings per share growth in our guidance remains strong in the range of 6% to 8% consistent with our goal of growing earnings faster than sales. And our businesses are continuing to invest while also delivering on our near term priorities.

And we're pleased to continue seeing significant milestones in our pharmaceutical pipeline and are confident in the continued growth expectations for that business. In fact, we look forward to discussing this with you in more detail at our May 17 pharmaceutical business review day.

Now I’d like to turn things back over to Joe to open up the Q&A portion of the call.

Joe?.

Joseph Wolk Executive Vice President & Chief Financial Officer

Thank you, Dominic.

Manny, can you please provide instructions for those on the line wishing to ask a question?.

Operator

[Operator Instructions] Our first question is from Jami Rubin of Goldman Sachs..

Jami Rubin

Thank you. Dominic, just a couple questions for you -- I'm just trying to get my head around the new guidance and you did a nice job explaining all the pieces, but -- so this quarter you beat by $0.10, but for the full year you're only raising guidance by $0.07 and that does include the impact of Actelion.

You did mention that this is just a half year impact, so even if I assume that you wouldn’t experience the full half-year impact -- even if I assume that the synergy impact is back-half weighted and assume that you only benefit from, say, a third of the synergy, I am still coming up a little short.

Perhaps it is this R&D expenditure that explains the difference but that would seem to be -- that might explain only part of the difference.

So if you could just walk through again the different pieces -- I'm surprised that the guidance didn't come in above given your original Actelion guidance but again I'm sure that there are timing issues in this R&D expense, that would be helpful. And then I have a follow-up question on REMICADE; thinks. .

Dominic Caruso

Okay. Hi good morning, Jami. Well, just a few things. So regarding our first quarter results of $1.83, that's about $0.06 higher than current estimates. You could break that down between $0.03 or $0.04 related to a lower tax rate than is in the Street’s models for the first quarter and the balance related to basically good cost management.

With respect to that tax rate, we did not change the tax rate for the year. So the lower tax rate in the first quarter compared to what is in many of your models really is just timing related to the stock based compensation accounting which is mostly reflected in the first quarter.

So -- and through the balance of the year we do expect some increased investment which would offset some of that favorability in expenses in the first quarter. Regarding next year for Actelion, in the first full year 2018 we’re still confident with our $0.35 to $0.45 per share. If we look at this half year, it’s a couple things going on.

First of all, you're exactly right.

I mentioned the R&D -- the option we have with respect to one of the R&D programs in the spinoff company and we're assuming that we will exercise that option which will impact our R&D expense in the latter half of the year as a cost, that's worth about $0.08, we gave guidance that's about $0.07 higher related to adding Actelion, let's call that $0.15 for half a year of Actelion assuming that the option wasn't exercised, and that's just slightly lower than the half a year at $0.35 or so for next year and that's because all of the synergies related to the transaction really ramp up in 2018, not in the early stages of the integration in 2017.

So hopefully that clears things off. .

Jami Rubin

Yes, that’s definitely helped.

So the $0.35 to $0.40 is really a second -- the first full year?.

Dominic Caruso

That's correct. .

Jami Rubin

That's not including – I mean the original press release said first full year which was from the time you closed, so –.

Dominic Caruso

So, yes, the $0.35 to $0.45 is 2018’s estimate..

Jami Rubin

Okay, that's helpful. Just second question on REMICADE, the impact from biosimilar is, as you said, very minimal. What are your expectations for the remainder of the year? And then lastly, I am curious your thoughts, Dominic, on prospects for corporate tax reform and repatriation, just given some of the dysfunction in Washington. Thank you very much. .

Dominic Caruso

Sure. Well for REMICADE we saw very little impact in the first quarter. Of course, it's early because the product just launched at the end of last year. As you know there is no interchangeability, so we certainly don't expect that decisions will switch patients, they may start new patients on therapy.

But with the long history that we have of REMICADE’s efficacy and safety, we believe patients will move slowly to switch to a biosimilar and we've incorporated that planned utilization in our guidance for the year and hasn't changed from the time we gave guidance in January, which is well before we saw any impact in the quarter.

With respect to tax reform and what we expect to happen, I was actually just in Washington last week and one of the things that I think is very clear is that the House has a plan that they want to move forward which includes the border adjustment tax, that has not yet been adopted by the Senate, although everyone agrees that some innovation in the way jobs will be created in the U.S.

is important and I would say the grand summary from my takeaway was that both the House and the Senate are waiting for guidance from the White House on whether they prefer the border adjustment tax or whether they have another vehicle that they would like to implement.

And while everyone is waiting for that, things have in fact stalled as you said, but I am confident that we're talking about the right things, we're talking about a lower U.S. tax rate, we're talking about a territorial system and we're talking about some innovation and some incentive for job creation in the U.S.

And that latter point is the one that's up for discussion waiting for some clarity and preference from the White House. .

Joseph Wolk Executive Vice President & Chief Financial Officer

Manny, next question. Maybe before we take the question, I just want to make sure in the last dialogue there was a reference to $0.35 to $0.45 and $0.30 to $0.40, just want to for clarity for your models, it's $0.35 to $0.40 for the first full year of Actelion. Next question, Manny please. .

Operator

Next question is from Mike Weinstein of JP Morgan. .

Michael Weinstein

Thanks and maybe just to add to that, Joe, the $0.35 to $0.40 is a net number that assumes a certain level of reinvestment back into the company – so Actelion -- right on a gross basis?.

Joseph Wolk Executive Vice President & Chief Financial Officer

That's correct, Mike..

Dominic Caruso

That's correct Mike; that's correct. .

Michael Weinstein

Dominic, I think what would be helpful is, is you’ve made a number of comments about both consumer and pharmaceuticals and I think that it would probably be helpful to help -- give your perspective on what you saw this quarter that you think was one time in nature and what you think that -- what you think will persist over the balance of 2017, for both of those businesses?.

Dominic Caruso

Sure. Well, with consumer I would say that what was a little bit more pronounced in our expectation was going into the year was the level at which the category growth that we compete -- the categories that we compete in decelerated. That of course then turns into inventory destocking, if you will, by the various trades.

That's a phenomenon that we think is not long lived, because obviously eventually as consumption either picks up or even continues at a reasonable pace, inventory will need to be restocked at the trade, so we'll see some corrections to that.

Plus, with respect to our own business, we have a number of new product launches, very few of them hit the first quarter, they're all scheduled that now second quarter, third and fourth and those as I said earlier could impact our total growth rate by an incremental two points of growth going forward.

So we don't think that the first quarter results for consumer will continue at that pace that we just saw; we think they will improve throughout the year.

With respect to pharmaceuticals, I mentioned that we were pleased to not see much of an impact in REMICADE biosimilar, there may be some additional impact as we go through the year but nothing's changed our estimates for that, it's all baked into our guidance.

We did see -- we did see some pricing dynamics particularly in the cardiovascular metabolic space, so INVOKANA and XARELTO. Those are competitive markets, lots of entries in that market and therefore the payer dynamics are more competitive there.

So we saw some lower pricing there; that's also baked into our estimates for the quarter, so not something dramatically different than what we expected. .

Michael Weinstein

Okay, that's helpful. Yeah, but a couple of items, just to follow up. So one, I wanted to get some clarity on your view of the upcoming IPR decision on ZYTIGA, this is on the 438 patent.

Does the outcome of the 438 IPR have any impact on your 30-month stay? Our impression is no in that regardless, you wouldn't see generic competition prior to October 2018?.

Dominic Caruso

That's correct, Mike. That's our position as well, that whatever the outcome is of that hearing it will not impact the 30 month stay. .

Michael Weinstein

Okay, then last item. On the upcoming presentation of the CANVAS trial, there's been some discussion on the Street about the study in which you may or may not know about the results of the trial today.

Is there anything you want to add relative to just the change in expectation of that study?.

Dominic Caruso

Well, we’re going to unveil the results of that study in June at the ADA meeting, so it’d be premature to comment there.

Joe, do you have anything else to add?.

Joseph Wolk Executive Vice President & Chief Financial Officer

No, that’s currently the only scheduled release date at this point in time. .

Operator

Next question is from Joanne Wuensch of BMO Capital Markets..

Joanne Wuensch

Thank you very much for taking the question.

Could we take a look at the big picture med-tech, what you are seeing as it relates to the usual suspects of volume, price and how we’re entering the year?.

Dominic Caruso

Sure. Well couple things, I mean in terms of our med-tech business, as you know we have a focus on certain priority platforms that are about 40% of our business, and I said earlier they're growing about 6.5%. And that does have some pricing pressure in it, so the volume seems very good there.

Overall med tech or let me just call it hospital procedures and overall volumes in the U.S. hospital setting seem to be relatively flat, not much growth from quarter to quarter, so relatively stable but no inflection point in growth for sure.

And with respect to products in our core platforms, those products are generally more susceptible to more significant price impacts.

Joe, anything else you want to add to that?.

Joseph Wolk Executive Vice President & Chief Financial Officer

Joanne, one way we typically answer these questions around utilization trends, and so this day that lags a little bit but in the fourth quarter for hospital admissions it was up almost a percent; surgical procedures were down about a half percent, and lab procedures were up a percent.

We see anywhere based on our very preliminary estimates for the first quarter of 2017 they were from flat to 1% up across all three of those categories. .

Dominic Caruso

But I would say no significant acceleration or change in the pricing dynamics that we've been seeing. So steady as she goes with respect to slightly negative price across the industry. .

Joanne Wuensch

That's very helpful. Can we turn off to some of your portfolio management? Specifically last quarter you talked about your diabetes franchise being evaluated on strategic basis, and then also early comments on the AMO integration. Thank you. .

Dominic Caruso

Sure.

Well, with respect to diabetes, we continue that process, we're evaluating various options for that business, whether it be partnership or outright divestiture or whatever is best in terms of giving that position -- giving that business the best position to succeed and obviously getting -- if we were to divest it getting the right return for our shareholders.

With respect to the AMO acquisition, it's going really really well, I mean it just obviously was integrated in February, we welcomed the AMO colleagues to Johnson & Johnson.

They are very important part of now a complete health offering that we have at Johnson & Johnson, coupled with the ACUVUE brand which obviously has great recognition, the innovation that we already know about and know how to do well both in manufacturing and lens technology.

I think this is going to be a fantastic acquisition for us; it's off to a great start and quite frankly before we acquired them in the quarter they were doing really well with new product launches growing at a rate that was double the rate that they were growing at last year's first quarter. So we're very pleased, it's off to a great start. .

Joseph Wolk Executive Vice President & Chief Financial Officer

And just for clarity, as folks look at the schedules that we provide, the AMO business will be split into two categories. The consumer solutions business will be put in with the contact lens portion of the business and surgery will be carved out on its own.

So for the quarter we had $124 million recognized in sales from the AMO acquisition, $115 million of that was in the surgery category..

Operator

The next question is from Larry Biegelsen of Wells Fargo..

Larry Biegelsen

Good morning. Thanks for taking the questions.

Dominic, can you please confirm that the $1 billion from – or tell us if the billion dollars from the Codman neuro business divestiture if that’s included in the current guidance or not and if you will include it in operational EPS in 2017? And second, Dominic, you maintain a 3% to 3.5% underlying growth, but I think you did about 1.2% in Q1.

So what gets better in Q2 through Q4 and do you still expect the medical device and consumer division’s growth rate to accelerate in 2017 over 2016? I think you said that on the Q4 call. Thanks and I just have one follow up. .

Dominic Caruso

Sure. Well, Larry, we have a number of plans with respect to various divestitures. We announced Codman because it was the most significant of those that we have plans with, but the basket of all of those is what we have included in our earnings guidance for the year of 1.1% to 1.3% in the other income line.

So it'll be part of that other income line and not excluded from our earnings. And as you know we always take the opportunity to reinvest those gains back into the business.

So we don't expect that it will have that much of a significant impact on overall earnings as our -- as I mentioned earlier our investment levels will go up, the system was recognizing those gains.

Couple things with respect to medical devices and consumer, as I mentioned earlier we do expect product launches in the remaining part of the year, adding about 1.8% growth in the medical devices and about 2% growth versus the current levels to consumer. In medical devices we also had some tough comparisons in the first quarter.

We still had some inventory destocking and distributor issues in China which obviously won’t repeat going forward in the year. And likewise in consumer we have as I mentioned this category deceleration which we think will improve throughout the balance of the year.

We currently expect that consumer will do about the same as it did last year and if the deceleration in the category growth continues further, then we expect that it would do slightly less. Medical devices about on par now with next year but I do think that it will be at or very close to the market growth rates for the industry overall. .

Joseph Wolk Executive Vice President & Chief Financial Officer

The headwinds in the first quarter, Larry, to be aware in the medical devices, we had approximately 0.4 less selling days, if you will, it's obviously not selling days but procedure days. So that was worth about 60 basis points.

And then also in consumer you had about a 50 basis point impact due to some remaining affects from India demonetization as well as Article 94 in China. .

Larry Biegelsen

That's helpful. Guys, on your ortho, hip and knee, your recon business is doing well but the spine continues to struggle. You talked about product gaps there. What are those product gaps? How do you address them? And trauma, that was also soft; when do you expect that to bounce back? Thanks for taking the questions. .

Dominic Caruso

So with trauma, let me take that. With trauma, that's the business that we saw this inventory destocking issue with changes in distributors in China as I mentioned earlier. So that was an impact in the first quarter that we don't expect to continue.

Spine, some product gaps there that I would point to are expandable cage and we just did acquire an expandable cage, so we expect we will have a good offering in that particular segment of the market as well. .

Operator

Thank you. The next question is from Matt Miksic of UBS. .

Matt Miksic

Thanks good morning and thanks for taking the question. One, on the recent acquisition that you announced, Neuravi and sort of backing up and looking at your med device strategic activity over the last year or so. This is, I guess, maybe the third or fourth, this is the latest in a series of these kind of smaller acquisitions, putting AMO aside.

And I just wonder if some of those in AFib, some of those in surgery, this one of course I don't believe lines up with the current field force or call points that you have.

But Dominic, it could be helpful maybe if you could just talk a little bit about how this fits in with your strategy, whether these kinds of things or what we should expect going forward? And if there's anything in particular about Neuravi, whether it's data or a buildout that we should know about? And then I have one follow up. .

Dominic Caruso

Well, Matt, thanks for the question. In our neurovascular or neurosurgery business, we obviously have sales presence. And as you recall we announced that we have an offer to divest the Codman neurosurgery business.

What we're talking about with Neuravi is the piece of the Codman business where we already have sales force in place, dealing with the ischemic stroke as opposed to hemorrhagic stroke which is dealt with in the other part of the business. And this is consistent with our strategy of moving our portfolio to the higher growth areas of any category.

And so you're right to point out that we've been doing this quite often, we've been divesting slower growth areas or areas that we think are better off in someone else's hands and investing in higher growth areas and new technologies.

This particular ischemic stroke treatment from Neuravi is already on the market in Europe and expected to be approved this year in the U.S. and it provides for faster blood flow and more accurate retrieval of the clot within the neurovascular system. So we're very excited about it.

By the way, our entire medical device business has largely been grown by these smaller tuck-in bolt-on acquisitions with technologies that advance the standard of care and with our scale in distribution we're able to do much better with that asset in our hands than in the hands of the previous owner. .

Matt Miksic

That's helpful and then one follow up on some of the pharma comments that you made. You talked a little bit about some pricing pressure in competitive markets.

You of course have put out through recent report on transparency in pricing, and just wondering if you could comment at all on any changes we should be thinking about in terms of whether it is more competition like this and pressure related in that way or whether it's a different sort of pricing -- price increase profile for your portfolio pharma; any kind of color you can lay out for us in terms of what we should be dialing in or thinking about some of the changes in rebate and pricing in pharma?.

Dominic Caruso

Well, overall, Matt, we have an innovative portfolio in pharma and the innovation comes with greater patient outcome and therefore evidence that supports the pricing for the products. That's the vast majority of the portfolio in oncology, immunology, neuroscience.

In certain parts of the portfolio cardiovascular and metabolic in particular, that's a little bit more crowded; it's not a specialty focused, more primary care focused. And that's where the payer community has more influence over rebates and the like.

I don't think that we're going to see a dramatic change in our pricing methodologies, it's all evidence based. We look at it annually and as you know from our last report that you just mentioned, the difference between list price and net price is pretty dramatic and we think that that will continue.

And so we've had modest price increases on a net price basis and we think that'll be the case going forward. .

Operator

The next question is from Bob Hopkins of Bank of America Merrill Lynch. .

Bob Hopkins

Thanks very much for taking the question. So two things, the first on devices and then on pharma. And then on devices, it’s sort of a follow up to some of the things that have been asked in terms of the leadership changes on the divestitures and acquisitions.

I was wondering, Dominic, if you can just give us a sense as to kind of where are we in the process? Should we expect kind of more strategic activity in devices? Is it a potential for larger transactions in devices given kind of the level of activity and changes at the top in devices over the course of last year, would love to get an update on kind of where we are in your process?.

Dominic Caruso

Sure. Well, couple things, Bob. The restructuring was announced more than a year ago, I guess January of 2016. So we've been in the process of restructuring the medical device business. We've been making changes in the portfolio well before any leadership changes were announced.

I think that will just continue; it's not going to dramatically change as a result of any leadership changes; that's a strategic point of view that we have on various markets. But I don't think that'll change.

I don't think any one particular leadership group will have an influence one way or another over whether we do larger or smaller transactions, are all individually analysed. We're very disciplined about it, they have to be strategic, they have to return a weighted average IRR that's higher than our weighted average cost of capital.

So none of that changes just because of leadership changes. I don’t think that you should expect any dramatic change there. I would expect a continual improvement in the business over time all of which has been started over a year ago.

It takes time to improve a business that's so widespread and diverse as our medical device business but we're making good progress. And I would just reiterate that we expect it to have nearly a billion dollars of cost improvements in that business achieved by 2018 and we're well on our way of doing that. So I don't expect any changes there as well. .

Bob Hopkins

So I guess just in terms of the potential for larger transactions in devices, how would you kind of comment on that? And then the other quick -- and I just want to get your view on -- and this is just a quick question on the pharma growth.

The difference between the 2.2% that you mentioned in terms of the pharma growth this quarter and the 4.7% I think you said, I know it has a lot to do with pricing but maybe you could just kind of break that down as many pieces you're willing to give?.

Dominic Caruso

With respect to larger in devices or larger in any business it's really the same for us, it's not really focused on any one business being more focused on larger or smaller, has to do with whether or not it's an area of strategic importance for us, whether the asset is one that we think we can grow better in our hands than in the hands of the previous owner, and whether we're going to get a return for our shareholders that's commensurate with the risk that we have by putting our shareholders capital to work.

So really doesn't vary in devices, consumer, or pharma in any regard with respect to whether one business would be more likely to have a larger versus smaller acquisition, depends on each individual transaction and we're really agnostic, although I will say in medical devices are history has been a great deal of bolt-on acquisitions and now and then a pretty large acquisition, the largest one we did was Synthes now five years ago or thereabouts.

With respect to your question on pharma, 2.2% versus 4.7% – the 2.2% growth is pharma ex acquisitions and divestiture impact and the 4.7 pharma growth has to do with simply adjusting for the $200 million of purchase price adjustments that were recorded in the first quarter of 2016 -- their prior period adjustments I should say were related to Medicaid rebates, managed care rebates that were late in reporting into us and therefore we've recorded all those in the first quarter of 2016, they had nothing to do with 2016, they're all from prior periods.

So we excluded that in the calculation of the 4.7% to give you an apple to apples underlying growth rate for the pharma business; hopefully that's clear now. .

Operator

Thank you. The next question is from Dane Leone of BTIG..

Dane Leone

Thank you for taking the questions.

So when you think about the Actelion merger and just the general strategy in pharma, several times on the call have come up and just different trends in pricing and have better markets are -- just curious could you just kind of reiterate the strategy in terms of going more into a cardiovascular space even though you know there's more differentiation.

Just in general to the comments of cardiovascular metabolic being more competitive and having more of an effect on pricing especially in the US, how you see Actelion fitting in and kind of the diversification of portfolio?.

Dominic Caruso

Sure, Dane. Well, in the cardiovascular space with respect to Actelion, I mean that's not primary care, it's more specialty based. So therefore it's consistent with our overall strategy of being focused in specialty, pharmaceutical areas more so than in primary care.

So I don't see the same kind of pricing dynamics in the specialty area that you do in the primary care area. Hopefully that’s clear. .

Operator

Thank you. The next question is from David Lewis of Morgan Stanley. .

David Lewis

Dominic, I just wanted to come back to consumer and a quick follow up. Just the things you mentioned the consumer this quarter all seem largely either transitory or tied to the broader industry. But the big thing we talked about this quarter in consumer has really been accelerating e-commerce risk.

And I wonder if you sort of talk about that, do you see e-commerce as an accelerating risk to the JNJ businesses or do you think that your brands are frankly more durable? And also about the 20% margins, you've got there dramatically faster than you ever expected.

So strategically from here is the focus to get to 25% margins or reinvestment and I had a quick follow up. .

Dominic Caruso

Sure. Well, a couple things -- e-commerce is not a risk, it's a real obvious trend in industry where we're well positioned in getting better positioned. Our brands are iconic in nature, they do still have quite an appeal to a mass audience and you see us continuing to advertise for example with Neutrogena, and Aveeno and Tylenol.

So we think those brands still hold up well in more classic marketing although we're very present in e-commerce and products like Vogue and others that we’re acquiring in the consumer brand in the consumer space specialty kind of brands fit really well in the e-commerce strategy.

With respect to the second part of your question, could you just repeat that again please? Yeah, well, a couple things, I mean obviously we were on a long plan to improve the margins in this business but I think as Alex often mentions first things first. So now that the business has worked through the issues that it had in the OTC.

business although it's still under a consent decree, I just want to remind you we are focused on cost improvement programs and while at the same time investing. So there's no particular focus or goal to get to one particular pretax operating margin number.

We expect it to be competitive with the industry which it now is but we're obviously going to take the opportunity to invest when we can especially as I mentioned we're launching new products this year. So we're going to make sure we invest behind those launches and make sure they do exceptionally well right out of the gate. End of Q&A.

Joseph Wolk Executive Vice President & Chief Financial Officer

Great, thank you David. And thanks for everyone for their questions and apologies to those we couldn't get to today. I will now turn it back to Dominic for some closing comments. .

Dominic Caruso

Thanks Joe. Well as I noted earlier we're confident in our guidance for 2017 and we're optimistic for the future. I would like to take this moment to recognize and thank all of our associates around the world for their important contributions and dedication to the success of Johnson & Johnson. Thank you for your time this morning.

I look forward to updating you on our progress throughout the year and I hope to see you all at our pharmaceutical business review meeting on May 17. Thanks and have a great day. .

Operator

Thank you ladies and gentlemen and this concludes today's Johnson & Johnson's first quarter 2017 earnings conference call. You may now disconnect and have a wonderful day..

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