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Healthcare - Medical - Devices - NYSE - IE
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EARNINGS CALL TRANSCRIPT
EARNINGS CALL TRANSCRIPT 2017 - Q4
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Executives

Julie Winter - STERIS Plc Walter M. Rosebrough - STERIS Plc Michael J. Tokich - STERIS Plc.

Analysts

Lawrence Keusch - Raymond James & Associates, Inc. Joel Harrison Kaufman - Goldman Sachs & Co. Matthew Mishan - KeyBanc Capital Markets, Inc. Chris Cooley - Stephens, Inc. David M. Stratton - Great Lakes Review Mitra Ramgopal - Sidoti & Co. LLC.

Operator

Good day, everyone, and welcome to the STERIS Plc Fourth Quarter and Year End Conference Call. All participants will be in a listen-only mode. Please also note that today's event is being recorded. At this time I'd like to turn the conference call over to Julie Winter, Director of Investor Relations. Ma'am, please go ahead..

Julie Winter - STERIS Plc

Thank you, Jamie. Good morning, everybody. We appreciate you taking the time to join us to go over our fourth quarter results. As usual, on today's call I have with me Walt Rosebrough, our President and CEO; and Mike Tokich, our Senior Vice President, CFO and Treasurer. I do have a few words of caution before we open for comments from management.

This webcast contains time sensitive information and is accurate only as of today. Any redistribution, retransmission or rebroadcast of this call without the expressed written consent of STERIS is strictly prohibited. Some of the statements made during this review are or may be considered forward-looking statements.

Many important factors could cause actual results to differ materially from those in the forward-looking statements, including without limitation those risk factors described in STERIS' securities filings. Many of these important factors are outside of STERIS' control.

No assurances can be provided as to any results or the timing of any outcome regarding matters described in this webcast or otherwise. The company does not undertake to update or revise any forward-looking statements as a result of new information or future events or developments.

STERIS' SEC filings are available through the company and on our website. Adjusted earnings per diluted share, segment operating income, constant currency organic growth and free cash flow are non-GAAP measures that may be used from time to time during this call and should not be considered replacements for GAAP results.

Non-GAAP financial measures are presented during this call with the intent of providing greater transparency to supplemental financial information used by management and the Board of Directors in their financial analysis and operational decision making.

STERIS' adjusted earnings per diluted share and segment operating income exclude the amortization of intangible assets acquired in business combinations, acquisition related transaction costs, integration costs related to acquisitions and certain other unusual or nonrecurring items.

To measure constant currency organic revenue, the impact of changes in foreign currency exchange rates and acquisitions and divestitures that affect the comparability in trends and revenue are removed.

We define free cash flow as cash flows from operating activities less purchases of property, plant, equipment and intangibles, net capital expenditures, plus proceeds from the sale of property, plant equipment and intangibles.

Additional information regarding adjusted earnings per diluted share, segment operating income, constant currency organic revenue growth and free cash flow is available in today's release. Also, we will be posting supplemental tables on our website this morning that provide the product mix breakdown within our segments for your convenience.

With those cautions, I will hand the call over to Walt..

Walter M. Rosebrough - STERIS Plc

Thanks, Julie, and good morning, everyone. I have a bit of a spring allergy, so a little bit of a froggy voice this morning. I hope I'm not too hard to hear. As Mike will discuss shortly, we ended fiscal year 2017 strong and feel good about where we stand today and even better about where we're headed tomorrow.

Fiscal 2017 was a transition year for STERIS as we took strategic actions to improve the business for the long-term. We have completed the bulk of the Synergy Health integration efforts and have divested businesses that do not fit our go forward strategy.

We achieved 5% constant currency organic revenue growth in fiscal 2017, a good showing in today's market. We had a particularly strong fourth quarter ending the year on a high note. The actions we have taken have delivered results beyond revenue growth which are apparent in the expansion of both – in both gross margins and operating income margins.

Overall, operating margins improved by 130 basis points in the year resulting in a record 18.2% of sales. We also achieved another double digit increase in adjusted earnings per share for the full year to $3.76. I will spend a few moments on the highlights of the year for each of our segments before getting into our outlook for fiscal 2018.

Starting with our largest segment, Healthcare Products revenue grew 4% on a constant currency organic basis for the year. Consumables were strong, excluding the impact of divestitures, as we benefited from continued mid-single digit growth in our instrument cleaning chemistries, double-digit growth in U.S. endoscopy and our V-PRO consumables.

Equipment Service revenue continued its history of consistent growth, particularly in installation of our OR Integration offerings, and an increase in Preventive Maintenance contracts. Capital Equipment shipments started the year a bit slow, but ended very strong.

For the full year, we saw particular strength in washers and steam sterilizers on the Infection Prevention side of our business, and OR Integration in our Surgical Business unit. Healthcare Specialty Services grew constant currency organic revenue 5% for the year with improving profitability in the fourth quarter.

Our people in IMS have done a nice job winning new contracts during the year and as we said last quarter, we expect that portion of our business to reach high-single digit operating margin run rates by the end of fiscal 2018.

Combined with the divestitures of the lower profitability businesses, our expectation is to bring the profitability of the entire segment to mid-single digits for the full year.

In Applied Sterilization Technologies, revenue grew 7% for the year on a constant currency organic basis, reflecting strong underlying demand from our core medical device customers. Of course, the fall in the euro and British pound offset much of this growth outside the United States on an as-reported basis.

As you all know, we have been making investments in AST to expand capacity at a number of facilities, and growth investments will continue in fiscal 2018. These are sound expansions with return on investment capital typically exceeding our cost of capital in a three to four year timeframe.

However, we do not expect to see the same level of margin expansion next year for the level of growth we anticipate due to the startup costs and higher level of depreciation on these new facilities. We do not expect profit dollars to fall as a result of these investments.

They just will not expand as fast as they would for the level of growth we anticipate. We look forward to significant margin expansions in FY 2019 and beyond as a result of these investments. Life Science constant currency organic revenue increased 4% led by high single-digit consumable revenue growth.

We had strength in both barrier products and formulated chemistries with particular strength in Europe. Service revenue grew double-digits for the year with growth in maintenance contracts and new service offerings. Capital Equipment revenue ended the year slightly below our expectations, but with strong orders in hand.

We have a double-digit percentage increase in backlog to a record $53 million, which is a good start for next year. Turning to our outlook for fiscal 2018, we expect another year of solid performance.

This is our tenth year together as a team, and we have successfully delivered on our long-term commitments for growth and adjusted earnings per share over that period despite substantial challenges and headwinds along the way. Our revenue has grown 8% compounded and our adjusted earnings per share 10%.

As I have said since I arrived at STERIS, I believe this is a business that can grow revenue mid- to high-single digits through a combination of organic growth and acquisitions and leverage that growth to deliver double-digit bottom line expansion.

Our management team has accomplished this goal the past 10 years and I believe we will continue to do so the next 10 years. We have macro forces that will continue to help drive growth in procedures and vaccines; the Baby Boom population reaching peak health care spending ages in the U.S.

and other industrialized countries, and the growing middle class outside the industrialized world. We are a recognized global leader in sterilization and decontamination, with strength in hospitals and surgery centers, pharmaceutical manufacturing of biologics and vaccines, and medical device sterilization.

We also have focus on additional products and services for the procedural areas of surgery and endoscopy. In addition to revenue growth, we have plenty of opportunity to become a more efficient business using lean techniques in both our operations and our support functions.

Specific to fiscal 2018, we anticipate that as reported revenue will decline 2% to 3% reflecting lost revenue of approximately $160 million from the net impact of divestitures and acquisitions. Also factored into that outlook is a $15 million degradation to revenue from foreign currency movements.

Our outlook presumes that we will complete the last of our planned divestitures in the first quarter of fiscal 2018. This business represents about $40 million of the total $160 million of divested revenue for the year.

We have not assumed any additional acquisitions, divestitures in our FY 2018 outlook beyond those that have occurred or I've discussed. We continue to believe that there are acquisition opportunities before us, but the timing of deal completion is difficult to predict.

We believe our underlying revenue growth on a constant-currency organic basis will be in the range of 4% to 5% for the year, with solid growth in all four segments driving that performance.

With the benefit of cost synergies and the impact of divestitures, we expect another year of meaningful improvement in operating margins largely stemming from improvement in gross margins. As always, we plan to reinvest some of our savings.

In particular, we anticipate double-digit growth in R&D spending in FY 2018 and significant capital spending for expansion opportunities. As we noted in our release, we anticipate adjusted earnings per diluted share for fiscal 2018 to be in the range of $3.96 to $4.09.

As we have seen in prior years, we expect our earnings to be more heavily weighted to the second half of the year. Fiscal 2018 earnings comparisons to fiscal 2017 will be a bit light in the first half compared to prior years, as we have tougher comparisons on foreign exchange as well as the impact of lost profit dollars from divestitures.

This is particularly true of the first quarter, where have the largest headwind of lost profit from divestitures. All in all, we expect 43% of our earnings to be in the first half of the fiscal year and 57% in the second half. As we look ahead we're excited about the opportunities before us.

We have a great team in place, are positioned nicely for future growth, and have both breadth and depth in our core businesses with significant opportunities to grow. We will continue our mission to help our customers create a healthy and safer world. I'll turn the call over to Mike to review the quarter before we open for Q&A.

Michael?.

Michael J. Tokich - STERIS Plc

maintaining and growing the dividend, reinvesting in our businesses, funding acquisitions, and share repurchases. During the quarter, we took advantage of locking in low, long-term favorable financing rates as we issued and sold approximately $300 million of fixed rate senior notes in a private placement.

Substantially all of the proceeds were used to repay floating rate bank debt, thereby increasing our portion of fixed rate debt. The result was a shift from floating rate debt to somewhat higher cost fixed rate debt, which will lead to an increase in net interest expense in the coming year.

In total, our current expectations for interest expense is about $46 million in fiscal 2018. Free cash flow for the year was $256 million, almost double compared to last year, primarily due to higher cash from operations, which was partially driven by a reduction in acquisition-related cash expenses.

Included in free cash flow for fiscal 2017 is approximately $26 million of cash expenses related to acquisitions and divestitures. We anticipate a reduction of approximately $20 million in related cash expenses in fiscal 2018.

For the full fiscal year 2018, we anticipate capital expenditures to be approximately $180 million, reflecting continued facility expansions, integration of IT systems, new product development, and general maintenance for existing facilities.

Total depreciation/amortization for fiscal 2018 is expected to be approximately $180 million, which includes about $65 million in amortization of acquired intangible assets. For the full fiscal year 2017, we returned approximately $190 million to shareholders in the form of dividends and share buybacks.

The balance of cash was utilized to repay debt and to acquire several small businesses. With that, I will now turn the call over to Julie to begin Q&A.

Julie?.

Julie Winter - STERIS Plc

Thank you, Walt and Mike, for your comments. Jamie, if you would please give the instructions, we can get started on Q&A..

Operator

Ladies and gentlemen, at this time, we'll begin the question-and-answer session. We'll pause momentarily to assemble the roster. And our first question today comes from Larry Keusch from Raymond James. Please go ahead with your question..

Lawrence Keusch - Raymond James & Associates, Inc.

Thanks. Good morning, everyone..

Walter M. Rosebrough - STERIS Plc

Morning, Larry..

Lawrence Keusch - Raymond James & Associates, Inc.

Morning.

Walt and/or Mike, maybe we could just start at a very high level and given some of the distractions from 2017 with the divestitures and integrating Synergy and of course some of the challenges achieving some of the top line goals, can you talk a little about philosophically how you came into 2018 and kind of what do you view driving that top and bottom end of that organic constant currency range of 4% to 5%?.

Walter M. Rosebrough - STERIS Plc

Larry, I would say, in terms of the approach, first of all, obviously, some of the businesses that we divested were disappointing to us. They were not in our strategic wheelhouse anyway, and they were doing not as well as we expected.

So for both short and long-term reasons, it made sense to make those divestitures and let someone else do with them something that, probably better than we could. And so that clearly impacted our last year.

In terms of, I would say, forecast going forward, we forecast, as we always do and have, as we do bottom-up forecast in our business units, we also look at the top to see if it makes sense to us vis-a-vis what's going on in the marketplace and we look at those two things in concert and we put out the forecast we think is a reasonable forecast.

We do, on the one hand, want to stretch our people and our operations to do the best we can. On the other hand, we obviously don't want to put forecasts out there we don't meet. If we look at it in total, I think we've done a pretty decent job of that. Last year was obviously a disappointment..

Lawrence Keusch - Raymond James & Associates, Inc.

Okay.

And are there any drivers for the top and bottom end of that 4% to 5% range?.

Walter M. Rosebrough - STERIS Plc

The answer is, of course, yes. The kind of the classic questions around capital, both forms of capital, Life Science and Healthcare. Life Science tends to be a little bit lumpy. This year we have more confidence going into the year in that we do see that pipeline and we have a very good backlog.

So probably we're a little more comfortable than normal on that side of the business.

On the Healthcare side of the business, again, this question always comes up with the pipeline out there, how are things looking particularly in the United States? So far, we have seen continuation of the trend we've been talking about for a year or two; that is it's not growing rapidly, but we continue to see a reasonable pipeline, it's up a few digits, if you will.

And we have continued to see that. I would say we've seen kind of particular strength on the project side of the business; that is people who have made strategic decisions to put steel in the ground or to refurbish major parts of their facilities are continuing that at the pace that we have been seeing.

And we haven't seen significant changes on the replacement side of the house as well. So it looks like a continuation of the future. As you all know, there are a lot of things up in the air right now in U.S. health care, the way it's going to be reimbursed, what happens with the Affordable Care Act, and so we're all watching that carefully.

But we've not seen any indication from our hospital customers that they are pulling back on capital spending at this point. And in fact, you've seen a number of announcements by the for-profit side of the world about how they are going forward with strong capital spending..

Lawrence Keusch - Raymond James & Associates, Inc.

Okay. And then just quickly on free cash flow, I think for 2017 you had guided to $250 million. You obviously did a little bit better, $256 million. And included in that was about $50 million of spending related to the Synergy acquisition.

So I was thinking that cash flow, given the growth in the business – free cash flow, I should say, would have been $300 million or perhaps a bit better. You're guiding a little bit below that. Are there any sort of step-ups that we should be thinking about? Looks like CapEx is up a bit year-over-year..

Michael J. Tokich - STERIS Plc

Yes, Larry, you're right. CapEx is up a little bit year-over-year. And also we are anticipating another about $20 million of cash expenses related to acquisitions and divestitures. So if you take our free cash flow, add the $20 million, we're just over that $300 million mark on a little bit of an increase in our CapEx..

Lawrence Keusch - Raymond James & Associates, Inc.

Okay. Perfect. Thanks so much, guys..

Operator

Our next question comes from Joel Kaufman from Goldman Sachs. Please go ahead with your question..

Joel Harrison Kaufman - Goldman Sachs & Co.

Hi, yes. Thanks for the question.

Just following up on the organic growth guidance, just maybe help us walk through the process again because when I frame down the top – frame the top-down views of the market you just provided and the portfolio today relative to the portfolio when you guys provided guidance on the fourth quarter call last year, one could argue that the weighted average market growth rate of your assets today is more attractive than it was 12 months ago.

Just trying to understand what brought down the outlook relative to the 7% target you guys provided last year..

Walter M. Rosebrough - STERIS Plc

Well, we agree with you. The weighted average of the current business is stronger than the weighted average of the business last year. I think it goes without saying we were obviously over aggressive in our forecast last year. We didn't meet that forecast and we did take that into account when we looked at these numbers.

I would not call this an overly conservative forecast. I think it's a reasonable forecast and we intend to hit it. But clearly we were over optimistic last year. But I agree with your standpoint. If we had the same portfolio that we had last year, we would be guiding even lower than we are today..

Joel Harrison Kaufman - Goldman Sachs & Co.

Okay. Thanks. Then just turning to the AST business, obviously the growth there has been fairly strong, coming in a little bit ahead of what I would say is sort of the contributors across the med dev device volumes were.

So, can you maybe just help us understand what's driving the growth there? Is it a market share dynamic? Is it a pricing dynamic? Thanks..

Walter M. Rosebrough - STERIS Plc

Sure. First of all, we do get modest price increases in that business over time and those are long-term contractual increases. So we do get modest price increases; that's a small portion but the other side of that is indeed a combination of market growth.

And you have to remember on the device side, devices, particularly implantable devices have been under some significant price pressure the last several years. And in that space, we count volume is what drives our business, not so much the price, the end user price of the business we're an, ever, an infinitesimal piece of their cost.

So we tend to ride with volume, not with their end market prices. And I do think over time that we have picked up some share predominantly from some of the smaller players in the marketplace..

Joel Harrison Kaufman - Goldman Sachs & Co.

Thanks. And then just last one on capital allocation. Appreciate the comments that as you guys approach the optimal leverage target, you guys are going to be thinking about getting back to a more traditional pattern of cap allocation.

Is anything changed in terms of your priorities between share repurchase and smaller tuck-ins relative to what it would've been prior to the Synergy Health acquisition?.

Walter M. Rosebrough - STERIS Plc

No. I would say not at all. Those are our rank order priorities. They were before the deal and they continue to be post..

Joel Harrison Kaufman - Goldman Sachs & Co.

Thanks, guys..

Operator

And our next question comes from Matt Mishan from KeyBanc. Please go ahead with your question..

Matthew Mishan - KeyBanc Capital Markets, Inc.

Hey. Good morning. Thanks for taking the questions..

Julie Winter - STERIS Plc

Hey, Matt..

Matthew Mishan - KeyBanc Capital Markets, Inc.

Could you just give us a sense of the trajectory you're expecting this year and maybe into next year for like revenue growth and operating margins for specifically the Healthcare Specialty Services segment? That seems like that's been a laggard over the course of 2017 but you saw some really nice improvement last quarter.

And I think it, especially in the outsource central sterile processing side you're starting to see some pretty good volumes there..

Walter M. Rosebrough - STERIS Plc

You know, I would say there's a couple – there's different components of that. And clearly the euro/pound impacted our European business on, including currency basis. On a constant currency basis, we do see growth in that business, the traditionally European business.

The – what we have historically called the IMS business, or the instrument repair portion of that business, which is largely in North America, has seen some nice growth. And you know this past year we lost a pretty significant chunk of business from a couple of customers. And as a result, our growth rate was not as high as we expected.

But even with that loss we still had reasonable growth rates for the year, mid-single digit growth rates. We are toning down our view of that a little bit. When we did the acquisition, we were saying high-single to low-double digits.

We think that market has matured some in this past several years, and so probably more in the mid-single to maybe a little north of a mid-single. But in that range of mid-single digits, as opposed to what we have historically said in terms of our outlook..

Michael J. Tokich - STERIS Plc

And I would also add, Matt, that you know, from a profitability standpoint, the divestitures had put a lot of pressure on that segment. And you have seen, with the removal of all of our linen businesses, you're starting to see that uptick of profit in the right direction..

Matthew Mishan - KeyBanc Capital Markets, Inc.

Okay.

And in the outsource central sterile processing, since you closed on Synergy Health, have you guys opened or signed any new contracts on outsourcing centers, either here or in the U.K.? And then what does the pipeline look for that moving forward?.

Walter M. Rosebrough - STERIS Plc

The answer to the question is we have signed outsourcing contracts, both in the U.S. and the U.K. Those contracts in the U.S. have tended to be, or have all been I should say, inside the existing facility as opposed to building a center and doing what the, you know, kind of the traditional European outsource.

We have also signed additional contracts, both in the U.K. and in Europe, and so we have brought contracts on board. Some of those were, as I've just described, inside the facility. Some of those were re-upping historic contracts.

And some were we anticipate building some facilities or putting facilities in place or refurbishing facilities, it is going to require capital. The other one that we've obviously talked about a fair amount is Northwell.

And we continue to expect that to go, but we intend – we expect that to happen next year, not this fiscal year, in any significant revenue way.

We do have capital in our forecast for new facilities, a, we have capital for the Northwell facility, and we have capital for some other facilities, but we would not expect any material revenue at this point for this current year..

Matthew Mishan - KeyBanc Capital Markets, Inc.

Okay. And then last question for Mike. I think the segment margins were all pretty strong in the quarter, but in the Other line you saw a little bit of a spike there.

Can you elaborate on what drove like the $7 million in costs in the Other line?.

Michael J. Tokich - STERIS Plc

Yes. Part of that was – remember, we don't allocate all of our costs across to all of the businesses. We withhold a portion of not only the Defense Industrial business but also other costs related to legacy pension, post-retirement, board expenses, Walt and my expenses. So it was just a timing issue on that.

For the year we've seen a slight increase in our expenses for some of those items, especially with Synergy Health on the pension side, which we are holding at the corporate level..

Matthew Mishan - KeyBanc Capital Markets, Inc.

Thank you very much, Mike..

Walter M. Rosebrough - STERIS Plc

You're welcome, Matt..

Operator

Our next question comes from Chris Cooley from Stephens. Please go ahead with your question..

Chris Cooley - Stephens, Inc.

Thank you. Appreciate you taking the questions here this morning. Mike, maybe just if you'd go back on the backlog in Life Sciences, was a little bit intrigued by that growth, hitting that record level of $53 million.

Could you just talk about what you're seeing as a backdrop there, maybe from a big picture standpoint? Historically that's been kind of a weaker spot. I realize it's lumpy, but again just kind of a little surprised to see that perk up and would like to get a little color there. And then I've got a follow-up..

Michael J. Tokich - STERIS Plc

Certainly. As you know, Chris, the majority of our customers in that are the pharmaceutical facilities and the research institutions. And we have continued to see very good growth coming out of the pharma side as they get back to I'll call a more normalized growth trajectory. So a large portion of our orders are coming from the pharmaceutical side.

And as we continue to talk about, obviously, Life Sciences tends to be a lot more lumpy from a capital equipment shipments and when we don't ship that, it automatically falls into backlog. Their products are a lot more highly customized and a lot larger in volume. So really, a lot of it is just timing.

We saw capital shipments down, but we are experiencing very good order growth rates, in particular on the pharma side..

Walter M. Rosebrough - STERIS Plc

And Chris, I would add, we have introduced a number of new products in that space the last year or so, both on the steam sterilization side and on the hydrogen peroxide sterilization side, and particularly hydrogen peroxide I think is gaining ground in that space, so I believe that's a part of the impetus to the growth.

So there's the pharma market seems – our piece of the pharma market, the vaccines, the biologics, tend to be strong and a lot of the consolidation seems to be kind of past us, if you will, in terms of plant consolidation, to the point Mike made, but we've also had some nice products to go into that space..

Chris Cooley - Stephens, Inc.

That's super.

And then, maybe if I could just go back to kind of a prior round of questioning, when you think about the buildup for this year's guide, candidly the top line organic growth rate looks pretty much as we had expected, but I would appreciate just some color around what you're expecting in terms of maybe domestic and global volumes, because I think that's really what I think what investors in general are trying to kind of build back up here.

What do you think we'll see? Will we see a steady state type environment in terms of normal surgical procedure volume? Are you anticipating any moderation in growth? Just want to think about how we build that up through the fiscal year. Thanks so much..

Walter M. Rosebrough - STERIS Plc

Yeah, Chris, I would say at a high level, as you know, the international volumes the last year or 18 months, have been weak relative to the U.S. volumes. And we do expect – we have seen in the Pacific Rim an increase in our business and we do expect that to continue in our forecast. Latin America has been weak.

We believe we're seeing a bottoming out of that, so we may be seeing a bottom and maybe a bit of an uptick.

In Europe, we've actually held nicely over this period, but the Middle East, which we put the Europe and the Middle East together, the Middle East has been down radically is the only right term, and so the European business has not been able to offset the Middle Eastern portion of that business.

We, in our forecast here, we do expect growth in the European business too, so we are expecting to see better growth in the O-U.S. business than we have seen the last year or so. Now, I'm talking about the Healthcare Hospital side of the business, not Life Science and AST because they've experienced nice growth globally all during that period..

Chris Cooley - Stephens, Inc.

Super. Thanks so much..

Operator

Our next question comes from David Stratton from Great Lakes Review. Please go ahead with your question..

David M. Stratton - Great Lakes Review

Morning. Thanks for the question.

When we look at the Healthcare Specialty Services, the improved profitability, when you break that out from the divestiture, what's the underlying profitability there and kind of the trend ongoing?.

Walter M. Rosebrough - STERIS Plc

We don't get into detail of the numbers at that level, but clearly our profitability fell in that space as we lost some business and we had invested in front of gaining what we thought was more business. And so what is going on is the cost that we've invested are catching up – as we grow the revenue, the revenue is catching up to the cost.

And that's the principle improvement. We do think if we can grow the revenue as we anticipate this current year that we will see the profitability ending the year as we've described. So that's really the issue. We do not expect significant cost growth relative to the revenue growth we anticipate..

David M. Stratton - Great Lakes Review

Okay. Thank you. And then on the Life Sciences side, I know you framed the decline in Capital Equipment sales as lumpy.

And then how does that translate into the Services? Is that also lumpy? Or what kind of led that decline?.

Walter M. Rosebrough - STERIS Plc

Yes. Services is not as lumpy as Capital. It tends to be more stable, but there are a couple of components of Service in the Life Science space as well as the Healthcare space that are.

We do a large amount of installation service and so obviously when we sell equipment, we get that installation, so if we're off in, off on the sale of the equipment, maybe in the same quarter or maybe in the next quarter, the timing differs depending on when the project was shipped and installed. But it is lumpy along with the Capital business.

We also have a fair amount of business, particularly in the water stills that we sell in Europe, where they basically are refurbishing a water still and so they will get significant, and these are pretty significant orders, they'll get orders for parts that runs through our Service business.

It's really a refurb, if you will, of that equipment and so our parts sometimes are lumpy because of that..

David M. Stratton - Great Lakes Review

Thank you..

Operator

And our next question comes from Mitra Ramgopal from Sidoti. Please go ahead with your question..

Mitra Ramgopal - Sidoti & Co. LLC

Yes. Hi. Good morning. Just a couple of questions.

Walt, you mentioned about increased R&D, and I was just wondering if you could give us a sense as to some of the areas you feel you need to expand upon?.

Walter M. Rosebrough - STERIS Plc

Well, the short answer is we think there are some opportunities for R&D. The – couple of different issues. As our U.S. Endoscopy business grows and our ORI business grows, those businesses are more R&D intensive than some of our others. So that – those two businesses, as they grow as a overall percentage, rise – raise our overall level of R&D.

The second area is when we're doing R&D projects, the end of a project has a number of expenses like prototypes and market testing and all those things where you get a spike in R&D. And we do have a number of projects that we expect to enter that phase this year. And so we will see some spike there too..

Mitra Ramgopal - Sidoti & Co. LLC

Okay. Thanks. And then back to Synergy, I know it's been about a year-and-a-half now since you completed the acquisition.

If you had to sort of look back and grade it in terms of how it's progressed versus your expectations regarding things like the divestitures, the expected cost synergies, et cetera, what would you say?.

Walter M. Rosebrough - STERIS Plc

Well, just walking through the high level, the cost reduction as a result, or cost synergies, if you will, are on track, and if anything, are better than we expected in total. The – I'll call it the strategy and market position, which is the principal reason we did it, both in the AST and the HSS side, we feel very good about that.

I've been, I guess I would say on the AST side, I am more positive than I was going into it. On the HSS side, we always knew that there was going to be some – that would be a long-term revenue increase, and we still think that's a long-term revenue increase. But it is going to take time. It's a nascent business in the U.S.

So, I don't feel better or worse about that.

Clearly, some of the – I'll call them ancillary businesses, the businesses that neither – Synergy had always described that they would be exiting the laundry business if they could in an appropriate way, for example, but the – I'll call them the ancillary businesses that came along with the Synergy acquisition, they were not performing as well as what we had hoped.

And that's why we accelerated the disposition, because we felt it made sense to – again, to put that in someone's hands who thinks it's strategic and will do a nice job with it. And that's not an area we wanted to expend resources.

And, when we got into it and saw the work that we would have to do in some respects, I'll call it, for lack of better terms, the regulatory and finance work that we would need to do to handle Sarbanes-Oxley, and to handle some of the regulatory issues that we have in the U.S.

that are not present in Europe, that we felt it was wise to accelerate those as opposed to spending the money to turn them into those kind of compliances and then spin – and spin them out. So we accelerated that. That was a little disappointing, but not strategic in any way..

Mitra Ramgopal - Sidoti & Co. LLC

Thanks. Very helpful. And then finally, you mentioned Europe continues to be a bright spot.

I assume Brexit will be a non-issue for you there as you see it?.

Walter M. Rosebrough - STERIS Plc

Well, you've got to ask Theresa May that question..

Mitra Ramgopal - Sidoti & Co. LLC

That's a wild card..

Walter M. Rosebrough - STERIS Plc

I would definitely not characterize Brexit as a non-issue. I will say the – there's – the plus and minus for us in terms of trade, the preponderance, particularly in the Synergy business, is local service business. So there's not a trade barrier kind of issue there because it tends to be done inside of the individual country.

So that, from that standpoint, Brexit is largely a non-issue. Now the historic STERIS business, we do have facilities in France and facilities in the U.K., and we trade across boundaries, not just between the U.S. and France and Finland for that matter, but we trade across the world from those facilities. So how trade is handled between the U.K.

and everybody else is not trivial to us. We care. It's not a huge piece of our business, most of our manufacturing is in the U.S. So at a high level kind of those are the answers. The real issue for us, probably bigger than anything, is currency fluctuation.

And currency fluctuation is relevant to us, particularly since in those Service businesses both the cost and the revenues are in currency, if you will. And as a result the profits fluctuate directly with the currency when you translate it back to U.S. dollars. So that is relevant to us.

Again, if you have a basket of currencies, if they all move in concert with the U.S. dollar, we tend to be fairly – it changes our revenues but it doesn't affect our profitability that much. But if any particular currency moves, it can have an impact..

Mitra Ramgopal - Sidoti & Co. LLC

Okay. That's great. Again, thanks for taking the questions..

Operator

And ladies and gentlemen, at this time, we've reached the end of today's question-and-answer session. I'd like to turn the conference call back over to management for any closing remarks..

Julie Winter - STERIS Plc

Thanks, everybody, for joining us today. This does conclude our Fourth Quarter call, and we look forward to talking to you again in August..

Operator

Ladies and gentlemen, that does conclude today's conference call. We do thank you for attending. You may now disconnect your lines..

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