Abbott Laboratories (ABT) CEO Discusses Q2 2013 Results - Earnings Call Transcript

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Abbott Laboratories (NYSE:ABT) Q2 2013 Earnings Conference Call July 17, 2013 9:00 AM ET


Brian Yoor - Vice President, Investor Relations

Miles White - Chairman of the Board, Chief Executive Officer

Thomas Freyman - Chief Financial Officer, Executive Vice President - Finance


Larry Biegelsen - Wells Fargo

David Lewis - Morgan Stanley

Mike Weinstein - JPMC

Rajeev Jashnani - UBS

Ben Andrew - William Blair

Jeff Holford - Jefferies


Good morning, and thank you for standing by. Welcome to Abbott's second quarter 2013 earnings conference call. All participants will be able to listen-only until the question-and-answer portion of this call. (Operator Instructions).

This call is being recorded by Abbott. With the exception of any participant's questions asked during the question-and-answer session, the entire call including the question-and-answer session is material copyrighted by Abbott. It cannot be recorded or rebroadcast without Abbott's expressed written permission.

I would now like to introduce Mr. Brian Yoor, Vice President, Investor Relations.

Brian Yoor

Good morning and thank you for joining us. Joining me today on the call will be Miles White, Chairman of the Board and Chief Executive Officer and Tom Freyman, Executive Vice President, Finance and Chief Financial Officer. Miles will provide opening remarks and Tom and I will discuss our performance in more detail. Following our comments, Miles, Tom, and I will take your questions.

Before we get started, some statements made today maybe forward-looking for purposes of the Private Securities Litigation Reform Act of 1995, including the expected financial results for 2013. Abbott cautions that these forward-looking statements are subject to risks and uncertainties that may cause actual results to differ materially from those indicated in the forward-looking statements.

Economic, competitive, governmental, technological and other factors that may affect Abbott's operations are disclosed in Item 1A Risk Factors to our Annual Report on Securities and Exchange Commission Form 10-K for the year ended December 31, 2012. Abbott undertakes no obligation to release publicly any revisions to forward-looking statements as a result of subsequent events or developments except as required by law.

In today's conference call, as in the past, non-GAAP financial measures will be used to help investors understand Abbott's ongoing business performance. These non-GAAP financial measures are reconciled with the comparable GAAP financial measures in our earnings news release and regulatory filings from today, which will be available on our website at

With that, I will now turn the call over to Miles.

Miles White

Thanks, Brian. Good morning. This morning we reported ongoing earnings per share of $0.46, exceeding our previous guidance range and we are confirming our full year 2013 EPS outlook for double digit growth. Sales increased more than 4% operationally, led by continued strong performance in emerging markets as well as Diagnostics and Nutrition. Abbott continues to deliver on its expectations despite the recent depreciation of several foreign currencies and a mixed global economy.

Before I comment on our results, let me address at a high level some of these dynamics. Our earnings performance was strong despite a more negative impact from foreign currency than we had forecasted in April. As you know, the yen depreciated further over the last few months and was the primary driver of unfavorable exchange. Several emerging market currencies also weakened late in the second quarter. This resulted in an unfavorable exchange impact on sales of 1.7%, more than our forecast of 1%. The underlying fundamentals are good however, especially around gross margin improvement and expense management, which all are progressing ahead of schedule.

As we look at total company's sales, our results were strong in our growth markets and in line with our expectations in developed markets. Sales in developed markets declined about 1% in foreign exchange, which was less of a decline than we saw in the first quarter. Our businesses in these markets are generally more subject to reimbursement and austerity pressures. However, in Diagnostics, one of our most durable growth businesses, sales in developed markets increased 3% for exchange.

While these markets continue to be challenging, we do expect better performance in the second half. Emerging market sales were $2.3 billion this quarter, increasing 13% before exchange similar to our first quarter growth rate. We built a broad emerging market base that helps to offset volatility that can occur in any one market.

With more than 40% of our business in emerging markets, we are well positioned to benefit from the long-term demographic and economic trends that are taking place. While we can't perfectly predict the macro environment, we can manage our business to deliver durable and reliable results for shareholders. We've done that consistently for years and we are able to do that, because we have flexibility. We plan for contingencies and we often times drive outperformance in other areas of our business.

This quarter, we exceeded our gross margin forecast of 54.5%, delivering gross margin of 55% as a result of continued progress on our margin improvement initiatives. We now expect our full year gross margin to exceed our original guidance. This was the result of continued momentum from margin improvement in Nutrition and Diagnostics, where we are ahead of our initial targets.

With that as context, I'll provide a high level high-level review of our four business segments before Tom and Brian comment on the details of the quarter.

The Medical Devices second quarter performance was in line with our expectations, driven by mid-single digit international growth across vascular, diabetes care and vision care, and as expected, global vascular results improved sequentially, compared to first quarter. We've seen good momentum for many of our recent medical product launches, including OptiBlue cataract IOL in Japan, as well as ABSORB, MitraClip and XIENCE Xpedition expedition, which received approval in Japan last week.

On Monday, we also announced two acquisitions, IDEV which expands our endovascular product portfolio, and OptiMedica, which gives us an immediate entry point into the laser cataract surgery market. While organic growth remains our top priority, these acquisitions bring Abbott leading technologies to capitalize on growth opportunities.

IDEV's SUPERA stent is on the market in Europe and under FDA review to address the challenges of treating the superficial femoral artery or SFA. Treatment of the SFA is the largest and fastest-growing segment of the peripheral market driven by the rising rates of diabetes and obesity. This acquisition rounds out our endovascular portfolio with the best-in-class technology to further penetrate this market segment. Our endovascular business is approaching $500 million in annual sales and increased 4% operationally this quarter.

OptiMedica's state-of-the-art laser system provides Abbott access to the rapidly developing laser cataract surgery market. Most cataract procedures are performed manually today, but a growing portion of the cataract market is moving to a laser-assisted surgery, especially as the market shifts to premium IOLs. The acquisition of OptiMedica will allow Abbott to have broader reach in the growing cataract segment, cataract sales represent more than 60% of our vision care sales and this quarter increased in the high-single digits as we build momentum with several new products that launched in the first half of this year. We expect to complete both of these acquisitions before year end.

In Nutrition, worldwide sales increased 8.5% with equally strong performance in both, pediatric and adult nutrition. International sales increased 18.5%, driven by strong double-digit growth in emerging markets. We have broad reach around the world and have prioritized a group of markets, where we are expanding our footprint. This includes localizing R&D and building out local manufacturing. Our three new facilities in China, India, and U.S. remain on track to come online later this year or early next year.

Abbott's scientific heritage and new product development is critical to our success and leadership in the Nutrition market. As I mentioned last quarter, we are on track for approximately 70 new product launches this year and have completed more than 40 through the first half.

It's not only new products but the world of clinical data that allow us to grow, to shape and further penetrate these markets. For example in our Adult Nutrition business, results from a health economic study announced last month demonstrates that supplementing with Oral Nutrition such as Ensure can decrease hospital length of stay, reduce hospitalization costs, and readmission rates. With healthcare systems facing unprecedented budget pressures and challenges, these results are encouraging and represent an opportunity in both developed and emerging markets.

Nutrition operating margin also increased significantly again this quarter and we are on track to exceed 300 basis points of expansion for the full year. Our initial target of 20% is well within our reach and we intend to continue to look at ways to exceed that goal.

In our established pharmaceuticals division, sales were below our expectations. Global economic growth forecasts are lower than when we began the year. Last week the IMF reduced its growth outlook driven by lower growth expectations in Europe and emerging markets, and while we are seeing some impact from these market developments, we also need to improve our commercial execution.

To that point, we recently created two new commercial leadership positions that have separate responsibility for emerging and developed markets. This will sharpen our focus on the very different market specific needs in this business and enable us to achieve the growth targets that we have set.

We have some work to do to improve how we promote the Abbott brand through various channels, whether at hospitals, pharmacies, or the consumer. We are continuing to build our product portfolios through registrations targeted for specific markets, and geographically we will see a shift in sales to more high growth emerging markets from 60% today to 75% over the next several years, which will also accelerate growth.

While we continue to expect EPD sales growth to pick up in the second half, we now have more modest expectations for the pace of that acceleration. We are positive about the growth prospects for EPD and its strategy as we move forward. We obviously have some things to do here.

Diagnostics continues to deliver on its expectations with worldwide sales up 7.5%. Sales in emerging markets, which represent 35% of total diagnostics sales, were up more than 15% in the quarter. This was led by Core Laboratory Diagnostics, where we continue to outpace market growth in our priority markets; China, Brazil, and Russia.

In Molecular Diagnostics, we returned to double-digit growth in the second quarter with sales up 13%. In June, we also launched the first FDA-approved Hepatitis C genotype test, which allows physicians to match patients to the best treatment option based on their genotype. This is especially important as patients will benefit from many new pharmaceutical treatments over the next few years.

The Diagnostics operating margin also came in ahead of our expectations as we continue to execute on our gross margin improvement plan. Despite the R&D investment we have been making for six new system platforms across our three diagnostics businesses, we are well ahead of schedule to reach our initial operating margin target of 20%.

In summary, despite currency headwinds, our performance exceeded expectations. We are executing on our strategic priorities and confirmed our double-digit EPS growth target for the full year.

I will now turn the call over to Tom to review our second quarter results and the 2013 outlook in more detail. Tom?

Thomas Freyman

Thanks, Miles. Today, we reported ongoing diluted earnings per share for the second quarter of $0.46, exceeding our previous guidance range. Sales for the quarter increased more than 4% on an operational basis, that is excluding an unfavorable impact of 1.7% from foreign exchange. The impact of foreign exchange on sales was 70 basis points more unfavorable in the quarter than the estimate we provided in April, reflecting further depreciation of the Japanese Yen, and weakening of several emerging market currencies late in the quarter.

Operational sales growth was driven by strong performance across a number of our products and businesses, including growth of more than 13% in emerging markets. Reported sales, which include the impact of exchange, increased 2.5% in the quarter. The second quarter adjusted gross margin ratio was 55%, ahead of our previous guidance due to the impact of margin improvement initiatives in our Nutrition and Diagnostics businesses as well as a lower headwind from exchange relative to previous expectations. In the quarter, ongoing R&D investment was 6.5% of sales in line with previous expectations and ongoing SG&A was around 31% of sales, somewhat lower than previous expectations.

Turning to our outlook for the full-year 2013. Today, we are confirming our ongoing earnings per share guidance of $1.98 to $2.04, which reflects double-digit growth over 2012 at the mid-point of the range. We're forecasting operational sales growth, that is excluding the impact of foreign exchange, in the mid-to-high single digits for the second half of the year.

Based on current exchange rates, we expect exchange to have a negative impact of around 2.5% on our full-year reported sales, which was 1.5% more negative than previous expectations. At current rates, we would expect a 3% negative impact on sales in the third quarter and 4% in the fourth. Brian will review the growth outlooks by business in a few minutes.

We forecast an ongoing adjusted gross margin ratio for the full year of approximately 55.5%, which is favorable to our previous guidance, primarily due to strong performance in Nutrition and Diagnostics as these businesses continue to execute well on margin improvement initiatives.

We also continue to forecast ongoing R&D of 6% to 7% of sales and ongoing SG&A expense somewhat above 30% of sales for the full-year 2013. Overall, we project our full year adjusted operating margin to expand by more than 100 basis points in 2013, somewhat above our previous guidance.

We continue to forecast net interest expense of around $110 million in 2013, non-operating income of approximately $20 million and around $50 million of expense on the exchange gain-loss line of the P&L.

Turning to the outlook for the third quarter of 2013, which we are providing for the first time, we are forecasting ongoing earnings per share of $0.51 to $0.53, which would represent strong double-digit growth at the mid-point of the range. We forecast specified items of $0.20 in the third quarter, primarily associated with intangible amortization expense and cost reduction initiatives resulting in GAAP EPS guidance of $0.31 to $0.33.

Our operational sales growth in the third quarter is expected to be in the mid-to-high single digits. And, as previously indicated, at current exchange rates, we expect roughly 3% negative impact from exchange on sales in the fourth quarter. This would result in reported sales growth in the low-to-mid single digits.

We forecast an ongoing adjusted gross margin ratio of approximately 55.5% of sales in the third quarter, which includes a negative impact from exchange of somewhat more than 1%. We also forecast ongoing R&D for the third quarter somewhat about 6.5% of sales ongoing SG&A expense of around 30% of sales and non-operating income of around $50 million.

With that, I will turn it over to Brian for the operating highlights by business.

Brian Yoor

Thanks, Tom. This morning I'll provide an overview of second quarter performance and our outlook for the third quarter. My comments will focus on operational sales growth, which excludes the impact of foreign exchange. I'll first discuss Medical Devices, which includes our vascular, diabetes care vision care businesses.

In our Vascular business, worldwide sales were flat on an operational basis, a step up than first quarter performance and consistent with previous guidance. International sales, which comprised more than 60% of total Vascular sales, increased 4% operationally. Growth was driven by new product, including our XIENCE PRIME, small vessels stent in Japan, XIENCE Xpedition, ABSORB and MitraClip.

Last week, we announced the approval of XIENCE Xpedition in Japan, which we expect to drive further share gains. This approval follow the initiation of our ABSORB randomized clinical trial in Japan, reaffirming Abbott's commitment to developing truly innovative treatment options for coronary artery disease. U.S. vascular sales in the second quarter were down nearly 7%, impacted by market declines, partially offset by year-over-year share gains as a result of the XIENCE Xpedition launch.

For the third quarter of 2013, we expect our global vascular business to increase in the low-single digits on an operational basis. We expect to improve our performance in the second half of the year with the uptake of XIENCE Xpedition in the U.S. and Japan, and continue penetration of our new products MitraClip and ABSORB.

In Diabetes Care, global sales in the second quarter were relatively flat in line with our expectations. International sales growth of 4% was driven by double-digit growth in the emerging markets, as well as the continued uptake of our FreeStyle InsuLinx Meter.

Abbott was recently selected as the exclusive supplier for the National Diabetes Awareness Program in Saudi Arabia, a country where 40% of the population has diabetes today. In the U.S., we saw continued share gains in the hospital and retail segments, where Abbott maintains its leadership position, offset by market pricing and reimbursement pressures. We continue to invest in the next-generation sensing technology which we expect to initially bring to market in Europe in the second half of 2014. We project third quarter diabetes care sales growth to be relatively flat on an operational basis. As we have previously discussed, while we are forecasting strong growth in emerging markets, the 2013 implementation of CMS competitive bidding for Medicare patients will impact our U.S. sales this year.

In Vision Care, global operational sales increased approximately 2% in the second quarter. Cataract sales, which represent about 60% of our global vision care sales, continued to outpace the market in the quarter led by strong double-digit growth in emerging markets and our TECNIS brand of intraocular lenses. We expect to see continued growth in our cataract business driven by several important new product launches this year.

This includes the recent launch of TECNIS OptiBlue in Japan, which provides Abbott access to the largest segment of the Japan market and TECNIS Toric in the U.S. which gives Abbott access to the faster growing premium segment of the IOL market. The anticipated launch TECNIS Preloaded IOL in the U.S. will also contribute to accelerated growth in the second half of the year. For the third quarter, in our global vision care business, we expect mid-single-digit operational sales growth, an improvement versus first half of the year as we continue to drive cataract growth with new launches and execute in emerging markets.

In Nutrition, global sales increased 8.4% in the second quarter on an operational basis. International nutrition sales grew 18.4% in the quarter, including strong double-digit growth in emerging markets, which now comprise more than 45% of total nutrition sales. Global pediatric nutrition sales grew 9% operationally in the quarter. International pediatric sales grew 19% as we continue to execute on a number of geographic expansion initiatives and launch new product innovations including the global rollout of our specialty tolerance formula products. U.S. pediatric sales were down modestly largely due to lower infant formula share in the WIC segment. Abbott remains the market leader in non-WIC segment of the U.S. infant formula market.

Global adult nutrition sales was comprised nearly 45% of total nutrition sales increased 7% operationally in the quarter. International adult sales grew 17%, driven by strong growth of Ensure and execution in market expansion initiatives. U.S. adult nutrition sales were negatively impacted this quarter by the exit from certain non-core business lines as part of our margin improvement initiative. Excluding the impact of these exits, U.S. adult sales grew low single-digit.

As Miles mentioned earlier, a recent health economic study published in The American Journal of Managed Care found that nutritional supplementation in the hospital setting decreased hospital length of stay and total episode cost by more than 20% and reduced the likelihood of being readmitted to hospital within 30 days by nearly 7%. As the clear global leader in adult nutrition, we are working to expand the market by raising awareness of the role that proper nutrition can play in improving patient outcomes and reducing healthcare costs. As we look ahead to the third quarter, we expect our global nutrition business to grow double digits on an operational basis with strong international sales growth led by emerging markets and continued uptake of recently launched products.

In our established pharmaceutical business or EPD, sales in the quarter were flat on an operational basis as growth in emerging markets was offset by decline in the developed markets. We continue to expand our presence and build local portfolios in 14 key emerging markets. Sales in these markets grew approximately 4.5% in the quarter and was somewhat negatively impacted by timing of product deliveries in certain markets, as well as implementation of the drug price control order in India which caused some delays in customer purchase late in the quarter.

We expect growth in our 14 key emerging markets to improve in the second half of the year with strong growth in a number of emerging countries, including Brazil and India. As expected, growth in other markets which includes Western Europe and Japan, was negatively impacted by overall macroeconomic conditions in these countries, including European austerity measures.

In the third quarter, we expect low single-digit operational sales growth from our established pharmaceuticals' business as we see improving growth in emerging markets due to portfolio expansion and execution of recent tender wins. Lastly, in our Diagnostics businesses, Core Lab diagnostics continued its durable growth with operational sales increasing 6% in the quarter. About 80% of our core laboratory diagnostics sales are generated outside the U.S., where we saw more than 8% operational growth in the quarter.

Sales in emerging markets increased double digits, led by China and Russia, both growing more than 30%. In Molecular Diagnostics, worldwide sales increased 13% on an operational basis in the second quarter, in line with our expectations for accelerated growth versus the first quarter. International sales increased nearly 18% on an operational basis, led by strong infectious disease growth, particularly in emerging markets driven by the impact of new tenders, as well as the continued global expansion of our ALK gene test for non-small-cell lung cancer.

In June, we received approval for the first FDA approved hepatitis C virus genotyping test in the U.S., which will enable physicians to create a personalized, targeted diagnosis and treatment path to improve clinical outcomes, further expanding Abbott's diagnostic testing options in infectious disease area.

In Point of Care Diagnostics, worldwide sales increased 15.5% on an operational basis, driven by continued growth in the U.S. Hospital segment, further penetration in the U.S. physician office labs and strong double-digit growth in emerging markets.

For the third quarter, we are forecasting our global diagnostics business segment to generate high single-digit operational sales growth driven by continued strong double-digit growth in molecular and Point of Care Diagnostics, and mid-to-high single-digit growth in core labs.

So, in summary, we are pleased with our financial performance through the first half of the year. We delivered earnings per share in the second quarter that exceeded our previous guidance range. And, despite a challenging global economy and recent fluctuations in currencies, we are confirming our 2013 ongoing EPS guidance.

We will now open the call for questions.

Question-and-Answer Session


Thank you. (Operator Instructions) Our first question today is from Larry Biegelsen from Wells Fargo.

Larry Biegelsen - Wells Fargo

Let me start with a couple of questions for Miles. Can you hear me okay?

Miles White

I hear you fine.

Larry Biegelsen - Wells Fargo

So, Miles, how do you view the broader macroeconomic conditions and dynamics, both in the developed world as well as the emerging markets, including the impact of currency and maybe some color on how this impacts Abbott and your performance in the quarter and beyond?

Miles White

Well, I will take the macro environment first. I think whenever the economies of the world, wherever they may be go into some recession or phase into some kind of adversity, at least as businesses and investors look at it, I think the natural tendency is to always forecast they are going to recover faster than they do. They recover gradually, and I think that's what we are going to see here.

I mean, I think, if you look back over the last few years and listen to all involve the pundits and analysts and everybody else talk about the macro environment and the pace of recovery and so forth, I think, optimism and hope and so forth have driven a lot of wishful thinking that it is going to happen faster than it does, but frankly the problems of Europe or even the U.S. have been more serious and deep. They don't recover that fast, so that rolls through to markets and it obviously rolls through to emerging markets too, because they are so integral to now the global economy.

So, I guess I would look at it and say I think it is all getting better. I think it is going to get better, but it's going to be at a measured pace, and I don't think it's going to just suddenly be better and sometimes the trading in the market for the Dow everyday certainly doesn't reflect that. We have great days of exuberance and others days that aren't so exuberant, but. overall I think it's pretty steady. Now, as I have said in the past, there's a pretty big difference here and we can see it in our business between, call it, emerging markets and very developed economies.

You take the U.S., Europe, Japan, Canada, et cetera as the developed markets and call the rest of the world evolving or emerging growth markets. There is a big difference here. We can see it in our various businesses as we look down the list of our businesses and we look at developed market growth and emerging market growth, it's dramatic. It's consistent. It's consistent for us except for one business and that one business is a pretty good measure of market health and market performance and that would be our branded generic drug business where it's frankly more our performance than anything else of our own execution.

So we look at those businesses and in almost every case, the performance in emerging markets is either very high-single digit or frankly really healthy robust double-digit growth, and if you look across the developed markets, it's at best, single-digit and in a lot of cases, flat and declining. I think we are in a phase where those developed markets are absorbing all the austerity measures and other things that they had to absorb. So, there is a pretty dramatic barbell here between the robustness of emerging markets and the sluggishness of developed markets and we happen to be indexed in both, I think that’s a good thing, and we are broadly represented in the emerging markets. As I said a couple of times, a bad day in emerging markets is a lot better than a good day in developed markets often.

While those developed markets are very important to us and we have a lot of share, a lot of customers and frankly, make a lot of profit there, as far as growth goes, the emerging markets are more robust. They are volatile sometimes, which is why it is good to be in a broad cross-section of them and not over indexed in a couple, and we are. We are very broadly represented across these markets and in a broad group of businesses. So I would tell you, every day there is something concerning some market, some country somewhere, but overall in the kind of the market basketball, that is a pretty strong overall economic picture and performance that I think has great long-term longevity.

Now, having said that, it translates this volatility in currency too. As a lot of these countries become a bigger part of our sales or other multinational sales, we are adjusting to less obsession about the Euro and a lot moresession about a whole basket of currencies that aren’t nearly as predictable and often aren’t as widely traded and so forth. So, this year, the Yen has been a significant driver of negative currency, as I think is understood by all of our investors and shareholders and analysts and yourself and so on. In addition, some of the more or larger emerging markets like the BRICs have also contributed lately to that, but I have to say this year it is pretty much dominated by the Yen.

So, in any given year, it’s a different currency that could impact our sales, and because the company is 70% or more international, that’s something that we have to expect to manage and navigate all the time. I would tell you that our shareholders and investors don’t expect to ride that curve with us, they expect us to manage that for them and manage the overall durable performance of the company, and we do and as we are this year.

Larry Biegelsen - Wells Fargo

It's helpful. Just one follow-up for you, Miles. So your performance in nutrition continues to be strong, particularly in emerging markets. How should we think about the dynamics taking place in China around the infant formula market? Secondly, the sustainability of the extremely high growth this quarter for adult nutrition outside the U.S.? Thanks.

Miles White

I would say it is, there’s anomalies all the time in comparisons and so forth in any given segment of our business, but I would tell you that the demographics and the underlying market factors around our adult nutrition business are all good and they are all positive. While I would never even let myself think that some extremely robust growth rate is sustainable indefinitely, I would tell you that the growth rate of our nutrition business internationally, I think, is pretty sustainable for a long time because all the underlying demographics, whether the adult and pediatric business are all pretty good right now and I think for the foreseeable future.

With regard to the China, I would say I think most investors and most observers understand what's going on here, what's happening here. The government is stepping in to say this market, perhaps, has become a little too robust in a number ways and one might even speculate to the disadvantage of Chinese companies, and I think the government has been clear that it wants to improve it's dairy industry and improve the circumstances in that market.

As you know they had some issue several years ago with the quality of dairy product and so forth, and you got to admire the fact that they make it a point to say, "Hey, we're going to pay attention to this." And at the same time, they are paying attention to how these markets are developing. I mean, they are looking at not only Nutrition, they are looking at pharmaceuticals, they are looking at packaging companies. They are looking at a number of things. I think, China is an unbelievably impressive country, and I think it's an impressive government that's managed its economic development incredibly well.

I think, this is a small piece of that. In fact in almost any way, you kind of look at it and say, off all things you think that the government would pay attention to, infant formula wouldn't make the top of most industries or businesses or list, but in this case along with pharmaceuticals, packaging, and a number of other industry segments, it did. So, I think, we can manage this, I guess, is the way I would put it. My sense of prospects for the Chinese market haven't changed, opportunity remains strong, opportunity remains robust.

I think all the companies that have been mentioned as part of this investigation, have all responded very cooperatively to the Chinese government. I don't know that from talking to anybody, but I have read the press reports and so forth. I know that we've cooperated with their investigation and this too shall pass and I think the market dynamics remain robust.

Fortunately for us, China does not represent a disproportionately large portion of our Nutrition business or even our pediatric nutrition business. It's a big business for us there and we are big there, but we are so broad across so many countries that it does not disproportionately impact our performance, so our prospects and forecasts haven't changed, our EPS forecast haven't changed. We've obviously modeled all that in great detail to the degree that we can. And to the extent that there is any impact on us financially, we believe it is manageable in other ways.


Thank you. Our next question is from David Lewis from Morgan Stanley.

David Lewis - Morgan Stanley

Good morning. Miles, just a quick question on (Inaudible). It probably was the only business this morning that is performing, that's not a point at or above expectations and I wondered if just give us a sense of whether that you think that is more developed market pressure. Is that more just Abbott's delays with emerging market registrations and I think over the last three to four months a lot of your peers saying this is not a particularly interesting business and maybe you can just comment in terms of the quarter and your views have they changed at all about the ability to drive growth in this segment?

Miles White

I would tell you my over views haven't changed at all. I am glad our peers don't think it's interesting, because we don't need no peers. There's plenty of competition in these markets today. I think these markets are developing exactly as we forecasted and I think the opportunity is what we forecasted.

I think the biggest distinction here, and I don't think it's very well understood by a lot of people is that the branded generic pharmaceutical businesses around the world are different than commodity pharmaceutical or generic pharmaceuticals and they are very different than proprietary research based pharmaceuticals. And, I think one of the execution issues we've had is more of a cultural or philosophical business approach issue, because we have been so dominated by our research-based pharmaceutical business in the past.

You have a business mindset around how you execute against that business and I think it's one of the reasons why few companies have succeeded at having proprietary pharmaceutical businesses and generic pharmaceutical businesses in the same company and I have said in the past I admired them to sell off or be one of the first pioneers of that at Novartis, but we separated them into Novartis and Sandoz and I think rightly so, because the way you operate those businesses the whole marketing approach is just very different.

If I had to say there is one particular thing that has been a shortcoming for us, I think we or our management team have approached this too much like proprietary pharmaceutical and not enough like the different kind of business that it is. This is a business that's very consumer-facing in a lot of countries very brand-dependent, very product line-dependent, meaning breadth of product line and so forth. It's very different game. And, I don't think we have made that transition yet as well as we should happen and I think that's where we would diagnose ourselves as not having executed as well as we should have.

Part of that's registration timing, part of it's the mix of product therapeutic areas and so forth, available, part of it's just our own knowledge and expertise in those areas. So we have separated the markets into two big segments but the fact of the matter is that the countries are all quite different. In any case, the developed markets have common characteristics, emerging markets have common characteristics and we have got to do a much better job of making the adjustment to a branded generic pharmaceutical business.

I would say that while a lot of our peers don’t view this as attractive, there are some of our peers who do and I think we know who our longer term competitors are and who they will be. We think the opportunity is robust. We think we are underperforming and by any measure whether we look at competitor performance, our performance, market performance, share, et cetera, we are underperforming. It pains me to say it but we are.

The good news in that is, I think we can change that and we are taking the steps to change that. So I think our development of this business is going slower than I might like and it sticks out like a sore thumb relative to everything else but nevertheless, expectations of the business and what I think it could do for us remains the same. It’s a very profitable business. Gross margins in the close to 60% range. So it’s a very attractive business, I think, executed like. There hasn’t been a long historic track record in these markets in this kind of a business as we have developed. So there is a lot of pioneering going on here and pioneering by us and Santa Fe and some other great companies that I think understand these markets and are all trying to position themselves properly for the growth of these healthcare systems. So I remain pretty enthusiastic about it.

You asked me about developed markets and I would tell you, that part of this business is declining and it is experiencing all the same pressures that all the businesses in Europe are. Europe, in particular, is tougher with generic products, whether branded or commodity or otherwise and so we are certainly experiencing that too. If there is any part this I am most disappointed about, it's our performance in the emerging side. I expect what's happening in the developed side to keep being that way for a while. I think we can mitigate that to some degree too. But the bigger issues here for us is how we are doing in the emerging markets.

David Lewis - Morgan Stanley

Miles, that’s very, very helpful. Then just maybe a quick follow-up. Either persistent investor, a question (inaudible), in order for Abbott to transform their growth there seems to be the view that you need transformational acquisitions and I guess in your guidance, the mid to upper single-digit growth in the back half of the year which is ahead of your peers, you could choose small incremental deals. So, can you talk to us about the deals that you have done in the last June in recent days, is that more indicative of the kind of deals that we should see and does Abbott need, frankly a larger multibillion-dollar transaction to transform the growth rate?

Miles White

I love the question. If you watch me or us over the last 10 to 15 years, one thing I think you can consistently say is I have never forecasted to anybody what we are doing or what we are looking at or whether you can expect us to be interested in M&A activity. So, I am going to waffle here and not give you a clue.

I wouldn’t want to indicate that there is a trend here of what we are interested in any way, shape or form. I would tell you that I always remain vigilant and watchful about what opportunities may exist for us from a lot of perspectives, both conventional and unconventional and you have seen that over 10 to 12 years. There are times when smaller, what you call bolt-on or whatever supplemental acquisitions fit, and they enhance the given business, then there is other times you make a bigger move. Whatever it is, the timing of those moves tend to be driven by opportunity, valuation, circumstances in the markets and so forth.

One of the things that I think has been a hallmark of our success, at least on the M&A side, it has been that we have done a lot of study, we followed businesses, we follow the market, and follow various things that we are interested in the target for a long time, done a lot of due diligence and so forth and by the time the opportunity drifts into the radar screen in the right way, with the right stars aligned and circumstances, we generally are pretty ready with a fairly well-developed point of view on valuation and so on and will act on the opportunity. The problem is, you can't always predict when that’s going to be.

We can't predict it any better than you can so we can certainly can't forecast it to you, but if you ask me, is there a set of opportunities that we are always watching or always looking for, that might be enhancing the business, the answer is yes. As I have said many times in the past, I am mindful that investors are not looking for things that dilute the current performance of the company and it's also a hurdle for us that we have to know we are going to do with the business and do better with it if we own it and earn and incremental positive return for the investor over and above what it might do standalone.

I will tell you there is a number of things we've looked at out there, where I think valuations are just out of this world stratospheric and unrealistic, and that we've walked away from a lot of things, because we thought valuations were unrealistically high, or expectations were unrealistically high and I don't think there's a particularly robust, shall we say, opportunity set out there in a number of fields today.

There might be a lot of things for sale, but they may not be for sale at a reasonable valuation and I think investors who are interested in that sort of part of us should know, we are careful buyers. We buy when it make sense and when it adds to our business and when we can meet our criteria and when we can do it right for you. And if valuations are too high or we can't make a strategic argument to you of why it's worth whatever it may be, then we don't make the move and that doesn't mean we are only going to do the review as you just saw, the fact that they both had announce the same day was pure coincidence. And, we respond optimistically when the opportunity presents itself, but it's not reacting reviews have been pretty well prepared, so I don't know if that gives you some context, but we always remain vigilant in looking. And for those who think, we need something transformative, my e-mail is public. You can send me those ideas.


Thank you. Our next question is Mike Weinstein from JPMC.

Mike Weinstein - JPMC

Good morning, Miles. Thanks for taking the questions. So, Miles, if I just kind of step back and talk about the first half of the year, your accounts were a little bit difficult, but I think you would agree that 3.8% of constant currency is kind of not your target for overall Abbott, so other than better execution in the EPD is there anything else that you think is kind of key to getting you to kind of what you originally were hoping which was more mid-to-high single digit?

Miles White

Well, you know there's two businesses that have been a drag on us. One is our performance in EPD and one has been the entire vascular market, which you know because you watch pretty carefully and know better than anybody, but I would say those two things have been a bit of a sluggish drag. No question. And, I think, we are improving both of those. The evidence of that remains to be seen in EPD and I understand the skepticism of investors or analysts on that one, but I am reasonably confident of EPD. I am just frustrated with the pace here.

On vascular, the sequential improvement here is pretty good and our share positions in our core markets is pretty good. I mean, we've got leadership share positions in core stent businesses and so forth.

I think, as it's been pointed out a number of times, our ambitions here are frankly to expand product lines in areas and geographies and so forth and drive a little better growth profile of that business in what is clearly and austere market. However, that still isn't going to be some high double-digit rate or something as you know. So, I am pleased with the progress there, but it's not going to look like it did five, six year ago.

So, we look at expanding and growing in new segments there and you saw a little bit of that earlier in the week with the acquisitions admittedly modest in size. The comment you make about the comparisons in the first half of the year, first half of the year comparisons, they were tougher. Not even modestly tougher, we had difficult comparisons in the first part of the year and just as difficult as those were I would tell you the comps in the second half of the year are equally sort of robust and the opposite direction. I mean, we've got really comps in the second half, so the growth rates that we are going to see here on the bottom line, I look at and they pretty heady and pretty high and we'll hit them, but I certainly wouldn't want you to [trend] line them for the long-term in some respects. They are not one-time, but they more accurately reflect I think the underlying performance of the business.

The underlying performance that grow perform of the business is better than we saw in the first half. And, for the long-term, probably not quite as robust as the mid-20% range you are going to see in the second half here. I am talking on the bottom line. Because, if you look at the guidance and so forth, we know we modeled. We understand what things we've lapped in the comparisons that get better or disappear and so forth and so EPS growth rate in the second half mid-20s.

So, that's pretty heady and I fear that you will say, okay, then we will just take that and straight line it through 2014 and you will just keep delivering at that level. Somewhere in there is the reality and I think the reality is quite healthy. We always target double-digit earnings growth and in fact if you look over a lot of the last 10 years, whatever it has been, we set our guidance in that range practically every year. We set a high hurdle. We set a robust hurdle. We set a hurdle of being reliable double-digit EPS growth, and then we do our best to beat it and generally speaking, I would say, we have done about 90% on the time, that beat part.

So I think those kind of dynamics still exist. At the beginning of the year, I told you we did not rely on the markets improving for this to better, and we have not. We have the same questions a lot of other people, how much to rely on market improvement to factor into our business. I think if these markets improve a little bit, we improve a lot but I think right now what we are looking at is pretty good growth rates that are a lot more reflective of the identity of the company, its growth, the mix of its businesses and so forth going forward as we communicated last year and early this year. And we knew the first two quarters will be tough, at least tough from a comparison standpoint and they have been. Unfortunately they don’t reflect, what we think the company is going to look like on an ongoing basis.

Now, that said, all of us look at the top line too, the measure of sustainability overtime of the businesses and I think Nutrition, Diagnostics, even EPD and the improvements they will have in some of these businesses are going to drive a lot of that growth and then the extent that we have any supplemental opportunities in M&A, we will look at that. But we don’t factor that in because unless you have got it in your hand, you cannot count on it.

Mike Weinstein - JPMC

I just want to follow-up on the vascular piece, if I could. So there is really two questions here. So one is could you just talk about the evolution of the absorb strategy relative to that product and where it fits in the marketplace. If we really went back a year plus ago, the thought was with prices had a super premium and trying to make it become 10% of the market on a volume basis, the 10% volume might mean 30% from revenue. Now last year, obviously that has changed a lot. It is still priced at a premium but nowhere near what we were talking a year ago. Is the goal for that to be a workhorse product? If so, where are you on tracking towards that goal?

Then the second question is on this week's acquisition which really would be just from a strategy standpoint, why does Abbott and developer of XIENCE and IDEV Technologies need to go outside to buy a stent platform? Thanks.

Thomas Freyman

Okay, let me talk about the drug first. Your characterization is exactly right. I think initial entry or strategy of that product was priced as a very new technology which I think niched it in to selective use. There was a very intentional decision on our part to drive it toward workhorse use, just as you characterized. To do that, I will take Europe as an example, most governments, frankly the U.S. is the same longer-term, but if most health institutions, hospitals, governments, payers et cetera are operating pretty much on fixed or pressured budgets making room for technology that cost more than what it replaces is not high on their list. So I think that what we have to acknowledge is if we want that product in broader workhorse use, then not only do we cannibalize ourselves but we take share from the competition. But the only way we do that is not to be an incremental burden to the budgets that have to pay for those products, as a philosophy.

So, quite frankly, intentionally, the price of that product has come down and its share and its penetration and its use is broadening. It is our intent to move it into workhorse status. I would say we are seeing that in increased volume, increased usage, increased pickup, increased account pickup and so forth and that we are seeing it in the sequential sales performance of the product and its position in our portfolio. So that’s exactly what we intend and we were moving that as fast as all the circumstances will allow without artificially distorting the markets. So I think you characterized it quite right.

Remind me again what was the second question?, IDEV, the position of that in the business. Why would you go out and spend? Quite frankly, we like their product. We like their product a lot. We wanted to enhance our own offering and surely. You know, can you do it yourself? Yes. You could, but clearly thought we had the activity going in that area but this is quicker and we think better and we like the product, so it made sense to us to enhance our product line and accelerate the business and fill it out, because the endovascular businesses is core standalone business and needs a strong position in this place, so we think that what IDEV gives us, so we think that not only helps us in that little space, we think it helps the endovascular business strategically as a package.

Mike Weinstein - JPMC

Okay. Thanks, Miles.

Miles White

Did I get all your questions there mike?

Mike Weinstein - JPMC

Yes. You did. Thank you.


Thank you. Our next question is from Rajeev Jashnani from UBS.

Rajeev Jashnani - UBS

Just wondering if you could help out on the EPD business, and I think you mentioned that the market growth rate is still relatively healthy and I was wondering if you could provide what the rest end of the market growth rate is and help us understand what price volume is that's driving that. Thanks.

Miles White

I can't give you a specific market growth rate, because it's different for every country and every market. And, one of the difficult for this business, Rajeev, is, we think of a given geography as sort of three different segments. There is a proprietary pharma segment in our market, there is a commodity generic segment in the market and there is a branded generic segment in the market. And those different segments exist in practically every country. The question is, dominance or prominence in given economics strata in those markets. I mean, India is just a great example to point at, because you've got all three there. It's very much a branded generic market, even a branded market at a lower price points in rural settings. For that reason, we've got two brands in India. We've got True Care and we've got Abbott, and True Care is a world brand and at different price points, different product and different mix of product and the Abbott brands tend to be in the major urban areas and so forth.

So, it depends. And, generally speaking, around the world, there aren't many data sources for us to get breakouts that way of those markets. So, we know we know, we know for being in the market, we know from the way we can segment. So, we don't even quote percentages of share, because quite often it's contaminated with patented product or other, so I can't really give you that, but by country or overall, I think the segments are easily mid-to-high single-digit market growth and our growth over that considerably higher where we get the strategy right and we have the breadth of the product line and brand position right and so forth and our history and experience here has been, we grow much faster than the underlying market when we got those conditions in place and then the price trade off is such that it stratifies like a lot of markets, there's low priced product, there's mid-priced product. I can't say high priced. There's nothing high priced about it.

We are pretty good value in every market, but the consumer does make a distinction or the pharmacist makes a distinction between the brands he believes in and the quality, the breadth of offering or the configuration of the offering or whatever the case may be. So, we tend to get a premium for the quality, the breadth of the brand and the offering that we have. So, it's very much as I have said in the past like our Nutrition business from the standpoint of the mix of consumer-facing and medically recommended or prescribed and a branded product that comes from quality or international source or multinational source tends a get a pretty good share of the market at a pretty good price point.

Rajeev Jashnani - UBS

Thanks. And, just a follow-up, I think Abbott has been pretty good operators of those in the markets that participate this one as you mentioned probably not where you wanted to be at this point in time, but what's the reasonable expectation for folks to have, or this business to get to more of a market rate of growth.

Miles White

Well, I am little gun shy about forecasting one, because I have been wrong thus far, but I think this is going to get to a mid-to-upper single digits sort of performance rate. The question is how fast and then I have got my own ambitions which I am already late on. So you always think as soon as you change management, you put new strategies in place that somehow next quarter it is going to look better and I think this is going to take a few quarters before we start to see the green shoots come up and the new growth come. I am impatient about that but I think we are not going to see what I would like to see in terms of the sequential momentum, hopefully until sometime next year.


Thank you, our next question is from Ben Andrew from William Blair.

Ben Andrew - William Blair

I wanted to follow-up Miles on the comment about the two new heads that you hired in EPD and maybe talk a little about where they are located, what they are charged with and when you think they may be able to have an impact on the businesses?

Miles White

Well, I think they are having an impact already. One of the people we hired was from outside the company with a strong background, frankly, in generic and branded generic product marketing and he has got a broad experience, absolutely fabulous experience and pedigree and track record. He is going to be responsible for the emerging market part of the business and we are changing out, call it the marketing team and branding team that will support him in that business. So he is already in place, already pretty much up to speed. He is already familiar with us. He knows the markets well. Te knows the channels well. He knows the brands well and so forth, and I think that is going well.

The other position we elevated from internally and one of our experienced and frankly, I would say excellent performing managers who has a developed side and I would say, given the background of his experience, has the right balance of, what I would say the characteristics of European and developed markets in the pharma and generic spaces but also the background and experience to understand how to transition where we can to branded generic consumer facing type marketing. We have taken some of our experienced people from that background, like we have seen in emerging markets and supplemented his team with that. Because I think we have got a transition going on in some of these emerging markets to much broader branded generic marketing, more consumer related.

So we are supplementing their teams that way. All of them are located in Europe together at the company or division headquarters which is (inaudible) and they are all working there together so that they are with each other every day and whether it is emerging markets or developed markets, they share quite a bit from the standpoint of the marketing, branding and commercial teams but the commercial teams and the support are all dedicated to each of their specific segments so that they are able to customize what we are doing either strategic or from a marketing standpoint for each of those segments.

Ben Andrew - William Blair

You firmly have to go down paths, whether it is acquisition path or build internally to enter new emerging markets. But does this strengthen the ability to maybe use the latter if the pricing on the former is too high?

Miles White

Well, I think, first of all, we have to get our house in order, which we are doing and getting our strategy straight and the right people in place and so forth which we have done. I would say, okay, so far so good. Let's get our strategy working internally here the way we want to before we complicate life with an acquisition or something else.

If an acquisition or an opportunity presented itself that fit and fit well with what we wanted to in a given geography, well we would certainly look at it. I would tell you, and I think all us know this, but I would tell you that today the valuation expectations for most of those are just out of sight. The acquisition we made of Piramal in India was a pricey acquisition but it give us the number one position in the market by far in a profitable growing key large market. That was worth something and when we look at that long-term, that’s worth a lot.

But a multiple valuation like that in markets where all you can be is fit or safe or something isn’t that kind of multiple. I think today what you see out there is valuation expectations that are frankly just unrealistic. If that doesn’t change, we will be doing this organically. I think you have to be balanced or disciplined about the returns you expect and the hurdles you expect. The old adage that anything is for sale, as long as it is an overwhelming compelling price and I think if its an overwhelming price, it better have a good returns for our shareholders, or they are not think we did a good thing for them. So, it's not like you can just go out and create M&A activity. It's got to have the right intersection of valuable for both side, and today I would tell you in this particular space you don't see and that is why you do not see very many deals getting done by anybody, buying anything to expand their footprint.

I mean, our peers may say, gee it's an unattractive market. I don't think the markets are attractive all. I think, some of the M&A's are unattractive, but that just means you got to go at it more organically over time. And, frankly, if that's how it is we'll go at it organically.

Ben Andrew - William Blair

Okay. Then one quick topic change, but going back to China. This is second time in two, three years that we've seen a pricing disruption whether it's market based or government based. How do you think about that in terms of investment.

Miles White

How do I think about that? I think about that, but we're probably going to see it again in a couple of years. I think you are going to see it over and over again, like I don't know, I have a lot of things I could say about I suppose, but I think you see this stuff all the time. I think, if you are over obsessed about China, you would over obsess about China. If you are over obsessed about Brazil or India, or Russia or somewhere else, you get over obsessed about any one of them. Is there a headache every day? Yes. Somewhere.

Overall, we're in a lot more than China, so I look at this and I think I suppose we should learn to deal with these sorts of things and rolling ongoing basis, because I don't think they stop, but I think what it does say is, you don't necessarily want to be disproportionately indexed in a given geography if you can't take the volatility of ride. And, so for us, we're in a lot of geographies purposely and we know that the balance of that mix of geographies is what stabilizes that volatility, because it offsets to some degree and that overall we can deliver much higher growth, more reliably on a sustainable basis. But, in the backroom here we are managing volatility every day.

So, the way I think about it is we are going to be managing volatility every day and I stress to the management team, we got to be always kind of preparing plan B and what are you going to do and contingencies and so forth and that is a fundamental part of our whole planning and budgeting process all the time. And, if you look this year, six months, seven months end of the year, has the year gone like you would expected? The answer is no. Have we delivered the earnings we committed? Yes. We've exceeded them. So, I think you got to kind of plan that way every year.

Ben Andrew - William Blair

Sure. The only question, Miles, is really what's the risk that other countries start to follow the model? We saw in Japan historically every couple of year big reimbursement cut, China is now taking up the mantel and canister and other countries as their healthcare cost rise, they say worked over there, why not here? So, how do you think about that exposure maybe over the five-year window? Then (Inaudible) incremental given kind of that risk of the broadening.

Miles White

Possibility I guess exists, but the circumstance has tend to be pretty unique in given country. There is regimentation in Japan around price management from the government or price control from the government that every year or every two years depending what are devices, pharma or what are the segment and it tends to be a fairly predictable regimen. And, what it tells you is, you want to be very close to your markets, you want to have your medical affairs, government affairs, regulatory affairs people in country, in markets. You can't have those relationships from Europe, or U.S. or something and expect to be into markets every day.

So, I think it's possible that similar philosophies could exist other places but what it basically boils down to is kind of that age old. They want to buy it for less and we want to sell for more. And, life's a negotiation and it just keeps going that way whether it's Europe, or China, or Japan, or India or anywhere else, the ability to earn a return is always subject to certain negotiation of what a payer can pay or will pay for the service of product you provide. I think that's just part of the business.

Brian Yoor

We have time for one more question.


Thank you. Our final question today is from Jeff Holford from Jefferies.

Jeff Holford - Jefferies

Hi, Miles. Good morning and thanks for taking all these questions and give us some really useful color. I do have a couple of questions.

Miles White

I think, one could ask Tom or Brian one or two, it would be okay.

Jeff Holford - Jefferies

No chance this morning. I have got a couple of questions, but I would like to just lead off on margins, because I think it's the most important thing that hasn't been talked about yet on the call. I mean, it's a very nice quarter evidencing that the two lines of [Abbott] one is great broad top line growth. And, the second point, we've got some great underlying margin expansion to look forward and that's what seem to really help out this quarter. I was very encouraged by the commentary around nutrition and the margins there. I wondered if you could just give us a bit better view here, is the cadence of delivering, I know there is margin improvement or can you give us a bit more color if it is going to run longer or shorter in terms of timeline and how much further beyond the 20% of sales do you think right now we can get to given that you seem to be overdelivering there?

Miles White

I would say, first of all, that the performance in nutrition is the result of fairly detailed comprehensive plan with literally over 100 different initiatives and so forth. Some of those are quick and easy and some take more time. Some of it's mix of products. Some of it is manufacturing process. Some of it, whether we make our own product or source it from a third party manufacturer. There is literally hundreds of things. We have made great progress and I think there is frankly a lot more to be made. We have commented in the past that we are fortunate to have some early public comparisons to some of our competitors for some of our segments that give us some benchmarks to sort of judge how we are doing in given places. But I think there is more here. This is what I would say.

As much as you would like to get even greater forecast out of me, I am always trying to get it out of the business too because there is that caution of let's not fully commit all of it to Miles and Tom and the corporation. So we leave ourselves a little cushion because as I just explained to this question, everybody is thinking about contingencies too. But the fact is the organization has got a cultural mindset around cost management, investment management, expense management. We do make a distinction internally between that which will drive improved gross margin before discretionary spending and the management or proficiency of discretionary spending.

A lot a lot of times you can go out and just cut SG&A but to make a quarter but frankly I think that is kind of quite shortsighted. In our case, on the discretionary side, if we look there for efficiency or cost management, we are looking at primarily G&A or we are looking at where spending is valuable versus where it is not so valuable. Bang for the buck, hit rate, et cetera.

So Tom and I, over the course of this year, and partly as the exercise out of split and the transition service agreements and the back office stuff with AbbVie, we are looking at the manner in which we support all of our businesses and the cost of that support and how we do it and so forth to make ourselves more efficient and I think when you go through an exercise like the split, it’s the time to do that. It certainly allows you the ability to do that to look at whether you can spend your general and administrative expenses better and more efficiently and so on and we are.

Because I wouldn’t want investors to misthink that somehow we are shortchanging the businesses or starting the businesses from the standpoint of R&D investment or sales and marketing because we are not and we don’t have to. So we do make a distinction about moderating spending and where and how so that we don’t harm the longer term prospects of the businesses but the longer-term sustainable improvement in profits, frankly, tend to be above that gross margin line and the real cost or pricing, the mix of your products, how you manufacture, all those sorts of things.

But that’s where this is coming from in nutrition. This is not because they are raising price. This is all fundamental cost and structure management about the way they conduct that business. This is very durable and long sustainable profit improvement. And there is a lot more here, I think. And we think and we know the plan to get and I am going to let Tom add to that, if you will, for a minute.

Thomas Freyman

I would just say that (inaudible), to your original question, I think things are ahead of schedule and you are seeing it in the gross margin. We are delivering above expectation and it really is a function of executing programs I have more quickly, more efficiently and getting more savings sooner than what we might have expected a while back. So that’s primarily what's happening and obviously the closer we get to the 20% initial target that we have for each division, then the focus is going to be on what s more and how much better we can get beyond that and we are making very good progress getting towards those initial targets and we are going to keep working on improving beyond that.

Jeff Holford - Jefferies

I will just try one extra last quick question if I can. I know the time is short, but in terms of the M&A, you said you don't want to be very specific. You did mention in EPD, product breadth as being one of the issues now. A lot of the large cap pharma companies are looking to separate or breakout many of their established pharma businesses. Do you see opportunities in some of those reorganizations to potentially and augment what you have in your EPD business?

Miles White

I can't comment on what any of the other companies may have or what they intend to do with their assets, but I can tell you this. It would be of interest if it stood geographically. It's not that we lack products or lack breadth. We have breadth. We've got tremendous breadth in our EPD business that the value primarily to any kind of M&A addition to EPD is geographic footprint or share footprint in a market. You know how larger share position or brand position may be in that market.

So, for us it will more likely be a consideration of geographic enhancement or geographic fit that it will be breadth of product line, because we are not challenged from a breadth standpoint. The opportunity is really in bigger geographic footprints, so that would be kind of how we look at it. And, to the extent that those assets out there that may sit back, we'll have a look, but today I cannot I should say I don't really have a point of view, because I haven't seen those assets yet.

Brian Yoor

So, thank you, Elan, and thank you all for your questions. That concludes Abbott's conference call. A replay of this call will be available afternoon Central Time today on Abbott's investor relations website at, and afternoon Central Time via telephone at 402-344-6835. Pass code: 8703. The audio replay will be available until 4pm Central Time on Wednesday, July 31. Thank you for joining us today.


Thank you. This concludes today's conference. You may disconnect at this time.

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