Welcome to the Royal Philips second quarter 2019 results conference call on Monday, the 22nd of July, 2019. During the introduction, hosted by Mr. Frans van Houten, CEO, and Mr. Abhijit Bhattacharya, CFO, all participants will be in a listen-only mode. After the introduction, there will be an opportunity to ask questions. If any participant has difficulty hearing the conference at any time, please press the star followed by the zero on your telephone for operator assistance. Please note that this call will be recorded and is available by webcast on the website of Royal Philips. I will now hand the conference over to Mr. Leandro Mazzoni, Head of Investor Relations.
Good morning, ladies and gentlemen. Welcome to Philips' second quarter 2019 results conference call. I am here with our CEO, Frans van Houten, and our CFO, Abhijit Bhattacharya. On today's call, Frans will take you through our strategic and financial highlights for the period. Abhijit will provide more detail on the financial performance and market dynamics. After that, we will take your questions. Our press release and the related information slide deck were published at 7:00 A.M. CT this morning. Both documents are available on our investor relations website.
A full transcript of this conference call will be made available by end of today on our website. Finally, as mentioned in the press release, adjusted EBITDA is defined as income from operations, excluding amortization of acquired intangible assets, impairment of goodwill and other intangible assets, restructuring charges, acquisition-related costs, and other significant items. Comparable growth for sales and orders are adjusted for currency and portfolio changes. With that, I would like to hand over to Frans.
Thanks, Leandro, and good morning to you all. Thank you for joining us today. I'm pleased with the 6% comparable sales growth in the second quarter, with all businesses contributing. We also recorded a strong 8% comparable order intake growth driven by the continued demand for our innovative product portfolio across the Diagnosis & Treatment businesses. Adjusted EBITDA margin for the group improved 60 basis points despite adverse currency and tariff impacts of 60 basis points in total. I'm also pleased with the double-digit comparable order intake growth, the order intake in the growth geographies. Mature geographies order intake growth was flat on the back of double-digit order intake growth during the second quarter of 2018. Our Diagnosis & Treatment businesses, as well as our Connected Care businesses, delivered 6% comparable sales growth for the quarter.
The personal health businesses delivered comparable sales growth of 5% for the second quarter in a row, driven by new product introductions and investments in advertising. Sales in oral health care remained strong with high single-digit growth in the quarter. Let me expand on our strategic journey to leadership in health technology. Our value creation story is built around three key levers: driving growth in our core business, innovating solutions, and driving operational excellence in all our activities. Let me expand on that. As a way to create value in our core businesses, we continue to drive market share through deeper, more comprehensive customer partnerships and pursuing growth by increasing geographic coverage and market penetration. During the second quarter, we entered into several new long-term strategic partnerships with leading hospitals in the United States and Europe.
For example, we signed a 10 year agreement with the Centre Hospitalier Régional Universitaire de Nancy in France to implement our IntelliSpace enterprise imaging solution. The collaboration will enable the hospital, which by the way, provides 1.2 million consultation visits and inpatient stays each year, to actually streamline complex medical image data management across its departments. We also announced a 10-year agreement with Rutherford Diagnostics to deliver advanced imaging solutions to its five new diagnostic centers across the United Kingdom. As the technology partner, we will provide advanced imaging systems and software, as well as managed technology services, including training and consultancy, and establish a joint innovation program.
As healthcare continues to transform from a volume to value-based approach, and the amount of data available for each clinical decision is growing, our customers are seeking seamless integrated solutions to enable more precise diagnosis and treatment, as well as optimized patient care pathways inside and outside the hospital. We continue to bring new solutions to the market in the areas of diagnosis and treatment, connected care, and personal health. The diagnosis and treatment unites the businesses focused on precision diagnosis and treatment selection and planning, and the businesses related to image-guided, minimally invasive treatments. We continue to roll out adaptive intelligence-enabled applications combined with successful innovations in our systems platform. For example, in cardiac ultrasound, we extended the advanced automation capabilities on our EPIQ CVx cardiology platform. The complexity of ultrasound exams of the heart can be a barrier to accessing high-quality care.
We have addressed this by leveraging artificial intelligence to make exams faster and easier to conduct. The new release of the EPIQ CVx is a major step forward and increases clinician productivity significantly. Image-Guided Therapy continued to deliver double-digit growth, driven by both our systems and devices businesses. The combination of our interventional imaging system, such as the Azurion platform, our range of devices, such as the recently introduced IntraSight intravascular diagnostic application, and associated services, enables clinicians to decide, guide, treat, and confirm the appropriate coronary and peripheral vascular treatment. The double-digit growth in our Image-Guided Therapy devices business was driven by all major coronary and peripheral vascular device families. We announced the three-year results from the two major Stellarex clinical studies, involving approximately 600 patients, demonstrating that Stellarex is the only low-dose drug-coated balloon with a significant treatment effect and strong safety profile through three years.
Both studies showed no difference in mortality compared with the current standard of care. We participated in the FDA Circulatory System Devices panel of the Medical Devices Advisory Committee meeting on June 19th and 20th. Philips presented the safety data of our Stellarex drug-coated balloon, and collaborated with industry players and clinicians to reinforce the benefits of the paclitaxel-coated devices in treating patients with peripheral artery disease. At the end of the meeting, the panel agreed that the benefits outweigh the risk for the paclitaxel-coated products, but confirmed there was a need to continue to monitor safety and accurately inform patients of the risks. The FDA will contemplate the information and the panel summary before making a final decision. In the meantime, we are in continued discussions with the FDA to reinforce our confidence in Stellarex as a safe and effective treatment option for patients with peripheral artery disease.
Let me switch to connected care. There, the focus is on patient care solutions, advanced analytics, and patient and workflow optimization inside and outside the hospital, and aim to unlock synergies from integrating and optimizing patient care pathways, and leveraging provider-payer-patient business models. We entered into a 10 year agreement with the Kantonsspital Winterthur, one of the largest hospitals in Switzerland, to standardize patient monitoring across the hospital enterprise. We also teamed up with the United States insurance company, Humana, to improve care for at-risk, high-cost populations. The pilot program will support independent living for high-acuity patients with congestive heart failure, by providing them 24/7 access to care. Our therapy solutions to treat obstructive sleep apnea, a condition that affects more than 100 million patients globally, continues to garner healthy demand, supported by the strong reception of the DreamStation Go expanded portable therapy options.
Our personal health businesses focus on healthy living and preventative care. In the United States, we launched the Sonicare DailyClean entry-level proposition to address lower price segments. Next to the Sonicare ExpertClean, which features premium brush heads, connectivity, and design. This has opened our leading portfolio of power toothbrushes to cover more price points, attracting a wider consumer population. Following the successful rollout of the Philips Shaver Series 9000 Prestige in Q4 of 2018, we have gained significant market share in the premium shaver market, especially in China, Germany, and the United States. Consumers appreciate the new shaver, with global rating and review scores of 4.7 stars. Moving on to our initiatives to improve margins through customer and operational excellence.
Our productivity programs to drive over EUR 1.8 billion in savings for the period 2017-2020 are well on track, as we delivered EUR 146 million savings during the second quarter. The main three programs, such as the procurement savings, manufacturing productivity, and overhead cost reduction, all delivered on their milestones. Let me now give a progress update on regulatory matters. We continue to fulfill our obligations under the consent decree. The FDA reverted to us with follow-up requests, which we are currently acting on over the coming months. We continue to expect our performance momentum to further improve in the second half of the year, supported by growth and productivity programs.
Since 2016, we have been on a consistent growth and profitability improvement trajectory, and we remain confident in meeting our 2017 to 2020 targets of 4%-6% comparable sales growth, and an average annual margin improvement of 100 basis points, as we expect to become a EUR 20 billion health technology company with an adjusted EBITDA margin of around 15% by 2020. With that, I would like to turn over the call to Abhijit, who will provide more detail on financial performance and market dynamics.
Thank you, Frans, good morning to all of you on the call and the webcast. Let me start by providing some color on the second quarter comparable sales growth of 6%. The Diagnosis & Treatment businesses delivered a 6% comparable sales growth as well, driven by strong performance in North America and the growth geographies, including China. Image-Guided Therapy grew double digit in both systems and devices, and ultrasound grew high single digit. Diagnostic Imaging sales were in line with last year on the back of tough comparables in the Advanced Molecular Imaging business or AMI, which had a comparable sales growth of 50% in the second quarter of last year. The sales for the Connected Care businesses in the second quarter also grew by 6%. The monitoring and analytics business showed mid-single digit growth, and our EMR business delivered strong double-digit growth.
The Sleep & Respiratory business grew mid-single digits, driven by the success of the DreamWear full face mask and the launch of our DreamWisp minimal contact mask in the first quarter. The Personal Health businesses delivered 5% comparable sales growth during the second quarter, led by high single-digit growth by our Oral Health Care business. The Personal Care and Domestic Appliances businesses comparable sales grew by mid-single digit. Group sales in mature geographies in the second quarter increased by 5% on a comparable basis, reflecting growth in Western Europe, North America, and other mature geographies. Sales increased by 9% on a comparable basis in our growth geographies, led by double-digit growth in China, Russia, and Central and Eastern Europe.
During the second quarter, comparable order intake overall grew by 8%, with Diagnosis & Treatment businesses up double-digit due to strong performance across the portfolio and further building on the double-digit growth in Q2 2018. China and overall growth geographies continued to perform strongly with a double-digit order intake in the quarter. The Connected Care businesses declined mid-single digit during the quarter, continuing on the uneven pattern of order intake that we witnessed during the last quarters. With the strong comparable sales and order intake growth in the second quarter, the comparable sales growth for the first half of the year was above the 4%, which is now within the target range, and the order intake is now above 5%. Let me now turn to profitability development for the group in the second quarter.
Adjusted EBITDA increased by EUR 67 million, and the margin improved by 60 basis points compared to the second quarter of 2018, despite adverse impacts of 30 basis points from tariffs and of 30 basis points from currency, as well as investments in advertising. This margin increase for the group was driven by strong improvement of 190 basis points in the Diagnosis & Treatment businesses, achieved mainly through growth and productivity, partly offset by the impact of tariffs. The adjusted EBITDA margin in the Connected Care businesses decreased in the second quarter, as operational leverage from growth was more than offset by mix, tariffs, and an adverse currency impact. I would like to reiterate that productivity measures are in place and will start contributing more significantly to margin improvement during the second half of the year.
The overall fundamentals of this business remain strong, and we are confident in showing improved performance as the year progresses. adjusted EBITDA margin in Personal Health was 13.4% as the operational leverage from growth was offset by investments in advertising, undercoverage as production levels were lowered to reduce inventory, and costs related to new product introductions. In the segment other, adjusted EBITDA amounted to a loss of EUR 27 million, EUR 18 million better compared to the prior year, mainly as a result of higher IP royalty income. Our productivity program delivered EUR 146 million net saving in the second quarter. More specifically, procurement savings, in part driven by our Design for Excellence program, delivered EUR 48 million of bill of material savings year-on-year. The manufacturing productivity contributed EUR 62 million to the gross margin, and the net overhead cost reduction amounted to EUR 36 million in non-manufacturing costs.
The savings delivered by the productivity programs remain on track and will support further margin improvement for the rest of the year. Overall, adjusted EBITDA in the second quarter improved by 120 basis points to 16.6% of sales compared to Q2 2018. This includes the impact from the implementation of IFRS 16 lease accounting as of January 1, 2019. The impact on adjusted EBITDA is approximately EUR 150 million increase for the full year of 2019, reflecting the depreciation on leases capitalized under the new standard. In Q2, income tax expense increased by EUR 11 million, mainly driven by higher income in 2019. Net income increased by EUR 244 million compared to the second quarter of 2018, mainly due to improvements in operational performance, lower net financial expenses and lower charges from discontinued operations. As per the fourth quarter of 2018, we started reporting adjusted diluted EPS from continuing operations.
The adjusted EPS increased by 23% in the second quarter and by 24% in the first half of 2019 compared to the same periods of 2018. Net cash flows from operating activities increased by EUR 260 million in the Q2 2019, mainly due to higher earnings and lower working capital outflows. In the first half of the year, net cash flow from operating activities increased by EUR 181 million. We reiterate our target for free cash flow between EUR 1 billion and EUR 1.5 billion for 2019. With regard to the full year, let me make the following remarks. In the first half of the year, the adjusted EBITDA margin for the group improved by 40 basis points. The profitability momentum will further improve in the second half of 2019 due to growth, operational improvements, and the impact of the implemented mitigation actions to offset the identified headwinds.
While this will lead to a full-year margin increase that is higher than in the first half of the year, we expect adjusted EBITDA margin for 2019 to be shy of the 14% as we continue to navigate global geopolitical challenges and market volatility. As Frans mentioned, we remain confident in meeting our 2017-2020 targets of 4%-6% comparable sales growth and an average annual margin improvement of 100 basis points as we expect to become a EUR 20 billion health technology company with an adjusted EBITDA margin of around 15% by 2020. Let me now provide you with an update on the U.S. healthcare market and our outlook for Western Europe and China healthcare markets. North American healthcare customers continue to focus on priorities around the Quadruple Aim. Lower costs while delivering better outcomes with improved patient and employee experience.
We see positive momentum around value-based care, which confirms our priority of bringing value-based solutions to the market. The continuing consolidation of healthcare systems underlines the importance of our focus on developing long-term strategic partnerships with key customers. Overall, we continue to expect U.S. healthcare market growth in 2019 to be in the low to mid single digits. For Western Europe, we continue to expect modest low single-digit market growth in 2019. For China, we expect mid to high single-digit healthcare market growth in 2019, mainly driven by government policies to further increase access to care via existing tier two and tier one hospitals and expansion of private sector investments in healthcare facilities. Consumer sentiment in China remains a bit subdued, while our Personal Health businesses showed good sales performance in the quarter. The imposition of tariffs between the U.S. and China, which were announced in several rounds, creates headwinds.
Based on the announcements made so far, we continue to estimate a negative net impact after mitigating actions consisting of supplier-based adjustments, reconfiguring the supply chain, and selective pricing actions of around EUR 45 million in 2019. This is in line with the previous guidance provided and does not include potential U.S. batch four tariffs, which would bring an additional EUR 20 million headwind in the year if made effective immediately. We continue to invest in the necessary countermeasures to compensate for trade tariff risks, and the results of these actions are expected to take most effect in the second half of the year. Let me now provide some additional guidance for certain areas of our business.
In the segment Other, on an adjusted EBITDA level, we now expect full-year cost at EUR 80 million, which is a decline of EUR 52 million compared to last year, mainly due to lower expected royalties in 2019 on the back of a strong Q4 finish, in addition to a positive movement in our environmental provisions in 2018. At EBITDA level, we expect a net cost of around EUR 40 million in the third quarter and around EUR 120 million for the full year. Included in these numbers are EUR 15 million restructuring cost and other incidental items in Q3, and around EUR 40 million for the full year. To round off, I'd like to update you on the topic of capital allocation. In the second quarter of 2019, we completed the EUR 1.5 billion share buyback program for capital reduction purposes that was announced in June 2017.
The share purchases under this program were made through a combination of broker-led open market purchases and forward contracts, which enabled us to significantly optimize pricing compared to gradual open market repurchases only. I am pleased to inform you that due to this approach, we were able to buy back over 3 million additional shares, representing an additional value of more than EUR 100 million. In addition, as of the end of the second quarter, we completed 21% of our new EUR 1.5 billion share buyback program for capital reduction purposes that was announced on January 29, 2019.
In the second quarter of 2019, we also completed the cancellation of 30 million of our shares. The canceled shares were acquired as part of the share buyback programs mentioned above. We have also been steadily selling down our holdings in Signify. Philips' shareholding in Signify is currently about 12% of Signify's issued share capital. With that, we will now open the line for your questions. Thank you.
Thank you, sir. If any participants would like to ask a question, please press the star followed by the one on your telephone. If you wish to cancel this request, please press the star followed by the two. Would you please limit yourself to one question with a maximum of one follow-up? This will give more people the opportunity to ask questions. If you're using speaker equipment today, please lift the handset before making your selection. We will now take our first question from Veronika Dubajova from Goldman Sachs. Please go ahead.
Good morning, gentlemen. Thank you for taking my question. I want to start talking about connected care, actually. Two questions for me. One is just the strong recovery in revenue growth that you have seen here in the second quarter. Can you help us understand to what extent this is now a sustainable momentum, and how we should be thinking about growth from a revenue perspective for the year? To follow up on that, if I look at the sort of margin performance here, you are tracking meaningfully below the 16%-18% margin target that you have here for 2020. Abhijit, if you can give us a bit of a bridge as to how we get there in the next 18 months, that would be very helpful. Thank you.
Hi, Veronika. This is Frans. Connected care has a lot of promise, it is also a lumpy business as many hospitals are looking to adopt informatic platforms and expand monitoring and analytics to aid the workflow. We are comfortable, we are positive, in fact, about the funnel of opportunities that we see. At the same time, we have seen quite a lumpy trajectory, with orders coming in, for example, fourth quarter last year, then we see that now being translated into revenue. We do expect a stronger second half year also for connected care. That doesn't mean that the lumpiness is now behind us. I think we need to continue to evaluate that business in that context. Margin is tracking below target, we also had significant headwinds and like to go to Abhijit for some more color on that.
If you look at on a, let's say full year, last 12-month basis, we are around the 13.7% and the target is 16%. We have a little more than 200 basis points to cover in the next six quarters. We think that is, let's say, well within reach. Couple of things. We had this quarter, the biggest effects impact actually happened in Connected Care. Did the biggest tariff impact because we make a large amount of our production in the U.S., which also goes to China.
We also had a specific mix impact, this quarter as we sold more stationary oxygen systems in our Respiratory business, which we don't think are all, let's say, continuing impacts for the rest of the year. Confidence is reasonably good that for the second half, we will see performance improvement, not only in the top line, but also in the bottom line that helps us to bridge to the target.
That's very helpful. Thank you both. Abhijit, can I just confirm when you say you expect to be shy of 14%, what exactly does that mean? Thank you.
Thank you, Veronika. We don't guide specifically to the last decimal for the year. We said an average of 100 basis points for the last three years, we have been slightly above. This year with all the headwinds, we'll be slightly below. Shy is just slightly below the 14%. Let's keep it at that.
Is it round up to 14%? Is that the way to think about the shy comment?
Yeah, for sure. Yeah, absolutely.
That's very helpful. Okay, excellent. Thank you both very much.
We will now take our next question from Ed Ridley-Day from Redburn. Please go ahead.
Good morning. Thank you. My first question, also related to Connected Care. Abhijit, you highlighted some mitigation efforts. Just remind us, what you're specifically doing there, particularly on the cost side, to improve profitability in Connected Care. Secondly, just on obviously the excellent order growth in D&T. You gave us some color. If just backing that out, it would appear that perhaps your Image-Guided Therapy business had exceptionally strong order growth, more like in the high teens, if you could comment on that?
If you look at the mitigation effects, quite a few. So there are some reallocation or movements of production site, w e used to produce masks in Sleep & Respiratory Care in China, we moved that to another location. There are some pricing impacts which are happening, there are quite a few cost actions which we are taking within this business, and largely in Europe. That goes through, let's say, with our social partner, just takes time in the discussion, that holds us back a little bit in terms of timing. All of those will get executed in the third and fourth quarter.
Regarding the order intake in Diagnosis & Treatment, I think it has been very strong all over. IGT has been exceptionally strong, but so have the other businesses as well. If you look at ultrasound, we have been in double-digit territory. If you look at diagnostic imaging, we are in double-digit territory. It's not one of the businesses which is hugely skewing it one way or the other.
Just a very quick add-on to that. In terms of D&T, given where helium costs are currently, has that boosted your MRI franchise?
That has impacted us a bit unfavorably in the first half. As most of the mitigation impacts will come to us in the second half, that gives us also, therefore, the confidence that margins will keep further improving here. Let's put it this way. The worst of the helium impact we have seen in the first half of the year.
Thank you very much.
If, by the way, does accelerate the interest in our helium-free operations MR system that has this closed cooling system, and it doesn't need a quench pipe. Which we launched late last year, and that now is enjoying a very strong interest, and many hospitals are looking at that innovation as it would require significantly less helium going forward.
Thank you, Frans. That's also what I thought. You still, I think, will remain the only provider of that technology on the market for a little while longer.
That's our expectation.
1,500 L of helium going down to seven.
Great. T hank you.
It's a 99% reduction. Now we have explained it sufficiently. We go to the next question.
We will now take our next question from David Adlington from JPMorgan . Please go ahead.
Morning, guys, thanks. Maybe just following up on the margin expectations for the second half, because I think the comps get a little bit more difficult in the second half. How should we be thinking about maybe the phase between Q3, Q4, and sort of mix-wise, how should we be thinking about the margins through there as well? Thanks.
David, thanks for the question. We are not going to be guiding specifically per quarter. If you talk about comparables, if you look back at last year, the first half of the year, we had actually our bigger improvements. The second half of the year, although we did overall the 100 basis points in the year, the second half of the year had lower improvements. I would, in fact, argue to the contrary that, let's say, the second half gives us a better opportunity to make those improvements. Both the improvements will happen in Q3 and in Q4.
Thanks. I think the point I was going to add, Abhijit, was the fact that you, I think you had some sort of one-offs in the third and fourth quarter in terms of provision releases and a big fourth quarter in terms of royalty recognition.
I know. Let's say this year if you remember last year, we had also quite significant dips in the profitability of Connected Care, and that improvement then should help to cover for those one-offs of last year.
G reat. Thanks very much.
We will now take our next question from Michael Jüngling from Morgan Stanley. Please go ahead.
Thank you. I have two questions. Firstly, on personal health, if I look at your organic sales growth adjusted for comparisons, your momentum is probably the weakest now in at least six quarters. With this in mind, I'm just curious how you see organic sales growth in the second half. If the trend were to continue, it seems to me more likely that we would see a further deceleration as the comps get tougher. Some sort of outlook for you on personal health in the second half on the directionality of organic sales growth would be usefu?
Question number two is on this China capital equipment plan that was announced in November of 2018. I think we've seen you a couple of times at various meetings, and you were quite positive about the potential for an improvement in Chinese demand. Have we seen anything this quarter? I think last quarter you mentioned there wasn't much activity besides what you normally get. Thank you.
Hi, Michael. I don't completely understand your reasoning because like for like, Personal Health is seeing an acceleration. Last year, we were in low to mid-single digit. Now we are strongly into mid-single digit territory. Second quarter in a row of around 5%. We, as management, have the expectation that that will continue. That means that the full year will be a significant step-up from last year. Of course, when I say like for like, we have taken S&RC out of PH, moved it to Connected Care. You need to do the same. I think you will see that it is, in fact, strengthening. Does that help you understand the personal health comparable growth?
I'm just looking at sort of the momentum indicator where we look at the two-year stack. If I look at the math's, yes, optically, you've seen an improvement in Q1 and Q2 of 2019. If you make an adjustment for comparisons, then Q2 is actually a reasonably weak quarter compared to what we had the previous year. If you then model for the second half, it seems to me, mathematically speaking, without knowing what else you may have in the pipeline, it seems to me that the second half would be coming in somewhere around about 3%, 3.5%.
Michael, there's some confusion. Let me clarify. When we reported, we also issued a restate of figures last year to make it comparable. For the Q1 last year, our growth was 2.7%. The second quarter was 1%, the third quarter was 4%, the fourth quarter was 2%. The growth for last year in Personal Health, comparable for the same portfolio at the same exchange rate, was 2%. Now for the last two quarters, we are in the 5% range. I think there's something in the math that we could possibly sort out offline, clearly there is, on the comparable portfolio, significantly higher growth. Almost three times the growth that we had last year in the first half.
Driven by core products such as the Sonicare portfolio.
We have the same numbers, but I'll give you a call later on see it slightly differently.
We definitely want to convince you, Michael, that it's not the case as you described. The second question that you asked on the China CapEx plan. Look, overall, I see strong demand for health systems in China. Abhijit just summarized in his introduction that we see mid to high single-digit market growth. In that market, we have been growing, for quite a while, in double-digit territory. We have strong momentum. We do not think that that is specifically related to the CapEx plan as announced. We have not seen a major shift in the market since that plan. Of course, it is always good news that such a plan is announced because it basically underlines that the strategy of the China government is to invest in healthcare.
It also coincides with the Healthcare 2030 strategy that the Chinese government has published, which calls for a significant step up in capacity in China of both government and public, as well as private hospital. We expect consequently, that in the coming years, this demand can continue, even when GDP growth may fluctuate, as we currently see.
If I look at the initiative that was announced last year, Category B, there was 3,500 new CTs added. There was 4,400 new MRIs added. Given that it was a plan between 2018 and 2020, one would hope that by 2019, one would see the additional demand in the provinces that was included in that Category B. Have we seen anything so far in the second quarter that points towards these additional orders coming through at Philips?
We have not seen any step change in demand. We see strong double-digit or teens growth, but nothing that CapEx plan would justify. Neither do we see that with competitors. This is not unusual that a plan is published that doesn't immediately translate in a major step up in orders. I see it more solidifying the underpinning, the growth overall as we are enjoying now.
Thank you.
You're welcome.
We will now take our next question from Patrick Wood from Bank of America. Please go ahead.
Thank you for taking my questions. I have two, please. The first would be, on the composition of the order book. Obviously good growth and also tough comp. Just curious, is that a mix of longer-dated projects that we should expect to see coming over the long term, or is this more sort of vanilla single systems that we should expect to see come through in around the next three to six months as per sort of usual?
The second question, just curious, in China, we've had a lot of different confusing data coming out from companies operating in that market, both on the consumer side, but also on the more industrial side. You guys are obviously big in the market. I'm very curious, just what are you seeing from the Chinese consumer in general? How do you feel about the health of that market overall? It'd be great to get your views on that, please. Thanks.
Hi, Patrick. Well, we have a policy for recognizing orders, where we basically cut off equipment orders on a horizon of 15 months. If we book a contract that has a longer horizon, then they will come into that window of 15 months as time progresses. Within the 15 months window, products like ultrasound have typically a shorter cycle, and products or systems like Image-Guided Therapy have the longest cycle. In fact, quite often, close to that 15 months and sometimes beyond. We put it in the parking lot, and then it will fall in the window of order recognition, in due course.
It is certainly not the case that we only see short-term transactional sales. In fact, the ratio that we track on what we call solutions, which are all related to, let's say, the more complicated advanced systems and longer-term contracts with customers have been edging up. We are currently touching around the 34% of total revenue as a recurring and sticky customer base. On China Consumer side, we have enjoyed good demand. We track both sell-in data as well as sell-out data. Last year, you remember that we said sell-out data are good, however, sell-in data, we see under pressure because inventory reductions in the pipeline.
This year, that has more normalized, therefore sell-in and sell-out data are more in line. Therefore you could say that our growth rate is a good indication of the traction that we are having in the marketplace. Consumer has stepped up over last year, also on the back of innovations in shaving, in oral care that has strong demand. Let's say the discussion around GDP growth slowing down has not yet translated in a reduction of consumer demand. We don't see that as of yet.
Very helpful. Thanks, Frans.
You're welcome.
We will now take our next question from Scott Bardo from Berenberg. Please go ahead.
Thank you for taking my questions. Frans, I wonder if you could flesh out a little bit the comments surrounding the consent decree. How typical is it to get observations when you're under a consent decree? Does this signal or flag any escalation of risk at those plants? Maybe you could talk a little bit around that. Second question, please. Nice to see you confidently reiterate your 2020 targets, EUR 20 billion top line, EUR 15 billion margin. As we go into next year, can you provide some high-level thoughts about the next guidance period? Is this sort of growth you see as sustainable going forward? Perhaps you can highlight some further opportunities that you identified to progress margins further from this 15%. Maybe a little bit of discussion about how you see the next period too. Thanks.
Hi, Scott. Well, a consent decree typically stays with a company for several years. We have studied other companies being on the consent decree, and then we see that periods of four or five years of increased scrutiny are not abnormal. Now, to make this story a little bit more complex, part of the consent decree is an injunction on the factory in Boston for production and sales in the United States while we continue to export elsewhere. We had hoped that that injunction would be lifted already some months ago. That has not yet happened, and it is being held up by additional inquiries of the FDA, basically testing whether our quality management system has improved enough as evidence to lift it. Of course, that is a dialogue. We have the independent auditors that have come in repeatedly. They have written favorable reports.
These reports have been handed over to the FDA. FDA asks additional questions. Examples of these questions can be, okay, you have shown evidence for 1,000 examples. Maybe you can provide evidence for 10,000 examples. Okay? That kind of back and forth is going on. No new observations, no new bad things to discover or tell you. It is much more in, you could argue, the deepening of the evidence that we are in a good shape now. The next question is, how long could that continue? This is something that we had all hoped that it would go faster, right? Currently, we hope that, let's say, after this summer, that we are in a much better space when it comes to lifting the manufacturing and sales injunction for the United States. Does that answer your question, Scott?
It does. Thanks, Frans.
Thanks. If we go to your question on next year. Well, let's first deliver on our stated guidance before we get ahead of ourselves and talk about what's next. People who have seen us act in conferences and road shows know that we had to field this question that you ask many times. Typically what we say is that the world does not end after meeting our 2020 targets. Of course, we expect to further improve afterwards. We have just not quantified how much that is. Frankly speaking, I don't think today is the moment to do that. We are an ambitious bunch and we know exactly where we are in the competitor peer group. We know that world-class looks different than where we are today, I think we should leave it with that kind of positive sentiment.
Very good. Just with respect to growth or medium-term growth, does growth become more difficult the bigger you've become as a company, or is it that you're in this continued fueled innovation cycle such that these sorts of levels of growth are sustainable over the medium term? Can you perhaps touch upon that?
It may differ by segment, of course. What springs to mind immediately as you ask this question is, let's demonstrate that our investments in connected care will have a great return, right? I expect that the growth of healthcare informatics and connected care as such, and telehealth and home care, that are all great opportunities, and we have been investing in these things. Also we have been acquiring some of these, let's say, more startup-like companies that, in their business cases, all need to deliver as these products come to market, and therefore should also show a nice growth path. Look, there are plenty of things to be excited about, therefore I would continue to be positive about growth.
Very good. Thanks, Frans.
You're welcome.
We will now take another question from Max Yates from Credit Suisse. Please go ahead.
Thank you. Just my first question is on Personal Health. Could you talk a little bit around what you're seeing on the competitive landscape, particularly pricing, how you're seeing some of your key competitors in the market acting? That would be the first one.
It differs by product category, Max. I think last year we had quite a lot of dialogue on oral care, specifically in North America, which is the most advanced market when it comes to power toothbrushes, and with a population penetration of around 37% or so, and where competitors were becoming more aggressive. Now, you recall that first our impression was that this was a temporary thing. I think in the meantime, we explain it more as being part of a market where we now are looking at the majority of the franchise of consumers coming into the franchise, and which then also warrant to have power toothbrushes at multiple price points. Recognizing and realizing that, we have introduced in North America, power toothbrushes at lower price points.
What we announced today, that we had the entry level power toothbrush in the market in Q2 is a demonstration of that. We are seeing good demand on that. I think it will also make us less vulnerable for, let's say, outright price competition. There's also some new players in the North American market, very much in the low end of the market. We will continue to position ourselves as a premium brand. Internationally, in other markets, we don't see the same dynamic as in North America. Prices in China hold up well, prices in Europe hold up well. As such, the reason why Personal Health profitability did not expand is much more in relation to the step up in advertising as well as the currency headwinds that were visible in the second quarter than anything else.
Just the second question would be on Connected Care, and is there any way you can give us a sense of when you look at the order backlog, how that looks compared to 12 months ago at Q2 2018? Just trying to get a sense of obviously the softer order growth that you've had in the first half of the year, how quickly that feeds through to second half revenues. Or actually whether the orders that you took in the end of last year will still support healthy mid-single digit organic revenue growth as we go into the second half? Just trying to understand where the level of backlog is and how much the better orders we've seen.
That's great. You recall from last year that in fact, the orders came in Q4. As a consequence, we guided in January that we would be second half year loaded when it comes to revenue growth. You've seen some of that come through in Q2. Let's say the way we talk about it now is that the second half will be stronger than the first half. In other words, we expect for Connected Care stronger second half year, still, let's say, on the back of that order book. Now, it remains a lumpy business with larger customer installations that also need to be accepted and then signed off and then revenue recognized. I reiterate, a stronger second half year. I look to Abhijit, whether he has anything else to say.
I think that's fair because last year, we had 14% growth in orders, I think, in Q4. That got us to 5% order intake growth for the year. Those orders will get fulfilled in the remaining part of the year. W e also need the newer orders to come in, and the funnel is there. We see clearly the funnel there, but we have to get that to signature, and hopefully, that comes in the coming two quarters as well.
Sorry to be pedantic, when you talk about the better second half, are you referring to order momentum, or are you referring to a better second half growth rate in terms of revenues?
Both.
Both.
Both. The revenue growth is on the back of orders we already have. Obviously, we need order momentum to also underpin next year. That's where I have referred to the lumpiness. If I look in the funnel of opportunities that we track in our sales force, the engagement with customers and their interest is substantial. It's just turned out to be a much more work to get them from interest to orders and from orders to revenue. We talked about that, if you recall, at the Capital Markets Day, where we, in fact, lowered a bit the near-term guidance for Connected Care, because of this kind of market development. It doesn't diminish my longer-term expectations about the opportunity in Connected Care. As I described in relation to the question from Scott, near term, it's a lumpy, uneven market. I hope that answers your question.
That's great. Thank you.
We will now take our next question from Julien Dormois from Exane. Please go ahead.
Good morning, guys. Thanks for taking my questions. I have two to finish with. It's on Diagnosis & Treatment. I would like to get into a bit more details on two of the divisions, namely imaging and IGT. Quite opposite trend, because in IGT, I think you've been in the double digits for five of the past six quarters. I was just wondering whether you could elaborate a little bit on where this strength is coming from. Is it across the board, or is it from specific products, and how long do you think this can last?
In an opposite manner, in imaging, you are now out from your third quarter of flat or declining sales in this business. I'm just curious as to what you think is the trajectory for this business going forward, and especially where you think you stand in terms of the innovation cycle in that division. Are there still some meaningful product innovations and launches to be expected here?
Hi, Julien. IGT is a success story. I think it best represents the strategy that we have to move into solutions. Ever since the Volcano acquisition, the innovation strategy is around innovating the procedure rather than just providing hardware. We can go into a hospital or an office-based lab and demonstrate that, say, the hospital or the interventionist can treat more patients in a day in the same room while having less staff, and therefore being more productive with better patient outcomes. That is a very compelling story. The Azurion platform, which is the systems platform, and the software that guides the doctors, has proven to be very strong. Even so that we could raise prices and have more demand. We link in the devices business and get strong traction at the same time.
This strategy, I think, is a nice demonstration of applying the Quadruple Aim thinking into our innovations roadmap. We aim to do that everywhere. It's just that in IGT, we see the most strong benefit from that. Talking about imaging, we have been growing nicely in diagnostic imaging. In the earlier question, Abhijit already gave as a response that in the second quarter, the order intake for DI was also in the teens. In other words, we are enjoying strong interest on the innovations of diagnostic imaging. Notably, the MR system is doing very well, but also the other systems enjoy a good interest. I am optimistic that the growth momentum in DI, also in revenue terms, can step up as we move forward.
T hat's very helpful. Thank you. Just as a quick follow-up, regarding the closing of Carestream, is it still on track for an H2 closing?
Carestream is on track. I don't know whether we give any specifics as to when, but I think it's a Q3 event.
We're well on track.
Okay, thanks.
We get positive customer reactions on the Carestream acquisition. It's very much welcomed by all.
Good to know.
We will now take our next question from Sebastian Walker from UBS. Please go ahead.
Hi there. Thanks for taking my questions. I've got two on personal health, if I could. First, just thinking about the investments, do you think that investments, particularly in advertising, are going to continue at the current level for the remainder of the year, or should we expect those to fall off? Just thinking about those advertising investments, are those exclusively short-term payoff investments and therefore we've seen the benefits of those in Q2, or were there some longer-term investments that we should expect to have a positive impact on growth in Q3 and Q4? Thanks.
T he way to answer this, Sebastian, is that the investments in advertising in the first half were kind of on top off. We move into the second half, we will see the benefits of our marketing transformation kicking in, where we have a longer-term conviction that we need to shift internal expense or agency expense into working advertising share of voice. That enables us to maintain a higher advertising spend while not increasing overall marketing spend. In other words, we will compensate the step up in advertising over time. We couldn't fully achieve that in the first half of this year, but it is our intent to mitigate the extra advertising. I think it will be the new normal to have more advertising, but of course, we maintain our commitment to improve margins as well, so thereby lowering some of our other cost buckets accordingly.
Just to clarify, it's not a Q2 only impact. The growth impact, we expect the growth trajectory for the remaining part of the year to be similar to the first half of the year. It's not that it's just 5% in Q2 and then it goes down.
Thank you.
As a reminder, to ask a question, please press star one on your telephone keypad. We will now take a follow-on question from Michael Jüngling from Morgan Stanley. Please go ahead.
Actually, all my questions have been answered. Thank you.
Thank you.
T hanks.
As there are no further questions in the queue at this time, I'll hand the call back to your speakers today for any additional or closing remarks.
Well, I appreciate very much everybody attending the call. I wish you good vacations if you have them, while we will continue to run the ship into the third and fourth quarter. I appreciate very much your support. Have a great day.
This concludes the Royal Philips second quarter 2019 results conference call on Monday, the 22nd of July, 2019. Thank you for participating. You may now disconnect.