Getinge AB (publ) (STO:GETI.B)
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Earnings Call: Q1 2024

Apr 22, 2024

Operator

Welcome to the Getinge Q1 2024 conference call. For the first part of the conference call, the participants will be in listen-only mode. During the questions and answer session, participants are able to ask questions by dialing pound key five on their telephone keypad. Now, I will hand the conference over to the speaker, CEO Mattias Perjos and CFO Agneta Palmér. Please go ahead.

Mattias Perjos
CEO, Getinge

Thank you very much, and hi, everyone. Welcome to today's conference. With me, I have our CFO, Agneta Palmér, who will present the financials in a moment. We can move directly to page number two to kick things off, please. So, on page number two, we're trying to highlight the key takeaways when it comes to performance for the quarter. So we're getting a sales increase by 5.2% in the first quarter, and, of this, we had unchanged organic sales , despite the challenging comparative figures that we had, because of the release of COVID in China, last year.

Order intake for Getinge as a whole increased by 7.8%, of which organic growth was 2.5%, due to the positive performance across all three business areas in our major geographical regions. Despite the increased sales, our adjusted EBITDA margin was lower than last year, and this is mainly due to continued costs for quality improvements in acute care therapies and higher costs for input goods and for employees. We continue to have strong free cash flow , and we have a solid financial position that will enable us to continue to invest in profitable growth going forward. So with that, we can move to page 3, please. Just wanted to touch on some of the key activities and events during the quarter.

So when it comes to the offering to our customers, we received, during the quarter our 510(k) clearance for Hemopro 3, which is the new generation of our leading endoscopic vessel harvesting technology. In addition to this, we had our, the launch of our service, TwinView, and this is, a digital tool that allows medical teams to access and analyze data from the ventilators without having to step inside the sensitive environment in the intensive care unit. We also launched the Aquadis Index, which is a high-capacity washer-disinfector, and, this is a good combination of better capacity for customers and, lower energy, consumption. We also strengthened our already attractive portfolio systems and the bioreactors for advanced drug development, and, and production, with, for example, our single-use production, reactor.

If we then move to sustainability and quality, continued quality improvement efforts in cardiac assist and cardiopulmonary, according to the previous communicated plan, is something we spent quite a bit of time on in the quarter. To cardiac assist, we continue with the field corrections according to the plan that we have in order to regain our CE mark. In the middle of April, we also submitted the application for CE certificate approval for the new packaging for the ECMO therapy consumables, and this is the HLS sets. These are the ones that generate the highest sales for us in this therapeutic area. Also, we soon expect to submit an application for the product that generated second-highest sales within cardiopulmonary, and these are the PLS sets.

From a sustainability perspective, when it comes to the environmental aspect, we have carbon dioxide emissions continuing to develop in a positive direction. We can then move over to page 4, please. As stated earlier, we had order intake growth in the quarter, so reported order intake increased by 7.8%, where 2.5% was organic, and net sales grew by 5.2%, while organic sales growth was flat in the quarter. All regions grew orders organically in the quarter. Americas is the best performing market currently, where we have solid performance in the U.S. overall, I would say. Organic net sales was flat all in all, despite tough comps in China, particularly, and APAC and globally.

and also here we have solid performance in the U.S., overall. We can then move over to page number five, please. So when it comes to our guidance for, for top line, we reiterate, that, the output for 2024 is, organic net sales growth in the 2%-5% range. And in addition to this, we expect our recent acquisitions to contribute with three-five percentage points. So unchanged guidance from that perspective. Then we can move over to page number 6, please. So if you look at the order intake , in a bit more detail, acute care therapies had a 1.3% organic order intake growth. This was mostly driven by cardiopulmonary and, cardiac assist.

In Life Science, we had 5.6% organic order growth, and this came following a strong quarter in sterilizers and in our Sterile Transfer offering. The performance for Life Science remained weak when it comes to Bioprocessing. Surgical Workflows, finally, we had 3.6% organic growth, and here the growth came from all product categories except for Infection Control, which declined in the quarter. We can then move over to page 7, please. So one step down, and then looking at sales, organic net sales for Acute Care Therapies increased slightly, primarily thanks to large deliveries of hardware in Cardiopulmonary and for both hardware and consumables in Cardiac Care Assist.

And moving on to Life Science, organic net sales for Life Science declined overall, -9.2%, and this was mainly in sterilizers, washer disinfectors, and isolators, and it was also somewhat challenging when it comes to bioprocessing. Sales of sterile transfer products continued to perform positively within the Life Science business area. In Surgical Workflows, we had 2.4% organic growth, and Surgical Workflows increased its net sales , mainly when it comes to operating table. And from a geographical perspective, growth was healthy in the Asian market. Acquisitions is a positive in the quarter as well. They contributed to an increase in net sales of SEK 466 million in the first quarter of this year.

Currency, when it comes to top line, had a -95%, SEK 95 million, or a 1.3% negative impact on net sales for the group. Revenue from service continued to perform positively, and combined with large deliveries of consumables in cardiac assist, this resulted in growth in recurring revenue as well. We can then move over to page 8, please. So looking at the GROSS MARGIN , adjusted gross profit increased by SEK 121 million to SEK 3,855 million in the quarter, where FX effects impacted by -29 million SEK.

For the group as a whole, the adjusted gross margin declined by 1 percentage point as a result of costs related to the previously communicated, challenges in cardiac assist and cardiopulmonary, and we also had higher costs for input goods and, for employees. This was then partly offset by price increases and activities to enhance productivity. For acute care therapies, the adjusted gross margin declined by 1.4 percentage points, mainly due to negative mix effects and the costs related to the ongoing improvements in cardiac assist and cardiopulmonary. The margin in acute care therapies was also impacted by negative currency effects, the higher costs for input goods and for personnel. This was partly offset then by price increases and, positive performance for consumables in cardiopulmonary.

For Life Science, the adjusted gross margin fell by 2.1 percentage points as a result of low absorption and higher costs for input goods and employees. Price increases helped somewhat, and also currency to reduce this negative effect, but not entirely. Surgical Workflows, adjusted gross margin increased by 2.2 percentage points, and this was primarily as a result of acquisitions and of price increases. So with that summary, down to GROSS MARGIN , we can move over to page 9, and I leave it over to you, Agneta.

Agneta Palmér
CFO, Getinge

Thank you, Mattias, and hi, everyone. A pleasure to be here with you in my first earnings call. So let's have a look at adjusted EBITDA. It was down by 13.4%, and the margin came in 2.4 percentage points lower. adjusted gross profit effect on the margin was negative by 1.2 percentage points due to what was just mentioned by Mattias. So in short, a slightly negative mix, costs related to the quality improvement work, increased costs for input goods and personnel, which was then partly compensated by price increases and productivity. Adjusted for currency, operating expenses, OPEX, had an effect of -2.1 percentage points impact on the margin in the quarter.

That was mainly due to higher costs for employees, for services, and also in OPEX, we had some effects from the quality improvement work in cardiopulmonary and in cardiac assist. Adjusted for currency, depreciation and amortization had a positive effect of 0.3 percentage points on the margin in the quarter, and FX also impacted positively. So all in all, this resulted in an adjusted EBITDA of SEK 842 million and a margin of 11.2%. Then please move over to page 10. Free cash flow amounted to almost SEK 1 billion, and that was positively impacted by changes in working capital , mainly attributed to receivables. Last year, you may recall that we had a one-time effect impacting our cash flow. Even adjusting for that, we see an improvement versus last year in working capital, mostly then thanks to well-managed receivables.

Working capital days continues to be well below 100. We are now at close to 94 days, which is down a bit more than 35 days from the peak. We continue to be somewhat below trend on operating return on invested capital, with 10.1% on a rolling 12-month basis, which is still above the cost of capital. Let's move to page 11, please. The change in net debt year-over-year is due to the acquisitions that we finalized in the fourth quarter of 2023.... A sequential improvement since then takes us to SEK 7.6 billion in net debt at the end of quarter one. If we adjust for pension liabilities, we are at SEK 5 billion.

This brings us to a leverage of 1.4x EBITDA, and if we adjust for pension liabilities, the leverage is at 0.9x EBITDA. Cash amounted to approximately SEK 3.4 billion at the end of the quarter. So all in all, we can conclude that the financial position continues to be strong. Let's then move to page 13, and back to you, Mattias.

Mattias Perjos
CEO, Getinge

Great. Thank you, Agneta. So on page 13, I just wanted to quickly summarize the key takeaways from the first quarter of this year. So we continue to grow orders and net sales , and we have launched the largest number of value-adding products in the quarter, which I think is a very positive highlight. We reiterate our guidance for the full year, 2%-5% organic net sales growth, and in addition, we expect recent acquisitions to contribute with three-five percentage points of growth this year. The adjusted EBITDA margin came in 2.4 percentage points below last year, which is explained by the additional cost for quality improvements and also cost for input, material, and for personnel. We strengthened our free cash flow versus last year, and we remained with a solid financial position.

If we look at the priorities for 2024, the remainder of the year, it's really about addressing the remaining quality challenges in acute care therapies. It's about working on sustainable productivity improvements and having a cost consciousness during the remainder of the year. And of course, last but not least, continue to create value for our customers. And with that said, I open up for questions around this call.

Operator

If you wish to ask a question, please dial pound key five on your telephone keypad to enter the queue. If you wish to withdraw your question, please dial pound key six on your telephone keypad. The next question comes from Erik Cassel from Danske Bank. Please go ahead.

Erik Cassel
Equity Research Analyst, Danske Bank Markets

Hi, good afternoon, everyone. So just first question, how much of the balloon pump back when it comes to hardware, have you managed to go through now? And when do you expect it to start to have the ACT order intake ?

Mattias Perjos
CEO, Getinge

Thank you, Erik. You had quite a bit of background noise there. Can you repeat the second? I only heard the balloon pump backlog. Can you repeat the second half of the question, please?

Erik Cassel
Equity Research Analyst, Danske Bank Markets

Yeah, sorry. Bit of problems with the headsets. Just wondering on the balloon pump backlog. Since you now delivered a large part of it, how much is left to deliver? And when do you think, you know, making those deliveries will have a positive impact on the order intake into the?

Mattias Perjos
CEO, Getinge

Okay, we don't disclose how much backlog we have when it comes to balloon pumps. And even though we have delivered some of it, and it is gradually reducing, it's a significant backlog still that we will require several months to work through. But we don't provide any forecast on this ownership.

Erik Cassel
Equity Research Analyst, Danske Bank Markets

Okay, thank you.

Mattias Perjos
CEO, Getinge

Therefore, it's also difficult to say when it will have an impact on order intake , of course.

Erik Cassel
Equity Research Analyst, Danske Bank Markets

Yeah, understand. Then second question: How large was the scrapping effect in Q4 now compared to Q4?

Mattias Perjos
CEO, Getinge

We don't break out scrapping individually. I think we have gradually reducing costs for quality deficiencies, but we don't break down this in details.

Erik Cassel
Equity Research Analyst, Danske Bank Markets

Okay, but it was SEK 200 million in Q4 in total scrapping. Is it ballpark the same now, or is it a lot lower?

Agneta Palmér
CFO, Getinge

So the SEK 200 million was the overall sort of quality-related additional costs, and the amount in Q1, I would say, is roughly half of that.

Erik Cassel
Equity Research Analyst, Danske Bank Markets

Okay, thank you very much. So I'm just wondering now for, say, say full year 2024, on the, say, current run rate cost of quality work in ACT, and then also how much of it you can expect to phase out, once the ECMO packaging issues are resolved.

Agneta Palmér
CFO, Getinge

So we don't forecast and disclose, but the current trend, we can assume that it is reasonable that it continues through the coming quarters. So, roughly half of what we had last year in quality-related cost would be a fair assumption. And, at this point in time, we would rather come back when we have the numbers of the... But for now, that is what we are tracking.

Erik Cassel
Equity Research Analyst, Danske Bank Markets

All right. Thank you very much. I'll jump back in queue.

Operator

The next question comes from Rickard Anderkrans from Handelsbanken. Please go ahead.

Rickard Anderkrans
Equity Research Analyst, Handelsbanken

All right, good day, and thank you for taking my questions. So first on the ECMO packaging solutions, when should we expect approval and market launches of new packaging solutions? And how do you feel about the visibility on that timeline? That would be my first one. Thank you.

Mattias Perjos
CEO, Getinge

... Yeah, I think it's, unfortunately, quite a bit out of our hands to predict this. If you look at the other instances, it's taken anything from a month to over a year. So, it's very difficult for us to provide any certainty when it comes to this. We're hoping for expedited treatment of this, but it's really not up to us.

Rickard Anderkrans
Equity Research Analyst, Handelsbanken

All right, fair enough. And second question on new midterm financial guidance. How come you didn't provide any updated medium-term targets in conjunction with Q1? And when should we expect the new targets to be announced? Thank you.

Mattias Perjos
CEO, Getinge

I think the reason for not providing it in this quarterly report is just that it is a hectic reporting period for everybody, and it's limited time during a quarterly call. So we decided to separate the two events. So I think the planning now is that we will come back on the 15th of May with not updated targets or guidance, but more clarity when it comes to growth of our end markets and the, I guess, earnings capacity of our business.

Rickard Anderkrans
Equity Research Analyst, Handelsbanken

All right, 15th of May. Perfect. Very clear. Thank you.

Mattias Perjos
CEO, Getinge

Thank you.

Operator

The next question comes from Kristofer Liljeberg from Carnegie. Please go ahead.

Kristofer Liljeberg-Svensson
Equity Research Analyst, DNB Carnegie

Yeah, thank you. Some questions from me. First, just coming back to your comment here about quality cost. And when you talked about roughly half of the cost versus last year, is that also applicable for the full year, or was that more a comment for on a quarterly basis here?

Agneta Palmér
CFO, Getinge

That is the reasonable adjustment assumption for the full year as well.

Kristofer Liljeberg-Svensson
Equity Research Analyst, DNB Carnegie

Okay, good. Then I was a little bit surprised here about the large shipment of cardiac assist hardware given the CE mark was suspended again, even though it was pretty late in the quarter. But this CE mark suspension, will that impact deliveries, you think, in the second quarter?

Mattias Perjos
CEO, Getinge

I think it mainly impacts deliveries in terms of participating in new vendors selling to new clients. It doesn't impact that much of the backlog.

Kristofer Liljeberg-Svensson
Equity Research Analyst, DNB Carnegie

Okay, great. And then finally for me, if you could maybe comment a little bit about the overall market demand and your confidence in the full year sales growth guidance range. Thank you.

Mattias Perjos
CEO, Getinge

Yeah. Yeah, we feel pretty confident that the range that we provided, the 2%-4% or 5%, is still valid. I think the events that have panned out there in the first quarter have mostly been confirmatory. So that's why we decided to reiterate that and also stay with a 2%-5% range on this. But I think generally, it's a positive. I've called out in the call earlier, the development in the U.S. in particular, which is our biggest, most important market, which is developing favorably. And on the other end of the range, you have China, which especially from a Life Science perspective, remains challenging.

Kristofer Liljeberg-Svensson
Equity Research Analyst, DNB Carnegie

Thank you.

Mattias Perjos
CEO, Getinge

Thank you.

Operator

The next question comes from Oliver Reinberg from Kepler Cheuvreux. Please go ahead.

Oliver Reinberg
Equity Research Analyst, Kepler Cheuvreux

Thanks so much for taking my question. And the first one, Mattias, can you just provide an update on the kind of launch of the acute ventilator in the U.S. and also the covered stent? Apparently, you and I was trying to kind of new distribution agreement with Cook Medical. Do you still go direct in this kind of space? Any kind of update where you stand on both product line space?

Mattias Perjos
CEO, Getinge

Yeah, I think on the first part of the question, it's a bit too early to say. We say we launched the new ventilator in the U.S. in Q4 last year. We don't provide any kind of data when it comes to the traction on this, but needless to say, with some of the changes when it comes to our competition, we remain optimistic about the opportunities, at least for the medium to longer term there. When it comes to the distribution agreement with Cook Medical, it is an exclusive distribution agreement in the U.S., so it means that we do not sell directly ourselves. It's taken over by Cook in the U.S.

Oliver Reinberg
Equity Research Analyst, Kepler Cheuvreux

Any kind of color, how quickly you can move back to the market in terms of earlier sales that you had, in the past?

Mattias Perjos
CEO, Getinge

No, too early to say. I think we've entered into this agreement because we are both enthusiastic about the opportunities here. They have a sales force that is many multiples bigger than our own. So, that should realistically have an impact, but it's very difficult to forecast the pace of this taken.

Oliver Reinberg
Equity Research Analyst, Kepler Cheuvreux

Okay, understood. And secondly, just on this kind of CE mark issue around cardiac assist, which obviously was pulled again a couple of months ago. So can you just share your take, what happened then, and what are exactly the steps that you now have to go through?

Mattias Perjos
CEO, Getinge

Yeah, to share exactly is a bit long-winded, but I think the main summary is that we haven't been fast enough when it comes to implementing some of the field safety actions that are needed in certain geographies. So the notified body was not happy with the progress made. So that's the main reason for the new suspension of the CE mark. Part of that, those delays were triggered by a lack of components that we had during the first half of last year. So those are now mitigated, and we're in a much better situation to do the field safety actions with better speed than.

So we're cautiously optimistic that we'll be able to do that part of the remediation work. But again, difficult to provide any detailed guidance on this going forward. I think we are in agreement, and we are clear about the work that needs to be done, but it's a little bit difficult to forecast the pace.

Oliver Reinberg
Equity Research Analyst, Kepler Cheuvreux

Understood. And last question from my side. Just in terms of the kind of full year margin outlook, in the past, you've provided some kind of color as part of the kind of quotes. So, I mean, the street is currently looking for 13.6% EBITDA margin for the full year. Is that a level you feel comfortable with, or do you see more risk to the upside to the downside of it?

Mattias Perjos
CEO, Getinge

Yeah, well, we, you know very well, Oliver, we don't guide on the margin in intrayear. We've said that we will have an improvement in 2024 compared to 2023, but we've not been more granular about this. And I think the, the next information milestone is going to be on the 15th of May, where we provide a bit more explanation about both the end market growth but also our, our potential to improve profitability.

Oliver Reinberg
Equity Research Analyst, Kepler Cheuvreux

Understood. Thanks so much.

Mattias Perjos
CEO, Getinge

Thank you.

Operator

The next question comes from Mattias Vadsten from SEB. Please go ahead.

Mattias Vadsten
Equity Research Analyst, SEB

Hi, thank you. I think you said the transfer products developed positively, Mattias. Could you elaborate a little bit on this and perhaps update us as well on the momentum around BetaBags ? That's the first one.

Mattias Perjos
CEO, Getinge

Yeah, when we talk about sterile transfer, the main category there is beta bags, and difficult to provide any more color. We don't break this down into any kind of sub-segment reporting, so no additional numbers there. It's just that the it seems to be bottoming out, as this stocking has been going on for a while, and slightly better momentum with at least some selected customers in that subcategory.

Mattias Vadsten
Equity Research Analyst, SEB

Okay, good. Then on Surgical Workflows, another, you know, strong quarter, at least. I mean, I, I think quite extraordinary still levels. Do you expect more normal Surgical Workflow sales from here in the upcoming quarters? Or, or how, how should we see it from here?

Mattias Perjos
CEO, Getinge

It depends on what you mean with more normal. I think we have said we have a good now momentum from the acquisitions. We have good traction when it comes to operating table, both the legacy portfolio, but also our newly launched Corin table . It's been well received. So, we don't provide VA guidance. They are bundled in with the 2%-5% growth for the full year.

Mattias Vadsten
Equity Research Analyst, SEB

Okay, good. Maybe you touched a little bit on it, but on the two acquisitions, they seem to perform quite well. Could you perhaps touch upon the development for those two companies that you acquired last year, until now, and maybe also touch a little bit on the margin performance, if that's possible? That's my last one.

Mattias Perjos
CEO, Getinge

Mm-hmm. Yeah, I think if we start with Healthmark, they've had a very good start as part of Getinge, both initially in the fourth quarter when they joined last year, and this momentum has continued through Q1 as well. We're very happy with this addition to our portfolio. It's really well received by customers, and growth-wise, they are a little bit ahead of our expectations and what we had in the business case when we acquired them, and also from a margin standpoint, they're doing a little bit better. So, positive on other fronts, I would say there. And a bit similar to when it comes to High Purity New England.

I mean, this is a younger company, so we're not profitable, we acquired them, but plenty of capacity to expand in a very attractive niche. And I think the interaction with customers during the first few months of our ownership has confirmed our positive view in the portfolio and the potential of the portfolio, and the growth potential. And with the leverage effect from growth, we believe that they will turn into a more profitable part of Life Science as well.

Mattias Vadsten
Equity Research Analyst, SEB

Thank you very much.

Mattias Perjos
CEO, Getinge

Thank you.

Operator

The next question comes from David Adlington, from JP Morgan. Please go ahead.

David Adlington
Head of Medical Devices and Services Equity Research, JPMorgan

Hey, guys, thanks for taking the questions. Most of them have been asked already. Maybe just on the event on the 15th of May, is that a capital markets event, or is that just gonna be a call and a quick update in terms of the longer term expectations? Secondly, just wondered why we've seen an uptick in R&D capitalization this quarter. And then finally, just in terms of the recovery in China, just wonder what visibility you have there, please. Thanks.

Mattias Perjos
CEO, Getinge

Yeah, sure. I'll, I'll tell you, start with the first one here. So, we haven't labeled the event as such, but it is more of an informal update in closing the loop on some of the question marks that have been there around end market growth divided into some of the sub-segments that are most important to us. And also, trying to help the understanding of the cost evolution the last few years, the progress when it comes to quality quality improvement work, the impact this has had on the business, and likely will have going forward. And also a bit on the mix of the business and what we expect from that.

So it is more of an informal update, I'd say. Anything else? And the second part of the question I didn't hear, so maybe Agneta heard it.

Agneta Palmér
CFO, Getinge

It was regarding the R&D capitalization in the quarter. Is that correct? Correct, yeah. Yeah. So firstly, that's a bit of timing, depending on where we are in different, large, projects. But secondly, it is that we are investing resources in future portfolio and in the, some of the, these quality improvement areas specifically. Thank you. And the third question was?

Operator

The next question comes from Robert Davies from Morgan Stanley. Please go ahead.

Robert Davies
Equity Research Analyst, Morgan Stanley

Morning. Thanks for taking my questions. I had a few. One was just on the corporate cost line. I noticed that came in quite a bit below where consensus expectations are. I just wondered if you could provide any color on what drove that and what the expectation for that line item is for the full year. That was my first question. My second one was following up on something you mentioned earlier on China. We have seen some of your peers highlight a potential stimulus package in China that could push increased investments in med tech and life sciences more broadly. I'd just be curious to get your thoughts around, you know, potential magnitude of timing and sort of size of that sort of stimulus package, what you're hearing on the ground.

And then just on the, I guess, in that capital markets event that you were sort of highlighting, potentially looking at the margin targets, is that something you would sort of lean towards having a band or specific number? Can you just provide any color on what the thought process is there around the sort of margin expectations for the group? Thank you.

Agneta Palmér
CFO, Getinge

If I start by the corporate cost line, it is not a trend shift, it is more of a timing of some cost items.

Mattias Perjos
CEO, Getinge

Yeah. So, don't extrapolate that number. It's better to go with the old one. When it comes to China and bioprocessing, I think we remain a bit more pessimistic. We hear mixed views from our peers, partly related to stimulus, but also partly related to just general market development. We see that it's. It doesn't seem to be getting any worse. It's bottoming out, but it's very difficult to predict any uptake or stimulus or not, I'd say. So we remain humble that we don't really have great visibility when it comes to China, I think. And when it comes to the capital markets day, I think it's probably better to just wait for...

It was not the capital markets day, but it's the capital markets update. Better to just wait for that. I don't wanna.

Robert Davies
Equity Research Analyst, Morgan Stanley

Mm-hmm.

Mattias Perjos
CEO, Getinge

Give any preview here on what exactly to expect. We're trying to gather feedback from the market, what's desired, and trying to see match that with what is actually possible to realistically provide for us.

Robert Davies
Equity Research Analyst, Morgan Stanley

Understood. Maybe if I can just squeeze one final one, just around ACT margins. Just wonder, I know on previous calls, I think you'd mentioned a sort of, a hope or an expectation of maybe getting to mid-20s in that business. So just be kind of curious, what was the last or latest public commentary on, the trajectory and timeline of ACT specifically?

Mattias Perjos
CEO, Getinge

Yeah.

Robert Davies
Equity Research Analyst, Morgan Stanley

[crosstalk] Is it just a packaging issue or is there anything else?

Mattias Perjos
CEO, Getinge

Yeah, it's not just a packaging issue. It is packaging, it's remediation work in cardiac assist, it's upgrading of old platforms. There is both quality system work, number of, call it, product engineering, product maintenance, updates that needs to be done. So it is a heightened cost level overall. Having said all that, though, just to answer the question again, no, there is no reason why the margin shouldn't go back above 20%.

Robert Davies
Equity Research Analyst, Morgan Stanley

Understood. Thank you very much.

Mattias Perjos
CEO, Getinge

Thank you.

Operator

The next question comes from Patrik Ling from DNB Markets. Please go ahead.

Patrik Ling
Senior Equity Analyst, DNB Markets

And, thanks for taking the questions. Just wanna come back once again to the event on the 15th of May. So the long-term financial targets that you have for 2022 to 2025, we should not expect you to change those at this event?

Mattias Perjos
CEO, Getinge

I, we'll have to come back on the event as such. This is a process that we're still going through, so I don't wanna exclude anything at this point.

Patrik Ling
Senior Equity Analyst, DNB Markets

Okay, great. Good. Then I also had a question on when I look at the group items for this quarter, it's significantly lower than what we saw during the for last four quarters during 2023. Are there any specific reasons, and is this the level that we should expect going forward?

Agneta Palmér
CFO, Getinge

You're looking at the corporate cost line, correct? That is.

Patrik Ling
Senior Equity Analyst, DNB Markets

Yes, the group items in EBITDA, yeah.

Agneta Palmér
CFO, Getinge

Yeah. It is not a trend shift, so we should not extrapolate this current level. It is about the timing of some costs, so it is better to look at the historical levels.

Patrik Ling
Senior Equity Analyst, DNB Markets

Okay, great. So going forward, we should more look at what we saw last year rather than this quarter. And then, my last question is, I mean, you mentioned in the report that you're that you signed a distribution agreement with Cook for the covered stents. Any particular reason why you do that, and why don't you go it alone, so to speak, in the U.S.?

Mattias Perjos
CEO, Getinge

Yeah, I think that's a great, great, question. I think if we-- what's happened since 2017 and how this market has evolved, I think you should keep in mind that we were basically alone in the covered stent space, so this part of the, of the space in 2017, and we had a couple of new competitors enter. So, so the market landscape has changed quite a bit. And, looking at the resources that we have when it comes to the commercial part of, of driving this business, we just came to the conclusion that, to make that investment organically ourselves right now, just wouldn't be a, a good capital allocation compared to other options that we have.

So therefore, in addition to this, Cook Medical was looking for a product as an addition to their portfolio. So it was a really good match to join forces with them. So that's the rationale behind this.

Patrik Ling
Senior Equity Analyst, DNB Markets

Okay, great. Thank you very much, guys.

Mattias Perjos
CEO, Getinge

Thank you.

Operator

The next question comes from David Johansson from Nordea Markets. Please go ahead.

David Johansson
Equity Research Analyst, Nordea

Thanks for taking my questions. I have two. So first, I'll follow up on the result in surgical workflows. How much of the margin improvement was driven by Healthmark, and how much was sort of underlying improvements in the quarter? And secondly, on the critical care business, there looks to be some meaningful changes looking at the competitive landscape in the U.S., especially with one competitor exiting. So would be interesting to hear your thoughts on this market, specifically now after these changes, and how you feel about the potential now looking at replacement volumes over the next few years. Thanks.

Agneta Palmér
CFO, Getinge

Yeah. So if we start with the Surgical Workflows, it was both an underlying improvement in the legacy business, so to speak, and a positive contribution margin rise from Healthmark.

Mattias Perjos
CEO, Getinge

Okay, and if we move to the critical care space, I agree with your conclusion. I think it is interesting now to see what happens in the wake of some of these players that are exiting the market. But it is still early days and difficult to predict the impact on this. So we're cautiously optimistic, and we should. This should definitely benefit us, but it's very difficult to judge the timing and the impact of this.

David Johansson
Equity Research Analyst, Nordea

Thanks.

Mattias Perjos
CEO, Getinge

Okay, thank you.

Operator

The next question comes from Robert Davies from Morgan Stanley. Please go ahead.

Robert Davies
Equity Research Analyst, Morgan Stanley

Thank you. I just had a couple of follow-ups. One was, if you could quantify the size of the revenue contribution from High Purity and Healthmark in the quarter. That was one question I had. And then just in terms of your full year guidance around organic sales growth, how, how do you see the risk to that, given that you've posted zero in the first quarter? And the comps obviously are easier in 2Q, but they get much, much stronger by the time you reach 4Q. I just wondered if you could kind of contextualize the seasonality or how you're thinking about that. Thank you.

Mattias Perjos
CEO, Getinge

Can you repeat the second half of the question first, please?

Robert Davies
Equity Research Analyst, Morgan Stanley

Yeah, sorry. The first one was on the revenue contribution from High Purity and Healthmark. And then the second part of the question was just how you feel about the full year guidance on organic sales growth of 2%-5%, given you've obviously started the first quarter at zero, and 3Q and 4Q are seeing much stronger comps, I think, up to 10% by the fourth quarter. So just wanted to get a sense of what was gonna drive that sort of improved growth in the second half. Thank you.

Mattias Perjos
CEO, Getinge

Mm-hmm. Yeah, on the first bit, I think we had that actually in the material. So we'll come back on the...

Agneta Palmér
CFO, Getinge

It contributes with an increase in the quarter, SEK 466 million.

Mattias Perjos
CEO, Getinge

You can see that in one of the page tables from the presentation and the course of sources.

Robert Davies
Equity Research Analyst, Morgan Stanley

Okay, thank you.

Mattias Perjos
CEO, Getinge

Yeah. And when it comes to the organic growth, I think we remain optimistic that we can be inside the window of 2%-5%, based on both that we had no pick up in order intake , which is possible, of course. Looking as well when it comes to the comp quarters, Q1 was a bit more difficult than some of the ones that we have ahead of us now, given the COVID restrictions that were lifted in China at the end of 2022, which led to an increase in volume in primarily critical care, but also to some extent, cardiopulmonary in the first quarter of last year. So that's some of the reason.

In addition to this, we hope to become increasingly less constrained when it comes to supply challenges, so both quality related and supply chain challenges as well. I just wanna highlight that we're not out of the woods there, so there's some uncertainty linked to this thing. With the visibility that we have, we remain confident that 2%-5% organic is realistic.

Robert Davies
Equity Research Analyst, Morgan Stanley

That's great. Thank you.

Mattias Perjos
CEO, Getinge

Thank you.

Operator

There are no more questions at this time, so I hand the conference back to the speakers for any closing comments.

Mattias Perjos
CEO, Getinge

Great. Thank you, everyone, for a lot of good questions here, and thanks for tuning in. So just to summarize again, we closed out the first quarter with, I think, the main positives being organic order intake growth, a good momentum from the companies that we acquired during last year as well, and a string of nice product launches that will be adding value to customers and patients for many years to come. On the negative side, we're continuing to work through a lot of the quality challenges that we've had here. So we're making good progress, but they will remain with us for the remainder of 2024.

And finally, we'll come back on the 15th of May with a slightly more granular update when it comes to growth and profitability of our business. So, once again, thanks for joining the call today.

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