Hello, and welcome to BD's Earnings Call for the Q4 and full year fiscal 2022. At the request of BD, today's call is being recorded and will be available for replay through November 17, 2022 on BD's Investor Relations website on bd.com, or by phone at 866-342-8591 for domestic calls and area code +1-203-518-9713 for international calls. The replay bridges are now dedicated, so you no longer need a conference ID to hear the replay. For today's call, all parties have been placed in a listen-only mode until the question and answer session. I will now turn the call over to BD.
Good morning, and welcome to BD's earnings call. I'm Francesca DeMartino, Senior Vice President and Head of Investor Relations. On behalf of the BD team, thank you for joining us. This call is being made available via audio webcast at bd.com. Earlier this morning, BD released its results for the Q4 and full year of fiscal 2022. We also posted an earnings presentation that provides additional details on our performance. The press release and presentation can be accessed on the IR website at investors.bd.com. Leading today's call are Tom Polen, BD's Chairman, Chief Executive Officer, and President, and Chris DelOrefice, Executive Vice President and Chief Financial Officer. Tom will provide highlights of our performance and the continued execution of our BD 2025 strategy. Chris will then provide additional details on our FY 2022 financial performance and our guidance for fiscal 2023.
Following the prepared remarks, Tom and Chris will be joined for Q&A by our segment presidents, Mike Garrison, President of the Medical Segment, Dave Hickey, President of the Life Sciences Segment, and Rick Byrd, President of the Interventional Segment. Before we get started, I want to remind you that we will be making forward-looking statements. I encourage you to read the disclaimer in our earnings release and the disclosures in our SEC filings, which are both available on the IR website. Unless otherwise specified, all comparisons will be on a quarter-over-quarter basis versus the relevant period. Revenue percentage changes are on an FX neutral basis unless otherwise noted. In addition, the results and guidance we are presenting today are on a continuing operations basis, which exclude the historical results of Embecta, which are accounted for as discontinued operations.
When we refer to any given period, we are referring to the fiscal period unless we specifically note it as a calendar period. I would also call your attention to the basis of presentation slide, which defines terms you will hear today, such as base revenues and base margins, which refer to our results excluding estimated COVID-only testing. With that, I am very pleased to turn it over to Tom Polen.
Thanks, Francesca, and good morning, everyone, and thank you for joining us. I am extremely proud of our organization and our performance this year. We closed the year with excellent momentum, having delivered strong and consistent growth in our base business. For the full fiscal year, we exceeded our revenue and earnings guidance and achieved our margin expansion goal. Our performance this year confirms BD 2025 is the right strategy and it's working. Our results reflect our strategy in action and the focused execution and dedication of our global teams who reliably served our customers, controlled costs, and increased productivity during a challenging environment. At Investor Day in November 2021, we outlined our plan to build sustained shareholder value creation in five key focus areas. Today, I'm pleased to review the progress we've made to achieve this plan.
First, we delivered consistent performance and durably strengthened our growth profile. Our FY 2022 results are on track with our long-range targets to deliver 5.5+ top line and double-digit EPS growth, with operating margin improvement back toward our pre-pandemic level. In FY 2022, we drove 9.4% revenue growth in our base business. Additionally, we achieved our margin expansion goals in an increasing inflationary environment by both leveraging our revenue performance and realizing savings and efficiencies from several of our multi-year simplification and cost improvement initiatives. As a result, we delivered $11.35 in adjusted diluted EPS. Second, we continued to reshape our portfolio by advancing our innovation pipeline and M&A strategy towards higher growth markets.
In FY 2022, we continued to transform our innovation pipeline with about 60% of our new product development invested in three market spaces that are reshaping healthcare and helping to fuel our growth, smart connected care, enabling new care settings, and improving chronic disease outcomes. We believe our current pipeline is the most exciting in the history of the company. In addition, we deployed over $2 billion this year towards six tuck-in acquisitions, all of which were allocated towards higher growth markets. This includes Parata Systems, our largest acquisition since Bard, which is aligned to our focus on smart connected care and enabling new care settings. Parata makes BD the global leader in the fast-growing pharmacy automation market and enables us to provide solutions to help pharmacies address rising costs and labor shortages.
With today's transformative solutions, from pharmacy automation to biotech drug delivery devices, to high-throughput molecular diagnostic systems and new dyes and instruments for immuno-oncology and multi-omics research, to at-home solutions for urinary incontinence, we are systematically creating a new wave of future growth for BD. Third, we executed our simplification programs and managed our cost structure. Like every other company, we faced tremendous inflationary pressure. We saw the pressure coming early on, and we took action immediately, putting in place an inflation task force to attack it from every side. We also prioritized our internal cost reduction programs and significantly leveraged our selling and G&A expense, driving strong operating leverage. In addition, we actively managed our portfolio, including spinning Embecta, as well as exiting more than 2,500 SKUs as we accelerated our Project RECODE initiative to simplify our portfolio and exit products that add complexity in our plants.
A leaner portfolio and less complex manufacturing processes allow us to improve output with the same fixed cost base and optimize our mix to produce more of the products most critical to our customers. We furthered our investments in what matters to our customers, strengthening our supply chain, validating secondary suppliers, and building key component inventory, all factors that have been even more important in a supply-constrained environment. Finally, as we drove strong revenue growth beyond our original expectations, we leveraged our scale and excellence in manufacturing as volumes in our plants recovered from FY 2020 and 2021 lows due to COVID disruptions in procedures. As a result, in FY 2022, we were able to absorb significant increases in inflation during the year and improve our margin profile back towards BD's pre-pandemic levels of 25% in FY 2025. Fourth, we maintained a disciplined and balanced capital deployment strategy.
Over the last few years, we significantly strengthened our balance sheet and improved flexibility. This has allowed us to advance our balanced capital allocation framework and support growth-enhancing investments in capital, R&D, and tuck-in M&A. We're now at 2.8 times net leverage, and both Moody's and Fitch upgraded our debt this year, reflecting the strength of our business and disciplined approach on balance sheet management and capital deployment. Also, this framework gave us the flexibility to return capital to shareholders. We just announced our 51st consecutive year of dividend increases, continuing our long-standing recognition as a member of the S&P 500 Dividend Aristocrats Index, a distinction that reflects the consistency and reliability of our dividend policy. Finally, our strong teams continued to execute and create value even during uncertain times.
Our execution in FY 2022 is a testament to our growth mindset at BD, where we firmly believe there's nothing we can't do, only things we haven't done yet. By navigating successfully the challenging macro environment, we are distinguishing BD and supporting our ability to consistently deliver strong performance. These capabilities are now all embedded in our operating principles, and with the strong execution abilities across our network, they're having a positive impact on our overall cost effectiveness, responsiveness, and sustainability. In summary, these proof points reflect how BD 2025 and the actions we've taken in FY 2022 and over the past several years uniquely position us to lead and deliver strong and consistent results. I'll now provide more detail on the progress we made this year on organic innovation, which is a key enabler to our growth strategy.
In FY 2022, we significantly advanced our innovation pipeline, launching 25 key new products. We are on track to achieve our new product revenue contribution as outlined at Investor Day and are increasing our portfolio weighting in attractive, faster-growing markets. Our product launches reinforce our leadership position in our durable core and expand our offering in higher growth spaces across smart connected care, enabling new care settings, and improving outcomes for chronic disease. These launches strengthened our position in strategic areas such as medication safety, immunology research reagents, molecular and point-of-care diagnostics, peripheral vascular disease, and incontinence. Examples include PosiFlush SafeScrub, our next generation flush product, Prevue, our peripheral vascular access system, BD COR, our fully automated high-throughput molecular system and related women's health and STI assays, and the PureWick male external catheter.
I'm excited by the progress we've made advancing our innovation-driven growth strategy and the strides we've made to improve outcomes for patients and providers and create value for our stakeholders. I'll now share a few updates on the progress our team made this year to advance our ESG strategy and goals. Together We Advance serves as a framework for our ESG strategy. In July, we published our 2021 ESG report, which provides details about our ESG strategy and progress against our 2030 commitments. Highlights include the launch of the BD Sustainable Medical Technology Institute, efforts to reduce our greenhouse gas emission, including joining the UN Race to Zero, and increasing our investments in on-site renewable energy. Just last month, BD in Sandy, Utah, was awarded the Blue Sky Legacy Award for making significant strides towards Utah's environmental sustainability.
We believe that the work we're doing today can make a lasting, positive impact on our communities. We also made progress on our workforce ID&E goals. Ending FY 2022 with increased diversity at the executive and management levels, and we remain committed to having an inclusive workplace. We're proud to receive continued recognition for our ESG efforts. Most recently, we were named to Forbes' 2022 list of the World's Best Employers, a recognition of BD as a great place for the world's best talent to work as part of a healthy and inclusive community. Before I turn it over to Chris, as we look forward to FY 2023, I'd like to provide some perspective on the macro environment and BD 2025 as we move toward the H2 of our strategic plan period.
Starting with the macro environment, our BD 2025 strategy and the capabilities we have built over the past two years position us well to navigate what we expect to be some persistent macro challenges and uncertainty facing all companies. We reiterate our conviction in the three irreversible forces shaping healthcare and our strategy to address them. For example, as it relates to smart connected care, there's an increasing need for digitalization and automation of healthcare processes as providers look for ways to increase efficiency and address labor and inflationary challenges. Regarding inflation and supply chain, our perspective continues to be that challenges are going to persist, not escalate, at least through 2023. Although inflation could potentially start easing somewhat, we do expect that we'll remain well above what we have seen historically.
Companies that have processes, systems, and capabilities to navigate this environment will continue to thrive over the next couple of years. As we move forward, you can expect to see continued relentless focus on execution of BD 2025, which will continue to serve as our true north. This includes delivering impactful innovations for our customers by expanding our leadership positions in our durable core and continuing to invest to expand our portfolio in the higher growth areas that are transforming healthcare. In addition, Alaris remains our number one priority, and we're making good progress. While we don't comment on the status of the review or approval timing, we are taking all the steps necessary to provide the required regulatory information and support our customers upon clearance.
We will also continue our investments to increase manufacturing capacity, strengthen our supply chain, and increase supplier redundancy to help ensure we continue to reliably supply our products for our customers. We will continue to focus on initiatives to return our margin profile to FY 2019 pre-pandemic levels in FY 2025. This includes accelerating initiatives like Project RECODE, including our efforts around operating model simplification, resulting in BD becoming a more agile and less complex organization. We expect to continue our balanced approach to capital deployment. Our priorities include investing in our business through R&D and CapEx. After investing organically and returning value through dividends, we will continue to execute our tuck-in M&A strategy and return value to shareholders through share repurchases.
We expect to continue to stay ahead of the curve as we navigate the macro environment, leveraging the capabilities we have built that are now embedded in our operating principles. We recently celebrated BD's 125th-year anniversary as a company, demonstrating our durable model underpinned by our tradition of relentless focus on innovation and operational excellence. We're really excited about what the future holds. With the performance of our global teams, we will continue to grow our impact on customers and patients and advance the world of health. With that, let me turn it over to Chris to review our financials, guidance, and outlook.
Thanks, Tom. Echoing Tom's comments, we delivered strong, consistent results this fiscal year, which reflects our growth strategy playing out as planned. Through execution of our BD 2025 strategy, we are fulfilling our short-term commitments while progressing towards our long-term goals. Beginning with our revenue performance, we exceeded our revenue growth expectations for the Q4 and full year. We delivered $4.8 billion in revenue in Q4, with base business growth of 8.6%, or 6.8% organic. Parata contributed about 140 basis points to growth in the quarter and about 40 basis points to the full year. COVID-only testing revenues were $37 million, which is expected decline from $316 million last year.
For the full fiscal year, we delivered $18.9 billion in revenue, with base business growth of 9.4%, or 8.5% organic. COVID-only testing revenues were $511 million, which, as expected, declined from $2 billion last year. Total company base business growth was strong across all three segments, with double-digit growth in BD Life Sciences and high single-digit growth in BD Medical and BD Interventional. Base revenue growth was strong regionally as well, with double-digit growth in the U.S., China, and Latin America, along with high single-digit growth in EMEA.
Our revenue performance continues to be supported by our durable core portfolio and an increasing contribution from the transformative solutions we are bringing to the market through our innovation pipeline and tuck-in acquisitions. We also continue to benefit from the organic contribution from tuck-in acquisitions we anniversaried, which was about 20 basis points for the full year. Let me now provide some high-level insight into each segment's performance in the quarter. Further detail can be found in today's earnings announcement and presentation. BD Medical revenue totaled $2.4 billion in the Q4, growing 10.2%, with strong performance across the segment. Growth was driven by strong growth in MDS of 8%, driven by continued execution of our comprehensive vascular access management strategy.
MMS growth of 11.5%, driven by strong demand of our connected medication management and pharmacy automation strategies, including our recent acquisition of Parata, as customers focus on automation to drive efficiency to help address the constrained labor market. Another quarter of double-digit growth of 12.8% in pharmaceutical systems based on our strong leadership position in prefillable solutions for biologics and vaccines. BD Life Sciences revenue totaled $1.3 billion in the Q4. The decline of 11.6% quarter-over-quarter is due to the expected lower COVID-only testing revenues previously discussed. Excluding COVID-only testing, Life Sciences base revenues grew 8.3%, with strong growth across both IDS and Biosciences.
Base business growth was driven by IDS growth of 8.6%, enabled by continued leverage of our molecular testing menu across our expanded BD MAX install base and continued demand for our leading clinical microbiology and specimen management platforms. Lastly, BDB growth of 7.5%, driven by continued demand for our expanded suite of flow cytometry instruments as researchers are able to do even higher parameter cellular analysis for cancer and other immune-related conditions. BD Interventional revenues totaled $1.1 billion in the Q4, growing 5.7%. Growth was driven by surgery growth of 5.4%, supported by our advanced repair and reconstruction portfolio with strong market adoption of our leading Phasix hernia products.
Interventional growth of 4.8%, which reflects continued expansion of our venous portfolio, highlighted by Venclose in the US and the global relaunch of Venovo. Interventional performance also reflects increased backorders primarily related to a BDI-specific European ERP system implementation. Urology growth of 7.2% reflects continued strong demand for our PureWick female incontinence solutions in both acute and alternative care settings. Now moving to our P&L. Q4 adjusted diluted EPS of $2.75 increased 28%. Base business gross margin of 52.5% was up 80 basis points, and base operating margin of 22.5% was up 430 basis points quarter-over-quarter. Full year adjusted diluted EPS of $11.35 grew 0.6%.
As we anticipated, we made significant progress towards achieving our pre-pandemic margin improvement goals despite increasing inflation pressures. For the full year, base business gross margin of 53.4% was up 110 basis points, and base operating margin of 22.4% was up 280 basis points. The key full-year drivers of gross margin include our simplification and inflation mitigation initiatives and increased volume utilization given our strong base revenue growth. In addition, as expected, we had favorable FX that was recorded in inventory that benefited our GP as it flowed through sales this year. Base operating margin reflects strong operating expense leverage with base selling and G&A as a percent of sales leveraging by 180 basis points, partially offset by significant inflationary impacts, primarily in shipping.
To put this in perspective, shipping expense increased at a double-digit rate in our base business. This increase in shipping was offset with focused efforts on cost management and leverage of selling and G&A, which only grew at about one-third the rate of sales and was the primary driver of 21% currency neutral growth in base operating income. This is a testament to the tremendous work by our organization to mitigate inflation and execute our margin enhancement initiatives. This was also a key enabler in supporting continued investment in R&D at just over 6% of sales to advance our innovation pipeline. Regarding our cash and capital allocation, cash flows from operations totaled approximately $2.5 billion in FY 2022. Operating cash flow reflects a higher inventory balance of about $600 million quarter-over-quarter.
The increase reflects the impact of inflation, longer in-transit lead times, and our strategic investments in raw materials to optimize product delivery and meet customer demand. As expected, our free cash flow conversion this year was below our long-term target. We remain very focused on cash flow conversion, and we are taking actions to moderate inventory down. In the short term, we believe it's a prudent trade-off to ensure we support our customers while delivering strong results. As we execute against our BD 2025 strategy and supply chain constraints normalize, we expect to migrate towards our long-term cash conversion target. In addition to investing in R&D at over 6% of sales to advance our pipeline of innovative programs, we also invested over $2 billion in six tuck-in acquisitions across our businesses that will support our strong growth profile in 2023 and beyond.
Beyond our investments in growth, consistent with what we shared regarding the planned use of Embecta proceeds, we paid down $500 million in long-term debt this fiscal year and returned $1.6 billion in capital to shareholders through dividends and share repurchases. We ended the year with a cash balance of $1 billion and a net leverage ratio of 2.8 times. Moving to our guidance for fiscal 2023. For your convenience, the detailed assumptions underlying our guidance can also be found in our presentation. Our FY23 guidance aligns with the framework we communicated last quarter and the value creation model and long-term targets we outlined at our Investor Day to deliver 5.5%+ base revenue growth, continued margin improvement, and double-digit base earnings growth on a currency-neutral basis.
As a reminder, we manage our business on a currency-neutral basis to best represent underlying performance. Consistent with what other companies are discussing in their forward outlook, we are accounting for a headwind to our reported results as we translate currency to a stronger US dollar. Beyond that change, our guidance has only strengthened in a complex macro environment where we continue to see elevated inflation and geopolitical uncertainty. Starting with revenues, I'll provide you some insights into some of our key guidance assumptions. First, on a currency-neutral basis, we expect base revenues to grow 5.25%-6.25%, which is a strong growth of 5.75% at the midpoint. This midpoint is above our 5.5%+ target we outlined during our Investor Day, given the confidence we have in our strengthening growth profile.
Our revenue guidance includes two proactive strategic portfolio management actions that are consistent with our BD 2025 strategy and support our value creation goals. First, building on our FY22 achievements, our base revenue guidance includes planned strategic portfolio exits as part of the acceleration of our portfolio simplification and RECODE programs. These actions will enable increasing manufacturing efficiency and capacity and ensure the reliable supply of the products that matter the most to our customers. We expect these actions to impact revenue by approximately 100 basis points while being accretive to margin. Second, offsetting this revenue impact is a positive contribution of approximately 100 basis points from the full-year benefit of our recent acquisitions, with Parata being the predominant driver. We will continue to be active in portfolio management as a lever to create value for all stakeholders.
While we aren't providing segment-specific guidance, we are on track to achieve our long-range plan commitments, and we are assuming strong performance across the segments in FY23. We expect Medical segment growth to be above the total company range, which includes the acquisition of Parata. Life Sciences growth to be below, given strong prior year comparisons, and Interventional to be at the high end of the range. Consistent with what we shared, we expect COVID-only testing revenues and related earnings to be at a level significantly below FY22, with revenues more in line with the annualization of our Q4 FY22 results, or approximately $125 million-$175 million for the full year. Regarding Alaris, consistent with what we've done in the past, we are only modeling shipments related to medical necessity.
While we will be prepared when clearance is received, we continue to anticipate a gradual ramp to revenues upon clearance. Regarding our assumptions on earnings, we expect operating margins to improve by at least 100 basis points over the 22.6% reported in FY22. Despite the challenging macro environment persisting, our focused execution on driving profitable revenue growth, combined with our simplified programs, gives us the confidence that we will be able to continue to offset inflationary pressures and make meaningful progress to achieving pre-pandemic operating margin levels of about 25% in FY25. First, to give you some color on inflationary assumptions, as a reminder, outsized inflation in FY22 was a headwind of over 200 basis points, and we expect a similar level of incremental outsized inflation in FY23.
The primary drivers of the incremental inflation are raw material costs and labor, which are about equally weighted. Even though we see some signs of cost normalizing in certain areas, a lot of the outsized inflation is from inventory we manufactured in FY 2022, as there is about a four to six month lag from production to sell-through. Labor costs, especially in our manufacturing plants, have continued to increase. We have taken proactive actions to ensure we are differentiating BD to retain our skilled workforce. Lastly, transportation costs have stabilized and we've begun to see some downward movement on certain rates. However, we are still above more normalized levels. We remain committed to leading through the macro complexity while making investments to support our customers. To offset these inflationary impacts, we continue to leverage our strong growth profile and drive outsized cost reduction and other mitigation programs.
We expect over 80% of the improvement in operating margin to come from SG&A, driven by internal cost containment and leveraging. The balance is expected to come from slight improvement in gross margin and R&D as we normalize back closer to our target of 6% of sales. Our simplification initiatives include continuing to execute on Project RECODE. You will recall when we announced RECODE, it was intended to deliver $300 million in savings by the end of fiscal year 2024, with portfolio and network optimization representing about 70% of the savings. We are accelerating these efforts and are also making significant progress with the third pillar of RECODE operating model simplification, which will result in BD becoming a more agile and less complex organization.
In addition, to provide some color below operating income, we expect an increase of approximately $50-$75 million in interest and other. This is primarily driven by increased pension expense, which we fully covered in our guidance, and as a result of the negative movement in the financial markets. For tax, based on what we know today, assuming no major legislative or regulatory changes, we expect our adjusted effective tax rate to be between 13.5% and 14.5%. It would not be unusual for our rate to fluctuate above or below this range on a quarterly basis, given the timing of discrete items. Our guidance assumes no material change in average common shares outstanding from our average FY 2022 share balance.
This takes into account the conversion of all outstanding preferred shares on June one, 2023, the benefit from the FY 2022 share repurchase associated with the use of the Embecta distribution, and our commitment to mitigate the dilution from share-based compensation. On an all-in basis, we expect adjusted EPS before the impact of currency to be around double-digit growth and within a range of approximately 9%-11%. This includes absorbing about a 300 basis point headwind from the anticipated decline in COVID-only testing, and as a result, implies a very strong low teens base earnings growth of approximately 12%-14%. Let me now walk you through the estimated impact from currency. As a reminder, we manage our business and provide guidance on an operational basis, but provide perspective on currency using current spot rates.
Since our last call in August, the US dollar strengthened against all major currencies. Based on current spot rates for illustrative purposes, currency is now estimated to be a headwind of approximately 450 basis points or about $850 million to total company revenues on a full year basis. This currency headwind has nearly doubled since our August call. Our guidance assumes the euro at 0.99, which is down about 4% since August. The Chinese yuan, Japanese yen, British pound, and Canadian dollar have also all declined even more than the euro since August by almost two times the euro movement. For context, these four currencies combined are in line with our total euro exposure. The currency headwind to EPS growth has also nearly doubled since our August earnings call.
At current rates, currency would represent a total headwind of approximately 420 basis points to adjusted EPS growth. All in, including the estimated impact of currency, we expect revenues to be between approximately $18.6-$18.8 billion and adjusted EPS to be in a range of $11.85-$12.10. As you think of fiscal 2023 phasing, there are three key items to consider. First, FX. At current spot rates, we expect the headwind to revenue will be over-indexed to the H1. For the full year, we expect the drop-through to earnings to be below our BDX operating margin. Due to the expected benefit from inventory flow-through in Q1, the drop-through is expected to start well below the full year average and most significantly impact the second and Q3s.
Second is the hangover impact of COVID-related dynamics. As a reminder, in FY 2022, almost 80% of COVID-only testing revenue was realized in the H1 of the year. With strong margin drop-through as reinvestment was weighted to the latter part of the year. In addition, there is also a comp to strong H1 performance in FY 2022 related to combo testing in the base business. The third is inflation. Nearly 40% of the full-year inflation headwind is expected to occur in Q1 as we sell through inventory manufactured in FY 2022 in the H1 of the year. As a result of these items, as you think of the progression of our total operating margin expansion through the year, for Q1, you should expect a quarter-over-quarter decline, driven primarily by the quarter-over-quarter comparison of higher COVID-only testing.
We expect operating expansion to ramp over the remainder of the year, with the majority occurring in the H2. As a reminder, there are some tough comparisons to the prior year in Q1, such as the benefit of about $50 million in licensing revenues in Life Sciences. As a result of these dynamics, we expect Q1 base revenue growth and adjusted EPS to be under-indexed relative to an equal quarterly phasing of the full year. This guide, coupled with our FY 2022 results, has us progressing very well towards our FY 2025 goals, including a two-year revenue CAGR, assuming the FY 2023 midpoint of 5.75%. It is well above the 5.5%+ target at around 7.5%. Achievement of nearly 400 basis points of margin improvement. We're over 70% of the way towards our FY 2025 objective.
Two consecutive years of strong double-digit adjusted earnings growth in our base business. In closing, we are very pleased with our performance, particularly given the macro complexity and inflationary pressure we navigated. The consistent execution we delivered and our ability to mitigate these challenges through FY 2022 enabled our results. This gives us confidence in our ability to continue this momentum into FY 2023 and create long-term value for all of our key stakeholders. With that, let me turn it back to Tom for a few additional comments.
Thanks, Chris. Our BD 2025 strategy is demonstrating strong momentum and performance, positioning BD to be increasingly well-positioned to drive long-term growth and value for all stakeholders and successfully navigate and differentiate in today's challenging environment. I'd like to thank our associates worldwide once again for their tireless commitment to our purpose of advancing the world of health. Before I turn it to Q&A, I want to officially congratulate and welcome Mike and Rick to their new roles, leading the Medical and Interventional segments, respectively. Both Mike and Rick are highly effective leaders who have demonstrated strategic and operational excellence in their nearly two decades at BD. Their focus on driving growth and meaningful outcomes has been critical as we pursue our BD 2025 strategy, and they are well-rounded, seasoned leaders with a track record of developing strong teams that deliver impactful results.
Their broad experiences across multiple BD businesses and segments position them well for their new roles as we advance our growth agenda and build BD's future. With that, let's start the Q&A session. Operator, can you assemble our queue?
Certainly. The floor is now open for questions. At this time, if you have a question or comment, please press star one on your touch tone phone. If at any point your question has been answered, you may remove yourself from the queue by pressing the pound key. In order to allow for broad participation, please limit your questions to one and one follow-up. We ask that while you pose your question, please pick up your handset to provide optimal sound quality. Thank you. Our first question is coming from Larry Biegelsen with Wells Fargo. Please go ahead.
Good morning. Thanks for taking the question, and congratulations on a strong finish to the year. You know, first, for Chris, on the top line guidance, it implies only about 4.75%, excluding Parata and testing. You just grew 6.8% organic in Q4, 8.5% for the full year. Why the deceleration in fiscal 2023? You know, it seems conservative, given the momentum. You know, can you talk about assumptions for pricing and those divestitures? I had one follow-up.
Yeah, sure, Larry. Thanks for the question. We're very pleased with our growth rate. You know, as you noted, I think what we're delivering is a testament to our strategy playing out, delivering consistent growth in both our durable core balanced with acceleration through transformative solutions, coupled with the actually organic contribution from the tuck-in M&A that we're starting to see as we anniversary acquisitions more than a year. There's about a 20 basis point contribution to growth. As you noted, 9.4% this year, really strong year. In a year, by the way, where we actually had an increasingly complex environment. Our ability to grow double digits in China as an example, with some of the dynamics we saw play out there. 8.5% organic.
Here's a few things that I think will give you some color to kind of understand. Our underlying growth rate remains extremely strong, as it relates to our 2023 guide. If you think of it as a two-year period at 7.5% growth over a two-year period, comping over that 9.4%, this is well above our 5-5+. Even if you adjust out from an inorganic standpoint, the growth is still at about 7%. I also think it's a strong indication that we're actually consistently delivering this growth. On the strategic portfolio exits, let me give some color there. This is a bit different. It's certainly consistent with our simplification strategies.
Really it's the strength of our underlying business and the strong growth outlook that allows us to take these strategic bold actions to create value for our customers and our shareholders. These are the kind of things that investors should want us to do, and we're very fortunate to be able to take this opportunity. It's consistent with our relentless focus on portfolio and what we're essentially doing different from SKU rationalization, which is really simplifying the SKUs that we go to market with, that require work, investment, re-registrations, et cetera. These are pure portfolio exits.
You almost need to think of them, it's a one-time kind of divestiture, as we took a step back, looked at our portfolio, trying to understand where we could best create value, again, both through the lens of our customer and through the lens of our investors. These were areas, for example, that would fit a typical divestiture growth profile. These are not accretive to growth. These are significantly dilutive to margin, in many cases well below half our existing margin rate and the right thing to do. I'd also point to the fact that while these were dilutive to margin, they did actually benefit our earnings. We had absorbed that in a very strong earnings guide, right?
When you think of our bottom line of 9%-11%, double digits at the midpoint on an FX-neutral basis, and that's on an all-in comping over the COVID-only lost revenue quarter-over-quarter. Adjusting for that, we still delivered about 12%-14% of base earnings growth. We think this is the right thing to do for the long term. It's the right thing to do. Our underlying business, I actually think it's fair to think of that 1% impact roughly differently, almost like an inorganic adjustment, because the rest of our portfolio continues to perform strong. As a matter of fact, if you look at the 575, it's above the 55 midpoint.
I'll go back to the two-year, which is again, on an organic basis over 7%. Hopefully that helps kind of explain that part of the guide. We feel great about our revenue and certainly feel good about the bottom line.
That's very helpful. Just, Tom, one follow-up. You know, the comments on Alaris were encouraging in your prepared remarks. It's been about a year and a half since you filed. You know, what can you share about the review process, and are you still confident you can bring Alaris back before 2025, since I think the you know, BD 2025 margin target assumes about 80 basis points contribution from Alaris? Thanks for taking the questions.
Yeah, good morning, Larry, and as always, great to connect. And thanks for that question. So as we've mentioned on several occasions, getting Alaris back on the market is our number 1 priority. We remain confident in the resources we've invested in our submission, in the team, in leadership tasked to prioritize this in our process, and we are confident that we will get clearance. What we also want to continue to be prudent on, Larry, is and thoughtful about the process with the FDA. That's why we're not predicting timelines given how inherently complex those submissions are. As you said, and as we've shared in the past, the relaunch of Alaris is included within our strategic plan as we provided at Investor Day, and there is no change to that.
We just, as I mentioned before, we wanna not predict those timelines, but we are prepared for launch, when that clearance comes so that we can best support our customers. As you know, we did launch Alaris, the new Alaris pump in Canada this past year, and we're getting very positive feedback from customers there. Thank you for the question.
Thank you.
We'll take our next question from Vijay Kumar with Evercore ISI. Please go ahead.
Hey, guys. Thanks for taking my question. One, Chris, maybe I want to start with guidance, and I had one for Tom. On the guidance, I guess, what are you assuming for vaccines? I think vaccines were $150 million-ish of contribution in fiscal 2022. Is that zero? Is that a headwind? And Alaris emergency use, is that similar to fiscal 2022? Is that below? And related to that, you know, I think in the past you've said active discussions with the FDA. Has that changed, you know, active discussions with the FDA relative to Alaris?
Hey, Vijay, good morning. This is Tom. No, we continue to have active discussions with the FDA on Alaris. As I mentioned, things are progressing towards our process, and we will obviously give an update when we get ultimately clearance on that, but we don't wanna try to predict the timing on that. Therefore, again, as we have been being prudent, we haven't reflected that in our guidance specific approval timing. We do have the same run rate of medical necessity in our guidance, which is about $100 million, same as 2022. We've carried that forward into 2023. To your question on vaccines, it is a headwind in 2023 that we're jumping over there.
There's relatively limited vaccination, you know, certain ongoing demand for COVID. That's definitely a headwind that we're jumping over in MDS, but we have that covered.
Understood. Tom, sorry, can you quantify what the headwind is? Related to that, sorry, my second question here. Parata, it looks like your pro forma organic here was really strong, perhaps in the teens.
Maybe talk about what's driving this strong contribution from Parata, and is that part of your revenue synergies as part of the deal?
Vijay, on the hypo, we won't share the specific number there, but there's very limited vaccine-related revenue in hypo that we have planned for 2023. Related to Parata, you're right. We've very strong performance in Parata at or slightly ahead of our deal model on that. We're off to a great start, and we're seeing really strong demand. Let me turn it over to Mike Garrison here, who of course led that acquisition when he was leading MMS and now continues to be over that as he's leading the medical segment. Mike.
Yeah. Hi, Vijay. Thanks for the question on Parata. Yeah, we're very excited about Parata, also the MedKeeper, the Medbank acquisitions that are in the portfolio. Just great teams with a passion for their craft. It may be the things that are differentiating it are our approach, the extensive diligence we did prior to the acquisition, a real focus on culture in the first, you know, 30 days of working with the teams. Then we also set up an integration management office within MMS, with some of our senior leaders to really guide and focus in each individual work stream across the functions to make sure that the acquisition goes well, out of the gate. I think the main thing is the value proposition is very strong and clear for Parata.
It directly addresses the labor shortages and the clinical efficiencies that customers are seeking, especially right now, and as well as their long-term goals around, you know, smart connected care, data-driven decision-making, things like that. It both addresses short-term needs and long-term needs, and that's why customers are reacting so favorably to it.
Fantastic. Thanks, guys.
Sure
We'll take our next question from Robbie Marcus with J.P. Morgan. Please go ahead.
Oh, great. Thanks for taking the questions. Maybe to follow up on some of the 2023 guidance questions. Was wondering if you could help us with some detail, maybe around what you're assuming for the COVID flu combo tests. We're off to the worst start of flu in over a decade. What you're assuming in there, or just for flu in fiscal 2023, and remind us where those tests ended up on sales in fiscal 2022. Also how do we think about Parata down the P&L? It's 100 basis points on the top line. Just remind us of what you're assuming on the bottom line for that. Thanks.
Yeah, thanks, Robbie. Appreciate it. Yeah, I can take the Parata question as it relates to the margin, and then either Dave and/or Tom can maybe talk about COVID and flu, how we're thinking about it. Parata, what we've shared publicly is it was immediately accretive to BD. We weren't specific with the amount, but actually we did say it's actually even accretive to our long range outlook, which is think of it as about 25% from an operating margin. So it is certainly a positive contributor on the bottom line. I will just reinforce, remember, as you think of our total all in, so Parata I think is a great example of adding a strategic asset with strong growth profile, strong accretion from a margin standpoint.
We did have to jump over the COVID-only, which was, you know, a $300 million+ drag on the top line that also had a slightly higher margin profile. I think when you look at our total guide at 9%-11%, that's very strong. When you kind of reverse into the math, we had shared that the COVID-only was about 300 basis points headwind in total. It implies a 12%-14% base earnings growth profile. This is really strong. Well, very consistent with what we shared in Investor Day, especially again, in an inflationary environment where we're gonna have similar levels of inflation quarter-over-quarter.
Robbie, this is Tom. Good to connect this morning. We've got Dave on the call down in with our Latin America team at their kickoff meeting. I'll tag Dave into the conversation here in just a moment. Related to flu combo, we are in our assumptions. We do have that moderating a bit versus this past year where we saw a lot of demand for the flu COVID combo driven by COVID. To your point, there is a potential. We don't see it as significant of a demand driven by the COVID side of the combo test necessarily as we look going forward in 2023. Certainly, there can be a greater potential for the flu side demand and differentiating between flu and COVID.
I think as you said, it's off to an early start, the flu season. Still to be determined the scale of it. You know, in Australia we saw an early start to the season, but we saw a very narrow one-time peak in that demand. Actually the area under the curve was less than normal. So there was a severe, very short flu season in Australia that did not end up creating significant demand in testing because it was such a short duration. Still to be determined how that rolls out in the U.S., and so we wanna be prudent upfront. Maybe Dave, I'll turn it to you to share some more commentary.
Yeah. Hey, thanks Tom. Robbie, thanks for the question. Just as I get into answering that, given this is my first chance on the Q&A here, I do wanna just recognize and thank the life sciences team globally and all the associates for, you know, another outstanding year in fiscal 2022. I mean, you saw the quarter growth of over 8% there, a record base growth of 13.88% for the year. Life sciences continues to be strong. On flu respiratory, I'll just build upon what Tom had said is, you know, if you think about it pre-pandemic, we were always in this range right of
The $75 million-$100 million, we were considering the normal flu season. I think also to remember that that was on Veritor only. You know, we have not really anticipated or seen a normal flu season during the pandemic at all. Definitely in October, we are seeing more visits to, you know, to urgent care centers and things on influenza-like illness. But again, when you look at it, we think the season has started about eight-nine weeks early. It peaked very quickly in Australia, so it's a little bit early to call what it would look like.
I think if we were looking at the range for this year, you know, based on just leverage of the Veritor install base, we would expect that sort of that flu range or that Veritor base to be about $130 million-$150 million.
Great, really helpful. Maybe a follow-up. Chris and Tom, 100 BPS margin expansion is really healthy, given all the headwinds. Maybe you give some good color in the slides, but was hoping for maybe just a little more details on how we think about inflation and raw materials costs or any of those other headwinds, if you could put any frameworks around them. Then how do we think about FX on the operating margin line as a negative? Thanks a lot.
Yeah, Robbie, thanks. As it relates, 100 basis points, as you noted, definitely another strong year of margin enhancement. That would put us about 70% on track to deliver against our FY 2025 goal of about 25%. Really strong progress, having delivered almost half of that in the first year. Not only do we feel good about what we delivered last year, continuing that momentum and driving towards our long-term objectives. Yeah, there's a couple ways to think of it. One, the predominant driver of margin improvement this year is really going to be leveraging our strong growth profile, focused on cost containment more at the operating margin level in selling and G&A. That's about 80% plus of that 100 basis points improvement that we're expecting.
The balance is really there's a little bit of moderating R&D back to our 6% goal. We've actually been over-indexed two years in that area. Obviously, like other areas, you'd expect to, without impacting project spend, just, you know, leverage your base with a strong growth profile, 6% is a good outcome there. The balance, which is really minor then, is in GP. GP, you're gonna kind of see that's where we're experiencing most of the inflationary impacts. As a matter of fact, you're seeing a little bit of relief in shipping. It's still above historic what we call normal levels. You're seeing some benefit there as well that's playing out mostly in the operating margin side. As it relates to where we're seeing the most inflationary pressures, it's still raw materials.
It's shifted a bit more from kind of resins to other materials, such as packaging would be an example. We do have a carryover effect too of the inventory that was built in 2022. A lot of that will hit in the H1 of the year. The other big area where you still continue to see, I would say escalating pressures is labor. Labor and raw materials is about 50-50 each of what we're realizing in GP. Obviously, we're taking a ton of action within GP, probably in this order in terms of how we think of them, not necessarily size.
As we always think of driving cost improvement, one, it starts with our growth profile, outsized volume in our plants, leveraging our plants portfolio, favorable mix, to the extent we can drive that. Outsized cost improvement, again, going back to our plant mindset as it relates to growth mindset and driving more efficiency. Other, you know, factors such as price as well would be part of that equation, lastly. That's how we're thinking of inflation this year and what we're doing to mitigate it. We're very pleased with the progress that we've had year to date. As it relates to FX, we gave some color. Certainly the team can support you through that in more detail. The drop through from sales to earnings is slightly lower.
It's consistent with what we've shared in the past on a full year basis. You're gonna see sort of quarterly phasing dynamics play out differently because you have the nuance of how FX impacts cost and inventory and how that flows through. You got that four to six month lag. So you'll see a little bit more favorability in the H1, and it normalized to the full year drop through that we shared by the end.
That's great. Maybe just to add to Chris's comment, and it's a good question, Robbie. Back to, we are facing, as all companies are, serious inflationary pressures, right? That are happening across the industry and all industries. I think just wanna call out our plants. They're doing a phenomenal job. As the last thing that we look to do in any situation is price. As you heard Chris walk through the order of priorities for us, you know, our plants really have risen and almost doubled the level of normal continuous improvement that we've done historically. They've risen to that task and working to offset as much of that cost.
The other thing is the action that we talked about earlier around that strategic portfolio exit. As we're bringing in M&A, and we have strong underlying growth, taking this time to evaluate our portfolio and look at where there are non-strategic products that are diluting our operational effectiveness in our plants that we can get better performance out of our lines, out of our staffing, out of our resource deployment, and take those actions set us up for strength in the long term.
You know, we're doing that this year, and that's helping us also have a role in offsetting those inflationary pressures out, making us more efficient in our plants and helping make sure that we can deliver the products that matter most, that we're focusing our resources on delivering those products that matter most for our customers that are gonna be driving value for us and our shareholders long term.
Thanks a lot for taking the questions.
Thanks, Robbie Marcus.
We'll take our next question from Matt Taylor with Jefferies. Please go ahead.
Good morning, Matt.
Hey, good morning. Thank you for taking the question. So I had two questions. I guess the first one I wanted to ask was, I know you probably won't comment on litigation, but I was hoping you could address, you know, some of the ethylene oxide issues from two angles. One is maybe just talk about some of the things that you have done already with the regulatory agencies to work with them to mitigate risk there and to improve, you know, the plans. Then any commentary you could make on litigation to get investors comfortable with that risk would be helpful.
Sure. Good question, Matt, and appreciate it. So as you know, BD is among the world's largest producers of medical products that are critical for patient care. In our devices and products, they have to meet FDA sterilization standards. Just as background, I think everyone's aware that numerous types of devices and other sensitive medical products, for many of them, ETO is the only type of sterilization that can be used. In fact, about 50% of all medical products across the industry use ETO for sterilization. The majority of those products that use ETO for sterilization, other sterilization methods will damage the products, like radiation or steam, chlorine dioxide or vaporized hydrogen peroxide. They actually will damage those products. That's why ETO is used.
You wouldn't be able to ensure the required level of sterility given the materials that are used in those products. You know, we're very confident in the systems we've been investing in for decades and can say that our sterilization facilities use the best available ETO emissions control technology in the industry. We achieve more than 99.95% destruction of ETO from our stack emissions. In accordance with the broad FDA challenge, we continue to invest in cycle optimization and ETO technology upgrades, extending outside of our plants now. We take the safety of our associates in the communities we are in very seriously, and therefore have a long history of proactively upgrading our emissions control technology supported by continuous investments, back to your good question.
Let's go back to 1997, you know, we proactively upgraded our emissions control equipment in Georgia to thermal oxidizers all the way back then and began routing back then exhaust in Georgia to the primary emissions control equipment. It's something that still isn't, you know, necessarily routine across the industry today. We're at the forefront of that. Today we have programs and procedures in place to ensure compliance with all applicable regulatory requirements, including EPA, OSHA, state environmental protection agencies, FDA.
Our facilities are at least 20 times more efficient at removing ETO per cubic meter of air than what's currently required by the Clean Air Act, and we're working with the FDA and other industry leaders to develop, you know, look at new sterilization cycles that could even take emissions down, you know, further than what's ever been possible before. Just as it relates to our outstanding litigation, you know, there are no new cases that have been brought since the Q3, and we have not taken any accrual in connection with any of the outstanding ETO cases. We've gone through a rigorous process internally and externally, and we do intend to vigorously defend any such cases, given our strong position and the way that we operate. Thanks for the question.
Thanks. Thank you. I'll leave it there. Thank you very much.
We'll take our next question from Josh Jennings with Cowen. Please go ahead.
Hi, good morning. Thanks for taking the questions.
Thanks, Josh.
Probably two for Chris just on Alaris. I was hoping to just review just the run rate of Alaris revenues in the U.S. on medical necessity shipments and where, you know, pre-remediation, that revenue run rate sat. Also want to just think about what you're absorbing on the margin side, with assuming that that Alaris is not gonna be back in play in the U.S. in fiscal 2023. What was the margin drag in 2022, and if there is a margin drag in 2023, and just how you're maintaining the structure of the Alaris franchise to be ready for launch once remediation is over and you're able to fully commercialize again. Thanks for taking the questions.
Thanks, Josh. Appreciate it. Yeah. I'll share some things that we've shared in the past. One, from a total sales point, we had always talked about that business being roughly $400 million is the way to think of it. From a medical necessity standpoint, we've talked about $100 million per year. That's what we had last year, roughly. You know, we're planning sort of consistently this year. That gives you that kind of frame as you think of the size. I will remind you when
You know, upon clearance, you would expect a gradual ramp over time. We have not shared a specific timeline, that's hard to predict. Maybe just to give it a little context, some folks have sort of asked, like, okay, are we talking less than a year, over a year? It wouldn't be less than a year. It would ramp up over some timeframe, probably over a 12-month period. That should help you a little bit, but certainly well within our LRP time period. Margin, we haven't shared specifics by year. What we did share, if you go back to the de-leveraging that occurred from our FY 2019, there was about an 80 basis points headwind to our margin. That largely stays the same, and we'll adjust as the product comes back.
If you think of it, you know, one, we made investments in regulatory quality, of course. We maintained our service and field organization. As the sales come back, you would get natural leveraging to occur as we've made those investments to continue to support our installed base and customers.
Maybe just one other thing to add, Josh, is, as Chris mentioned, we kept our commercial team, we kept our service team, which as we relaunch, we'll see the positive flow through since those expenses are already on the P&L and the recovery of that 80 basis points of dilution that we currently have on the P&L. There is a benefit that we're seeing right now, we're seeing very strong demand on other capital areas within MMS, particularly in the Pyxis area, where we're able to utilize some of those additional service capabilities that we have to actually help us in the installs on the Pyxis side.
Maybe since we have Mike here today, who again was very recently leading that business, maybe Mike, if you just wanna comment on some of the broader demand we're seeing on the capital side on the MMS.
Yes. Thanks, Tom. You know, even though we recognize the tough economic environment, the uncertainty there, we're not experiencing the same degree of capital pressure that maybe had been communicated elsewhere. In fact, we finished Q4 with a record year for bookings, have a strong implementation schedule planned for 2023, and I think there's a couple reasons for that. One is the strategy continues to resonate with the connected med management solutions, again, addressing the labor shortages and our ability to flex and implement both with business model but also these, you know, highly skilled service, you know, a lot of ex-nurses, ex-IT people. These are people that our customers are increasingly seeing the value of partnering with us because we can flex to meet their needs.
Both of those things I think are really helping. We're getting a lot of utilization out of the infusion side of the business.
Thanks, Mike. Thanks for the question, Josh.
Thanks a lot.
We'll take our next question from Matthew Mishan with KeyBanc Capital Markets. Please go ahead. Your line is open.
Hey, good morning, and thank you for taking the questions. Just a clarification for me. I think last quarter you said that you would expect some organic revenue growth around, like, 5.5%+ base growth, not including Parata. At that time, were the strategic exits included in that number, or are those new? If they were included, does that mean that there's a little bit of softness over the last three months versus what you were thinking?
No, I appreciate the question. Yeah, no, that hadn't been contemplated at that point. Again, we took a hard look at our portfolio in the spirit of simplification. This is different from our core RECODE program that has a different lens. Similar principles, but a very different lens in terms of a pure exit. We really wanted to make sure we were focusing on organization and in higher value-creating areas. This was an add. Again, I think there's so many puts and takes across the year. Looking at this two-year metric, however you look at it, 7%+ growth on an organic basis is extremely strong. We think this is an appropriate action to take. We could easily put that back in, right?
Our base growth would go up by 100 basis points. This is the right thing to do for all stakeholders over the long term, and we'll be creating significant value, and has not impacted our bottom line performance at all.
No. They're one time in nature.
Yep.
All right. Excellent. Thank you very much.
Thank you.
Thank you.
We'll take our final question from Rick Wise with Stifel. Please go ahead.
Good morning, Rick.
Good morning. Tom, you highlighted multiple times your focus among other things on transformative solutions, M&A, the portfolio. You and Becton's excellent chief financial officer both highlighted the balance sheet strength as maybe I think the language was new lever right now. What's your sense of urgency on the external technology M&A front? How do you view your current opportunities? Does the collapse in med tech valuations and multiple compression, does that present more opportunities? Just how are you thinking about it?
Yeah. Great question, Rick, and great to connect. I agree, we have a very strong CFO, by the way, as well too. We do have a very strong funnel, and we continue to be very focused specifically on tuck-in M&A. No change to our strategy there, as we've articulated many times. We're gonna continue to focus our M&A as we have. Over 95% of our M&A to date has been in those transformative solution categories, as you called out, smart connected care enabling the shift to new care settings and improving outcomes in chronic disease. I think we've also shared that expect more Parata-like in size, tuck in M&A as we look forward.
It may not be. We've done 19 in the last two and a half years, maybe fewer deals going forward, but of larger scale and impact, given the benefits that we have and the execution that the businesses are focused on on the ones that we've done to date. I'd say that the other thing is we're gonna continue our very disciplined approach to M&A. I'm really proud of the team, not just for the deals that we've done, but from the deals that we've walked away from. That's something we're really pleased with the work that we've done and how our deals are executing to plan and the return that they're delivering for our shareholders in a meaningful way. We're gonna keep that discipline as well.
We do see opportunities, we'll continue to be paced and appropriate about it as we go forward and staying very true to advancing our strategy, continuing to move us into those higher growth markets. You see us being very active on our portfolio management, not only through M&A, but obviously completing the spin of Embecta earlier this year and some of the very targeted one-time portfolio exits that we shared today that are basically puts and takes with, you know, the inorganic growth that we see coming this year. Thank you for the question.
Thank you. Maybe just one final one from me. I thought it'd be interesting to hear from Mike Garrison and Rick Byrd, since you threw them under the bus a little bit by mentioning their names. Mike Garrison, in your new role at BD Medical and Rick Byrd on the interventional side, the boss just said growth and meaningful outcomes is a priority. I'd be curious to hear about your key priorities and when we speak this time next year, you know, what are your priorities for this year, and what should we expect to see over the coming year. We can pretend Tom Polen's not listening.
Thanks. Thanks, Rick. This is Mike. Yeah, my priority is the same as it was in the MMS role, is that getting Alaris back to market. It's a top priority for the company, and, you know, it remains my top priority. Beyond that, a lot of it has to do with making sure that our innovation's productive, that the dollars that we're spending in R&D get value out to customers, and, you know, 'cause innovation that never makes it to a customer isn't productive at all. I think that constantly creating a culture where we're developing and coaching our talent to be better each day and have a continuous improvement mentality, I think that's really critical, especially, you know, in the current environment.
You know, the same way that our customers are facing labor pressures, we are too. If we're the best place to work and people feel that they can belong to a greater purpose that we provide, I think that's really, really important. Finally, I think that there's just an approach to leadership that I hope that we have a performance-based culture of commitment, so that whenever we make a commitment, we meet the commitment, and we keep our mindset around that. Maybe a bit of a lean processes, but in an abundant mindset would be the way that I think about it. The last thing is, you know, Rick actually interviewed me and hired me 18 years ago, so you know, everything I have, I owe to Rick.
Thanks, Rick.
Too kind. Too kind, Mike. Thanks.
Rick, thanks for the question. You know, as I round out pretty much 60 days in the role, you know, I'm truly inspired by the opportunity that we have in BDI to collectively enhance patient lives. You know, innovations like PureWick, Phasix, Venovo, you know, just to name a few, are truly life changers for patients. You know, and also as I, you know, go around the business, you know, the commitment, the capability of the team, you know, from our salesperson, R&D, manufacturing technicians in the plant, doesn't matter. Everyone is really focused on the patient. First, you know, as Chris mentioned, and, you know, we had a great year, right?
BDI grew at 7.1%, which is at the high end of our, you know, of our Long-Range Plan. Again, as we said, our commitment there for next year is right there again. We're on track for that Long-Range Plan. My priority is, you know, keep driving these innovations, keep meeting our commitments, you know, as a segment and, you know, continue to have a difference, you know, in chronic disease treatment and then on the, you know, on the associates within BD and then all the customers that we serve. Really a great opportunity and, appreciate the question. Thanks.
I think, Rick, maybe just share one of the other things is, as we said, within the quarter, we saw, you know, some back orders in BDI. You know, one of the things that, I know Rick, just you're focusing on helping the team is bringing some of the operational excellence from having led MDS for many years, bringing some of those capabilities from the broader BD operating side into the BDI segment. Maybe just a couple of comments there.
Sure.
Because that's a big focus.
Great. No, I think we have a great opportunity to improve the supply chain, you know, give an example of the ERP system upgrade, finally bringing in, fully integrating BDI into the BD system as well. These are gonna provide, you know, efficiencies to help, you know, deliver products to our customers reliably, on time, and things like that. Again, you know, I've spent a lot of my time, first off, you know, in BDI, looking at opportunities, you know, that we can continue to streamline things, drive operational effectiveness. Exactly. Thanks, Tom, for that.
Yeah. One of the great benefits of obviously the being able to rotate talent across diverse groups of businesses. I think Rick's background, as everyone knows, MDS is probably the most operationally heavy business within the company, just given the billions of products we make on syringes and catheters and, you know, bringing that where the BDI businesses have been very innovation-driven and growth-driven. It's a very nice complementary skill and leadership to be able to bring and those capabilities over. Great question. Thanks.
Yeah. Thanks, Rick, for the question.
Okay.
There are no further questions at this time. I'll turn the call back over to Tom Polen for any closing remarks.
Okay. Thank you everyone for the very good questions today. I just wanna take a moment and thank our team again around the world for an extremely strong FY 22, a challenging macro environment and all of the work and sacrifice that all of our 75,000 associates around the world have made this past year, to deliver for our customers and the patients that we mutually serve. Obviously, we've outlined a very strong outlook for FY 23, and we look forward to continuing to focus relentlessly on executing our BD 2025 strategy and bringing that to life. Thank you very much and have a great rest of the day.
Thank you. This does conclude today's teleconference. You may disconnect your line at this time and have a wonderful day.