Good morning, and welcome to Johnson and Johnson's First Quarter 2017 Earnings Conference Call. All participants will be in listen only mode until the question and answer session of the conference. This call is being recorded. If anyone has any objections, you may disconnect at this time. I would now like to turn the conference call over to Johnson and Johnson.
You may begin.
Hello. This is Joe Wolk, Vice President of Investor Relations, and it is my pleasure to welcome you to review Johnson and Johnson's business results for the Q1 of 2017. Accompanying me on the webcast is Dominic Caruso, Executive Vice President, Chief Financial Officer. Thank you for joining us today. Our results for the Q1 were consistent with our expectations and aligned to the guidance we provided in January.
As you have likely seen in this morning's press release, we are updating our 2017 guidance to include Actelion assuming closing of the transaction in June. The public tender offer for Actelion is nearing completion and has been declared successful based on the number of shares tendered subject to satisfaction of remaining closing conditions. We sought regulatory approval in 7 jurisdictions and have satisfied requirements in 6 of them with antitrust approval by the European Commission pending. Dominic will provide further insights on the transaction as well as the impact on all elements of guidance in his remarks following my commentary on results for the company and the 3 business segments. A few logistics before we get into the details.
This review is being made available via webcast accessible through the Investor Relations section of Johnson and Johnson website at investor. Jnj.com, where you can also find additional materials, including today's presentation and accompanying schedules. Please note that this morning's presentation includes forward looking statements. We encourage you to review the cautionary statement regarding such statements included in today's presentation as well as the company's Form 10 ks, which identifies certain factors that could cause the company's actual results to differ materially from those projected. Our SEC filings, including our 2016 Form 10 ks, along with reconciliations of the non GAAP financial measures utilized for today's discussion to the most comparable GAAP measures, are all available at investor.
Jnj.com. A number of the products and compounds discussed today are being developed in collaboration with strategic partners or licensed from other companies. This slide acknowledges those relationships. After prepared remarks from Dominic, the remaining time of today's webcast will be made available to answer your questions. We anticipate today's webcast to last approximately 60 minutes.
Now on to the results for the Q1 of 2017. Worldwide sales were $17,800,000,000 for the Q1 of 2017, up 1.6% versus the Q1 of 2016. On an operational basis, sales were up 2% as currency had a negative impact of 0.4%. In the U. S, sales were up 0.6%.
In regions outside the U. S, our operational growth was 3.6% as the effect of currency exchange rates negatively impacted our reported OUS results by 0.8 points. Excluding the net impact of acquisitions and divestitures, operational sales growth was 1.2% worldwide, declining 0.7% in the U. S. And increasing 3.4% outside the U.
S. I will provide the same reference for each segment. Turning now to earnings. For the quarter, net earnings were $4,400,000,000 and diluted earnings per share were $1.61 versus $1.59 a year ago. Excluding amortization expense and special items for both periods, adjusted net earnings for the current quarter were $5,000,000,000 and adjusted diluted earnings per share were $1.83 representing increases of 3.8% and 5.8%, respectively, compared to the same period in 2016.
On an operational basis, adjusted diluted earnings per share grew 7.5%. Dominic will provide further detail regarding earnings in his remarks. I'll now comment on quarterly business segment sales performance, beginning with Consumer, highlighting items that build upon the slides that are currently being presented. Unless otherwise stated, percentages quoted represent operational sales change in comparison to the Q1 of 2016 and therefore exclude the impact of currency translation. Worldwide Consumer segment sales totaled $3,200,000,000 growing operationally 0.8%.
Excluding the net impact of acquisitions and divestitures, total adjusted operational sales growth declined 2.3% worldwide. As an overarching theme across most consumer franchises, the Q1 results were negatively impacted by global category slowdown as commented to in numerous reports published in recent weeks by Consumer Staples Analysts and peer commentary highlighting higher gas prices, retailers reducing inventory levels and delayed tax refunds among many factors for slower growth. That slowdown is reflected in results for 5 out of the 6 categories we compete in. Additionally, after several quarters of higher consumption for many of our products, we did see that moderate, primarily in baby care and wound other. Finally, we did see macroeconomic conditions such as high unemployment, high inflation and low consumer confidence impacting our performance in the Latin America region.
Switching to specific platforms. The Beauty franchise includes the acquisitions of Vogue, Neostrada and the Lumiere Light Mask, which in total contributed approximately 13 points of growth for the franchise. Vogue sales globally totaled $98,000,000 for the quarter. While worldwide and U. S.
Market shares remain relatively flat compared to the same period of 2016, the U. S. Beauty market is estimated to have contracted by a little more than 1%. Aveeno Adult and Neutrogena were each down approximately 1 point. The OTC franchise grew 1.5%, when accounting for divestitures, the adjusted growth was approximately 2.4%.
Both adult and children's Tylenol outpaced their respective categories and adult Tylenol has ascended to be the number 2 branded product. Growth for the franchise was negatively impacted by approximately 4 points due to unfavorable comparisons for the ZYRTEC and RHINOKOR brands in the U. S. Where promotional inventory builds were experienced in the Q1 of 2016. Concluding the Consumer segment, oral care was impacted by the market contracting versus the Q1 of 20 16 by approximately 3%.
Worldwide market share is flat. However, U. S. Market share is down by about 0.5 point compared to Q1 2016. Regarding our Pharmaceutical segment, worldwide sales of $8,200,000,000 grew 1.4%.
Excluding the net impact of acquisitions and divestitures, operational adjusted sales growth was 2.2% worldwide. As we commented to in the Q1 of 2016, favorable prior period price adjustments or gross to net contributed approximately $200,000,000 to the Q1 2016 results in the U. S. This is a comparative headwind
for the
Q1 2017 growth rate of 2.5 points, which when added, would take the worldwide pharmaceutical growth rate to 4.7%. On a product basis, the negative impact on U. S. Growth rates is approximately 13 points for STELARA and 4 points each for XARELTO and REMICADE. In oncology, DARZALEX continued its strong performance with worldwide sales of $255,000,000 and is experiencing strong adoption following mid year 2016 launches outside the U.
S. DARZALEX maintains its leadership in LINE-four plus multiple myeloma, and we are seeing accelerated adoption in the U. S. For the multiple myeloma 1 prior line setting pursuant to the approvals of those indications late last year. IMBRUVICA in the U.
S. Gained approximately 8 points of market share across all lines of therapy based on the 4th quarter data, and the CLL market is estimated to have grown approximately 20%. Outside the U. S, we continue to experience strong uptake in the G5 countries. Negative ZYTIGA growth in the U.
S. Was the result of higher utilization of independent patient assistance foundations, a dynamic that has carried over from the Q4 of 2016. In immunology, the U. S. Market is estimated to have grown approximately 5%.
STELARA in the U. S. Gained 0.6 points of market share in psoriasis versus the Q1 of 2016. We are very pleased with the uptake of STELARA in Crohn's disease following the launch late last year of this new indication as more than 6,000 patients are utilizing STELARA for Crohn's treatment. REMICADE in the U.
S, when accounting for the 2016 prior period price adjustments referenced earlier, was modestly higher with volume growth partly offset by increased discounting. The REMICADE export business continues to see the impact of biosimilar competition in Europe. In VOCANA, Evocomet sales in the U. S. Were negative due to lower price.
In addition to increasing discounts for managed care contracting, there was also an impact from channel mix with a higher composition of sales now occurring in the Medicaid channel. For Xarelto, total prescription market share is up more than 2 points versus a year ago as warfarin share is down to 51% versus 58% in the Q1 of 2016. We are seeing some higher discounting in managed care and government channels for preferred access positions. We equalize annual costs associated with the Medicare coverage gap, also known as the donut hole, over each quarter throughout the year. The timing of when these costs were assigned to each brand in 2016 had an impact for year on year comparisons.
Taking this into account, coupled with the impact from last year's favorable prior period price adjustment previously referenced, growth for XARELTO for the quarter was approximately a positive 2%. In neuroscience, our paliperidone palmitate long acting injectable portfolio achieved strong results in all major regions due to increasing market share. Concerta in the U. S. Is experiencing negative price due to the reentry of generic competition.
Other neuroscience was 2016 divestiture of the NARAMCO API Business, which accounted for $60,000,000 of lower sales. I'll now turn our attention to the Medical Device segment. Worldwide Medical Devices sales were $6,300,000,000 growing 3.4%. Excluding the net impact of acquisitions and divestitures, adjusted operational sales growth was 1.7% worldwide. Vision Care results now include the medical optics business, which we acquired from Abbott in a transaction that closed on February 27.
The 1 month of sales totaled $124,000,000 for that business. The contact lens business grew approximately 5%, continuing its trend of market share gains through new product introduction, namely OASIS 1 day products globally and variants of the defined lens outside the U. S. Hospital medical device growth of 2% was driven by our priority platforms, which as a reminder, we consider to be electrophysiology, endocutters, energy, knees and trauma. Combined, that set of businesses grew operationally 6.5%.
Electrophysiology grew approximately 17% worldwide as atrial fibrillation procedures continue to grow, estimated at 11% for the quarter in the U. S. And 14% outside the U. S. Strong adoption of newer product offerings in ablation and advanced catheters continued.
This business has grown double digit percentages in 29 out of the last 30 quarters. Within the advanced surgery category, EndoCutters grew 10%, primarily driven by GST and PVS growth globally. Energy growth of 6.9% was driven by the inclusion of the Megadyne acquisition and strong OUS performance from new products in China and Europe. The specialty surgery business was down compared to the Q1 of 20 16, driven by U. S.
Declines in the Aesthetics and Advanced Sterilization businesses. Within Orthopedics, knee growth was driven by continued uptake of Etune outside the U. S, particularly in China and the Middle East Africa region. Trauma, including sales from the acquisition of Biomedical Enterprises, was flat versus a year ago. Growth in hips was generated by continued uptake of the Karai primary stem system in the U.
S. And the launch of the Gription platform in China. Pricing pressure continued across the major categories in Orthopedics, but was partially offset by favorable mix. For the quarter, in the U. S, net price in hips was negative 2.1 percent, knees negative 1.7 percent, positive 0.2 percent in trauma and positive 2.8% in spine.
That concludes the segment highlights for Johnson and Johnson's 2017 Q1. For your reference, here is a slide summarizing notable developments that occurred in the Q1. It is now my pleasure to turn the call over to Dominic Caruso.
Thanks, Joe, and good morning, everyone. As Joe has outlined for you, our Q1 results were largely in line with our expectations for the quarter as part of the full year guidance that we provided in January. Though we had some challenging dynamics and difficult comparisons regarding sales this quarter, we remain on track to achieving our full year sales and earnings guidance. Since Joe walked you through the sales results for each business, I would like to add some overall commentary on those results, discuss our operating performance and what we expect for the balance of the year. We continue to make very good progress on our near term priorities as well as our long term growth drivers as our CEO, Alex Gorski, described for you on our last conference call.
In our Pharmaceutical business, we saw very little impact in the Q1 from biosimilar competition to REMICADE in the U. S. Joe mentioned some of the comparative challenges we encountered this quarter, but adjusting for those factors and the impact of divestitures, we grew at 4.7% operationally, which we believe is at or even slightly above projected market growth rates. Our newer products in immunology, oncology and neuroscience continue to deliver solid growth, and we have one of the best pipelines in the industry. We look forward to providing an in-depth review of that pipeline at our upcoming Pharmaceutical Business Review meeting on May 17.
In our consumer business, we saw category deceleration in Q1 across many of the markets we compete in, along with continued macroeconomic factors in Latin America and Asia, which impacted growth. Many industry reports suggest that the consumer category will rebound in the near term, and we believe we will be well positioned to grow above market through geographic expansion of current products, the acceleration of our recent acquisitions and the introduction of new products, which are expected to generate approximately 2 points of incremental growth going forward in 2017. And in Medical Devices, our Vision Care business had solid growth from recently launched products and our newly acquired surgical vision business is growing at over twice the rate it grew in the Q1 of 2016. In our hospital medical device group, we saw our priority growth platforms that now represent approximately 40% of our sales deliver solid growth of approximately 6.5% operationally, while some of the core categories did experience slower growth. As you know, we have been managing our portfolio through divestitures and strategic acquisitions, including several new products and technologies in faster areas of growth, such as our recently announced acquisition of Neuravi, a novel technology for ischemic stroke.
And we expect new products to accelerate our growth for the balance of the year by 1.5 to 2 points. Our guidance from January also included the expectation that our adjusted pretax operating margins should be stable to slightly higher in 2017. We are pleased to see that our disciplined expense management delivered on this expectation in the Q1 with a 50 basis point improvement in our adjusted pretax operating margin to 33.4%. And while we expect investment levels to increase throughout the year, we continue to expect that we will maintain to slightly improve adjusted pre tax operating margin for the full year. Finally, as Joe pointed out earlier, we have had many positive developments concerning the steps needed to close the Actelion transaction, and we expect to complete our acquisition of Actelion by the end of the second quarter.
As a result, in a few minutes, I will provide 2017 guidance for you to update your models that includes the expected impact of Actelion on our full year 2017 results. But first, I'd like to highlight some key points regarding our Q1 operating results. I will now turn to our consolidated statement of earnings for the Q1 of 2017. As we've mentioned, our operational sales growth this quarter was 2%, and excluding the impact of acquisition and divestitures, it was 1.2%. If you direct your attention to the box section of the schedule, you will see we have provided our earnings adjusted to exclude intangible amortization and special items.
As referenced in the table of non GAAP measures, the 2017 Q1 net earnings were adjusted to exclude intangible amortization expense amortization expense and special items of approximately $616,000,000 on an after tax basis, which consisted primarily of the following: intangible asset amortization expense of $244,000,000 a charge for the continuing restructuring of our hospital medical device business of $121,000,000 and the AMO acquisition related cost of approximately $251,000,000 Our adjusted earnings per share is therefore $1.83 exceeding the mean of the analyst estimates as published by first call. This is an increase in adjusted EPS of 5.8% versus the prior year. And adjusted EPS on a constant currency basis was $1.86 or up 7.5 percent over the prior year. Now let's take a few moments to talk about the other items on the statement of earnings. Cost of goods sold decreased by 20 basis points, primarily due to manufacturing cost improvements, which were partially offset by transactional currency impacts.
Selling, marketing and administrative expenses were 26.6 percent of sales or 20 basis points lower as compared to the Q1 of 2016 due to cost management. Our investment in research and development as a percent of sales was 11.6% and in line with the prior year as we continue to advance our promising product pipelines. Interest expense, net of interest income was higher than last year due to higher debt levels. Other income and expense was a net gain of $160,000,000 in the quarter compared to a net gain of approximately $40,000,000 in the same period last year. There are no significant items in this line in either the current or the prior year periods.
Excluding special items, the effective tax rate was 17.5 percent compared to 16.3% in the same period last year. This rate is consistent with our expectations as a component of the full year effective tax rate. The Q1 rate is lower than the annual effective rate we provided in January and likely lower than many of your models as the timing of the benefit associated with stock based compensation tax accounting primarily impacts the Q1 as we described last year. Turning to the next slide, I will now review adjusted income before tax by segment. On our 2016 year end call, we commented on our segment results adjusted for income tax adjusted for earnings before tax versus the prior year.
Now that our competitors have reported their results for 2016, I'd like to take the opportunity to point out that our 2016 adjusted income before tax was 31.7% compared to 26.7% weighted average for our competitive cent. In the Q1 of 2017, our adjusted income before tax for the enterprise improved 120 basis points versus the Q1 of 2016, driven by higher operating profit, some favorability in other income. Looking at the adjusted of goods sold. Pharmaceutical margins improved from the prior year by 400 basis points, primarily driven by lower manufacturing cost and favorable product mix. And consumer margins improved to 20.2%, now estimated at benchmark levels, while still making the necessary investments to deliver future growth.
Now I will provide some guidance for you to consider as you refine your models for 2017. Today, we will be providing guidance that assumes we close on our acquisition of Actelion by the end of the second quarter. Before I move to that guidance, I would to reiterate our guidance from January, which remains unchanged without the impact of Actelion. As a reminder, that guidance was as follows. We expected operational sales to increase 4% to 5% for the year.
This would result in sales for 2017 on a constant currency basis of approximately $74,800,000,000 $75,500,000,000 Our operational sales guidance for 2017 on an underlying basis, excluding the impact of acquisition divestitures, was expected to reflect growth of 3% to 3.5%. Our adjusted EPS guidance expected a range of $7.05 to $7.20 per share on a constant currency basis, reflecting operational or constant currency growth of approximately 5% to 7%. I will now provide our complete full year 2017 guidance now including the expected impact of Actillion. At the end of the quarter, we had approximately $7,000,000,000 of net cash, which consists of approximately $39,000,000,000 of cash and marketable securities and approximately $32,000,000,000 of debt, which reflects our cash position following the close of Abbott Medical Optics and our recent debt offering. As a reminder, we plan to complete our share repurchase program by the end of the second quarter.
Also by the end of the second quarter, we expect that we will have closed on the Actelion acquisition at a purchase price of approximately $30,000,000,000 Therefore, for purposes of your models and assuming no other significant uses of cash, I suggest you consider modeling net interest expense of between $600,000,000 $700,000,000 Regarding other income and expense, as a reminder, this is the account where we record royalty income as well as gains and losses arising from such items as litigation, investments by our Development Corporation, divestitures, asset sales and write offs. We would be comfortable with your models for 2017 reflecting net other income and expense excluding special items as a net gain ranging from approximately $1,100,000,000 to $1,300,000,000 which is consistent with our previous guidance. And for taxes, our guidance today does not include any assumptions about potential tax reform measures. Our effective tax rate guidance for 2017, excluding special items, is approximately 19% to 20%, also consistent with our previous guidance. Now turning to sales and earnings.
Our sales guidance for 2017 now includes the expected impact of Victillion and already had included the impact of Avid Medical Optics, which closed in the Q1 as well as the expected impact of REMICADE biosimilars, which we consider to be at risk due to ongoing patent litigation. In addition, we do not anticipate any impact from generic competition this year for ZYTIGA, Respirone Constant, Procrit, Presistra or INVEGA SUSTENNA. As we've done understanding of the underlying performance of our business. We will also provide an estimate of our sales and EPS results for 2017 with the impact that current exchange rates could have on the translation of those results. We would be comfortable with your models reflecting an operational sales increase on a constant currency basis of between 5.8% and 6.8% for the year.
This would result in sales for 2017 on a constant currency basis of approximately $76,100,000,000 to $76,800,000,000 This is higher than our January guidance as it now includes the expected impact of Actelion. Although we're not predicting the impact of currency movements using the euro as an example as of last week at 107, the negative impact of foreign currency translation would be approximately 1%. Thus, under this scenario, we expect reported sales to reflect a change in the range of 4.8% to 5.8% for total expected level of reported sales of approximately $75,400,000,000 to 70 $6,100,000,000 And now turning to earnings. We expect adjusted earnings per share to be in the range between $7.12 $7.27 per share on a constant currency basis, reflecting an operational or constant currency growth rate of 6% to 8%, an increase of $0.07 over our January adjusted EPS guidance. If currency exchange rates for all of 2017 were to remain where they were as of last week, then our reported adjusted EPS would be negatively impacted by approximately $0.12 per share due solely to currency movements.
Therefore, we would be comfortable with our reported adjusted earnings per share ranging from $7 to $7.15 per share or a growth rate of between 4% 6%. As it is still early in the year, we would be comfortable with your models reflecting the midpoint of this range. Our estimate of the immediate positive impact to adjusted earnings from the anticipated 2nd quarter closing of the Actelion transaction assumes we will exercise an option related to one of the R and D programs in the R and D spin off company, Idrosia, later this year, which will increase our R and D expense for 2017. At this early stage, we remain comfortable with our estimate of a positive first full year impact to adjusted earnings per share of between $0.35 $0.45 per share. We will, of course, update you further on this estimate when we provide full year 2018 guidance.
So in closing, we are raising our operational sales and EPS guidance to include the expected impact of our acquisition of Actelion, and we remain optimistic with what we see ahead for the full year. Namely, we are expecting operational sales growth of between 5.8% and 6.8%. We continue to deploy good cost management and to maintain or slightly improve our pretax operating margins. Our operational adjusted earnings per share growth in our guidance remains strong in the range of 6% to 8%, consistent with our goal of growing earnings faster than sales. And our businesses are continuing to invest while also delivering on our near term priorities.
And we're pleased to continue seeing significant milestones in our pharmaceutical pipeline and are confident in the continued growth expectations for that business. In fact, we look forward to discussing this with you in more detail at our May 17 Pharmaceutical Business Review Day. Now I'd like to turn things back over to Joe to open up the Q and A portion of
the call. Joe? Thank you, Dominic. Manny, can you please provide instructions for those on the line wishing to ask a question?
Please go ahead.
Thank you. Dominic, just a couple of questions for you. I'm just trying to get my head around the new guidance and you did a nice job explaining all the pieces. But so this quarter you beat by $0.10 but for the full year you're only raising guidance by $0.07 and that does include the impact of Octillion. You did mention that this is just a half a year impact.
So even if I assume that you wouldn't experience the full half year impact, even if I assume that the synergy impact is back half weighted and assume that you only benefit from say a third of the synergy. I'm still coming up a little short. Perhaps it's this R and D expenditure that explains the difference, but that would seem to be that might explain only part of the difference. So if you could just walk through again the different pieces, I'm surprised that the guidance didn't come in above given your original Actelion guidance. But again, I'm sure that there are timing issues in this R and D expense That would be helpful.
And then I have a follow-up question on REMICADE. Thanks.
Okay. Hi. Good morning, Jamie. Good morning. Just a few things.
So regarding our Q1 results of $1.83 that's about $0.06 higher than current estimates. If you could break that down between $0.03 or $0.04 related to a lower tax rate than is in The Streets models for the Q1 and the balance related to basically good cost management. With respect to that tax rate, we did not change the tax rate for the year. So the lower tax rate in the Q1 compared to what is in many of your models really just timing related to the stock based compensation accounting, which is mostly reflected in the Q1. So and through the balance of the year, we do expect some increased investment, which would offset some of that favorability in expenses in the Q1.
Regarding next year for Actelion, in the 1st full year 2018, we were still confident with our $0.35 to $0.45 per share. If you look at this half year, there's a couple of things going on. First of all, you're exactly right. I mentioned the R and D, the option that we have with respect to one of the R and D programs in the spin off company. And we're assuming that we will exercise that option, which will impact our R and D expense in the latter half of the year as a cost, that's worth about $0.08 We gave guidance that's about $0.07 higher related to adding Actelion.
Let's call that $0.15 for half a year of Actelion, assuming that the option wasn't exercised. And that's just slightly lower than the half a year and 35 or so segments for next year. And that's because all of the synergies related to the transaction really ramp up in 2018, not in the early stages of the integration in 2017. So hopefully that clears Yes.
No, that's definitely helped. So the $0.35 to $0.40 is really a second 1st full year? That's correct. That's not including the I mean, because the original press release said 1st full year, which was from the time you closed. So I was assuming that we hit Yes, that's 0.0 $0.45
to 0.45 dollars is 20 eighteen's estimate.
Okay, that's helpful. Just second question on REMICADE, the impact from biosimilars has been very minimal. What are your expectations for the remainder of the year? And then lastly, I'm curious your thoughts, Dominic, on prospects for corporate tax reform and repatriation, just given some of the dysfunction in Washington? Thanks very much.
Sure. Well, with Rubbermaid, we saw very little impact in the Q1. Of course, it's early because the product just launched at the end of last year. As you know, there's no interchangeability. So we certainly don't expect that physicians will switch patients.
They may start new patients on therapy. But with the long history that we have of REMICADE's efficacy and safety, we believe patients will move slowly to switch to a biosimilar. And we've incorporated that planned utilization in our guidance for the year and hasn't changed from the time we gave guidance in January, which is well before we saw any impact in the quarter. With respect to tax reform and what we expect to happen, I was actually just in Washington last week. And one of the things that I think is very clear is that the House has a plan that they want to move forward, which includes the border adjustment tax that has not yet been adopted by the Senate, although everyone agrees that some innovation in the way jobs will be created in the U.
S. Is important. And I would say the grand summary from my takeaway was that both the House and the Senate are waiting for guidance from the White House on whether they prefer the border adjustment tax or whether they have another vehicle that they would like to implement. And while everyone is waiting for that, things have in fact stalled, as you said. But I am confident that we're talking about the right things.
We're talking about a lower U. S. Tax rate. We're talking about a territorial system and we're talking about some innovation and some incentive for job creation in the U. S.
And that latter point is the one that's up for discussion, waiting for some clarity and preference from the White House.
Thanks, Jamie. Manny, next question. And maybe before we take the question, I just want to make sure in the last dialogue, there was a reference to $0.35 to $0.45 and $0.30 to $0.40 Just want to for clarity for your models, it's $0.35 to $0.40 for the 1st full year of Actelion. Next question, Manny, please.
Our next question is from Mike Weinstein of JPMorgan. Please go ahead.
Thanks. And maybe just to add to that, Joe, the $0.35 to $0.40 is a net number that assumes a certain level of reinvestment back into the company. So that's Tilley on itself, right, on a gross basis.
That's correct, Mike. That's correct, Mike. That's correct, yes.
Okay. Dominic, I think what would be helpful is that you made a number of comments about both consumer and pharmaceuticals and I think that it would probably be helpful to help give your perspective on what you saw this quarter that you think was one time in nature and what you think that what you think will persist over the balance of 2017 for both of those businesses?
Sure. Well, with Consumer, I would say that what was a little bit more pronounced than our expectation was going into the year was the level at which the category growth that we compete the categories that we compete in decelerated. That, of course, then turns into inventory destocking, if you will, by the various trades. That's a phenomenon that we think is not long lived because obviously, eventually, as consumption either picks up or even continues at a reasonable pace, inventory will need to be restocked at the trade. So we'll see some correction to that.
Plus with respect to our own business, we have a number of new product launches. Very few of them hit the Q1. They're all scheduled now 2nd quarter, 3rd 4th. And those, as I said earlier, could impact our total growth rate by an incremental two points of growth going forward. So we don't think that the Q1 results for Consumer will continue at that pace that we just saw.
We think they'll improve throughout the year. With respect to pharmaceuticals, I mentioned that we were pleased to not see much of an impact in REMICADE biosimilar. There may be some additional impact as we go through the year, but nothing's changed estimates for that. It's all baked into our guidance. We did see some pricing dynamics, particularly in the cardiovascular metabolic space.
So Invokana and Xarelto, those are competitive markets, lots of entries in that market. And therefore, the payer dynamics are more competitive there. So we saw some lower pricing there. That's also baked into our estimates for the quarter, so not something dramatically different than what we expected.
Okay. That's helpful. Yes, I asked about a couple of items, just to follow-up. So one, I wanted to get some clarity on your view of the upcoming IPR decision on ZYTIGA. This is on the 4/38 patent.
Does the outcome of the 4/38 IPR have any impact on your 30 month stay? Our impression is no, and that regardless, you wouldn't see generic competition prior to October 2018.
That's correct, Mike. That's our position as well that whatever the outcome is of that hearing, it will not impact the 30 month stay.
Okay. And then last item. On the upcoming presentation of the CANVAS trial, there's been some discussion on The Street about the study and what you may or may not know about the results of the trial today. Is there anything you want to add relative to just to J and J's expectations of that
study? Well, we're going to unveil the results of that study in June at the ADA meeting. So it would be premature to comment there. Joe, do you have anything else to add?
No. That's currently the only scheduled release date at this point in time.
Okay. I'll drop the call.
Thanks, Mike.
Thank you, Mike. Next question, Manny.
Next question is from Joanne Wuensch of BMO Capital Markets. Please go
ahead. Good morning. Good morning, Ann. Thank you very much for taking the question. Can we take a look at big picture MedTech, what you are seeing as it relates to the usual suspects of volume, price, and how we're entering the year?
Sure. Well, a couple of things. I mean, in terms of our MedTech business, as you know, we have a focus on certain priority platforms that are about 40% of our business. And I said earlier, they're growing about 6.5%. And that does have some pricing pressure in it, so the volume seemed very good there.
Overall, medtech or let me call it hospital procedures and overall volumes in the U. S. Hospital setting seem to be relatively flat, not much growth from quarter to quarter, so relatively stable, but no inflection point in growth for sure. And with respect to products in our core platforms, those products are generally significant price impacts. Joe, anything else you want to add to that?
Yes. Joanne, one way we typically answer this question is around utilization trends. And so this data lags a little bit, but in the Q4 for hospital admissions, it was up almost 1%. Surgical procedures were down about 0.5% and lab procedures were up 1%. We see anywhere based on our very preliminary estimates for the Q1 of 2017 anywhere from flat to 1% up across all three of those categories.
But I would say no significant acceleration or change in the pricing dynamics that we've been seeing. So steady as she goes with respect to slightly negative price across the industry.
That's very helpful. Can we turn also to some of your portfolio management? Specifically, last quarter, you talked about your diabetes franchise being evaluated on a strategic basis and then also early comments on the AMO integration. Thank you.
Sure. Well, with respect to diabetes, we continue that process. We're evaluating various options for that business, whether it be partnership or outright divestiture, whatever is best in terms of giving that business the best position to succeed and obviously getting if we were to divest it, getting the right return for our shareholders. With respect to the AMO acquisition, it's going really, really well. I mean, it just obviously was integrated in February.
We welcome the AMO colleagues to Johnson and Johnson. They're a very important part of now a complete eye health offering that we have at Johnson and Johnson coupled with the Acuvue brand, which obviously has great recognition, the innovation that we already know about and know how to do well, both in manufacturing and lens technology. I think this is going to be a fantastic acquisition for us. It's off to a great start. And quite frankly, before we acquired them in the quarter, they were doing really well with new product launches, growing at a rate that was double the rate that they were growing at last year's Q1.
So we're very pleased. It's off to a great start.
And just for clarity, as folks look at the schedules that we provide, the AMO business will be split into 2 categories. The consumer solutions business will be put in with the contact lens portion of the business and then surgery will be carved out on its own. So for the quarter, we had $124,000,000 recognized in sales from the AMO acquisition, dollars 115,000,000 of that was in the surgery category.
Very helpful. Thanks.
Great. Thank you, Joanne. Next question, Manny.
The next question is from Larry Biegelsen of Wells Fargo. Please go ahead.
Good morning. Thanks for taking the questions. Dominic, can you please confirm that the $1,000,000,000 from the or tell us if the $1,000,000,000 from the Codman Neuro business divestiture, if that's included in the current guidance or not? And if you will include it in operational EPS in 2017? And second, Dominic, you maintained the 3% to 3.5% underlying growth, but I think you did about 1.2% in Q1.
So what gets better in Q2 through Q4? And do you still expect the Medical Device and Consumer divisions growth rate to accelerate in 2017 over 2016? I think you said that on the Q4 call. And I just had one follow-up.
Sure. Well, Larry, we have a number of plans with respect to various divestitures. We announced Codman because it was the most significant of those that we have plans with. But the basket of all those is what we have included in our earnings guidance for the year of 1.3 to 1.1 to 1.3 in the other income line. So it will be part of that other income line and not excluded from our earnings.
And as you know, we always take the opportunity to reinvest those gains back into the business. So we don't expect that it will have that much of a significant impact on overall earnings as our as I mentioned earlier, our investment levels will go up consistent with recognizing those gains. A couple of things with respect to Medical Devices and Consumer. As I mentioned earlier, we do expect product launches in the remaining part of the year, adding about 1.8% growth to Medical Devices and about 2% growth versus the current levels to consumer. In Medical Devices, we also had some tough comparisons in the Q1.
We still had some inventory destocking and distributor issues in China, which obviously won't repeat going forward in the year. And likewise, in Consumer, we have, as I mentioned, this category deceleration, which we think will improve throughout the balance of the year. We currently expect that consumer will do about the same as it did last year. And if the deceleration in the category growth continues further than we expect, then they would do slightly less. Medical devices, about on par now with next year.
But I do think that it will be at or very close to the market growth rates for the industry overall.
That's sort
of the headwinds in the Q1, Larry, to be aware of. In Medical Devices, we had approximately 0.4 less selling days, if you will. It's obviously not selling days, but procedure days. So that was worth about 60 basis points. And then also in Consumer, you had about a 50 basis point impact due to some remaining effects from India demonetization as well as Article 94 in China.
That's helpful. Guys, on your ortho hip and knee recon business is doing well, but the spine continues to struggle. You talked about product gaps there. What are those product gaps? How do you address them?
And trauma, that was also soft. When do you expect that to bounce back?
Thanks for taking the questions.
So with Trauma, let me take that. With Trauma, that's the business that we saw this inventory destocking issue with changes in distributors in China that I mentioned earlier. So that was an impact in the Q1 that we don't expect to continue. Spine, some product gaps there that I would point to are expandable cage, and we just did acquire an expandable cage. So we expect we'll have a good offering in that particular segment of the market as well.
Thank you, Larry.
Thanks, Larry.
Manny, next question please.
Thank you. The next question is from Matt Miksic of UBS. Please go ahead.
Thanks. Good morning. Thanks for taking our questions. So one on the recent acquisition that you announced here, Niravi, and sort of backing up and looking at your med device strategic activity over the last year or so. This is, I guess, maybe the 3rd or 4th, it's just the latest in a series of these kind of smaller acquisitions putting AMO aside.
And I just wonder, some of those in AFib, some of those in surgery, this one, of course, I don't believe lines up with the current field force or call point that you have. But Dominic, it could be helpful maybe if you could talk a little bit about how this fits in with your strategy, whether these kinds of things are what we should expect going forward? And if there's anything in particular about neuropathy, whether it's data or a build out that we should know about? And then I have one follow-up.
Yes. Well, Matt, thanks for the question. In our neurovascular and neurosurgery business, we obviously have sales presence. And as you recall, we announced that we have an offer to divest the Codman Neurosurgery Business. What we're talking about with Neuravi is the piece of the Codman business where we already have sales force in place dealing with ischemic stroke as opposed to hemorrhagic stroke, which dealt with in the other part of the business.
And this is consistent with our strategy of moving our portfolio to the higher growth areas of any category. And so you're right to point out that we've been doing this quite often. We've been divesting slower growth areas or areas that we think are better off in someone else's hands and investing in higher growth areas and new technologies. This particular ischemic stroke treatment from NURAVI is already on the market in Europe and expected to be approved this year in the U. S.
And it provides for faster blood flow and more accurate retrieval of the clot within the neurovascular system. So we're very excited about it. By the way, our entire medical device business has largely been grown by these smaller tuck in bolt on acquisitions with technologies that advance the standard of care. And with our scale and distribution, we're able to do much better with that asset in our hands than in the hands of the previous owner.
That's helpful. And then one follow-up on some of the pharma comments that you made. You talked a little bit about some pricing pressure in competitive markets. You, of course, have put out the sort of recent report on transparency in pricing. And just wondering if you could comment at all on any changes we should be thinking about in terms of whether it is more competition like this and pressure related in that way or whether it's a different sort pricing price increase profile for your portfolio of pharma.
Any kind of color you can lay out for us in terms of what we be dialing in or thinking about in terms of changes in rebates and pricing in pharma?
Thanks. Right. Well, overall, Matt, we have an innovative portfolio in pharma and the innovation comes with greater patient outcome and therefore evidence that supports the pricing for the products. That's the vast majority of the portfolio in oncology, immunology, neuroscience. In certain parts of the portfolio, cardiovascular and metabolics in particular, that's a little bit more crowded.
It's not a specialty focused, more primary care focused. And that's where the payer community has more influence over rebates and the like. I don't think that we're going to see a dramatic change in our pricing methodologies. It's all evidence based. We look at it annually.
And as you know from our last report that you just mentioned, the difference between list price and net price is pretty dramatic, and we think that, that will continue. And so we've had modest price increases on a net price basis and we think that will
be the case going forward. Thank you, Matt. Next question, Manny.
The next question is from Bob Hopkins of Bank of America Merrill Lynch. Please go ahead.
Hi, thanks very much for taking the question.
Hi, Bob.
Hey, so two things, first on devices and then on pharma. And then on devices, it's sort of a follow-up to
some of the things that
have been asked in terms of the leadership changes and the divestitures and acquisitions. I was wondering, Dom, if
you can just give us
a sense as to kind of where are we in the process? Should we expect kind of more strategic activity in devices? Is it a potential for larger transactions in devices? Given kind of the level of activity and changes at the top in devices over the course of the last year, would love to get an update on kind of where we are in your process.
Sure. Well, couple of things, Bob. The restructuring was announced more than a year ago, I guess, January of 2016. So we've been in the process of restructuring in medical device business. We've been making changes to the portfolio well before any leadership changes were announced.
I think that will just continue. It's not going to dramatically change as a result of any leadership changes. That's a strategic point of view that we have on various markets. So I don't think that will change. I don't think any one particular leadership group will have an influence one way or another over whether we do larger or smaller transactions.
They're all individually analyzed. We're very disciplined about it. They have to be strategic. They have to return a weighted average IRR that's higher than our weighted average cost of capital. So none of that changes just because of leadership changes.
I don't think that you should expect any dramatic change there. I would expect a continual improvement in the business over time, all of which has been started over a year ago. It takes time to improve a business that's so widespread and diverse as our medical device business, but we're making good progress. And I would just reiterate that we expected to have nearly $1,000,000,000 of cost improvements in that business achieved by 2018, and we're well on our way of doing that. So I don't expect any changes there as well.
So I guess just in terms of the potential for larger transactions and devices, how would you kind of comment on that? And then the other quick thing I just wanted to get your view on and this is just a quick question the pharma growth. The difference between the 2.2% that you mentioned in terms of the pharma growth this quarter and the 4.7% I think you said, I know it has a lot to do with pricing, but maybe you could just kind of break that down to as many pieces as you're willing to give? Thank you very much.
Sure, Bob. Well, with respect to larger in devices or larger in any business, it's really the same for us. It's not really focused on any one business being more focused on larger or smaller. It has to do with whether or not it's an area of strategic importance for us, whether the asset is one that we think we can grow better in our hands than in the hands of the previous owner, and whether we're going to get a return for our shareholders that's commensurate with the risk that we have by putting our shareholders' capital to work. So it really doesn't vary in devices, consumer or pharma in any regard with respect to whether one business would be more likely to have a larger versus smaller acquisition.
It depends on each individual transaction, and we're really agnostic. Although I will say in Medical Devices, our history has been a great deal of bolt on acquisitions and now and then a pretty large acquisition. The largest one we did was Synthes now 5 years ago or thereabouts. With respect to your question on pharma, 2.2% versus 4.7%, the 2.2% growth is pharma ex acquisitions and divestiture impact and the 4.7% pharma growth has to do with simply adjusting for the $200,000,000 of purchase price adjustments that were recorded in the Q1 of 20 16, they are prior period adjustments, I should say, they were related to Medicaid rebates, managed care rebates that were late in reporting into us. And therefore, we've recorded all those in the Q1 of 2016.
They had nothing to do with 2016. They were all from prior periods. So we excluded that in the calculation of the 4.7% to give you an apples to apples underlying growth rate for the pharma business. Hopefully, that's clear now.
Okay. Great. Thanks. Next question, Manny.
Thank you. The next question is from Dane Leone of BTIG. Please go ahead.
Hi, thank you for taking the questions. So when you think about the Actelion merger and just the general strategy in pharma, several times over
the call it's come up
of just different trends in pricing and how competitive markets are. Just curious, could you just kind of reiterate the strategy in terms of going more into a cardiovascular space even though there's more differentiation in PAH. But just in general, to the comments of cardiovascular metabolic being more competitive and having more of an effect on pricing, especially in the U. S, how you see Actelion fitting in and kind of the diversification of the portfolio?
Sure, Dane. Well, in the cardiovascular space with respect to Actelion, I mean, that's not primary care. It's more specialty based. So therefore, it's consistent with our overall strategy of being focused in specialty pharmaceutical areas more so than in primary care. So I don't see the same kind of pricing dynamics in the specialty area that you do in the primary care area.
Hopefully, that's clear.
Thank you. Manny, it looks like we've got time for one more question.
Thank you. The next question is from David Lewis of Morgan Stanley. Please go ahead.
Good morning. Thanks for squeezing me in. Dominic, I just wanted to come back to consumer and a quick follow-up. Just the things you mentioned in consumer this quarter all seem largely either transitory or tied to the broader industry. But the big thing we've talked about this quarter in consumer has really been accelerating e commerce risk.
And I wonder if you'd sort of talk about that. Do you see ecommerce as an accelerating risk to the J and J businesses? Or do you think that your brands are frankly more durable? And then also about the 20% margins, you got there dramatically faster than you ever expected. So strategically from here, is the focus to get to 25% margins or reinvestment?
And then I had a quick follow-up.
Sure. Well, a couple of things. E commerce is not a risk. It's a real obvious trend in the industry. We're well positioned and getting better positioned.
Our brands are iconic in nature. They do still have quite an appeal to a mass audience and you see us continuing to advertise, for example, with Neutrogena and Aveeno and Tylenol. So we think those brands still hold up well in more classic marketing, although we're very present in e commerce. And products like Vogue and others that we're acquiring in the consumer space specialty kind of brands fit really well in the e commerce strategy. With respect to the second part of your question, could you just repeat that again, please?
Sorry, margins, Dominic, 20%. You got there quicker.
Yes. Well, a couple of things. I mean, obviously, we were on a long plan to improve the margins in this business. But I think as Alex often mentions, first things first. So now that the business has worked through the issues that it had in the OTC business, although it's still under a consent decree, I just want to remind you, we are focused on cost improvement programs and while at the same time investing.
So there's no particular focus or goal to get to one particular pretax operating margin number. We expect it to be competitive with the industry, which it now is, but we're obviously going to take the opportunity to invest when we can, especially as I mentioned, we're launching new products this year, so we're going to make sure we invest behind those launches and make sure they do exceptionally well right out of the gate.
Great. Thank you, David. And thanks for everyone for their questions and apologies to those we couldn't get to today. I'll now turn it back over to Dominic for some closing comments.
Thanks, Joe. Well, as I noted earlier, we are confident in our guidance for 2017, and we're optimistic for the future. I would like to take this moment to recognize and thank all of our associates around the world for their important contributions and dedication to the success of Johnson and Johnson. Thank you for your time this morning. I look forward to updating you on our progress throughout the year, and I hope to see you all at our Pharmaceutical Business Review Meeting on May 17.
Thanks, and have a great day.
Thank you, ladies and gentlemen. And this concludes today's Johnson and Johnson's 1st quarter 2017 earnings conference call. You may now disconnect and have a wonderful day.