Thank you for standing by, and welcome to the Omnicell fourth quarter 2019 earnings announcement. At this time, all participants are in a listen-only mode. After the speaker's presentation, there'll be a question and answer session. To ask a question during the session, you need to press star one on your telephone. Please be advised that today's conference is being recorded. If you're requiring further assistance, please press star zero. I'd now like to hand the conference over to your speaker today, Peter Kuipers, Chief Financial Officer. Thank you. Please go ahead.
Thank you. Good afternoon, and welcome to the Omnicell fourth quarter and full year 2019 earnings call. Joining me today is Randall Lipps, Omnicell Founder, Chairman, President, and CEO. This call will include forward-looking statements subject to risks, uncertainties, and other factors that could cause actual results to differ materially from those expressed or implied. For more detailed description of the risks that impact these forward-looking statements, please refer to the information in our press release today, in the Omnicell Annual Report on Form 10-K filed with the SEC on February 27, 2019, and in other more recent reports filed with the SEC. Please be aware that you should not place undue reliance on any forward-looking statements made today. The date of this conference call is February 6, 2020, and all forward-looking statements made on this call are based on the beliefs of Omnicell as of this date only.
Future events or simply the passage of time may cause these beliefs to change. Finally, this conference call is the property of Omnicell, Inc. Any taping, other duplication, or rebroadcast without the express written consent of Omnicell is prohibited. Randall will provide an update on our business. After Randall's remarks, I will cover our results for 2019 and our guidance for 2020. The 2019 fourth quarter and full year financial results are included in our earnings announcement, which was released earlier today and is posted in the investor relations section of our website at omnicell.com. Included in our fourth quarter earnings release are a few slides that I will speak to later in our prepared remarks. Our prepared remarks will also be posted in the same section. Let me now turn over the call to Randall.
Thanks, Peter. Good afternoon. 2019 was a record year for Omnicell. Key financial results for the year include record product bookings of $813 million, up 14% from 2018. Record product backlog of $588 million, up 23% from 2018. Record revenue of $897 million, up 14% from 2018. Record non-GAAP EPS of $2.81, up 34% from 2018. We are very pleased with the strong results achieved in 2019. As discussed during our investor day at the American Society of Health-System Pharmacists in December and at the JPMorgan Healthcare Conference in January, we believe that there are significant challenges in pharmacy that drive the demand for our solutions and that represent large market opportunities. We are committed to addressing and solving these challenges in pharmacy by investing in innovation and customer experience.
The strong growth in our business over the last several quarters is a testament that the vision of autonomous pharmacy is resonating with the industry. Through the vision of the autonomous pharmacy, a combination of automation, intelligence, and expert services powered by a cloud data platform, Omnicell supports more efficient ways to manage medications across all care settings. We want to be the most compelling medication management automation and service company by accelerating pharmacy to perfection. We are making significant strides to advance medication management through this vision, as evidenced in the solutions we debuted at ASHP. We have launched new innovations, service offerings, and partnerships that are driving greater value for our customers.
The continuing expansion of our business from a single solution to a platform of products and services is driving larger deal size across multiple products, and we believe more comprehensive, valuable, and enduring relationships with our customers. We are pleased to highlight a number of our newest customer wins, including Minnesota-based Fairview Health Services has selected Omnicell's automation and intelligence solutions to streamline nurse pharmacy workflow. Through this seven-year sole source agreement, Fairview will be leveraging Omnicell's intelligence solutions to gain visibility and insight to their pharmacy supply chain.
The health system's investment toward a fully autonomous pharmacy also includes adding XR2 automated central pharmacy system and an IVX Station to central pharmacy operations, as well as implementing Omnicell's XT automated dispensing systems and XT Anesthesia Workstation across its 13-hospital system in the Minneapolis metropolitan area. Geisinger, one of the nation's most innovative health services organizations, serving millions of patients in Pennsylvania and New Jersey, has signed a six year sole source agreement to implement Omnicell's XT automated dispensing systems across the health system. This investment follows a recent upgrade to XT Anesthesia Workstation and surgical suites.
We're seeing significant traction for our point-of-care automation workflow technology with numerous healthcare systems, including Duke University Hospital and Atrium Health in North Carolina, Cooper University Health Care in New Jersey, Benefis Health System in Montana, and Renown Health in Nevada, leveraging automation and data intelligence to support improved efficiency in patient care areas. Allegheny General Hospital in Pittsburgh, PA, part of the Allegheny Health Network, has selected our central pharmacy IV Compounding Service. Sterile compounding is one of the biggest challenges for hospital pharmacy. They were impressed with our in-sourcing model, which combines technology and trained resources to support a safer, more accurate operation. Bordeaux University Hospital, or CHU, serving the Bordeaux metropolitan area, one of the top teaching hospitals in France with over 3,100 beds across three sites, has selected Omnicell to provide its central pharmacy robotic dispensing system, the largest ever implemented by Omnicell in France.
Three large robots working in coordinated manner, utilizing Omnicell's market leading ULM software will store and retrieve medication upon demand via integration with the hospital pharmacy system for delivery to patients' wards across the Bordeaux healthcare system. With that, I'd like to turn it back over to Peter to discuss 2019 results and our five-year financial framework as well as guidance for 2020. Peter?
Thank you, Randall. Our fourth quarter 2019 revenue of $248 million was up 17% over the fourth quarter of 2018, and up 9% from the third quarter of 2019. Our full year 2019 revenue of $897 million was up 14% from 2018. The year-over-year increase in the revenue were largely due to an increase in XT series, XR2, and IV implementation, growth in annual service and maintenance revenue from a larger installed base of equipment, as well as increased population health solutions revenue. As discussed in the past, our population health solutions include medication synchronization, patient messaging, and certain other adherence solutions. The fourth quarter earnings per share in accordance with GAAP was $0.51 per share, up from $0.36 per share in the fourth quarter of 2018, an increase of 42%.
Our full year 2019 earnings per share in accordance with GAAP was $1.42, up from $0.91 per share in 2018, representing an increase of 54%. The year-over-year increases in earnings per share is largely due to higher revenue. In addition to GAAP financial results, we report our results on a non-GAAP basis, which excludes stock compensation expense, amortization of intangible assets associated with acquisitions, acquisition and restructuring related expenses, tax reform and restructuring income tax benefits and expenses, certain contingent gains and amortization of debt issuance costs. We use non-GAAP financial statements in addition to GAAP financial statements because we believe it is useful investors to understand the effects of amortization of acquisition-related costs and non-cash stock compensation expenses that are a component of our reported results, as well as certain expense and acquisition and restructuring related expenses, which are unrelated to our ongoing operations.
A full reconciliation of our GAAP to non-GAAP results is included in our fourth quarter earnings press release and is posted on our website. Fourth quarter 2019 non-GAAP EPS was $0.77 per share compared to $0.70 per share in the same period last year, representing a 10% increase. Full year 2019 non-GAAP EPS was $2.81 per share compared to $2.09 per share in 2018, representing a 34% increase. Similar to the increases in our GAAP EPS, the increase in earnings per share on a non-GAAP basis is again largely due to growing revenue. In addition to strong revenue and profitability growth, there are additional indicators that demonstrate the momentum and scaling of our business. First, product bookings for the full year 2019 increased by approximately 14% from 2018 to $813 million.
This is a record for the business and exceeded the high point of our guidance range by approximately $23 million. Second, product backlog as of December 31, 2019 increased by approximately 23% from December 13, 2018, to $588 million. Third, non-GAAP gross margins exceeded 50% for the full year of 2019, and expanded by approximately 90 basis points from 2018. Fourth, our non-GAAP operating margin was 14.8% for total year 2019 and expanded by approximately 190 basis points from 2018. Lastly, during the fourth quarter of 2019, we again entered into a record number of multimillion-dollar commercial agreements. The vast majority of these multimillion-dollar product bookings are with customers adopting multiple products on the Omnicell platform. Our total product backlog as of December 31, 2019, was $588 million, up 23% from last year. Of this amount, $471 million is considered short-term in nature, and $117 million is considered long-term.
In comparison, as of December 31, 2018, our total backlog was $478 million, of which $375 million was considered short-term and $103 million was considered long-term. Let's now move to the balance sheet and cash flow. At December 31, 2019, our cash balance was $127 million, down from $137 million at September 30, 2019. During the fourth quarter of 2019, we repaid $30 million on our outstanding debt, leaving a remaining outstanding funded debt balance of $50 million. As of December 31, 2019, the business was in a net cash position of $77 million, up from $57 million as of September 30, 2019. Cash flow from operations during the fourth quarter and year-ended December 31 was $35 million and $145 million respectively, compared to $47 million and $104 million for the comparable periods last year.
The increase in operating cash flow for the full year is primarily driven by increased net income and improvements in working capital. Free cash flow generated in the fourth quarter and year-ended December 31, 2019, was $20 million and $83 million respectively, compared to $35 and $50 million for the comparable periods last year. The increase in free cash flow for the full year is primarily due to the increases in cash flow mentioned earlier. Accounts receivable days sales outstanding for the fourth quarter were 81 days, down one day from the previous quarter and down four days from December 31, 2018. The decrease in DSO from last quarter and the prior year is primarily due to higher sales and increased collections. Inventory as of December 31, 2019, was approximately $108 million, up $2 million from the previous quarter and up $7 million from December 31, 2018.
The increase is primarily driven by growth demand for the XT series, XR2, and IV product lines. Our headcount was 2,698 at December 31, 2019, up 73 from the end of the previous quarter and up 222 from the same quarter last year. The increase reflects continued investment in the business to deliver product innovation and new offerings, as well as increases for manufacturing, implementation, and service personnel needed to support our business as it continues to expand. We expect this hiring trend to continue as we grow the business. We would like to walk through the long-term financial framework we presented at the Investor Day on December 10, 2019, at the ASHP Conference, also at the J.P. Morgan Healthcare Conference on January 15 earlier this year. Included in our fourth quarter earnings release are a few slides summarizing the long-term financial framework.
Slide number three shows a summary of our organic revenue drivers. We believe that there are significant challenges in pharmacy that we discussed earlier that drive the demand for our solutions and represent large market opportunities. Looking at our market and growth assumptions in our long-term financial model, we expect to continue to grow revenue organically over the next five years at a CAGR of approximately 10%-12%. The three areas of growth are as follows. Point of care, central pharmacy, retail, institutional, and payers. For our point-of-care solutions, we expect future revenue growth from the following areas. First is expansion with existing customers as they continue to increase the utilization of our dispensing systems in more areas within the hospitals. Second is prior generation replacements or upgrades.
Through the fourth quarter of 2019, we have received orders from customers representing approximately 23%, two three, of our legacy installed base of automated dispensing cabinets, which is up from 11% as of the end of 2018. We expect to provide an update on this metric every quarter. Third growth area is competitive conversions and market share gains. Fourth growth area we see is growth from innovation and new services, including professional services that we announced in December last year. Given these drivers, we believe that this part of the business will grow at an organic CAGR of approximately 10% over the next five years. Central pharmacy is the next area of significant opportunity to digitize and automate pharmacy to help increase safety, reduce drug spend, and optimize labor.
For our central pharmacy solutions, we expect future and continued revenue growth from upgrades of prior generation robots in our install base, carousel to robot replacements, greenfield opportunities, and growth from innovation and new offerings. Overall, we believe that this part of the business will grow at an organic CAGR of approximately 17% over the next five years. Finally, for our retail and institutional pharmacy and payer solutions, we expect future and continued revenue growth from the following drivers. First, growth in Population Health Solutions, including software solutions, adherence packaging, and automation, growth from expected new innovation service offerings, and overall, we believe that this part of the business will grow at an organic CAGR of approximately 10% over the next five years.
The estimated organic revenue growth in these three areas is supported by estimated large TAMs or total addressable markets, and is anchored by many sole source long-term agreements with large health systems, retail pharmacy chains, and payers in our customer base. Let's now move to long-term non-GAAP operating margin profitability. From a baseline in 2019 of approximately 15%, one five, non-GAAP operating margin, we believe that we can increase non-GAAP operating margin to approximately 18%, one eight, by 2024. Slide number four gives a summary of the drivers of non-GAAP operating margin. We expect the drivers of non-GAAP operating margin expansion to be as follows. We expect benefits from economies of scale, including supply chain procurement savings and operating expense leverage. We expect benefits from long-term customer agreements.
We also expect benefits from manufacturing and design savings, and we also expect benefits from process improvements and efficiencies, including benefits from improved infrastructure and other investments. We expect these benefits to be partly offset by reinvestments in innovation to support the growth opportunities we discussed, investments in customer success and experience, including professional services, and investments in infrastructure and IT investments to support the scaling of our business. On slide number five, we have summarized our objectives. We are committed to strong long-term organic growth with a goal of $1.45 billion-$1.55 billion by 2024, representing a five year organic CAGR of approximately 10%-12%. We're driving operating leverage with a goal of around 18% non-GAAP operating margin by 2024.
We expect the business to deliver between 90% and 110% free cash flow conversion of GAAP net income through 2024 while we are investing in innovation, customer success, and supporting infrastructure. Lastly, we are continuously evaluating potential acquisition opportunities for the right strategic and financial fit. Before we move to guidance, I want to acknowledge that you may have questions about the impact of the coronavirus on our business. First and foremost, the safety and well-being of our people is our number one priority. We are in close contact with our employees, customers, and suppliers in China, and we are reviewing communications by government and healthcare organizations as we monitor the situation.
At this point, given that we have a small employee presence and a small customer base in the region, and none of our suppliers are based in the Wuhan province or proximity, we do not expect, nor have we factored into our guidance, any meaningful operational financial impact. That said, the situation is uncertain and rapidly evolving, so we will continue to monitor it closely, and we are evaluating potential scenarios, so we believe that we're well prepared. Now, moving to our full year 2020 guidance. We expect 2020 product bookings to be between $865,000,000 and $900,000,000. The midpoint of this range represents approximately 9% growth over 2019. Measured from 2017 by using the midpoint of the guidance range for 2020, this represents a CAGR of approximately 16%, one six. We expect 2020 total revenue to be between $1,000,000,000 and $1,020,000,000.
The midpoint of this range represents approximately 13% growth over 2019. This breaks down as follows. We expect 2020 product revenue to be between $752 million and $768 million, and we expect 2020 service revenue to be between $248 million and $252 million. Using the midpoints of the provided ranges, we expect non-GAAP operating margin for 2020 to be slightly below 16%, up from 14.8% in 2019. We expect 2020 non-GAAP EPS to be between $2.96 per share and $3.16 per share. The midpoint of this range represents approximately 9% growth over 2019. It is important to note that as we discussed in the first quarter 2019 earnings call, that we had a non-operational benefit of around $0.07 per share related to tax benefits realized from the exercise of employee stock options. For 2020, we are assuming an average effective blended tax rate of approximately 14%, one four, in our non-GAAP EPS guidance range.
For the first quarter of 2020, we are issuing the following guidance. Based largely on the ending product backlog from the fourth quarter of 2019 and the recurring revenue from services and consumables, we expect total revenue to be between $221 million and $227 million. This breaks out as follows. We expect product revenue to be between $163 million and $168 million, and we expect service revenue to be between $58 million and $59 million. We expect non-GAAP EPS to be between $0.52 and $0.57 per share. As Randall mentioned, we are very pleased with the strong results in 2019, and we look forward to continuing to deliver profitable results in 2020 as we continue to execute on the long-term strategy. With that, we would like to open the call for your questions.
Thank you. As a reminder, in order to ask a question, please press star, then the number 1 on your telephone keypad. We will pause just a moment to compile the Q&A roster. Your first question comes from Matt Hewitt with Craig-Hallum Capital. Your line is open.
Hey, Matt.
Hi, guys. Yeah. Hi, guys. Thanks for taking the questions. This is Lucas in for Matt Hewitt here at Craig-Hallum. I think our first question here is just could you provide some color on the traction you're seeing for some of the new service-based offerings that you've launched recently?
Yeah, sure. I think that as we have began to focus on the central pharmacy and really focus in on these products more as services, not products, we're providing the technology. To really get them to be implemented, to the most efficient and highest level of results for the institution, we're embedding people as part of a service into that process. That particularly is seeing good results, particularly on the booking side and especially on the IV side. I think that with the reduction of 503B facilities that are providing quality and supplies of IV compounding, this is the exact kind of service that people are certainly engaged with us on in a more fruitful way than we've seen in just the recent quarters.
Okay, excellent. How should we be thinking about the impact of these new service offerings on your gross margins?
Yeah. That'll be gradual over time. I think initially, there are, of course, investments in supporting infrastructure and training and process. Over time, what we've said in the past, and that remains valid going forward, we said the same thing at the Investor Day at the ASHP, we expect the gross margin gradually in total to increase over time modestly. As we talked about earlier today as well in the operating margin leverage over time. We definitely see that, but I think initially for the service offerings, that will be a slight decrease to gross margin just by itself, looking at that factor only as we ramp it up.
Okay. Thank you very much. That's all we had.
Thank you.
Your next question comes from Steve Halper with Cantor. Your line is open.
Hi. Two questions. First, can you just talk about the overall hospital environment, and then looking at the three segments, the competitive positioning and how you feel about that right now?
Well, I haven't seen no change in the hospital market, but I do think as hospitals have consolidated, they continue to want to invest strategically, which means putting products on a standard, making a standard choice and not having multiple products, as well as finding ways to operate those at optimal levels. To do that, they want to gain more services from us than what we traditionally have done. You see professional services being added. You see the Omnicell One service being added, which is the old performance center. These are our ways of taking big investments that they make and extracting better values out of them. It's a great return for them and a great return for everybody. I'd say that most places we're engaged with in are engaged in the broader platform, not just a single product.
You don't see that much anymore. That's because they're trying to get their hands around all of the pharmacy, not just certain pieces and parts of it. I think we're seeing strength there. We've seen additional strength in PHS from the pharmacy side, as we continue to sign up pharmacies for that service, it is still not a big portion of our revenues yet, but it's good to see traction from signing up more pharmacies to find more ways to grow revenues in a very competitive environment these days.
Yeah. The other thing I would refer back to is that we had a record number of multimillion-dollar deals or bookings in the fourth quarter. It's an all-time record, if you will. We do believe that we have strong customer relations and that the customers see value in our platform offerings. The vast majority of that record number of multimillion-dollar deals were multi-product and/or platform related. We definitely see that trend.
Thank you.
Thanks, dude.
Your next question comes from Eugene Mannheimer with Dougherty & Company. Your line is open.
Thanks, guys. Great quarter. I was hoping, the question on the services offerings, you talked about expert services. How about from a revenue or growth perspective, how fast are those growing? Your services line, how much of that is the expert services versus your traditional services contracts on your product? My other question would be, if you could just offer some color on the recent PharMEDium closure and if and how that can help drive business to your insourcing approach to IV compounding. Thank you.
Thank you for the question, Gene. On services, our P&L line, just to be clear, for services that we break out, the vast majority there are maintenance services, right? We do have, within that total services line, growing revenue for the IVX services and performance center, Omnicell One services. We see growth there over time, if you will. Those are products and offerings that we've had for not a very long time, but for a number of years. I would say, professional services that we announced in December last year, we are starting there with the bigger health systems, a number of them that have multiple different product line implementations where we help manage. We're mostly focused there on change management together with the health system.
That last kind of type of extra services, if you will, we're starting there, if you will, right? We believe that will grow over time as well, but it's not meaningful for 2020 revenue.
Okay. Thanks, Peter.
Yeah.
Yeah. Third party outsourcing services that follow the 503B, which is a third party compounding regulation set up by the FDA, are limited. As PharMEDium not being available anymore, that means there's fewer choices to go to. You only have three choices. You can either manually mix on-site at your hospital, you can use automation to mix on-site, or you can buy off-site through one of these 503Bs. With that supply from PharMEDium being removed from the marketplace, then choices are more limited. I think it's fair to say that pricing is also impacted, because the amount of folks offering product from a 503B are even more limited now. Therefore, in order to maintain your budget and/or just to get to able to supply yourself with these critical compounding products, you have to bring it in-house.
That has started many more discussions that are really at the top of the funnel, we would say, with customers about how best to do that. That's either for us, it's one of three choices. You either use our IV Station, in which we would come in and run it for them on an on-site location following 503A standards, which are different than 503B. They could run their own robot, which is we find most people don't want to do, because it's a little bit too complex. They could use our IV Workflow Station, which still allows them to use their own people, but it's semi-automated. It's capturing through cameras and technology and cloud-based services to make sure the manual process is done appropriately.
We think that that will emphasize that on-site IV prep is going to become, I believe, more of a trend to bring it in-house. You've got to really use automation in one form or another to achieve that.
Sure. Makes sense. Thank you.
Again, if you'd like to ask a question, please press star one. Your next question comes from Jessica Tassan with Piper. Your line is open.
Hi. Thanks for taking the question. I think we're just interested to know, I think BD announced this morning that new Alaris pump shipments are going to be suspended for a while. Just interested to know what impact that might have on your business, specifically the IV compounding business.
My initial reaction when I saw that it wouldn't have much impact on us, as we don't see that as very rarely would we see a pump cabinet DLB related. There might be a few more opportunities in 2019 that we wouldn't have because of that potential slowdown there. We don't really feel like the pump by itself and the automation decisions are usually made fairly separately, particularly as you're looking at our product as a platform versus a couple of different products combined together like that. Peter, would you have anything to add to that?
Sure. That's more from a competitive standpoint perspective, the parts of the answer. If it will impact the other part of the question, I guess, might be, does it impact demand for our IT solutions? We don't really see a direct impact there as kind of Randall talked about earlier. The hospitals will need to have IT prep, and they can either do that with robots, semi-automated, there is still some compounding available outside, or they can do manual prep inside the hospital. For that particular development on the Alaris pump, we don't see an impact on our IT product line from a demand perspective.
Your next question comes from Mitra Ramgopal with Sidoti. Your line is open.
Hello, Mitra.
Your next question comes from Bill Sutherland with Benchmark. Your line is open.
Hey, thank you. Peter, I think you said that bookings growth that you're looking for this year is 9% for product bookings.
That's the midpoint of the guidance range, correct.
Yeah.
Do remember that we exceeded the high point of the guidance range for 2019 by $23 million, so two three. Also, maybe it's good to point out that if you look at a multi-year period, if you start at 2017, our CAGR for bookings is 16%, and we disclosed it in our prepared remarks because we feel it's important to really look at the longer-term trends. From a bookings perspective, there might be timing between a fourth quarter and a first quarter. We try to kind of give some guidance on how we've seen the historical trends. Yeah.
That's a 16% CAGR from 2017 through 2020, the 2020 estimate, right?
Yeah. Midpoint of the 2020 guidance range.
Okay.
Right. Yes.
Okay. That's good enough for that. I also was just curious, the other thing I was wondering about, and you didn't talk about product expansions or introductions this year, if any, are planned that you're interested to know.
Yeah. As a practice, we do not announce ahead of time product launches. We can refer back to the Investor Day at ASHP in December 2019, where we announced Omnicell One, we announced the partnership on diversion, and we announced professional services. Professional services are available since last quarter, and Omnicell One we expect to be available for implementation in the middle of the year, is what we said in December.
The Omnicell One is not meant to displace your prior offering.
It's an evolution.
Is that correct?
It's an evolution. Yes, correct.
Yeah. Okay.
Yeah.
Okay. Thanks, guys. Appreciate it.
Yeah. Okay, thank you.
Your last question comes from Mitra Ramgopal with Sidoti. Your line is open.
Yes. Hi, good afternoon. Thanks for taking the questions. Just coming back to the five-year guidance, trying to get a sense of how you see the mix of the business changing. I think right now it's about 60% cap equipment and software and the rest recurring consumables and service, if you see that changing much. Also, on the international front, based on what you're doing right now, I believe you're running at maybe low mid-teens on international, if you see that changing meaningfully also in terms of the mix.
Yeah. If you purely talk about kind of as a service, so the as a service component within services, if you will, we expect that to go up and increase over time. We're not necessarily breaking that out. From an international perspective, we expect roughly growth rates in line with the total business over time, over the five-year period.
Okay. No, that's thanks. Just from a competitive standpoint, clearly you've come out with a number of products and services over the last couple of years, and you have the leadership position. Are you seeing any potential competition, at least, if not in the near or medium to longer term?
From a platform perspective?
Well, I think where we feel strong about the strength of our platform is really hard to replicate. There's certainly certain products that people may have in the marketplace with a combination of one or two, but I think the strength and what we come in and offer is a total platform to address as much of the pharmacy as possible with that critical viewpoint of how you address all the pain points in pharmacy. I think that really drives the decision-making in the C-suite to be much more strategic. I think that from that standpoint, we haven't seen really much of any competition that is taking on the goal of the autonomous pharmacy. We're trying to release pharmacists out of the basement.
We are truly trying to get pharmacists from stop counting pills and mixing stuff and manual stuff. Let technology do that at a 99.9% accuracy and move the pharmacist into clinical work only. It's got to happen because there just aren't enough resources to run pharmacies in the modalities that they're run today. I think for the most of the people that we have conversations with, resonate with that, and want to make pharmacy strategic and not a cost center.
Okay. Thanks again for taking the questions.
You bet.
That's all the time we have questions for today. I turn the call back to Randall Lipps for closing remarks.
Well, thank you. 2019 was highly successful year for Omnicell. Our robust portfolio solutions delivered meaningful outcomes for our customers and patients. These strong results provide a substantial basis for us to execute on our long-term strategy. As noted earlier and through discussion with our customers, we believe that there are significant challenges in pharmacy that drive the demand for our solutions and present large market opportunities. Via investments in innovation and by enhancing the customer experience, we continue to make advancements for the vision of autonomous pharmacy. Once again, let me just note our remarkable Omnicell team, who is the true backbone of our success. Thank you for another great year executing on our winning strategy, and we look forward to another great year in 2020. Thanks, everyone.
This concludes today's conference call. You may now disconnect.