Luckily, Wayde is not the Chief Executive Officer. He tells me, "I'm not sure, you know, hey, Wayde, it's like you got promoted.
Yeah, thanks for the promotion.
Exactly. You're always first in my heart, Wayde. Wayde McMillan is the Chief Financial Officer, and Doug Bartlett, attending his first ever sell-side event of this nature, is the Senior Vice President of Infection Prevention and Surgical Solutions, or there's a reason people say IPSS. That's right, so they do not have to say all those words. Welcome to you both. I am going to start in an unusual place, Wayde. Greg, this is not vetted by Greg, so do not blame it on him. I loved the opening of my note that I wrote after the third quarter so much that I am actually going to read the first sentence to everybody. I said, "Underscored by truly positive and encouraging management commentary on the post-release call, Solventum outperformed on basically every front: sales, margins, EPS, as nearly every segment beat consensus projections." I thought that was a great quarter.
I love what I said so much that I just had to say it again. I assume you think that I captured the spirit of what's going on.
We certainly appreciate it, and we feel the momentum as well. It was a strong quarter. We're happy to put a string of quarters together since the IPO, and we certainly have things moving in the right direction. Thank you for those words.
It really feels like that. In simple terms, to start off, speaking as the first analyst to ever recommend a stock, and I have to say that every time, right? Where are we with the turnaround? Where is it ahead of plan? Where would you have hoped that turnaround actions you are taking might have gone even bigger and faster? Let's pursue this theme for a minute to start.
Okay. It's going incredibly well, as we know. From a transformational standpoint, we had a three-phase transformation, and I would say we're ahead in all three of those phases. Picking up on your part of your question around faster, bigger, you know, I think we always want to go bigger and faster. As you know, our CEO, Bryan Hanson, very well, he likes to say, "We're happy, but we're not satisfied." We're continually pushing that envelope for what's possible. Maybe just to capture a few things in there that we think are going well and putting us ahead of the transformation to this point. Certainly, sales growth, our number one metric and our focus to turn around this business has been just over 1% growth in 2023 and 2024.
For us now to be able to increase our guide to the high end of the underlying 2.5%-3.5%, just about 3.5%, almost tripling that growth rate here this year. That is really on the back of our commercial improvements and our existing R&D pipeline and projects or products like Peel and Place that are going extremely well. The commercial and organic sales growth support from R&D is going very well, and I think we are ahead of schedule there. From a margin expansion standpoint, we certainly have a lot going on there as well, and we just launched a new restructuring program to ensure that in 2026 we can continue expanding our margins in the face of tariffs.
What we called out on our Q3 call is that we would expect in 2026 to continue to improve our underlying sales growth rate as well as our margin expansion. If we shift to a couple other key areas of the transformation, one around portfolio management, we certainly think we are ahead there. We are very happy with the speed that we moved to divest the purification filtration business as well as the value creation there. That leads us into capital allocation, which we think we are ahead there as well. Every spinner, most spins get a lot of debt when you spin out from a parent company, and that was one of the things we wanted to address as quickly as possible. The P&F transformation allowed us to do that.
It really strengthened our balance sheet, put us in a strong cash position, and we can now go on offense with portfolio optimization. That is the third part of our transformation, our third phase of our transformation. I would just remind everybody, we call it three phases, but all three are running in parallel. Now we can start adding acquisitions to that portfolio optimization, third phase, as well as we keep saying we're not done. We've moved on everything from SKUs to segments, and we're going to continue evaluating our portfolio and making strategic moves within the portfolio, again, everything from SKUs to total segments and everything in between until we get this portfolio in the shape that we want it in.
That's great. I always like to remind people that's exactly the comedian story from the beginning that you and I both lived through and so happily a few years back.
We're proud of that one for sure. We created a lot of value. Doug, actually, who's with us today, as you mentioned as well, was part of that and part of several key businesses in there. The fact pattern is eerily similar in a lot of cases. We needed to change the incentive, the structure, the culture, the mission of the company. There's also some differences in particular around R&D and innovation where 3M was stronger, but we can continue to improve there as well. Yeah, we're very proud of that story, and the playbook we think is a great setup, similar here as GE HealthCare has coming out of GE, Tyco Healthcare came out of Tyco, and here we sit with our business coming out of 3M.
Right, exactly. That's a great place to start. Just, Doug, I want to loop you back in the conversation here and thank you again. We'll try to, you know, not to pick on you, despite what Wayde said and urged me to do so. You know, just at a high level, talk to us about IPSS, the division, just for people who maybe are less familiar. Let's just start off there. A lot of attention has been given to the advanced wound care business within MedSurge, but even though yours is the larger segment, it'd be really interesting to hear about how it's changed under your leadership. What's happened? Where are we now? What's next? It'd be great. I'm actually really intrigued to hear this myself.
No, thank you for the question because I think the advanced wound care, rightfully so, does get a lot of the focus. As the largest business, right, you know, our mission was very similar to what wound care did. It goes back to Wayde's comments, the incentives, the structure, the culture. Really mission one was to create that specialized sales and marketing team with a cohesive message globally. That had been sort of an amalgamation before at the MedSurge level. As you said, Rick, you know, a lot of that attention went to wound care. Creating that specialized team, getting them on plane with the standard sort of operating mechanisms. I mean, it's a very boring answer, right?
We're essentially transforming from an applied materials science company to a medical device company and setting up the operating mechanisms, you know, a cross-functional leadership team with one owner, all of the things that make a big medical device segment go. In parallel, underneath that, really that portfolio optimization. You know, we had source of supply challenges. We've deployed a lot of CapEx in the first 14 months to help stabilize that, while at the same time, as Wayde mentioned, you know, really trimming a lot of the SKU exits that didn't make sense. A lot of those fell into my portfolio. It was, you know, a big, big dual combo of things to be done in that first year. You know, when we talk about what's next, it's really that transformation of our innovation engine. We've got amazing innovators in our R&D group at 3M, legendary ones.
What we didn't have was that rigorous process and governance and structure to make sure that you're meeting the customer's needs where they are. That involves looking outside of your technical capability and saying, in the case of IV site management, what are the needs at that site? And, you know, where are those adjacencies that you can look to for other areas that you need to develop or possible inorganic opportunities?
Yeah, no, that's a great starting place. Let's sort of unpack each of those a little bit. Specialized, because, you know, what can I say is somebody focused on a turnaround, you know, where are you now? You know, what's next? And how do you get to the, you know, where you need to go? Specialized sales team creation. Are the teams created or are you halfway there? Is that going to impact '26 or no, it's going to take longer? You know, set it up for us.
We are constantly messing with our mix, but I think the heaviest work has been done in all regions now. We've got specialized sales, clinical support people, and more importantly, specialized management, you know, to, again, drive that culture and that message. We've put upstream, downstream marketing in place. You know, again, very standard in the med device business, but getting those processes up and running, you know, I'd say we're about halfway there. I think we've got the team and the upgraded talent that we need to get this done.
The portfolio, like what percentage of, say it as you will, SKUs have been cut? Did you cut 5%, 20% of the business? Oops. Is the process basically done now?
Yeah, great. I can answer that for total Solventum, and then maybe Doug can add some color in his business. Maybe just a quick step back for context. When we first came into the business, right at the spin, we took a look at the number of SKUs, tens of thousands of SKUs, very complex supply chain and network across the business. 3M had done a good job of rationalizing negative or low profit SKUs, but there was still a lot of complexity out there. We launched our SKU rationalization program and it turned out to be two waves. The first wave, we intended for it to be one, but the first wave was really the pretty simple areas that we get.
We got about 5% of the SKUs out of that, but we wanted to go even a little deeper, but we needed more data and improved data insights to be able to do that. It took us a little longer to get what I would call decision grade data to really fine-tune that. We ended up getting 8% of our SKUs out. We had targeted between 5 and 10, so to get 8% out is really strong. What I would say is it does not have a huge impact on the ultimate sales growth rate or margin expansion. We will get a little bit of benefit there, but where it is going to help us is just the ability to manage our supply chain and the efficiencies downstream.
Taking 8% of our SKUs out on a global basis across the 90 countries, across our inventory stocking and supply chain management, it's a huge benefit. We are glad that we took the opportunity to stop, do that work. It's hard work. Doug would probably attest to the commercial and marketing teams. That's not the most fun work that they like to do at any period of time, but there will be significant downstream benefits for years to come around demand planning, supply planning, stocking. We also got the added benefit of, as we were spinning, we had to rebrand all of our products from 3M to Solventum. There was a cost to that. It's non-GAAP or out of our operating results, but it's still cash.
The ability and the work to do it, to be able to take out 8% of our SKUs so that we do not have to do the rebranding effort and cost on those, almost 10% of our SKUs as well, is really important. Doug, any insights from your business?
I mean, again, that 8% he talked about at the Solventum level, the lion's share of that fell into my business. And again, that's hard work for a commercial team to carry that message. But at the same time, remember, in parallel over the last year, we created our growth drivers. So really allowing them to then focus in on IV site management, on sterilization assurance, and take a little bit of the noise out of, you know, that big bag of products that we've had that really aren't the areas that we see that are strategic growers.
That's behind you.
That's right.
At the divisional level, you're saying.
Even total Solventum, we're not planning a wave three. This was the program to get it implemented. We'll always fine-tune SKUs for years to come, but we won't be talking about it at this level of materiality.
Okay. In practical terms, Doug, what's, so if you're not focusing on that and Wayde's on your back daily, I'm sure, to get it done, what does that for you to do? Are you now able to prioritize innovation or account opening? What's your top of your top two or three things you're focused on now?
The top things that we are focused on are increasing our adoption of our growth drivers. Full stop, right? I'm not discounting any of the other businesses that I have, but our product brands, and I say our product brands, the Tegaderms, the Bear Huggers, the Attest, these are things that every clinician knows by heart. That is how our reps identify themselves when they walk around. I want them to be on that story, on that message. That, again, eliminating some of that noise allows us to do that, focus on that more.
Yeah. It is not about account openings. It is going deeper in accounts or ensuring that, I mean, what, that current procedures are not using the whole portfolio. Help me understand just the.
It's about understanding what the best solution is for patients and then doing the walk with the customer to show them the means to adopt it. As an example, with IV site management, you know, we've had a powerful brand in Tegaderm for over 40 years, but a small percentage of our sales are antimicrobial, which we believe should be used in every type of IV.
I see.
It's only 25% penetrated. We have a lot of work to do. The nice thing is Tegaderm's a known entity in the hospital, but you have to make the connection between the guidelines and the standards that exist and then help the customer walk the walk and implement that protocol. That is where the power of specialization comes in. In the past, you would have a huge bag and you would have wound care and everything else. Now you have the time and the discipline to be able to go with the customer and implement hospital by hospital, bedside by bedside. We have had a lot of large systems that have responded well to that message in the first year. That is our sole focus, growing in those types of areas.
The same for lower hanging fruit, really.
Yeah, maybe to translate it to sales growth. Doug covered it really well. I would say it's really two-pronged, Rick, in the sense that it's like same store sales where you're upgrading your existing to antimicrobial. You get the uplift from your existing customers adopting the new technology, which we think is a flywheel that Doug's team is really starting to turn with the new product launches, both on the infection prevention and surgical solution side, as well as share adoption. We think with the improved specialized sales force, as well as the, you know, we've built the apparatus as well with key account management and layered in some of the more typical things you would see in a med device sales force that didn't exist under 3M in a more efficient structure. We do anticipate that we'll continue to drive share as well.
Yeah. I am sort of drilling into some of these things with you, Doug, and obviously you understand, because I feel like this is a proxy for, I am sure, what is going on throughout the company. Just coming back to the innovation engine, where are you in creating? Is it you, Doug, who you have your own R&D in the division unit, you know, focus? Where are you in creating that? Enough chit chat, when are we going to see some new products that are going to drive extra growth?
No, no, great, great fair question. Yes, the answer to your question is yes, I do have my own R&D. We have just implemented that, you know, as a part of our innovation transformation over the last six to nine months. We took what was a very, you know, compartmentalized group and have allocated it out to each business in a much more standard way in the med device world. Now it's about getting that process and those standards and our governance up and running. We're literally in the midst of doing that. I don't want to say we didn't have anything before because we've just launched in the sterilization space. We have three new products that we've launched in just the last quarter or two. Those are the first significant launches in that space in many years.
You have got to work out some of that muscle memory as an organization to get those launches right, get them global. You know, we have seen a great message that has come along with it and has been great. I have been literally in every one of our regions in the last six weeks and visited hospitals there. To see the power of sales teams around the world saying the same thing and customers hearing from them, you know, what you expect to hear and also things you can improve, like the team is just now getting that back into its DNA. It is exciting to see.
Yeah, Rick, I'd love to pick up at the total Solventum level too, because I like your question. Excuse me. As we think about the other businesses, we've put out specific new products that we think are starting to move the needle. In Doug's parallel business in advanced wound care, we've talked about Peel and Place, which we think is a real game changer in negative pressure wound therapy. We also have our Prevena product that's now back to growing double digits after we had some headwinds for the last couple of quarters. Internally, we've now got back to double digit growth there. I think two to watch for us are Prevena, as well as our Peel and Place and traditional. On the dental side, we've had several new launches there. That team is doing a really nice job of driving growth.
In fact, we grew very strong in Q3, but we talked about an underlying growth rate of 2%-3%, which was an improvement over the first half. That is off of those new products. That gives us the confidence to say that we continue to think Q4 will be stronger than the first half. That is all new, almost all new product driven. Even in HIS, we have launched autonomous coding and revenue integrity. Those new products, those are again like the same store sales concept where we have the ability to upgrade our existing customers. Within HIS, we also have the international expansion growth driver. Specific to your question around new products, those are the key areas to watch in each of our businesses to determine if we are going to be successful in continuing to drive our sales growth rate up.
That's great. Just looking at the bigger picture, Wayde, I get a lot of questions about the 3M separation progress, particularly as it relates to the TSA exits. You obviously gave us some updates when you reported the third quarter, maybe talk about those a little bit. I feel like the questions I get suggest that people aren't as clear as they would like to be. I'd like to be stronger in explaining to them. What talks us about the optimization is the primary reason to exit these to lower costs, to improve logistics, to optimize remaining facilities. What's the goal? What's the benefit? You know, where are we in realizing all those?
Yeah, boy, I'm glad you brought this one up. We've got one more year of separation-related activity, and it is significant, as you highlight. We have to separate from 3M, obviously, to be a standalone independent company. As part of that, we have to separate our ERP systems, our distribution centers, all of our related systems, as well as rebrand all of the products, and then also move manufacturing lines and really become independent companies. To your question, the primary goal is to separate from 3M and to be able to stand alone as a separate independent public company. As we do that, there are over 200 TSAs, and we're just over a third of the way through those with one more year. We really can't wait to get through the heavy lift of the separation here in 2026.
That will complete our transition off of 3M's ERPs, distribution centers, all of the line moves. Then we'll have a little bit more rebranding work to do after that and some of the raw materials. The bulk of the work that's being done will be done in 2026. To the question on what other tangent benefits or headwinds come with the separation, certainly as we roll off those TSAs, like all separating companies, you lose some scale advantage. Both 3M and us will have headwinds on certain spend that is tied to scale. We'll have some headwinds there. We also have a lot of new systems that we have to stand up for ourselves that will be newly amortized and new systems put in place. On the other side of it, we have an opportunity to rethink our structure and rethink our processes.
We're working on some of that now. The separation certainly soaks up a lot of our resources and time, but we're starting to plan for and working on what can we change as far as our processes and systems and automation go after we get standalone from 3M. There will be efficiencies to come on the other end. Our net goal of all this is to try to be at least as efficient and try to drive more efficiencies. You may have heard us in the Q3 call, Rick announced a new restructuring program, which is timely given that we've got additional headwinds coming here in 2026 with the annualization of tariffs as we know them today, as well as the TSA roll-offs we just talked about and then the P&F stranded costs.
If you put all that into the equation, we're layering in a new restructuring program, which is really going to be pulling on some typical playbook that we've had in the past, where we're going to be looking at areas to reduce low value spend. We'll be looking at indirect or procurement spend. We're looking at our structure. We're looking at our process. There's a team focused on manufacturing and supply chain inside of that. These are things I'm sure you've heard over the years from other companies where they've attacked certain areas. We've put this all into one program, including that systems and improved automation to capture it and so that we can go be very specifically focused on driving these efficiencies over the next few years.
I know you're really focused on driving it, and it just feels like you're picking up speed and moving through all these things. It's great to see. Doug, just going back to you, and Wayde mentioned IV site management underutilization. You've talked about it as well. Just talk to us a little bit more maybe about some of the specific factors moderating or limiting greater antimicrobial solution utilization. Do you need more products? Do you need expanded indications? Do you need data to make this all happen? Or you've got what you need, and it's just, as you said earlier, just sort of getting everybody on the same page and sort of focused on it.
I would say it's 80% that, right?
The latter.
The benefit, yes. The benefits of, you know, CHG and antimicrobial, it's well known, right? We have 25 plus studies that we don't need that. We don't need a new killer clinical. What we need is the awareness around IV infection rates and the costs of them to the hospital. As you mentioned, you know, how do we drive that penetration? In the past, we were focused on what are called specialty IVs, the PICCs, the ports, things that go directly into the patient's heart. Clinicians knew that they needed to cover those with antimicrobials. Peripheral IVs, and those are the kinds that we've all had whenever you've gone to the hospital or the emergency room, those cause infection too, right? They make up 90% of overall IVs. They are the most common invasive medical procedure in the world, over 1.2 billion of them.
The risk is very real. Now more guidelines, more standards, more, you know, societies around the world are recognizing this because now hospitals have that data resolution. What they do not have is the protocols, the, you know, the ability to say, how do we do this? Now working with those societies, taking those guidelines, and then to your point, the data that customers are looking for is show us the framework, show us where the gaps are, and then show us how your products are actually providing a benefit. We are in the early stages of doing that.
Great. U.S. versus O.U.S., what's your current, just your segment, the U.S. O.U.S. mix, what do you aspire to have it be and what steps are you making? I'm going to jump ahead and assume to expand your outside of U.S. business.
I don't think we report that resolution in my level, but I can tell you that we are, I am the more global of the businesses. I have a long background in doing global businesses. I think there's a tremendous amount of growth internationally. With certain products like ones that contain CHG, it's going to be a four- or five-year approval period versus the United States. As an example, in the United States, we launched five years ago Tegaderm antimicrobial. That's a new product in Asia and Europe this year. We are repeating that play. Again, same message, same discipline needed, but you know, you've got a natural gap. Just again, do some things outside of our control, but internationally the need is there just like it is in the US.
Doug, it might be worth talking sterilization assurance because that's another area that's getting a lot more focus within the hospital today.
Massive. Sterilization assurance is very personal to me. The products themselves are small disposable products that verify that instruments have been sterilized. The reason you do that is so you do not get surgical site infections. Three years ago, I almost died from a surgical site infection. This one, if you cannot, I can get very passionate around it, right? We have now launched three new products in the last two quarters, and it is all about helping customers to achieve standard, repeatable, consistent processes. The sterilization department in a hospital, if you went into one, you might not know you are in a hospital. You think you are in a factory. They work 24/7. They are constantly trying to turn instruments to get them back to the OR. They have some of the highest staff turnover ratios within the hospital.
Products that seem very simple, but help them make their processes repeatable and consistent versus different technicians doing things manually, which gives you inconsistent results. That is what e-Bowie Dick or Clear Test Pack launches are all about. Again, this is a team that is already specialized. They are very, very expert in what they do. They have not had anything new to talk about in years. It is really generating a lot of excitement.
Great application of the 3M applied science. Really, really incredible capability here.
Yeah. Wayde, turning from the elevated and life-affirming and changing and saving to the mundane, I know you're anxious to talk about guidance for the quarter and for 2026. I think Greg said I should push you to do that. Blame all the stuff on somebody else. It's my whole life work. But you're projecting fourth quarter organic growth of 2.2%. You have a tougher comp in the fourth quarter. What gives you confidence that you can drive another 2% plus quarter? Where are the opportunities if there were to be upside? Then we'll morph into your, this is where I think you said you'd give 2026 guidance.
Right. Yeah, I feel like we've had this conversation many times over the last 20 years.
Many times.
I would say absolutely we're planning to be at the high end of our annual guide, which is 2%-3% and 2.5%-3.5% on an underlying basis when you get to Q4 as you articulate the squeeze math as mid-two's there. That still has a bit of a headwind mostly in Doug's business where we're finalizing the give back of that extra volume in the first half that was related to the ERPs, the distribution centers, and the SKU communication where customers bought ahead. We're going to absorb the remaining piece of that in Q4. If not for that, we'd have closer to the same growth rate we've had in the last couple of years on an underlying basis when you normalize just for the volume headwinds. We are very confident. All three businesses are accelerating. All three segments are accelerating.
We're seeing good improvement. As you asked about 2026, we haven't given specific guidance yet. We'll do that on our February Q4 call, but we did give some color in that our expectation is we would see our underlying growth rate improve in 2026. We see good momentum here throughout the year and building, including the commercial improvements that we've talked about and the innovation improvements that are coming. We are expecting an improved underlying growth rate. We'll have a little more SKU headwinds, 100 basis points next year, so a little more SKU headwind. On an underlying basis, we expect our top line sales growth to continue to increase and then the bottom line operating margins as well. Inside of that sales growth, we expect all three businesses to increase their sales growth rate in 2026.
That is really because all three businesses have growth drivers that they are moving their strategy behind, and we are seeing good momentum in all three.
That's exciting. Just even hearing the change in your language, you know, over the last 12 to 18 months, just reflecting on growth, and we're going to run a little over here. At what point will you be ready to be more active on the M&A front? You've got one of my favorite world-class biz dev people recently hired. And when is she going to, you know, help you all grow externally as well? When are you going to be ready for that?
Oh, this is such an exciting change for us because just completed the P&F divesture and closed that, reshaped our balance sheet and our cash position. I am glad you call out Rachel because she is fantastic. She is bringing a whole new level of rigor and capability to our corporate development processes internally. We are building a strong pipeline, and we are getting ready to start to deploy some of that balance sheet strength. We do feel the inorganic part of our strategy is really important. We want to continue to pepper in programmatic acquisitions over time. As Doug highlighted in his business, he has got a specialized sales force now, and we have built that apparatus, commercial apparatus, much stronger.
Now to be able to take programmatic and tuck in acquisitions and layer them into that structure, we think we've got a scale advantage over a lot of the competitors that we deal with today. We'll be able to, we think, really maximize value out of acquisitions. As you know from Bryan and my past, we've had good success with acquiring faster growing earlier stage technologies that are ready to be built into the commercial structure that we have to help them accelerate. That is a big part of what Rachel's doing for us here and building out those capabilities. I do think portfolio management is going to be a big part of our success going forward as well.
That's exciting. I hate to stop because I got like six more pages of questions for you, but it's just great to see the momentum. Great to meet you and hear about all the success that's happening there and look forward to much more. Thank you for being here.