Abbott Reports Second-Quarter 2023 Results; Increases Outlook For Underlying Base Business

On July 20, 2023 Abbott (NYSE: ABT) reported financial results for the second quarter ended June 30, 2023 (Press release, Abbott, JUL 20, 2023, View Source [SID1234633329]).

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Second-quarter GAAP diluted EPS of $0.78 and adjusted diluted EPS of $1.08, which excludes specified items.
Projected full-year 2023 diluted EPS on a GAAP basis of $3.02 to $3.22.
Projected full-year adjusted EPS of $4.30 to $4.50 remains unchanged but reflects an increased outlook for the underlying base business offset by a lower forecasted earnings contribution from COVID-19 testing-related sales.
Abbott now projects full-year 2023 organic sales growth, excluding COVID-19 testing-related sales1, to be in the low double-digits2 and COVID-19 testing-related sales of approximately $1.3 billion.
In May, Abbott received U.S. Food and Drug Administration (FDA) approval of its TactiFlex Ablation Catheter, Sensor Enabled, the world’s first ablation catheter with a unique flexible electrode tip and contact force sensing technology to treat patients with atrial fibrillation (AFib).
In June, Abbott announced its FreeStyle Libre 2 system is the first and only continuous glucose monitoring (CGM) system to receive expanded national reimbursement in France to now include all people with diabetes who use insulin.
In June, Abbott received U.S. FDA approval of its AVEIR dual chamber (DR) leadless pacemaker system, the world’s first dual chamber leadless pacing system that treats people with abnormal heart rhythms.
"We’re achieving strong growth in our underlying base business," said Robert B. Ford, chairman and chief executive officer, Abbott. "We expect our highly productive pipeline to sustain the momentum we’re building this year and position us well for growth in the future."

SECOND-QUARTER BUSINESS OVERVIEW
Management believes that measuring sales growth rates on an organic basis, which excludes the impact of foreign exchange, the impact of exiting the pediatric nutrition business in China, and the impact of the acquisition of Cardiovascular Systems, Inc. (CSI) is an appropriate way for investors to best understand the core underlying performance of the business. Management further believes that measuring sales growth rates on an organic basis excluding COVID-19 tests is an appropriate way for investors to best understand underlying base business performance as the COVID-19 pandemic has shifted to an endemic state, resulting in significantly lower demand for COVID-19 tests.

Note: In order to compute results excluding the impact of exchange rates, current year U.S. dollar sales are multiplied or divided, as appropriate, by the current year average foreign exchange rates and then those amounts are multiplied or divided, as appropriate, by the prior year average foreign exchange rates.

Second Quarter 2023 Results (2Q23)

Sales 2Q23 ($ in millions)

Total Company

Nutrition

Diagnostics

Established
Pharmaceuticals

Medical Devices

U.S.

3,758

881

961

1,913

International

6,220

1,195

1,356

1,287

2,382

Total reported

9,978

2,076

2,317

1,287

4,295

% Change vs. 2Q22

U.S.

(23.2)

15.7

(60.7)

n/a

13.3

International

(2.3)

0.3

(26.8)

5.2

13.6

Total reported

(11.4)

6.3

(46.0)

5.2

13.5

Impact of foreign exchange

(2.5)

(3.0)

(1.3)

(7.4)

(1.9)

Impact of CSI acquisition

0.4

1.2

Impact of business exit

(0.1)

(0.6)

Organic

(9.2)

9.9

(44.7)

12.6

14.2

Impact of COVID-19 testing sales (3)

(20.7)

(51.8)

Organic (excluding COVID-19 tests)

11.5

9.9

7.1

12.6

14.2

U.S.

10.9

15.7

5.2

n/a

11.0

International

11.9

6.1

8.2

12.6

16.8

First Half 2023 Results (1H23)

Sales 1H23 ($ in millions)

Total Company

Nutrition

Diagnostics

Established
Pharmaceuticals

Medical Devices

U.S.

7,686

1,693

2,296

3,691

International

12,039

2,350

2,709

2,476

4,504

Total reported

19,725

4,043

5,005

2,476

8,195

% Change vs. 1H22

U.S.

(21.8)

17.7

(55.4)

n/a

14.2

International

(9.6)

(2.4)

(38.4)

4.4

8.6

Total reported

(14.8)

5.1

(47.6)

4.4

11.0

Impact of foreign exchange

(2.9)

(3.4)

(1.6)

(7.5)

(2.9)

Impact of CSI acquisition

0.2

0.6

Impact of business exit

(0.2)

(1.6)

Organic

(11.9)

10.1

(46.0)

11.9

13.3

Impact of COVID-19 testing sales (3)

(22.6)

(51.7)

Organic (excluding COVID-19 tests)

10.7

10.1

5.7

11.9

13.3

U.S.

11.7

17.7

2.7

n/a

12.9

International

10.2

5.4

7.5

11.9

13.7

See table titled "Non-GAAP Revenue Reconciliation" for a reconciliation of adjusted historical revenue to reported revenue.

Nutrition

Second Quarter 2023 Results (2Q23)

Sales 2Q23 ($ in millions)

Total

Pediatric

Adult

U.S.

881

507

374

International

1,195

517

678

Total reported

2,076

1,024

1,052

% Change vs. 2Q22

U.S.

15.7

22.5

7.6

International

0.3

1.1

(0.2)

Total reported

6.3

10.6

2.5

Impact of foreign exchange

(3.0)

(2.3)

(3.5)

Impact of business exit

(0.6)

(1.6)

Organic

9.9

14.5

6.0

U.S.

15.7

22.5

7.6

International

6.1

7.5

5.2

Worldwide Nutrition sales increased 6.3 percent on a reported basis and 9.9 percent on an organic basis in the second quarter. Refer to table titled "Condensed Consolidated Statement of Earnings" for a reconciliation of adjusted historical revenue to reported revenue.

In Pediatric Nutrition, global sales increased 10.6 percent on a reported basis and 14.5 percent on an organic basis. In the U.S., sales growth of 22.5 percent was primarily driven by continued market share recovery in the infant formula business following a voluntary recall of certain products last year.

In Adult Nutrition, global sales increased 2.5 percent on a reported basis and 6.0 percent on an organic basis, which was led by strong global growth of Ensure, Abbott’s market-leading complete and balanced nutrition brand.

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First Half 2023 Results (1H23)

Sales 1H23 ($ in millions)

Total

Pediatric

Adult

U.S.

1,693

966

727

International

2,350

982

1,368

Total reported

4,043

1,948

2,095

% Change vs. 1H22

U.S.

17.7

28.6

5.8

International

(2.4)

(3.8)

(1.4)

Total reported

5.1

9.9

1.0

Impact of foreign exchange

(3.4)

(2.6)

(4.1)

Impact of business exit

(1.6)

(3.8)

Organic

10.1

16.3

5.1

U.S.

17.7

28.6

5.8

International

5.4

6.4

4.8

Diagnostics

Second Quarter 2023 Results (2Q23)

Sales 2Q23 ($ in millions)

Total

Core Laboratory

Molecular

Point of Care

Rapid
Diagnostics *

U.S.

961

311

43

99

508

International

1,356

982

98

43

233

Total reported

2,317

1,293

141

142

741

% Change vs. 2Q22

U.S.

(60.7)

8.6

(40.1)

(2.3)

(74.4)

International

(26.8)

5.1

(29.9)

13.1

(68.5)

Total reported

(46.0)

5.9

(33.3)

1.9

(72.8)

Impact of foreign exchange

(1.3)

(3.6)

(1.2)

(0.5)

(0.5)

Organic

(44.7)

9.5

(32.1)

2.4

(72.3)

Impact of COVID-19 testing sales (3)

(51.8)

(0.6)

(30.8)

(75.6)

Organic (excluding COVID-19 tests)

7.1

10.1

(1.3)

2.4

3.3

U.S.

5.2

9.4

3.4

(2.3)

4.0

International

8.2

10.4

(3.1)

15.2

2.3

As expected, Diagnostics sales growth in the second quarter was negatively impacted by year-over-year declines in COVID-19 testing-related sales3. Worldwide COVID-19 testing sales were $263 million in the second quarter of 2023 compared to $2.324 billion in the second quarter of the prior year.

Excluding COVID-19 testing-related sales, global Diagnostics sales increased 4.3 percent on a reported basis and 7.1 percent on an organic basis.

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First Half 2023 Results (1H23)

Sales 1H23 ($ in millions)

Total

Core Laboratory

Molecular

Point of Care

Rapid
Diagnostics *

U.S.

2,296

600

90

192

1,414

International

2,709

1,875

198

84

552

Total reported

5,005

2,475

288

276

1,966

% Change vs. 1H22

U.S.

(55.4)

8.2

(63.2)

0.1

(66.0)

International

(38.4)

1.3

(48.9)

11.2

(73.5)

Total reported

(47.6)

2.9

(54.4)

3.2

(68.5)

Impact of foreign exchange

(1.6)

(4.4)

(1.1)

(0.8)

(0.6)

Organic

(46.0)

7.3

(53.3)

4.0

(67.9)

Impact of COVID-19 testing sales (3)

(51.7)

(1.3)

(38.8)

(73.6)

Organic (excluding COVID-19 tests)

5.7

8.6

(14.5)

4.0

5.7

U.S.

2.7

9.2

(21.0)

0.1

1.5

International

7.5

8.5

(11.6)

14.0

12.3

*The Acelis Connected Health business was internally transferred from Rapid Diagnostics to Heart Failure on January 1, 2023. As
a result, $28 million of sales in the second quarter of 2022 and $57 million in the first half 2022 were moved from Rapid Diagnostics
to Heart Failure.

Established Pharmaceuticals

Second Quarter 2023 Results (2Q23)

Sales 2Q23 ($ in millions)

Total

Key Emerging
Markets

Other

U.S.

International

1,287

990

297

Total reported

1,287

990

297

% Change vs. 2Q22

U.S.

n/a

n/a

n/a

International

5.2

4.6

7.1

Total reported

5.2

4.6

7.1

Impact of foreign exchange

(7.4)

(8.4)

(4.4)

Organic

12.6

13.0

11.5

U.S.

n/a

n/a

n/a

International

12.6

13.0

11.5

Established Pharmaceuticals sales increased 5.2 percent on a reported basis and 12.6 percent on an organic basis in the second quarter.

Key Emerging Markets include several emerging countries that represent the most attractive long-term growth opportunities for Abbott’s branded generics product portfolio. Sales in these geographies increased 4.6 percent on a reported basis and 13.0 percent on an organic basis, led by growth in several geographies and therapeutic areas, including gastroenterology, women’s health, and central nervous system/pain management.

First Half 2023 Results (1H23)

Sales 1H23 ($ in millions)

Total

Key Emerging
Markets

Other

U.S.

International

2,476

1,902

574

Total reported

2,476

1,902

574

% Change vs. 1H22

U.S.

n/a

n/a

n/a

International

4.4

2.7

10.8

Total reported

4.4

2.7

10.8

Impact of foreign exchange

(7.5)

(8.0)

(5.5)

Organic

11.9

10.7

16.3

U.S.

n/a

n/a

n/a

International

11.9

10.7

16.3

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Medical Devices

Second Quarter 2023 Results (2Q23)

Sales 2Q23 ($ in millions)

Total

Rhythm
Management

Electro-

physiology

Heart
Failure *

Vascular

Structural
Heart

Neuro-
modulation

Diabetes
Care

U.S.

1,913

269

245

226

264

219

185

505

International

2,382

314

308

69

451

279

42

919

Total reported

4,295

583

553

295

715

498

227

1,424

% Change vs. 2Q22

U.S.

13.3

2.0

8.8

8.9

15.4

5.9

17.6

26.6

International

13.6

10.3

18.7

11.9

6.1

19.8

5.1

15.8

Total reported

13.5

6.3

14.1

9.6

9.3

13.3

15.1

19.4

Impact of foreign exchange

(1.9)

(1.9)

(2.8)

(0.3)

(2.3)

(1.5)

(1.1)

(2.0)

Impact of CSI acquisition

1.2

6.6

Organic

14.2

8.2

16.9

9.9

5.0

14.8

16.2

21.4

U.S.

11.0

2.0

8.8

8.9

(1.9)

5.9

17.6

26.6

International

16.8

14.0

23.9

13.2

8.7

22.6

10.5

18.8

Worldwide Medical Devices sales increased 13.5 percent on a reported basis and 14.2 percent on an organic basis in the second quarter. Sales growth was led by double-digit organic growth in Diabetes Care, Electrophysiology, Structural Heart and Neuromodulation. Several recently launched products and new indications contributed to the strong performance, including Amplatzer Amulet, Navitor, TriClip, and Aveir.

In Electrophysiology, internationally, sales grew high-teens on a reported basis and more than 20 percent on an organic basis, which includes high-teens growth in Europe.

In Diabetes Care, FreeStyle Libre sales were $1.3 billion, which represents sales growth of 22.9 percent on a reported basis and 24.7 percent on an organic basis.

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First Half 2023 Results (1H23)

Sales 1H23 ($ in millions)

Total

Rhythm
Management

Electro-

physiology

Heart
Failure *

Vascular

Structural
Heart

Neuro-
modulation

Diabetes
Care

U.S.

3,691

529

483

444

482

429

340

984

International

4,504

581

575

132

850

530

83

1,753

Total reported

8,195

1,110

1,058

576

1,332

959

423

2,737

% Change vs. 1H22

U.S.

14.2

3.2

9.4

10.0

10.3

8.1

13.2

32.7

International

8.6

3.6

8.7

14.1

1.8

16.8

9.1

11.2

Total reported

11.0

3.4

9.0

10.9

4.7

12.8

12.4

18.1

Impact of foreign exchange

(2.9)

(2.8)

(3.8)

(0.8)

(3.1)

(2.7)

(1.4)

(3.1)

Impact of CSI acquisition

0.6

3.4

Organic

13.3

6.2

12.8

11.7

4.4

15.5

13.8

21.2

U.S.

12.9

3.2

9.4

10.0

1.3

8.1

13.2

32.7

International

13.7

8.9

15.7

17.4

6.1

22.0

16.1

15.8