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Smith & Nephew Plc

Smith & Newphew confident to increase 2019 revenue guidance again

Smith & Nephew (LON:SN, NYSE:SNN), the global medical technology business, announced its trading report for the third quarter ended 28 September 2019.


Strong Q3 revenue growth, building on the progress made in the first half 

·    Q3 revenue up 4.0% on an underlying basis; reported growth was 6.5% as 390bps benefit of acquisitions outweighed 140bps currency headwind 

·    Orthopaedics delivered 3.4% revenue growth, maintaining good momentum established in the first half

·    Sports Medicine & ENT accelerated from strong first half, delivering 6.9% revenue growth

·    Advanced Wound Management revenue up 2.1%, an improvement from second quarter

·    Continued mid-teens growth from the Emerging Markets, led by another quarter of strong growth in China

·    Osiris delivered a second quarter of double-digit growth following acquisition

Full year guidance updated

·    Underlying revenue growth expected to be in the range 3.5% to 4.5%

·    Trading profit margin expected to be around 22.8%

Change of Chief Executive Officer

·    On 21 October 2019 it was announced that Roland Diggelmann has been appointed Chief Executive Officer, effective 1 November 2019, replacing Namal Nawana

Graham Baker, Chief Financial Officer, said:

“We’re pleased to have delivered organic revenue growth of 4% in the third quarter, a further step towards growing at or above our markets.

“We’ve built momentum across the first nine months of the year and, at the same time,   continued to invest behind our commercial teams and acquisitions to support sustained success over the medium-term. As a result, we’re confident to increase 2019 revenue guidance again.”

Analyst conference call

A conference call to discuss Smith+Nephew’s third quarter results will be held today at 10.00am GMT / 6.00am EDT, details of which can be found at www.smith-nephew.com/results.

Forward calendar

The full year results will be released on 20 February 2020.


1.   All numbers given are for the quarter or nine months ended 28 September 2019 unless stated otherwise.

2.   Unless otherwise specified as ‘reported’ all revenue growth throughout this document is ‘underlying’ after adjusting for the effects of currency translation and including the comparative impact of acquisitions and excluding disposals. All percentages compare to the equivalent 2018 period.

Underlying revenue growth is used to compare the revenue in a given period to the comparative period on a like-for-like basis. Underlying revenue growth reconciles to reported revenue growth, the most directly comparable financial measure calculated in accordance with IFRS, by making adjustments for the effect of acquisitions and disposals and the impact of movements in exchange rates (currency impact), as described below.

The effect of acquisitions and disposals measures the impact on revenue from newly acquired material business combinations and recent material business disposals. This is calculated by comparing the current year, constant currency actual revenue (which include acquisitions and exclude disposals from the relevant date of completion) with prior year, constant currency actual revenue, adjusted to include the results of acquisitions and exclude disposals for the commensurate period in the prior year.

The ‘constant currency exchange effect’ is a measure of the increase/decrease in revenue resulting from currency movements on non-US Dollar sales and is measured as the difference between: 1) the increase/decrease in the current year revenue translated into US Dollars at the current year average exchange rate and the prior revenue translated at the prior year rate; and 2) the increase/decrease being measured by translating current and prior year revenues into US Dollars using the prior year closing rate.

3.   Following the Group’s announcement that from 1 January 2019 it would report quarterly revenue for three global franchises of Orthopaedics, Sports Medicine & ENT, and Advanced Wound Management, replacing the previous structure, on 25 March 2019 Smith+Nephew published its Re-presented Historical Quarterly Revenue Analysis to assist comparability with historical data.

Franchise Highlights for the Third Quarter

Smith+Nephew’s franchise-led operating model is driving growth by bringing a greater focus to serving customers with our portfolio of leading technologies. Our three global franchises are Orthopaedics, Sports Medicine & ENT, and Advanced Wound Management.


Our Orthopaedics franchise delivered 3.4% revenue growth in the quarter, as we maintained the good momentum established in the first half of the year. 

Revenue from Knee Implants was up 4.6%, once again led by demand for JOURNEY II and LEGION Revision knee systems.

Hip Implants revenue was up 2.6%, driven by demand for POLAR3 Total Hip Solution and REDAPT Revision Hip System.

Other Reconstruction delivered revenue growth of 1.5%. Strong growth from our robotics-assisted NAVIO Surgical System was offset by a strong pro forma comparable period in Q3 2018 from the BrainLab orthopaedic joint reconstruction business acquired on 31 May 2019. During the quarter we completed the acquisition of Atracsys Sàrl, whose fusionTrack 500 optical tracking camera will be a core enabling technology for our next generation robotics-assisted surgical platform.

Trauma revenue growth was 2.2%. We continued to build on recent additions to the EVOS System, and launched the EVOS WRIST Plating System. The TRIGEN INTERTAN Intertrochanteric Hip Fracture Nail continued to perform strongly, and we introduced an innovative assurance programme to further support this product.

Sports Medicine & ENT

Our Sports Medicine & ENT franchise accelerated from its strong first half performance, delivering 6.9% revenue growth in the third quarter.

Sports Medicine Joint Repair delivered 12.2% revenue growth, its third consecutive quarter of double digit growth. Our performance was strong across both our knee and shoulder repair ranges, and across all regions. We announced new performance data supporting the recently acquired NOVOSTITCH Meniscal Repair System.

Arthroscopic Enabling Technologies returned to growth this quarter, with revenue up 0.8%. New products, including the WEREWOLF COBLATION FLOW 90 Wand with FLOW~IQ Technology, which brings this technology to shoulder repair, and new mechanical resection blades, have started to meaningfully contribute to growth. We launched the LENS 4K Surgical Imaging System late in the quarter.

ENT delivered 5.3% growth as we continued to successfully convert hospitals to using our COBLATION technology when conducting tonsil and adenoid procedures.

Advanced Wound Management

Our Advanced Wound Management franchise delivered 2.1% revenue growth, an improvement from the previous quarter.

Advanced Wound Care declined -1.8%, similar to the previous quarter. Performance in Europe improved over recent quarters, an early consequence of contract and tender wins, although this was offset by price pressure in the US.

Advanced Wound Bioactives delivered 2.1% growth, a marked improvement over the first half. The recently acquired Osiris portfolio continues to perform strongly, delivering double digit growth.

Advanced Wound Devices delivered another quarter of strong growth, with revenue up 15.4%. Performance was supported by our traditional negative pressure system RENASYS in the US. We completed the US launch of PICO 7Y Single Use Negative Pressure Wound Therapy System with AIRLOCK Technology during the quarter, which enables the utilisation of two dressings concurrently from one pump, allowing for two wounds or incisions to be addressed simultaneously.

Regional Performance in the Third Quarter

We delivered revenue growth of 1.5% from Established Markets in the third quarter. Both the US, up 2.7%, and Other Established Markets, down -0.3%, delivered improved performances over the previous quarter.

Performance in the Emerging Markets remained strong, with revenue up 16.0%. We again delivered a stand-out performance in China.

Change of Chief Executive Officer

On 21 October 2019 we announced the appointment of Roland Diggelmann as the Company’s new Chief Executive Officer from 1 November 2019, replacing Namal Nawana. Roland was previously Chief Executive Officer of Roche Diagnostics and a Non-Executive Director of Smith+Nephew. Namal will be employed and provide advice and assistance to Roland in his new role until 31 December 2019 to help ensure a smooth transition.

Full Year Guidance Updated

Smith & Nephew’s underlying revenue growth in the first nine months of 2019 was 3.9%, driven by our teams across all three global franchises.

As a result of this sustained improved performance, we have raised full year guidance by 50bps, and now expect underlying revenue growth in the range of 3.5% to 4.5% for 2019.

The reported revenue growth rate is expected to be in the range of 3.9% to 4.9% including a 230bps reduction from foreign exchange rates prevailing on 25 October 2019 and a 270bps increase from the Ceterix, Osiris, Leaf, BrainLab OJR and Atracsys acquisitions.

We now expect 2019 trading profit margin to be around 22.8%, which is the lower end of the previously guided range and around 40bps improvement over 2018, excluding the prior year, one-off legal settlement (of 50bps). This reflects our decision to continue to invest in opportunities to support medium-term growth, dilution from the acquisitions, and a small foreign exchange headwind in the second half of 2019.

We continue to expect the tax rate on trading results for 2019 to be in the range of 19% to 21%, subject to any material changes to tax law or other one-off items.

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