ABBOTT LABORATORIES annual report, FY2018

Abbott Laboratories 2018 Form 10-K Summary

Business context and reporting period

Abbott Laboratories filed its Form 10-K for the fiscal year ended December 31, 2018. Abbott is a diversified global healthcare company operating through Established Pharmaceutical Products, Diagnostic Products, Nutritional Products, and Cardiovascular and Neuromodulation Products. Diabetes Care is included in “Other.” Approximately 65% of 2018 net sales were generated outside the United States, and the company employed approximately 103,000 people at year-end.

The filing is an annual report rather than a standalone quarterly filing. Fourth-quarter 2018 net sales were $7.765 billion, compared with $7.589 billion in fourth-quarter 2017. Fourth-quarter earnings from continuing operations were $655 million, compared with a loss of $864 million in the prior-year quarter.

Key financial metrics

Metric20182017Change or observation
Net sales$30.578 billion$27.390 billionIncreased 11.6%
Operating earnings$3.650 billion$1.564 billionOperating margin improved to approximately 11.9% from 5.7%
Gross margin51.3%47.5%Improved 380 basis points
Earnings from continuing operations$2.334 billion$353 million2017 was reduced by significant tax and acquisition-related items
Net earnings$2.368 billion$477 millionNet margin was approximately 7.7%
Diluted EPS from continuing operations$1.31$0.20Improved substantially
Net cash from operating activities$6.300 billion$5.570 billionIncreased $730 million
Capital expenditures$1.394 billion$1.135 billionIncreased $259 million
Cash dividends paid$1.974 billion$1.849 billionDeclared dividend increased to $1.16 per share
Cash and cash equivalents$3.844 billion$9.407 billionDeclined primarily from debt repayment and dividends
Total debt carrying amount$19.366 billion$27.718 billionReduced by approximately $8.3 billion net
Total assets$67.173 billion$76.250 billionDeclined primarily after debt reduction and currency effects

Segment sales were $9.437 billion for Cardiovascular and Neuromodulation, $7.495 billion for Diagnostics, $7.229 billion for Nutritionals, and $4.422 billion for Established Pharmaceuticals. Reported segment operating earnings were $2.896 billion, $1.868 billion, $1.652 billion, and $894 million, respectively. Diagnostics benefited substantially from the inclusion of Alere, while Cardiovascular and Neuromodulation benefited from the inclusion of St. Jude Medical for a full year.

Material changes versus the prior comparable period

  • Sales growth of 11.6% reflected the Alere acquisition, volume growth across businesses, and an unfavorable foreign-exchange impact of approximately 0.4 percentage points. Price reduced sales growth by approximately 1.0 percentage point.
  • Diagnostics sales increased 33.6% excluding foreign exchange, including the full-year impact of Alere. Excluding Alere and foreign exchange, Diagnostics sales increased 6.5%.
  • Cardiovascular and Neuromodulation sales increased 5.9% reported, or 4.9% excluding foreign exchange, led by Electrophysiology, Structural Heart, and Neuromodulation.
  • Established Pharmaceuticals sales increased 3.2% reported, or 7.0% excluding foreign exchange, led by India and China. Nutritionals sales increased 4.4% reported, or 4.9% excluding foreign exchange.
  • Operating margin improved by approximately six percentage points, primarily from business margin improvements and lower inventory step-up amortization and integration costs, partly offset by higher intangible amortization.
  • Research and development expense was $2.3 billion, essentially flat with 2017. Selling, general and administrative expense increased 6.1%, largely due to the full-year impact of Alere and increased growth investments.
  • Abbott repaid approximately $8.3 billion of debt net of borrowings, including $4.0 billion of debt redeemed in October 2018. It also issued approximately $4.0 billion of euro-denominated debt in September 2018.
  • Interest expense declined to $826 million from $904 million, primarily because of debt repayment. Abbott recorded $167 million of debt extinguishment costs, including a $153 million charge related to the October debt redemption and related interest-rate-swap unwinding.
  • 2018 results included $130 million of additional tax expense related to finalizing the Tax Cuts and Jobs Act accounting. The cumulative TCJA tax expense reached approximately $1.59 billion, with approximately $1.58 billion of transition-tax obligations remaining payable over eight years.

Guidance, outlook, commentary, risks and unusual items

Management did not provide a specific 2019 revenue or earnings forecast in the filing. Abbott stated that 2019 priorities include expanding Alinity diagnostics, growing Electrophysiology, Heart Failure and Structural Heart, broadening nutrition products, expanding emerging-market pharmaceuticals, and increasing adoption of the FreeStyle Libre continuous glucose monitoring system. Research and development spending is expected to approximate 7.5% of 2019 sales.

  • Abbott expects operating cash flow to continue to exceed capital expenditures and cash dividends. Planned 2019 pension contributions were approximately $380 million.
  • Abbott had $5 billion of available unsecured revolving credit capacity under an agreement expiring in 2023 and stated that it expects to maintain an investment-grade credit rating. Year-end ratings were BBB from Standard & Poor’s and Baa1 from Moody’s.
  • Goodwill was $23.3 billion and net intangible assets were $18.9 billion at December 31, 2018. Intangible amortization was $2.2 billion in 2018, with estimated annual amortization of approximately $2.0 billion in 2019 and $2.2 billion in 2020.
  • Approximately 45% of consolidated gross revenues were subject to rebates and allowances. Rebates and chargebacks were approximately $3.0 billion in 2018; a one-percentage-point increase in the rebate rate on related gross sales would reduce net sales by approximately $160 million.
  • Legal and environmental proceedings had an estimated possible loss range of $125 million to $165 million, with approximately $145 million accrued at year-end. Management did not expect the ultimate resolution to materially affect financial position, cash flows, or results of operations.
  • Key risks include healthcare pricing and reimbursement pressure, extensive regulatory requirements, product safety or recall exposure, patent and intellectual-property challenges, manufacturing and supplier disruptions, foreign-exchange volatility, cybersecurity and data-privacy incidents, international political and economic conditions, and integration or execution risks from acquisitions.
  • Abbott received an FDA warning letter concerning its Sylmar, California facility acquired with St. Jude Medical and was implementing corrective actions.
  • Abbott early-adopted several accounting standards in 2018. The new revenue standard increased retained earnings by $23 million at adoption, and the company expected the new lease standard to add approximately $800 million to $900 million of operating lease right-of-use assets and liabilities beginning in 2019.

Most important facts for an investor to verify

  • Whether Diagnostics and Cardiovascular and Neuromodulation growth remains strong after acquisition-related comparisons normalize.
  • Progress in reducing debt and the effect of approximately $19.4 billion of reported debt, future interest costs, and scheduled maturities.
  • The sustainability of the improved operating margin after excluding acquisition integration benefits, inventory step-up effects, restructuring charges, debt extinguishment costs, and tax items.
  • Alere and St. Jude Medical integration results, including the substantial goodwill and intangible-asset balances subject to impairment risk.
  • Rebate accrual assumptions, pricing pressure in coronary stents, and reimbursement changes affecting nutrition, diabetes care, diagnostics, and medical devices.
  • Regulatory remediation at the Sylmar facility and the potential effect of product-quality, safety, recall, or litigation matters.
  • Adoption of the 2019 lease standard and the final treatment of the remaining TCJA transition-tax obligation.