Imminent Medtronic Changes

I’ve long since wondered about the future of Medtronic’s diabetes division. Their pump sales and renewals are down, while Tandem sets record growth quarter over quarter. Tandem is now out-selling Medtronic, and about half of their growth is from Medtronic conversions, the other half being MDI conversions. I’ve been wondering if they would do like Johnson & Johnson did with Animas when it wasn’t profitable enough anymore.

I found this article from a few days ago interesting. Medtronic has admitted during their most recent earnings call that change is imminent for their diabetes division, but did not clarify yet as to how. There’s mention of divestiture.

https://www.mddionline.com/markets/expect-big-changes-medtronic

Martha also said the management team will be looking at the Medtronic portfolio with a more critical eye, with a focus on growth, and creating shareholder value.

“I’d be surprised if there weren’t changes over the coming fiscal year, but I don’t know yet if they will be smaller or more significant,” he said.

“With shares at the low end of their two-year average valuation (17.4x currently vs. 20.9x on average), limited expectations exist for [Medtronic] and we think now is a good time to rationalize [Medtronic’s] portfolio, shed lower growth areas, and reinvest in the business as multiple expansion seems unlikely until these initiatives are progressed,” Ryan Zimmerman, a medtech analyst at BTIG, said in a report Tuesday.

Zimmerman also suggested that Medtronic’s diabetes unit could be a likely target for portfolio optimization, given its dilutive growth rates. As Martha has previously acknowledged, Medtronic has been missing out on the better growth of the diabetes market, and the company has increased its investments in the space in an effort to catch up with its peers. The diabetes business is also currently working through quality assurance issues that FDA flagged in a warning letter late last year.

Robbie Marcus, a medtech analyst at J.P. Morgan, tried to get Martha to elaborate a bit more on the potential changes we might see from the company.

“At the J.P. Morgan conference, you first mentioned maybe doing some bigger changes to the business. You mentioned it again today,” Marcus said. “I was just hoping you could give us a little flavor for what you’re thinking. Is it divestitures? Is it a bigger breakup of the company? And what’s the time frame we should be thinking about for some of the larger potential actions?”

While Martha declined to get into specifics, his reply does give us at least a vague idea of what his line of thinking is.

“Our north star is durable growth. And we’re looking at our businesses and we’re evaluating them for, one, how well they fit into the portfolio, how well they fit into our strategy, are we the right owners of these assets? And then how we, Medtronic, add value and grow these businesses,” he said. “It’s still at this point like I said at the conference, we don’t know if these changes will be significant or more limited.”

While I’m not a personal fan of Medtronic’s pumps for me, I do appreciate that their competition is what drives innovation. In fact, it’s no secret that I’m a lot mad at Tandem for sitting on their long finalized Mobi product, and I think it’s because Medtronic isn’t providing that competition right now. They can afford to sit on the Mobi because the X2 and Control-IQ is enough of a draw as it is. I also appreciate that the Medtronic system works independent of optimal settings, and that it might be a good choice for those without a good care team to make adjustments.

There’s a lot of excitement over Beta Bionics dual-hormone pump, but we’re still a few years off from that. I don’t know how competition the insulin-only pump will create when it gets regulatory approval.

Are we really only capable of supporting 2 or 3 pump manufacturers at time?

5 Likes

Very informative. Thank you for sharing this.

There are several players who are close to entering the market and no doubt the pump market will change in the next 15 months. With BigFoot, Eli Lilly and Yipso among others perhaps joining the market competition will certainly heat up, a lot…

With regard to Medtornic I think the writer revels his position at the end of the article when they say the spin is in. Meaning it is likely that large companies will look to spin off divisions into new companies. This might make sense for Medtronic diabetes or not but that will be a more financial than medical decision. Usually the best time to spin a division is when that division is perceived as profitable or on the verge of a breakthrough. However there are plenty of examples of struggling division being shed as a company is reducing its footprint. So who knows? That decision is way above my head.

The biggest issue of immediate concern is the FDA warning letter and its impact on the introduction of the 780G pump and the revision of the CGM product. The longer the process draws out, especially if as it draws out the company is prevented from getting approval for the 780g system the more important it becomes. In my view that is unfortunate since the recall was well known in the day and each of us had the chance to send in the remote bolus device and the 500 series pump that made room for the DIY closed loop systems.

What is clear is that Medtronic has a good future pipeline and in the last two months they have internally advanced the product line. My perception for what it is worth is that Mr. Martha is a breath of fresh air and he has taken it seriously that Medtronic needs to advance it offerings to stay relevant. Personally having heard him speak over the last 5-8 months I will say he is great so time will tell how fast and how far Mr Martha will take the company.

rick

Note: *I am a Medtronic ambassador. My opinions are my own. They did not pay me to say nice things. OK, they sent me a shirt and a cup but even I am more expensive than that. I honestly know about as much as most and far less than many. *

We need more pumps on the market not fewer. Competition is what drives the market.

We are where we are because of big pharma buying up the small pump companies.

Medtronic bought out Minimed. JnJ bought Animas then decided to end it.

Medtronic makes a good pump, my last one lasted 5 years with no issues. The only thing I hated were the sensors, I know they are better now, but it’s was many tries of different sensors with no luck.

If Medtronic wants to sell more pumps, then they should open it up to Dexcom.

I’m going to get a Mobi as soon as it comes out because I think it will be exactly what I’ve wanted. I assume Medtronic will come up with something similar at some point

3 Likes