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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 14A
Proxy Statement Pursuant to Section 14(a)
of the Securities
Exchange Act of 1934
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o Preliminary Proxy Statement |
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Soliciting Material Pursuant to §240.14a-12 |
KYPHON INC.
(Name
of Registrant as Specified In Its Charter)
MEDTRONIC, INC.
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of Person(s) Filing Proxy Statement, if other than the
Registrant)
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1) Title of each class of securities to which transaction applies: |
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3) Per unit price or other underlying value of transaction computed
pursuant to Exchange Act Rule 0-11 (set forth the amount on which the
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The
following is a transcript of a conference call held on Friday, July 27, 2007 announcing the acquisition of Kyphon Inc. by Medtronic, Inc.
Medtronic, Inc
Conference Call Announcing the Acquisition of Kyphon Inc.
Friday, July 27, 2007
Operator: Welcome to the Medtronic conference call. At this time, all participants are in
listen-only mode. Later we will conduct a question-and-answer session. Instructions will be given
at that time. If you should require assistance during the call, please press star then zero and as
a reminder, the call is being recorded.
I would now like to turn the conference over to Ms. Martha Aronson. Please go ahead.
Martha
Goldberg Aronson, Vice President, Investor Relations, Medtronic, Inc.
Thank you and good morning and welcome to Medtronics conference call and webcast to discuss
Medtronics acquisition of Kyphon. Over the next 30 to 40 minutes we will discuss details of the
merger and then wrap up the call with a Q&A period. Participating on todays call are Art Collins,
Medtronics Chairman and Chief Executive Officer; Bill Hawkins, Medtronics President and Chief
Operating Officer; Gary Ellis, Medtronics Chief Financial Officer; Richard Mott, President and
Chief Executive Officer of Kyphon and Julie Tracy, Vice President, Chief Communications Officer of
Kyphon.
Let me outline the agenda for todays call. First Art Collins will make some opening comments, Bill
Hawkins will follow with a discussion of the strategic rational behind todays announcement, Gary
Ellis will then cover the financial aspects of the transaction and Rich Mott will discuss the
benefits of the combination offers Kyphons patients, customers, employees and shareholders.
Following the prepared remarks, we will take your questions.
Before we begin, I have a few logistical comments. This call is being audio simulcast on the
Internet via the Medtronics homepage, www.medtronic.com, as well as the Kyphons homepage at
www.kyphon.com. We will post the transcript of the prepared remarks on both websites following the
conclusion of this call. Todays commentary should be considered and evaluated in light on the
important disclosures contained within our press release as filed with the Securities and Exchange
Commission. Please telephone Investor Relations or Corporate Communications at Medtronic or Kyphon
if you were unable to access the press release or the transcript.
This call includes forward-looking statements that involve a number of risks and uncertainties.
Medtronic and Kyphon caution readers that any forward-looking statements information is not a guarantee of future performance and that actual results could differ materially from those
contained in the forward-looking information. Forward-looking statements, include, but are not limited to
statements about the benefits of the business combination transaction involving Medtronic and
Kyphon including the future financial and operating results, post acquisition plans, objectives,
expectations and intentions and other statements that are not historical facts. Please see the
press release and Medtronics and Kyphons filings with Securities and Exchange Commission, which
are available at SECs website at www.sec.gov for additional information concerning factors that
could cause actual results to differ from those contained in the forward-looking statements.
Kyphon will file with the SEC and mail to its stockholders a proxy statement that will contain
important information about Kyphon, the proposed merger and related matters. Stockholders are urged
to read the proxy statement regarding the proposed merger when it becomes available because it will
contain important information that stockholders should consider before making a decision about the
merger. You can obtain a copy of the proxy statement once it is available and other related
documents filed by Medtronic and Kyphon with the SEC at the SECs website.
Kyphon, Medtronic and their respective directors, executive officers and certain other members of
management and employees maybe soliciting proxies from Kyphons stockholders in favor of the merger.
Information regarding the persons who may, under the rules of the SEC, be considered participants in
the solicitation of Kyphons stockholders in connection with the proposed merger will be set forth
in the proxy statement when it is filed with the SEC.
You can find information about Medtronics executive officers and directors in its definitive proxy
statements filed with the SEC on July 20th, 2007. You can find information about Kyphons executive
officers and directors in its definitive proxy statements filed with the SEC on April 30th, 2007.
You can obtain copies of these documents in the SECs website. You can also obtain copies of
Medtronics and Kyphons filings with the SEC at their respective websites, www.medtronic.com and
www.kyphon.com.
As a reminder, Medtronic will be hosting its first quarter earnings call on Tuesday, August 21st,
2007 at 3:30 PM Central Time. For those of you who follow Kyphon as well, please note that the
company issues its second quarter earnings results this morning, but will not be holding a separate
conference call. Having said that however, we ask that you keep your questions today focused on
this particular transaction. With that I will now turn the call over to Medtronics Chairman and
Chief Executive Officer, Arthur Collins.
Arthur Collins, Chairman and Chief Executive Officer, Medtronic, Inc.
Thank you Martha. And good morning everyone. Needless to say all of us at Medtronic are very
excited about the merger agreement with Kyphon that was announced earlier this morning. This
announcement was the culmination of a very detailed strategic analysis of potential external growth
platforms that we began early in 2006 and it ultimately led to extensive and very productive
discussions between the two companies over the past several months.
As many of you will remember, during our New York Investors Conference in January, and our most
recent investor conference here in Minneapolis in June, I indicated that while Medtronic would
continue to roll out principally on organic growth for new products, market developments and gains
in market share, we would likely add two to three additional growth platforms over the next three
to five years. Assessing external alternatives, we discussed the importance of our ability to add
value to and obtain synergy from any acquisition. We also stress the importance of cultural fit and
shared values. Finally, we said we would be disciplined in our due diligence, resulting negotiations
and ultimate integration. I strongly believe that the merger agreement with Kyphon meets all these
requirements. I would also tell you that the due diligence process leading up todays announcement
has been the most complete since I have been with Medtronic.
As you will hear later in the call, this merger will not only enhance Medtronics growth prospects,
it also will facilitate more rapid development and introduction of new and improved spinal
treatment options. During the due diligence process it became increasingly clear to both our
organizations that we share a strong commitment to continue this innovation, superior customer
service, solid clinical evidence and an unparalleled global sales and distribution network. The
transaction also makes very good financial sense for both Medtronic and Kyphon shareholders. In
short we all view this as a win-win situation for both companies, our customers and the patients
they serve, our employees and our shareholders.
So it is now my pleasure to turn the call over to Bill Hawkins who will provide additional insight into
the strategic rationale for the merger. Bill?
William
Hawkins, President and Chief Operating Officer, Medtronic, Inc.
Thanks Art. First and foremost, I believe this transaction will go a long way in enabling more
patients to receive the benefits of modern minimally invasive spinal treatment. You know that in the
last two weeks, we received FDA approval for the PRESTIGE Cervical Disc and also had an FDA panel
recommend approval for our Bryan Cervical Disc. With this strong momentum in our spinal business I
am very excited about how this merger will further accelerate the growth of our spinal business and
allow us to more rapidly enter this new product segment.
The combination of Kyphon and Medtronics spinal business will extend our product offering. Once
completed, we expect this deal to be neutral to earnings in the first full fiscal year after closing and
accretive thereafter, augmenting both our top and bottom line growth. Gary will speak more to this
in a few minutes. The opportunity to intervene earlier in the continuum of care with simpler and
less invasive surgical procedure creates a new business opportunity for Medtronic, as it allows
surgeons to more effectively treat patients who may not be candidates for traditional fusion
procedures. As a combined entity, we will be able to more effectively and efficiently treat
patients suffering from a number of debilitating spinal conditions including scoliosis,
degenerative disc disease, spinal stenosis and vertebral compression fractures. Together we will
offer innovative products at all points along this continuum providing patients and customers with a
variety of solutions to their complex disease states. Although each company has products that employ
minimally invasive techniques, there is little overlap in the conditions treated and the
technologies utilized. Specifically Medtronic has had a deep product line for modern spinal fusion
and Kyphon is focused on treatments for lumbar spinal stenosis and vertebral compression fractures.
In addition to complementary product lines, the strength of Medtronics and Kyphons global
distribution network provides a great opportunity to get the combined unique technologies to more
patients around the world. As I mentioned at our June investor meeting, we continue to look across
Medtronic and leverage our combined resources to find opportunities to make the whole greater than
the sum of the parts.
For example, our global infrastructure will allow for rapid adoption of kyphoplasty in Japan. Our
line of surgical navigation and neuro integrity monitoring products will help drive acceptance of
Kyphon minimally invasive therapies for spinal disorders. In addition, our combined R&D
capabilities including biologics will enable us to develop new therapies and expand the application
of existing technologies. Another area of synergy is the focus that both organizations have on
evidence-based medicines through clinical trials that not only prove safety and efficacy, but also
demonstrate economic value. This mutual strategic objective is designed to meet the high
expectations of surgeons, patients, and payers can count on for high quality therapy solution that
are safe, effective, and affordable.
Finally, I want to assure you that Medtronic and Kyphon are already working to develop a rigorous
and thoughtful integration plan to ensure a smooth transition. We will be highly focused on
ensuring that no business momentum is lost during the regulatory review and the integration period.
Upon closing, we will combine Kyphon with our spine business, integrating talent from both
organizations. And I have had the chance to get to know Rich Mott in the course of our
negotiations and look forward to working with him, Art Taylor, Kyphons Chief Operating Officer and
the rest of the Kyphons team in collectively building an enterprise that will help us fulfill our
mission and deliver sustainable value to our shareholders.
Upon closing, Art Taylor will assume responsibility for the Kyphon business reporting to Pete
Wehrly, President of our Worldwide Spine business. Rich Mott will take on a new role within
Medtronic reporting to Michael DeMane, Medtronics incoming Chief Operating Officer helping with
the global integration of these two businesses. Beyond that, Rich will help further define our
long-term strategic vision for expanding our spinal business. Rich Mott, Art Taylor, Pete Wehrly
and Michael DeMane will lead the overall integration team reporting to me.
Let me now turn over the call to Gary who will discuss some of the financial implications of this
transaction.
Gary
Ellis, Senior Vice President and Chief Financial Officer, Medtronic,
Inc.
Thanks Bill. As we evaluated this merger, it was clear to us that in addition to Kyphon being in an
excellent strategic fit, the transaction also makes good financial sense. Under the terms of the
agreement, Medtronic will acquire all of the outstanding shares of Kyphon common stock for $71 per
share in cash. The total value of $3.9 billion consisting of $3.56 billion in equity value and $350
million in net debt. This excludes $320 million in payments associated with the St. Francis Medical
and Disc-O-Tech transactions. The purchase price represents a 32% premium over Kyphons $53.68 per
share value as of July 26th, and a 35% premium over Kyphons 30-day average trading price of $52.76
per share.
We expect to close the transaction in the first calendar quarter of 2008. The transition is
forecasted to be neutral to our earnings per share in Medtronic fiscal 2009 and accretive
thereafter. This is based upon achieving incremental revenue and significant cost synergies. The
transaction will be financed through a combination of existing cash and debt. At this point, were
unable to provide specifics as we are still evaluating several
financing options. However, suffice it to say that because of Medtronics financial strength and its strong credit rating, we
will have a number of very attractive financing options. We will provide additional information
on financing at the appropriate time.
For those of you who have been following Kyphon closely, you are aware that they have been growing
at a very healthy rate over the last four years. We expect the growth rate to continue in the
high-teens going forward. In addition to meeting our growth targets, we expect Kyphon to have a
positive impact on Medtronics overall growth rate.
Taking into consideration projected revenue synergies, we anticipate upside to the streets
expectation of Kyphons calendar year 2008 revenue of 700 to $750 million. At closing, we expect to
report a IPRD charge in the range of 5 to 10% of the total purchase price.
The transaction is subject to customary closing conditions, including the approval by Kyphon
shareholders and anti-trust regulators. We will be working collaboratively with the anti-trust
regulators to attain final approval for the combination.
We believe the transaction is structured to clear regulatory hurdles and to receive Kyphon
shareholder approval in a timely fashion. When the merger is
completed, we are confident that Kyphons business will augment Medtronics operational and financial performance, benefiting
Medtronic shareholders.
I am now pleased to turn the call over to Rich Mott.
Richard
Mott, President and Chief Executive Officer, Kyhon Inc.
Thanks,
Gary, and good morning everyone. This is an important day for Kyphon and our shareholders and
Im delighted to be here with Art, Bill and Gary to talk about the compelling combination that we
believe the merger of our business with Medtronics spinal business represents. When Bill Hawkins
and I first met earlier this year, we began to discuss the significant benefit of potentially
combining our two businesses. Very shortly, it became clear to me that this was a great opportunity
for our shareholders, employees, customers and patients.
Let me start by saying were very proud of all we have achieved at Kyphon. One of our top
priorities has been to maximize value for our investors through the strong execution of our mission
of becoming the recognized global leader in restoring spinal functions through minimally invasive
therapies. This focus has enabled us to deliver strong year-over-year growth while building
significant competencies in a number of areas including one of the largest and most talented sales
organizations in the industry. We are proud of all that has been accomplished by our organization
since the commercialization of our products in 2000 and the fact that this acquisition provides our
shareholders with an outstanding return on their investment.
There
are many similarities between our companies from the commitment we both share in improving the
lives of the patients and physicians that rely on our technologies, to the culture of excellence we
both promote among our employees and to the values and vision that drive us forward.
We believe the combination of Kyphon and Medtronic will open up more opportunities on a global
basis to bring our minimally invasive therapies to even more spine specialists and the patients who
can benefit from them. For Kyphon's talented and dedicated employees there
will be an expanded
opportunity that comes with being part of a larger more diversified organization like Medtronic. With each of our industry recognized reputation for operational excellence and technological
innovation, together we will be able to offer a greater product range supported by a broad and deep
research and development program coupled with an extensive clinical
research trial agenda. Medtronic
and Kyphon share a common belief in developing leading edge products underpinned with solid
clinical science foundations. Both companies have developed deep and loyal customer relationships
through unparalleled level of service and procedural expertise, delivered to World-Class sales and
professional education organizations. And our combined distribution network will allow Kyphon
products to be accessed in over 120 countries representing an exciting potential for growth of our
product line.
I would like to take a moment, and now briefly review Kyphons operating and financial results for
the second quarter ended June 30. Please note that in light of todays announcement, Kyphon will
not be holding an earnings call next week to discuss these results.
But if you have any questions,
please feel free to contact Kryptons Investor Relations team. For additional details, you can also
refer to the press release we issued this morning on our second quarter results, which can be found
on our website at www.kyphon.com.
I am pleased to report that we had yet another strong quarter in terms of revenue growth, in which
our worldwide revenues increased by 43% to $144.3 million compared to the second quarter of 2006.
Total revenues in the US for the quarter increased 36% to 110.7 million over the same period in
2006. While total international revenues increased 73% to $33.6 million.
Growth in total revenue includes increases in both our core spinal fracture management and repair
business, which grew 19% to $120.3 million over the same quarter
of 2006 and in our spinal motion
preservation and disc disease diagnosis and therapeutic business
where revenues have reached $24
million.
Net
income on a GAAP basis was $10.8 million, or $0.23 per diluted
share, an increase of $1.3 million
over the second quarter of 2006. Excluding the impact from the St. Francis Medical acquisition,
non-GAAP diluted earnings per share for the second quarter were $0.25 (sic) [$0.26] compared to
diluted earnings per share of $0.21 in the same period a year-ago.
We also reached an important milestones this quarter. For example, the first ever balloon
Kyphoplasty procedures in India, Malaysia, and Hong Kong were completed. Medicare physician
reimbursement for the X-Stop IPD procedure was confirmed in all 50 states, and we more than doubled
the number of fine surgeons trained in performing the X-stop IPD procedure.
We are pleased to see the positive momentum achieved in our balloon Kyphoplasty business while
expanding the penetration and reach of the X-stop product line. We were also pleased to see the
increased degree of operating leverage from our sales channel this quarter, which was better than
expected, as they keep their focus on the core fracture management and repair business while
working tirelessly to introduce the X-stop device to newly trained clinicians.
In closing, we are excited about the opportunities to combine our two spinal businesses, and
continue to help set the direction and pace for the spine industry. The future holds much promise
for those who can deliver world-class products and therapies that restore spinal function through
new technologies backed by sound clinical science that validate safety effectiveness and economic
value to the healthcare system. I now look forward to working with Bill and his team to combine our
two organizations to achieve a seamless integration. There is much work to do but so much
opportunity for our combined businesses. And now let me hand this over to Art Collins.
Arthur
Collins, Chairman and Chief Executive Officer, Medtronic,
Inc.
Thanks Rich. In concluding our prepared remarks I would like to reiterate that this merger will
benefit Medtronic and Kyphon employees and shareholders over the near and longer term. Just as
importantly we also believe that a greater number of patients will benefit from the combined
franchise as we leverage our resources to offer improved products and therapies, as I said before a
win-win situation. That is all for our prepared remarks and I will now entertain questions. We
would like to call in this call around 8:30 A.M. Central Time.
Please limit your questions to one or two per firm. Operator you can initiate the
question-and-answer period now.
QUESTION AND ANSWER SECTION
Operator: And we have a first question Rick Wise with Bear Stearns. Please go ahead.
<A Arthur Collins>: Hi, good morning Rick.
<Q Frederick Wise>: Good morning everybody. And congratulations to Rich, Art and Bill. Let
me start off with maybe you could give us a little more granularity on your thoughts about the
challenges of integrating the two businesses. Are you going to cross train the two sales forces?
Just help us understand what the several key challenges are? Thanks.
<A William Hawkins>: Rick this is Bill. And yes we are very excited about the transaction
here in the merger of the two companies. We are going to be working closely with the integration
team. As I mentioned I have Michael and Pete and Art and Rich helping to put the plans together for
the two businesses. We will be highly focused on ensuring that again no business momentum is lost
in the regulatory review integration period. And up on closing we are going to combine Kyphon in
our spine business, you know, talent really from both organizations. Again the Medtronic and Kyphon
teams will work collectively to build the enterprise to help us fulfill the mission. As I mentioned
upon closing Art Taylor, Kyphons Chief Operating Officer will assume responsibility for the Kyphon
business and report to Pete Wehrly who heads the Medtronic worldwide spine business. And then Rich
is going to take on a new role within Medtronic reporting to Michael DeMane who will become our
who is our incoming Chief Operating Officer and helping with the global integration of these two
businesses. In regards to the we are not going to get into too many specifics but what I will
say in regards to the sales organization is that one of the real strengths of putting these two
companies together is the complementary sales organization. And as mentioned to some degree their
organization really falls on different call points with the interventional radiologists and the
interventional neuro radiologists in addition to some of the same customers that we call on. So, we
are going to be able to expand the breadth of our customer base well keep the sales forces
distinct, then we will begin the kind of the exchange of appropriate products over time to be able
to leverage the breadth and the depth of these two organizations. So, a lot of work to be done but
were excited about it.
<Q Frederick Wise>: And just to follow up two additional thoughts. First maybe you
could talk a little about what we should think is happening to the lawsuit, you know, Medtronic
competing products. Just what happens to your Arrcuate? And Gary you highlighted the $700-750
million range up 22% and that it could be upside to that. It seems that the upper end of the range
is above your high teens calendar. Im a little confused about that can help us with that?
<A Arthur Collins>: Rick, this is Art. Let me take the first question and then Gary will
talk about the financial expectations. Both companies have agreed to ask the judge that is
presiding over the intellectual properties dispute to stay the proceedings until the transaction
closes, and at that time the proceedings would clearly be dropped. And that is an agreement we have
reached as a part of the negotiations.
<A Gary Ellis>: Rick, with respect to the revenue, the high teens that was talking about
with respect to growth rate was really looking at more over the next five years. Obviously, with
the momentum that Kyphon has had up to this point in time, the acquisitions that they have made
with, St. Francis and Disc-O-Tech their revenue growth in the near term is greater than those high
teens. And I think that the Wall Street has recognized that and we have as well. So, the comment
about the high-teens is over a longer period of time. It is over the next five years versus just in
the near term.
<Q Frederick Wise>: I must speak in one last one, any of the bidders in the process?
<A Arthur Collins>: What was your question?
<Q Frederick Wise>: Any other bidders in the process? Thanks.
<A William Hawkins>: This was a transaction, which negotiated with Kyphon, and Medtronic
and we had an exclusive during the period of time that concluded just this last week.
<Q Frederick Wise>: Thank you very much.
<A Arthur Collins>: Next question?
Operator: Our next question is from Matthew Dodds with Citigroup. Please go ahead.
<Q Matthew Dodds>: Good morning. Thank you.
<A Arthur Collins>: Hi, Matt.
<Q Matthew Dodds>: Hello. Just a couple of questions. First, is there a breakup fee in the
deal and how much? And then second on the anti-trust side, in Europe you do have a pretty high
share combined the dynamic stabilization, cause Diam is out over there. I just wanted to sketch
your take on, if you think that the total share could cause some issue. And then in the US, I guess
the Rich, can you just update us on Disc-O-Tech. I guess, that one
hasnt closed yet. And there are antitrust issues there. Is that part of the reason why this is an early 08 closing or is that
just a normal course of time?
<A Gary Ellis>: Matt, this is Gary. Let me refer, first of all, to the break-up fee. Yes,
there is a break-up fee. You will see that in the filed merger agreement. The break-up fee is $95
million that has been negotiated between the two companies. With respect to Europe and even in the
US as far as antitrust issues that we will have to work through, we are confident that as we work
through those issues both on the European side in the US that we can address any matters that might
be raised. But that will be obviously part of the ongoing negotiations as we go forward. We dont
see any big problems with that. But it will a part of the negotiation and thats why there is a
little bit longer period of time here before the closing. Rich?
<A Richard Mott>: Let me comment on the Disc-O-Tech acquisition. First of all, the
transaction is not conditioned on what happens to the Disc-O-Tech transaction currently with
Kyphon. We also believe, anticipate that within the next couple of months, we will be able to close
on the first transaction on the vertebroplasty, excuse me the non-vertebroplasty assets,
including the B-Twin minimally invasive fusion technology. The second transaction, as you know,
concerning the Confidence product is presently subject to a second request and the timings resolution is
uncertain.
<Q Matthew Dodds>: All right. Thanks, Gary. Thanks, Rich.
<A Richard Mott>: Thanks.
<A Arthur Collins>: Next question.
Operator: Our next question is from Bob Hopkins of Lehman brothers. Please go ahead.
<A Arthur Collins>: Hi, Bob.
<Q Bob Hopkins>: Thank you. Can you hear me. Okay.
<A Arthur Collins>: We can hear you.
<Q Bob Hopkins>: Great. Congratulations to all involved.
<A Arthur Collins>: Thank you.
<A Richard Mott>: Thank you, Bob.
<Q Bob Hopkins>: Just a couple of the questions and Rich great job over the last couple of
years. The first one I want to ask just really quickly Gary was about your high-teens count, is
that with or without revenue synergies?
<A Gary Ellis>: The high-teens comment, is over the next five years as I mentioned is part
of the response there. From our perspective there will be revenue synergies involved in this
standpoint and while both the organizations as Bill mentioned have a sales force basically selling
both types of products. We really will be able to help Kyphon accelerate their growth outside the
US because of our global infrastructure there and again with some of the capabilities on the R&D
side if we come out with new products, we think that will actually help accelerate the growth. So,
there are revenue synergies that we have assumed on this transaction. The high teen comment that I
mentioned on the going forward over the next five years is with those synergies included in.
<Q Bob Hopkins>: Okay, great. And then on the comments about accretive in the second full
year, any other qualifying comments you can add to that, is it slightly accretive in year two
significantly accretive, just any other guidance there that you can provide?
<A Gary Ellis>: I dont want to give any specific or again after that year one in going
forward. We obviously think it will be accretive I am not going to say how much, we think it will
also have an impact on accelerating our overall combined entities on earnings per share. We should
exceed acceleration in earnings per share itself. So I am not going to give out the exact details
of what we would expect in those future years, but no we think it will obviously be a meaningful
uptick in accretion going forward.
<Q Bob Hopkins>: And then last question which is the what happened to Diam in the US,
will those trials be cancelled or you keep going with that program?
<A William Hawkins>: No, this is Bill. Will continue the clinical trial with Diam.
<Q Bob Hopkins>: Okay, just thinking that there might be a completely different market to
address there or wondering why that it wont be a synergy?
<A William Hawkins>: No, I mean, to some degree they are complementary products, so were
going to continue to pursue the clinical trials for Diam product line.
<Q Bob Hopkins>: Okay, thank you and congrats.
<A>: Thanks, Bob. Next question.
Operator: Benjamin Andrew from William Blair & Company. Please go ahead.
<Q Benjamin Andrew>: Hi, congratulations, it looks like a good transaction.
<A>: We think so Ben.
<Q Benjamin Andrew>: Just a couple of questions on the synergy side and on the facility
side, can you speak to specific operating savings from the combination in terms of looking at where
they may be a fair bit of overlap on G&A side as well as on the sales and marketing side?
<A William Hawkins>: Ben, this is Bill. Again, if you look at today, Kyphon operates in a
number of different facilities in Sunnyvale and they are building a facility or they have a place
in Switzerland and then there is a distribution facility in North
Carolina. So, there we will be
looking at their infrastructure, but in the short term there wont be any change, I mean they have
got very
good operations for manufacturing their specific technology in California and outside the US. So,
in the near term well certainly build on the excellence that they have in their operations. There
will be as Gary mentioned, there some clear synergies not least of which is the savings from the
legal front as we go talked about already in terms of the stay that we have with the judge on the
current litigation between the two companies. And there is significant other synergies beyond that?
Gary you may want to comment on that.
<A Gary Ellis>: Yes. Let me just add a little bit to what Bill mentioned, as we had
indicated, again on the sale force side we are combining these and so were not necessarily going
to see a dramatic change, where those were at. But it does help both organizations basically not
have to make some investments, but they might have been thinking about it in the future as we were
both broadening our capability is that supplied combining, we basically is a benefit of that
aspect. As you would indicate obviously in the G&A side, there will be redundancies or some public
company cost that obviously Kyphon will not have to incur and are not going forward. So, there will
be some redundancies that we will be able to eliminate there that normal things that you would
expect. Bill mentioned just a legal cost. We also think there is some synergies as we look at even
our key portfolios and were some of the investments we are making going forward we believe be at a
leverage investment both organizations we are making. As we talked about there is some synergies,
there is a lot of synergies with combing organization. But I want to focus in the fact that really
what the benefit of this combination is to growth that it will provide growth opportunity it
previous provides to both organization because we are getting combined we think we can accelerate
the growth of both spinal businesses moving ahead and again the one plus one is going to be will be
more than two as we move ahead. Thats our expectation.
<Q Benjamin Andrew>: Okay. Just a quick follow-up for Rich. Why now, within the growth
outlook in the next couple of years, the operating margin opportunity, the tax rate, all the things
that you talked about why do this transaction now versus 12 or 24 months from now?
<A Richard Mott>: Ben, first of all we believe that our shareholders should love this.
Weve already seen very positive support this morning. And as I sat down with Bill earlier this
year, we really began to look at how combing these companies could have a dramatic impact on our
shared vision and give us the ability to reach more customers faster and as Gary just indicated,
while minimizing the investments to do that. I think that the companies and the product lines are
very complementary and quite frankly I am looking forward to working with Bill and his team to pull
the businesses together.
<A Art Collins>: This is Art, Its interesting some of these questions are similar to
early 1999 when we acquired Sofamor Danek, and if you go back and look at what happened during that
acquisition, Sofamor Danek is successful as they were up until the point they were acquired. Were
able to grow more rapidly and expand into our larger geographic footprint and take advantage of
some of Medtronics core capabilities that I think if you ask that team now. They will say they
couldnt have progressed to where they are at this point without
being part of Medtronic and I see a
lot of synergies on this transaction compared to what we saw at Sofamor Danek.
<A>: Ben one other comment, I absolutely believe that this is a very significant premium on
the price of our stock. As you heard from Gary, the $71 per share represents a 32% premium over our
close yesterday and a 35% premium over the 30-day average. Again, I think this is a tremendous
premium for our company. And I think it compares very well with other comparable transactions.
<Q Benjamin Andrew>: Thank you.
<A>: Next question.
Operator: We have Mike Weinstein with JP. Morgan, please go ahead.
<A>: Hi Mike.
<Q Mike Weinstein>: Good morning. And well, congratulations as well. I was interested in
the comment that Rich threw out there when he, the history here where Bill and Rich got together
you said January, and obviously that suggests that part of what sparked was the combination
transaction that Kyphon announced late last year in particular to St. Francis announcement and
while weve got both sides can we get Medtronics view on X-Stop and that opportunity, and where
Medtronic thinks that opportunity is on the penetration curve? Theres differing views out there in
the surgeon community about X-Stop roll, the sustainability of it and how far it is going. We
havent been in a bullish camp on that device but would love to get your view on where you think
that device is going and what that is doing to the spine market in terms of opening it up. Thanks.
<A Richard Mott>: This is Rich. I just wanted to respond to the first part of that
question. I just wanted to emphasize that Bill sat down a couple of months ago and again I want to
emphasize that we were not looking to sell the company. Bill called and I was interested in what he
had to say and that is essentially how this got started.
<A William Hawkins>: And let me just comment again Mike in regards to the X-Stop. Clearly
it is an important aspect of the total deal, but it was really the broader direction that Kyphon is
going in terms of the aging spine. If you look at it today Medtronics business for the most part
is focused on kind of younger patients whether it is scoliosis or whether it is in the infusion and
degenerative disc disease. And if you look at where Kyphon was focused it is more on the elderly
population, which we see is really one of the large unmet clinical needs with the large growth
potential going forward. So, again they were very complementary and yes the X-Stop was a very
important part of this because of the track record of success that we have seen so far was how it
has helped patients in the spinal stenosis area.
<A Arthur Collins>: Mike, during our Board meeting yesterday, we discussed this whole
question and I want to just make the point that St. Francis acquisition we think made Kyphon a
stronger company, no question. But this merger would make sense for us with or without St Francis
Disc-O-Tech. It is a stronger company because of it but we would have gone ahead if they had not
acquired St. Francis.
<Q Mike Weinstein>: Understood, makes sense. Let me just ask Gary a couple of questions.
You did not want to comment yet about the potential of year two
beyond this transaction.
Could you just share with us so wed make sure we are on the same page in terms of what you think
Disc-O does to Medtronics growth profile on the top and bottom line, we obviously have your
comments on the top line maybe you just want to add to that.
<A Gary Ellis>: Well, I think from the standpoint of top line obviously the growth rates
that Kyphon has had and we expect to continue in the future clearly along with the synergies will
accelerate Medtronics overall growth expectations that we have out there and that the market
thinks about. How much they will obviously depend on where you are at as far as what you thought
Medtronic itself was going to be able to accomplish. But we do think of putting a example there
I have a couple of points of growth acceleration even within our spinal business. So, I mean we
have made our spinal business overall much larger and we have accelerated that growth by probably
two to three percentage points just on the overall growth in that business itself. Bottom line we
think we will see as I mentioned also improvement in what the growth rates that we would expect
from the Medtronic earnings per share going forward that might have been out in the market before
hand. Again, I dont want to get into specifics about how much because it will depend on what your
models has as far as what you are assuming on the accretions we go forward, but we do believe that
area, we believe that it will accelerate of overall bottom-line growth in Medtronic.
<Q Mike Weinstein>: Gary, just one last question as part of the challenges you have in
putting your cash to use, a lot of cash is overseas. Just comment briefly on how you work around
that?
<A Gary Ellis>: Well. Obviously, as you would mentioned we do have over $6 billion in
cash, a good portion of that is OUS. With our cash generation that we have each year, generating in
excess of $3 billion and over $3 billion in operating cash flow each year, and again a portion of
that is in OUS and some is in the US. As a result of that, we have indicated, we probably wont
some debt that will be need to be issued. Just we go forward we will try to utilize that OUS cash
as much as possible, but that there are restrictions on what we can and cant use that for. So they
probably will end up having to be some debt issued in the US and while we maintain some of the OUS
cash going forward. So the point is we are looking at all the options to the extent we can use OUS
cash we clearly will. We then need to utilize the US cash generation that we do have along with
potential some debt.
<Q Mike Weinstein>: Thank you guys.
<A Gary Ellis>: Thanks. Next question?
Operator: Next we have Joanne Wuensch with BMO Capital Markets. Please go ahead.
<Q Joanne Wuensch>: Thank you very much. Could you comment on what this may mean first on
the your own spinal products? You did mention Diam that youre going to continue working on, but I
am also curious in regards to Arcuplasty.
<A>: Well. All that has to be reviewed by the appropriate regulators and subsequent to that
review we will determine what the outcome for some of those products will be, but again as I
mentioned before, I think in many respects we have complementary products, it extends our product
offering and enables us to provide our customer to the broader solution to what their clinical
needs are. So, but in terms of specifics what we may have to divest and that will be determined
through the year. So again were excited because of the opportunity to leverage the broader sales
distribution that we have. I mean the complementary sales forces expands our global reach and gives
us the opportunity to really offer a broad range to our customers.
<Q Joanne Wuensch>: Okay. And then Im hesitant to ask this, but other acquisition does
this one take you another running for anything else?
<A>: We go back to what I said in my prepared remarks. We believe that over the next 3 to 5
years we will likely add 2 to 3 platforms, additional platforms. They could come from internal
development. They could come from external acquisitions or combination of both. We are going to be
very disciplined in that, but if you look over the long-term, this is not preclude our ability as
we see the right type of transaction to go forward.
<Q Gary Ellis>: Just to add on our comments, everyone is aware at the June analyst
meeting, we did talk about our cash generation again from the standpoint of what we the cash
flow wed expect to generate over the next five years, which as those of you who are there, recall
that was again based on the cash we have and the cash generation. And we basically have the
capability, available cash in excess of $20 billion during that over the next five years. So this
company continues to generate significant amount of cash, and wed expect that to continue. And
obviously are capability from both liquidity perspective cash and debt continues to remain very
strong and so from that perspective no, this transaction would not have any limitation going
forward and that large point than we would look strategically more the questions on what we would
want to do.
<Q Joanne Wuensch>: Thank you. And congratulations.
<A>: Thank you.
<A Arthur Collins>: Next question.
Operator: You have Tim Nelson with Piper Jaffray. Please go ahead.
<A Arthur Collins>: Hi Tim.
<Q Timothy Nelson>: Good morning. Congratulations again. Can you comment on the geographic
expansion capability to this transaction brings to Kyphon. They are talking about Japan, where else
is the big opportunity OUS to grow Kyphon faster.
<A Richard Mott>: Let me start by answering that question. We continue to be excited about
the progress were making in Japan with balloon Kyphoplasty. As you know or many of you know we
have fully enrolled the clinical trial there and are in the follow-up period. We have a regulatory
clinical team there on the ground that is working hard to make sure that we get this clinical trial
done and done right and working with the Japanese Ministry of Health. But to be frank I am very
excited about that team that Medtronic has in Japan. I think that the combination of these two
organizations and the leverage that we are both going to get out of this two very rapidly launch
the product technology in Japan. Quite frankly with the first mover advantage essentially no
competition. I think it is just a tremendous synergy in this.
<A Bill Hawkins>: And just one other comment. Today, if my understanding is correct,
Kyphon has access to about 50 countries to make Medtronic is in over 120 countries. So, our global
reach is already much further out than where Kyphon is. So they will be at I think an early on
benefit being able to leverage that access to those other markets, the Kyphon isnt today.
<A- Art Collins>: If we go back to the Sofamor Danek acquisition I think there are a number
of similarities and one of which was in Sofamor Danek while outside the United States had a large
percentage of the revenues inside the United States and plugging into Medtronics infrastructure
not only helped them grew at a more rapid rate outside United States. There were tremendous
synergies because you dont have two infrastructures country-by-country which is part of the
cost-synergy that we have planned.
<Q Timothy Nelson>: Okay. And is there any other opportunities for Kyphon sales force to
sell perhaps some of Medtronics interventional products to interventional radiologists?
<A>: Were working Bill on that, thats another exciting element of this. Theres a broad
array of products that Medtronic has across their business and I am excited about the prospect of
being able to assess those given the interventional radiology, community that we serve along with
the biologic products that they have a very strong foundation in their business around.
<Q Timothy Nelson>: Okay. Thanks.
<A Arthur Collins>: Thank you. Next question.
Operator: We have Amit Bhalla of Citigroup. Please go ahead.
<Q Amit Bhalla>: Hi. Thanks for taking the question. I just wanted to dive into Japan a
little bit more. Could you give us a sense of how the resources in Japan right now on the Medtronic
side and maybe a little update on timing again Rich. Thanks.
<A William Hawkins>: Sure. This is Bill. Just quickly on the capabilities that we have in
Japan. In Japan today is our single largest market outside of the US we have had a long-standing
strong management team and distribution capability there. So, there will be as Rich mentioned I
think some very immediate benefit of putting these businesses together and being able to access the
distribution, the team that we have there already in place.
<A Richard Mott>: I also just want to underscore, our team in Japan is just on a tremendous
job of exercising our opportunity there and taking that success and then leveraging it further into
the commercialization, this technology is going to be as I said, a neat opportunity. Amit, I think
we continue to stand by our 09 commercialization. I think once we get through the clinical trial
and work with the Japanese Ministry of Health, we will get to a commercialization point in 09 and,
of course, you know that once that happens we have to get to the reimbursement challenge and get
that established.
<Q Amit Bhalla>: So the commentary in the prepared comment of next years Kyphon revenue
of 700 over 750 million doesnt include in the Japan, thats all potential upside, right?
<A>: That is correct.
<Q Amit Bhalla>: Okay, thank you.
<A>: Next question.
Operator: We have Tao Levy with Deutsche Bank. Please go ahead.
<Q Tao Levy>: Good morning. I was wondering maybe if you could comment a little bit on
Kyphon sales force about size, the channels that go after predominantly and how that compares to
the size of the Medtronics current spinal sales force? And also, Kyphons sales reps, are they
direct reps owned by Kyphon?
<A Richard Mott>: Yes. First of all, in the majority of the countries we serve, including
the United States, all of our sales force are direct employees of Kyphon. We roughly have 450
worldwide sales representatives in the various countries, in the United States specifically. There
is approximately 310 territories that are covered by our spine consultants and we have a pretty
extensive management team that works with our sales team in the US. One of the things that when
people talk about channel in the market, they maybe dont give credit for underestimate of the
value of. And that is the reimbursement team and the professional education team. We have very
significant capabilities in those teams, as well in the field as they are deployed to work with our
sales force to make sure that we have all of the skill sets necessary to get to the needs of our
customers, clinicians, and their patients.
<A Bill Hawkins>: Yes, from Medtronics point of side, we have in the US alone probably
700 people in the core spine business and we have a separate group focused on biologics that works
alongside the core spine group and thats the group that could work alongside the Kyphon as well to
be able to leverage biologics through a broader customer base. So, we have a very strong US
distribution, and again, when you put the 600, 700 people together with the Kyphon group, we have
got over 1000 people here in the US.
<Q Tao Levy>: Now is that in terms of the focus of Kyphons sales reps, has that
predominantly been in sort of for the towards the interventional radiology or radiologists?
<A Richard Mott>: Actually no, it is about one-third, one-third, one-third. There is a
third of our customer base, which is orthopedic spine surgeons. A third of our customers are neuro
spine surgeons, and then, a third are the interventional neuro radiologists and interventional
radiologists. So its a pretty broad swath across the spine specialists treating these conditions
in the ageing spine.
<Q Tao Levy>: Do you expect Medtronic to continue having the spine and the neurosurgeon
focus kept with Medtronic sales force, or do you and then, have the Kyphons sale reps focus
their entire efforts outside of that just given the relationships that Medtronic already has with
the spine surgeons?
<A Bill Hawkins>: No, we will keep the sales forces separate and the Kyphon sales force
which sells, again, a different group of products for the different indications. We will continue
to service their customers, which include, as Rich said, the orthopedic to the neurosurgeons in the
interventional radiologists and neuro radiologists. And in Medtronic sales force we will continue
to service some of the same customers but with a different product grouping.
<Q Tao Levy>: Thanks just the last question. In the press release you talked about this
$320 million payment related to the Disco-O-Tech. What is that about and also is that, if the
transaction goes forward and closed, is that on top of the 3.9 billion?
<A Gary Ellis>: Thanks. This is Gary. Basically what those amounts related to as you are
aware of Kyphon with this acquisition of St. Francis, there are some additional contingent payments
that are indicated there that will be accelerated with this transaction. And then Disco-O-Tech
transaction which is yet to close and be finalized, there is some additional payments related to
that. So the point is we are going to be in a situation that between now and the time of closing
there will be additional payments that we have made out probably be incurred in debt or whatever
from a Kyphon perspective. But it adds to our overall costs but debt right now is 350, but there
will payments that will have to be made related to those acquisitions that will add to the overall
costs. So, yes. In total from a cash perspective you need to add those to the $3.9 billion that
were paying for Kyphon at this point.
<Q Tao Levy>: Thank you. Congratulations.
<A Gary Ellis>: Yes. Thank you. Why dont we have one more question and we will end the
call. Next question please.
Operator: And we have Larry Keusch with Goldman Sachs. Please go ahead.
<A Richard Mott>: Hi Larry.
<Q Larry Keusch>: Thanks very much guys congratulations.
<A Richard Mott>: Thanks Larry.
<Q Larry Keusch>: Couple of quick ones. First for Rich just in your reported quarter,
high-tech sales in the US were up 13%. Can you talk about how you think about the growth of that
market segment as you look for the next several years?
<A Richard Mott>: We have talked before about the level of penetration in the market.
There is still a tremendous patient population that exists in the United States and in two
categories, one those that are vertebra compression fractures that are diagnosed that dont get
treated as well as those that are not diagnosed and we already have several initiatives in place
this year to continue to expand awareness around the treatment options for those fractures. One
other element of that is the ground that we are gaining right now on fractures caused by multiple
myeloma and spinal metastasis, its just a tremendously under treated, unaware population of
patients that could benefit significantly from this. I think these are areas that will continue to
provide robust growth in the United States for this Kyphoplasty.
<Q Larry Keusch>: Okay. So just I understand it, I get the OUS opportunities with
Medtronic but how does Medtronic help in the US to grow those areas since the sales forces are
going to be separate, etcetera?
<A Richard Mott>: Well, I think from our perspective we have got a pretty strong momentum
in the US and we are through this integration going to continue to grow the core type of plasty
business through our sales team and through our organization as Bill has outlined here. I think the
opportunity comes from the deep product portfolio and quite frankly the pipeline that both
companies have to add products into these channels that will continue to benefit these customers. I
think that we have significant revenue synergies that will come from that.
<A Bill Hawkins>: Yes. And just to add one comment in terms of some of the capabilities
that we think we will help to accelerate the adoption. And that is in our navigation technology as
well as again some of the biologic capabilities and some of the complementary but additional
product we have around minimally invasive we have the metric systems in some other systems that
could be useful to Kyphon to help accelerate the adoption of Kyphoplasty.
<Q Larry Keusch>: Okay. And then just for Art, since I have obviously known the company
long enough to bunch of these acquisitions, in your prepared comment, you mentioned that the due
diligence process, I think you sort of characterize is being deeper than anything youve done in
the past and maybe you could just spend a moment to just talking little bit what was different here
that you did versus some of the other due diligence processes?
<A>: What I said was I think it was the most complete. In every single aspect of this
transaction whether one looks at the analysis of pipelines, current product line, its future
product line, the intellectual property, the regulatory environment, the manufacturing capabilities
of the organization, we put together and I think this was done on both sides, I think Rich would
say this, a very extensive team with both internal and external experts. And I think I would
comment it was on every single aspect of our two boards I know were very involved and spent a
tremendous amount of time on number of different meetings reviewing this. And while weve done due
diligence in the past and I think its been done well. We just notched it up on this particular
transaction Larry.
<Q Larry Keusch>: Okay, terrific. Thanks very much guys, I appreciate it.
<A>: Sure. Let me we are out of time. Its 8:30 here in Minneapolis. I again want to
underscore from Medtronics perspective comment that was made by Rich and also we made in our
opening remarks, and that is when you look at this transaction, I firmly believe it makes good
sense for both company shareholders. Secondly, I think its going to benefit the employees, the
customers that we have and very importantly the patients that look to both Kyphon and Medtronic to
provide better solutions. We are excited and we look forward to the time when we can close this
transaction and go forward together. So, thank you everyone for joining us on short notice and we
keep you up to date as we move forward.
Operator: Ladies and gentlemen, that does concluded the conference for today. Thank you for your
participation and for using AT&T Executive Teleconference, you may now disconnect.