MERCK...Q2 PERFORMANCE HIGHLIGHTS 1 3 +15 % $ 11.8B +25% $ 1.30 GAAP $1.03 2 1. All growth rates...

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MERCK Q2 2019 EARNINGS

Transcript of MERCK...Q2 PERFORMANCE HIGHLIGHTS 1 3 +15 % $ 11.8B +25% $ 1.30 GAAP $1.03 2 1. All growth rates...

  • MERCKQ2 2019 EARNINGS

  • 2

    FORWARD-LOOKING STATEMENTOF MERCK & Co., Inc., Kenilworth, N.J., USA

    This presentation from Merck & Co., Inc., Kenilworth, N.J., USA (the “company”) includes “forward-looking statements” within the meaning of the safe harbor provisions of the U.S. Private Securities Litigation Reform Act of 1995. These statements are based upon the current beliefs and expectations of the company’s management and are subject to significant risks and uncertainties. There can be no guarantees with respect to pipeline products that the products will receive the necessary regulatory approvals or that they will prove to be commercially successful. If underlying assumptions prove inaccurate or risks or uncertainties materialize, actual results may differ materially from those set forth in the forward-looking statements. Risks and uncertainties include but are not limited to, general industry conditions and competition; general economic factors, including interest rate and currency exchange rate fluctuations; the impact of pharmaceutical industry regulation and health care legislation in the United States and internationally; global trends toward health care cost containment; technological advances, new products and patents attained by competitors; challenges inherent in new product development, including obtaining regulatory approval; the company’s ability to accurately predict future market conditions; manufacturing difficulties or delays; financial instability of international economies and sovereign risk; dependence on the effectiveness of the company’s patents and other protections for innovative products; and the exposure to litigation, including patent litigation, and/or regulatory actions. The company undertakes no obligation to publicly update any forward-looking statement, whether as a result of new information, future events or otherwise. Additional factors that could cause results to differ materially from those described in the forward-looking statements can be found in the company’s 2018 Annual Report on Form 10-K and the company’s other filings with the Securities and Exchange Commission (SEC) available at the SEC’s internet site (www.sec.gov).

    2Q 2019 Earnings

  • Q2 PERFORMANCE HIGHLIGHTS1

    3

    +15%$11.8B

    +25%

    $1.30GAAP $1.032

    1. All growth rates exclude impact of exchange2. The GAAP to non-GAAP reconciliation is available in the Supplemental Tables to Merck’s Q2 2019 earnings release.

    DELIVERED WORLDWIDE SALES GROWTH

    DROVE NON-GAAPEPS GROWTH

    CREATED SHAREHOLDER

    VALUE

    ADVANCED THE PIPELINE

    • Returned $2.6 billion to shareholders through dividends and share repurchases

    • Executed on value-enhancing business development, including acquisitions of Peloton Therapeutics and TilosTherapeutics and close of Immune Design and Antelliq

    • Announced 1L H&N, 3L SCLC approvals for KEYTRUDA including filing acceptance for Q6W dosing in the U.S.

    • Announced new 24 and 48-week data as well as early implantable data for islatravir (formerly MK-8591) at IAS 2019

    • Presented new V114 data at ECCMID 2019 in pediatrics

    • RECARBRIO and additional indication for ZERBAXA approved

    2Q 2019 Earnings

  • ONCOLOGY: STRONG GROWTH FOR KEYTRUDA, LYNPARZA AND LENVIMA

    1. All growth rates exclude the impact of foreign exchange.

    • KEYTRUDA growth of +63%1 year-over-year• +73%1 international growth, driven by lung performance, particularly in Europe, China and Japan• Early uptake in RCC and adjuvant melanoma indications in the U.S.• Lynparza revenues more than doubled this quarter and continues to lead PARP class with nearly

    60% of patients on Lynparza, driven by 1L ovarian maintenance launch (SOLO-1)• Lenvima revenues also more than doubled, driven by HCC launch

    2Q18 2Q19KEYTRUDA Performance

    4

    2Q 2019 Earnings

  • REPEATED OVERALL SURVIVAL BENEFITS IN MONOTHERAPY AND IN COMBINATION DEMONSTRATES SUCCESS OF KEYTRUDA

    5

    Ipi-Naive Melanoma, Any PD-L1

    KEYNOTE-006Pembro vs Ipi

    2L+ NSCLC, TPS ≥50%KEYNOTE-010

    Pembro vs Docetaxel

    2L+ NSCLC, TPS ≥1%KEYNOTE-010

    Pembro vs Docetaxel

    2L Bladder, Any PD-L1KEYNOTE-045

    Pembro vs Chemo

    1L NSCLC, TPS ≥50%KEYNOTE-024

    Pembro vs Chemo

    1L NSCLC, TPS ≥50%KEYNOTE-042

    Pembro vs Chemo

    1L NSCLC, TPS ≥20%KEYNOTE-042

    Pembro vs Chemo

    1L NSCLC, TPS ≥1%KEYNOTE-042

    Pembro vs Chemo

    1L Esophageal, CPS ≥10

    KEYNOTE-181Pembro vs Chemo

    1L HNSCC, CPS ≥20KEYNOTE-048

    Pembro vsEXTREME

    1L HNSCC, CPS ≥1KEYNOTE-048

    Pembro vsEXTREME

    0 1 0 2 0 3 0 4 0 5 0 6 0

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 9 0 1 7 8 1 3 1 1 0 1 11 5 2 5 8 2 9 2 1 1

    5 01 0

    00

    0 1 0 2 0 3 0 4 0 5 0 6 0

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k6 9 0 3 7 4 2 4 8 1 7 1 53 4 3 1 3 5 5 7 4 0 2

    8 62 0

    00

    0 6 1 2 1 8 2 4 3 0 3 6

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k1 5 4 1 2 1 1 0 6 8 9 51 5 1 1 0 7 8 0 6 1 5

    5 23 1

    00

    0 6 1 2 1 8 2 4 3 0 3 6 4 2

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 9 9 2 2 4 1 8 9 1 0 7 2 23 0 0 2 3 1 1 4 9 7 5 1 1

    5 94 0

    00

    21

    0 6 1 2 1 8 2 4 3 0 3 6 4 2

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k4 1 3 3 0 5 2 5 1 1 4 4 2 44 0 5 3 1 3 2 1 0 1 0 6 1 4

    7 35 3

    00

    21

    0 6 1 2 1 8 2 4 3 0 3 6 4 2

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k6 3 7 4 6 3 3 6 5 2 1 4 3 53 6 7 4 8 5 3 1 6 1 6 6 2 4

    1 1 28 8

    00

    21

    0 4 8 1 2 1 6 2 0 2 4 2 8 3 2

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k1 0 7 8 6 5 9 4 5 1 31 1 5 7 6 4 8 2 3 4

    2 91 4

    00

    53

    12

    0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k1 3 3 1 0 6 8 5 6 5 2 41 2 2 1 0 0 6 4 4 2 1 2

    4 72 2

    00

    1 15

    20

    0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 5 7 1 9 6 1 5 2 1 1 0 3 42 5 5 2 0 7 1 3 1 8 9 2 1

    7 44 7

    00

    1 79

    21

    0 4 8 1 2 1 6 2 0 2 4 2 8 3 2 3 6

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 7 0 1 9 5 1 4 8 1 1 6 8 02 7 2 1 7 3 1 0 9 7 3 4 2

    9 85 9

    00

    6 73 4

    3 31 8

    74

    0 1 0 2 0 3 0 4 0 5 0 6 0

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k5 5 6 4 1 6 3 1 7 2 6 42 7 8 1 5 8 1 1 1 9 4

    00

    2 3 38 5

    00

    0 6 1 2 1 8 2 4 3 0 3 6 4 20

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 5 6 1 6 2 1 2 02 5 0 1 9 2 1 1 4

    9 47 5

    00

    5 93 8

    2 31 5

    42

    0 6 1 2 1 8 2 4 3 0 3 6 4 20

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k9 2 6 2 5 29 0 7 0 4 2

    4 52 8

    00

    3 21 6

    1 37

    40

    0 4 8 1 2 1 6 2 0 2 4 2 8 3 20

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 7 8 2 3 7 1 9 0 1 1 01 3 5 1 1 3 8 4 4 2

    1 5 26 5

    00

    5 72 3

    1 68

    11

    0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0 4 5 5 00

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k3 0 1 2 2 6 1 7 2 1 2 5 7 53 0 0 2 4 5 1 5 8 1 0 7 5 1

    9 97 2

    00

    4 62 8

    2 21 1

    1 36

    10

    0 5 1 0 1 5 2 0 2 5 3 0

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 4 7 1 6 0 1 0 32 4 8 1 5 1 8 2

    4 83 4

    00

    1 41 0

    21

    2L+ HNSCC, Any PD-L1KEYNOTE-040

    Pembro vs SOC

    2L HCC, Any PD-L1KEYNOTE-240

    Pembro vs Placebo

    1L HNSCC, Any PD-L1KEYNOTE-048

    Pembro vs EXTREME

    1L Gastric, CPS ≥1KEYNOTE-062

    Pembro vs Chemo

    1L Gastric, CPS ≥10KEYNOTE-062

    Pembro vs Chemo

    1L NSQ NSCLC, Any PD-L1KEYNOTE-189

    Pembro + Pem/Platinum vsPlacebo + Pem/Platinum

    0 3 6 9 1 2 1 5 1 8 2 1

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k4 1 0 3 7 7 3 4 7 2 7 8 7 12 0 6 1 8 3 1 4 9 1 0 4 2 5

    1 6 35 9

    00

    1 88

    0 4 8 1 2 1 6 2 0 2 4

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k4 3 2 4 1 7 3 7 8 2 5 6 1 84 2 9 4 0 1 3 4 1 2 1 1 2 0

    1 3 61 1 0

    00

    1L RCC, Any PD-L1KEYNOTE-426

    Pembro + Axitinib vsSunitinib

    1L SQ NSCLC, Any PD-L1KEYNOTE-407

    Pembro + Carboplatin/Taxane vsPlacebo + Carboplatin/Taxane

    0 3 6 9 1 2 1 5 1 8 2 1

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 7 8 2 5 6 1 8 8 1 2 4 1 72 8 1 2 4 6 1 7 5 9 3 1 6

    6 24 5

    00

    24

    1L HNSCC, CPS ≥1KEYNOTE-048

    Pembro + Platinum vsEXTREME

    0 5 1 0 1 5 2 0 2 5 3 0 3 5 4 0

    0

    1 0

    2 0

    3 0

    4 0

    5 0

    6 0

    7 0

    8 0

    9 0

    1 0 0

    M o n t h s

    OS

    , %

    N o . a t R is k2 8 1 2 2 7 1 6 9 1 2 2 4 02 7 8 2 2 7 1 4 7 1 0 0 2 0

    7 55 1

    00

    1 05

    11

    2Q 2019 Earnings

  • VACCINES: GARDASIL GLOBAL UPTAKE REMAINS ROBUST

    • Vaccines sales growth of +36%1 driven by GARDASIL as well as certain pediatric vaccines• Strong underlying demand for GARDASIL in China, Europe and the U.S.• Pediatric vaccines, including PROQUAD / MMR-II / VARIVAX, also contributed to vaccines

    growth

    1. All growth rates exclude the impact of foreign exchange.

    2Q18 2Q19

    GARDASIL Performance

    2Q 2019 Earnings

    6

  • HOSPITAL ACUTE CARE: BRIDION DEMAND REMAINS STRONG

    • BRIDION on track to reach over $1 billion in annual sales globally - growth in the U.S. reflects increased utilization in procedures where neuromuscular blockade reversal agents are used

    • Ongoing PREVYMIS launch contributing to performance• Commitment to the development of novel antibiotics and antivirals highlighted by recent

    approvals

    1. All growth rates exclude the impact of foreign exchange.

    2Q18 2Q19

    BRIDION Performance

    2Q 2019 Earnings

    7

  • ANIMAL HEALTH: SUSTAINED PERFORMANCE

    1. All growth rates exclude the impact of foreign exchange.

    • Growth was driven by livestock, predominantly due to products acquired from the Antelliq acquisition • Companion animal sales reflect volume growth in vaccine and insulin products• Broad and innovative portfolio enables continued growth for our business

    2Q18 2Q19

    Animal Health Performance

    2Q 2019 Earnings

    8

  • CONTINUED ROBUST INTERNATIONAL PHARMACEUTICAL GROWTH LED BY CHINA1

    9

    UnitedStates

    CanadaEurope2

    LatinAmerica

    Eastern Europe / Middle East

    Africa

    Japan

    +17%

    1 All growth rates exclude the impact of foreign exchange.2 Europe primarily represents all European Union countries and the European Union accession markets.

    China

    EX-U.S. GLOBAL PHARMACEUTICAL SALES +12%

    $343M

    +7%+51% +11%

    +30%

    +24%

    -3%

    2Q 2019 Earnings

  • Q2 2019 FINANCIAL RESULTS SUMMARYDELIVERED +15% REVENUE GROWTH AND +25% NON-GAAP EPS GROWTH (BOTH EX-FX)

    1. Net income attributable to Merck & Co., Inc.2. Merck is providing certain 2019 and 2018 non-GAAP information that excludes certain items because of the nature of these items and the impact they have on the analysis of underlying business performance and trends. Management believes that providing this information

    enhances investors’ understanding of the company’s results as it permits investors to understand how management assesses performance. Management uses these measures internally for planning and forecasting purposes and to measure the performance of the company along with other metrics. Senior management’s annual compensation is derived in part using non-GAAP income and non-GAAP EPS. This information should be considered in addition to, but not as a substitute for or superior to, information prepared in accordance with GAAP. For a description of the items, see Table 2a of the company’s Q2 2019 earnings press release.

    Q2 2019 Q2 2018 Change Change Ex-FX

    Sales $11.8 $10.5 12% 15%

    GAAP net income1 $2.7 $1.7 56% 61%

    Non-GAAP net income that excludes certain items 1,2 $3.4 $2.9 18% 20%

    GAAP EPS $1.03 $0.63 63% 67%

    Non-GAAP EPS that excludes certain items 2 $1.30 $1.06 23% 25%

    GAAP Gross Margin 71.1% 67.3% 3.7pts 3.9pts

    Non-GAAP Gross Margin2 75.4% 74.4% 1.1pts 1.1pts

    $ in millions, except EPS amounts

    2Q 2019 Earnings

    10

  • BALANCED APPROACH TO CAPITAL ALLOCATIONINVESTING IN THE BUSINESS AND CREATING VALUE FOR SHAREHOLDERS

    11

    • $14 billion in dividend and share repurchases - Completed $5 billion accelerated share repurchase

    program- 2019 dividend increased 15%

    • $7 billion invested in R&D• $4 billion for Antelliq and Immune Design acquisitions

    Capital Investments2019 to 2023

    >$16.0B Over 5 years, including expanding manufacturing capacity for Oncology, Vaccines, and Animal Health. Includes >$9B in the U.S.

    Balanced Capital Allocation to Return Cash to Shareholders While Investing in Growth Over Past 12 Months

    Over the Past 12 Months

    $0

    $2

    $4

    $6

    $8

    After-Tax R&D CapEx BusinessDevelopment -Ex Divestitures

    Dividends Paid ShareRepurchase (net

    of OptionsProceeds)

    $6.7

    $3.0 $5.7$5.5 $8.7

    Billions ORDER OF PRIORITY

    2Q 2019 Earnings

    Commitment to the Dividend

    $1.68 $1.72 $1.76 $1.80 $1.84 $1.88

    $1.92

    $2.20

    $1.40

    $1.70

    $2.00

    $2.30

    2012 2013 2014 2015 2016 2017 2018 2019 E

    Dol

    lars

    per

    sha

    re

    +11% +2% +2%+2% +2% +2%

    +2%

    +15%

  • UPDATED FULL-YEAR 2019 GUIDANCE

    12

    2Q 2019 Earnings

    PRIOR GUIDANCE 2019 UPDATED GUIDANCE 2019 KEY ASSUMPTIONS

    Revenue $43.9B - $45.1B+4% to +7% (+5% to +8% ex-FX) $45.2B - $46.2B+7% to +9% (+8% to +10% ex-FX)

    • Narrowed and Raised; Assumes slightly over 1% negative FX impact

    Non-GAAP Gross Margin Rate 1 Roughly in line with 2018 Roughly in line with 2018

    • Improved product mix and favorable FX offset by price, royalties, and collaboration milestones

    Non-GAAP Operating Expenses 2 Low to mid single-digit increase Mid single-digit increase • Increased R&D investment

    Other (Income) / Expense Roughly zero Roughly zero• Assumes significantly lower gains

    from equity investments• Higher net interest expense

    Tax Rate3 18.5% - 19.5% 18.5% - 19.5%

    Shares Outstanding ~2.6B ~2.6B

    GAAP EPS 4 $4.02 - $4.14 $3.78 - $3.88 • Reflecting charge related to Peloton acquisition

    Non-GAAP EPS 4$4.67 - $4.79+8% to +10% (+8% to +10% ex-FX)

    $4.84 to $4.94+12% to +14% (+12% to +14% ex-FX)

    • Narrowed and Raised; Assumes slightly negative FX impact

    1. GAAP Gross Margin Rate: Low single digit increase compared to 20182. GAAP Operating Expenses: Higher than 2018 by a low-single digit rate3. GAAP Tax Rate: 16.0% - 17.0%4 The GAAP to non-GAAP reconciliation is available in Merck’s Q2 2019 earnings release

  • CORPORATE RESPONSIBILITY THAT CREATES SUSTAINABLE VALUE

    13

    Increasing access to health advances Merck’s efforts to serve more patients • Long history of making medicines and vaccines accessible and affordable through responsible pricing practices and industry-leading patient support

    programs• Addressing 88% of the top 20 global burdens of disease with products and pipeline• Merck for Mothers - 10-year, $500 million initiative to prevent maternal deaths has reached more than 9 million women worldwide• Our 30+ year old MECTIZAN® Donation Program for river blindness and lymphatic filariasis that is making progress to eliminate these diseases in endemic

    countries: eliminated river blindness in 4 Latin American countries and in parts of 6 African countries so far, and we have eliminated lymphatic filariasis in 2 countries in Africa and the Middle East

    • Rolling submission to FDA for V920, Merck’s investigational vaccine for Ebola Zaire disease (over 160,000 patients vaccinated to-date)

    Fostering diverse and gender-balanced workforce essential to performance as a research-intensive company and to attracting most talented scientists

    • Numerous programs to engage employees and promote positive work environment (including female mentorship by female Board members) - 40% of new hires in 2017 were female- 40% of management roles in 2017 held by women - 36% of new U.S. hires in 2017 were members of underrepresented ethnic groups- 23% of U.S. executive roles in 2017 were held by members of underrepresented ethnic groups

    Executing sustainability strategy to take advantage of opportunities to reduce environmental impact across operations and supply chain

    • Energy-conservation and water-use-reduction initiatives• Reducing environmental impacts of new products, packaging, buildings and equipment• Purchasing electricity from renewable energy sources to reduce greenhouse gas emissions• Collaborating with suppliers and customers to address shared needs and interests in environmentally beneficial ways

    Earning trust and confidence of stakeholders is critical for a company in the business of marketing and selling medicines and vaccines

    • Demonstrated commitment to transparency through disclosures about our business and how we operate, including being first pharmaceutical company to publish a multi-year report about pricing practices

    • Work with broad range of stakeholders to help develop and advance innovative financing and payment models to improve access• Integrating the SDGs into our reporting to demonstrate our commitment to sustainable development

    Access to Health

    Employees

    Environmental Sustainability

    Ethics and Transparency

    2Q 2019 Earnings

  • CREATING LONG-TERM VALUE FOR PATIENTS, EMPLOYEES AND SHAREHOLDERS

    14

    Next 5 YearsStrong execution driving sustainable revenue growth, meaningful margin expansion and accelerated bottom-line growth

    5-10 YearsRich pipeline addressing areas of high unmet need to drive performance over the next 5 to 10 years

    10+ YearsRevitalized discovery efforts and increased expertise in biology to deliver ongoing scientific breakthroughs for decades to come

    Anchored by our deep bench of talent and commitment to our mission

    2Q 2019 Earnings

    Slide Number 1FORWARD-LOOKING STATEMENT�OF MERCK & Co., Inc., Kenilworth, N.J., USAQ2 PERFORMANCE HIGHLIGHTS1ONCOLOGY: STRONG GRoWTH for KEYTRUDA, LYNPARZA AND LENVIMAREPEATED OVERALL SURVIVAL BENEFITS IN MONOTHERAPY AND IN COMBINATION DEMONSTRATES SUCCESS OF KEYTRUDAVACCINES: GARDASIL GLOBAL UPTAKE REMAINS ROBUSTHOSPITAL acute care: BRIDION DEMAND REMAINS STRONGANIMAL HEALTH: SUSTAINED PERFORMANCECONTINUED ROBUST INTERNATIONAL PHARMACEUTICAL GROWTH LED BY CHINA1Q2 2019 FINANCIAL RESULTS SUMMARY�DELIVERED +15% REVENUE GROWTH AND +25% NON-GAAP EPS GROWTH (BOTH EX-FX)BALANCED APPROACH TO CAPITAL ALLOCATION�INVESTING IN THE BUSINESS AND CREATING VALUE FOR SHAREHOLDERSUPDATED FULL-YEAR 2019 GUIDANCECORPORATE RESPONSIBILITY THAT CREATES SUSTAINABLE VALUECREATING LONG-TERM VALUE FOR PATIENTS, EMPLOYEES AND SHAREHOLDERS