Koninklijke Philips N.V. (PHG) Q3 2020 Results - Earnings Call
Koninklijke Philips N.V. (NYSE:PHG) Q3 2020 Results Earnings Conference Call October 19, 2020 4:00 AM ET
Company Participants
Leandro Mazzoni - Head of Investor Relations
Frans van Houten - CEO
Abhijit Bhattacharya - CFO
Conference Call Participants
Veronika Dubajova - Goldman Sachs
Michael Jungling - Morgan Stanley
Patrick Wood - Bank of America
David Adlington - JPMorgan
Hassan Al-Wakeel - Barclays
Lisa Clive - Bernstein
Ed Ridley-Day - Redburn
Scott Bardo - Berenberg
Max Yates - Credit Suisse
Julien Dormois - Exane BNB Paribas
Falko Friedrichs - Deutsche Bank
Daniel Wendorff - Commerzbank
Operator
Welcome to the Royal Philips Third Quarter 2020 Results Conference Call on Monday the 19th October, 2020. During the call hosted by Mr. Frans van Houten, CEO and Mr. Abhijit Bhattacharya, CFO, all participants will be in a listen-only mode. After the introduction, there will be an opportunity to ask questions. [Operator Instructions] Please note that this call will be recorded and replay will be available on the investor relations website of Royal Philips.
I will now hand the conference over to Mr. Leandro Mazzoni, Head of Investor Relations. Please go ahead, sir.
Leandro Mazzoni
Good morning, ladies and gentlemen. Welcome to Philips third quarter results conference call. I'm here with our CEO, Frans van Houten and our CFO, Abhijit Bhattacharya. On today's call, Frans will take you through our strategic and financial highlights for the quarter, as well as the target for accelerated growth, higher profitability and improved cash flow for the 2021, 2025 period. Abhijit will then provide more detail on the Q3 financials. After that we will take your questions.
Our press release and the related information and slide deck were published at 7 a.m. CET this morning. Both documents are available on our Investor Relations website. A full transcript of this conference call will be made available by end of the day on our website.
As mentioned in the press release, adjusted EBITA is defined as income from operations excluding amortization of acquired intangible assets, impairment of goodwill and other intangible assets, restructuring charges, acquisition-related costs and other significant items. The impact of COVID-19 on our results is not treated as an adjusting item. Comparable growth for sales and orders are adjusted for currency and portfolio changes. Finally, also as mentioned in the press release the new targets exclude the Domestic Appliances business.
With that, I would like to hand over to Frans.
Frans van Houten
Thanks, Leandro. And good morning to all of you on the call and webcast. I hope that you and your families are keeping safe and well.
It's clear that the COVID-19 pandemic is far from over. And I'm pleased with how we are performing under challenging circumstances, as our teams are focused on delivering what we call our triple duty of care, meeting critical customer needs, safeguarding the health and safety of our employees, and ensuring business continuity.
The work that we are doing to support healthcare providers, medical staff, patients and consumers alike, remains a top priority for all of us at Philips. In close collaboration with our suppliers and partners, we have ramped up the production volumes of products and solutions to help diagnose, treat, monitor and manage COVID-19 patients. We've also continued to create important COVID-19 oriented propositions to rapidly respond to customer needs.
Moving on to the Q3 financial highlights. We delivered strong growth and improve profitability in the court [ph]. Overall comparable sales growth was 10% as we successfully converted our Connected Care order book, so consumer demand rebounding and elective procedures gradually normalizing.
Connected Care grew a very strong 42% in the quarter, driven by the high volume of shipments to fulfill the order for patient monitors and respiratory care. Sales for Personal Health grew 6%. Our Diagnosis & Treatment businesses delivered encouraging sequential improvement but still declined 3% in the quarter versus 2019.
Comparable equipment order intake grew 3% in the quarter, excluding the impact from the unexpected partial termination of the April 2020 contract with HHS, which was communicated in August. Order intake growth was driven by the demand for patient monitors, hospital ventilators, computer tomography and portable ultrasound systems.
Customer response to our innovative products and solutions remains very positive. And we have - we expect to have in continued increasing market share in the professional healthcare market.
Adjusted EBITA margin was 15.4% in the third quarter, 300 basis points higher than in Q3 2019. Free cash flow increased strongly to €543 million. Looking ahead, we continue to see uncertainty and volatility related to the impact to COVID-19 across the world. But our order book is solid, and we continue to expect to deliver modest comparable sales growth with an adjusted EBITA margin of around the level of last year for the full year 2020.
Now I would like to provide some color on initiatives to respond to customer needs and support health care professionals. In the quarter we introduced several new solutions for the intensive care unit, the general ward and the home that feature virtual monitoring capabilities. These include our new rapid equipment deployment kit for ICU ramp-ups, allowing hospital staff to quickly deploy critical care, patient monitoring capabilities, where and when additional care capacity is needed.
The kit is a fully configured and ready to deploy ICU patient monitoring solution which includes 20 ICU monitors, 20 measurement servers, and a central management monitoring station.
Building on our leadership in defibrillators, we launched a new solution for emergency care in the United States consisting of a remote portable vital signs, patient monitor and professional defibrillator. This is called the Tempus ALS. It's a complete end-to-end system that combines innovative hardware and advanced software for emergency responders.
Also exciting, we launched major extensions to our industry-leading Azurion platform, comprising a new range of configurations, addressing more therapeutic areas and more price points and further integrating therapeutic devices and imaging. With the new Azurion clinicians can easily and seamlessly switch between imaging, physiology, hemodynamics and informatics applications, including state-of-the-art, smart CT 3d imaging and IntraSight, a comprehensive suite of clinically proven iFR/FFR, IVUS and co-registration modalities.
We also expanded our image-guided therapy devices portfolio through the acquisition of Intact Vascular, adding an industry first implantable device to treat peripheral artery disease.
Moreover, we launched QuickClear, an all-in-one thrombectomy system for the removal of blood clots from the vessels of peripheral arterial and venous systems, peripheral arterial and venous systems, and OmniWire, a solid-core pressure wire, and other industry-first to guide coronary artery procedures.
We continue to drive market share in our core businesses through deeper and more comprehensive customer partnerships to enhance patient care and improve care provider - productivity. During the third quarter we signed 11 new long-term strategic partnerships with hospitals in the United States, Europe and Asia.
We announced a multi-year partnership with Tampa General Hospital, one of the largest hospitals in the United States to replace all of the hospitals patient monitors, and upgrade key imaging technologies in the cath labs and interventional radiology rooms. We also provide unique workflow solutions, and operational performance management services.
In Personal Health, we continue to invest in innovation and new product introductions to capitalize on recovery opportunities. In the third quarter, we broaden our leading portfolio of power toothbrushes, with the exciting launch of the Philips One by Sonicare in the United States. This is a battery-operated power toothbrush, which is step up for consumers for - that switch from manual brushing, and an entry level proposition thereby allowing us to expand in new consumer segments.
The Philips One starts at US$ at 24.99 and also offers users a subscription service that seamlessly delivers a new brush head and replacement battery right to their door every three months. The automatic refill helps keep oral health routines on track and ensures optimal efficacy of brush heads.
While we have been working hard on managing our business during these uncertain times, we continue to progress on our strategic and performance roadmap for the coming years. Our journey to health tech leadership continues, as we innovate to drive growth, improve operational excellence, and deliver on our transformation.
Our strategy to transform care, along the health continuum strongly resonates with customers and has been further validated during the COVID-19 crisis. Moreover, we see increased interest in telehealth solutions like Tele-ICU, tele-radiology tele-pathology, which can help virtual working of care professionals, as well as move care into the community.
We are glad to announce our targets for accelerated growth, higher profitability and improve cash flow for the 2021, 2025 period ahead of our upcoming Capital Markets Day that will be held virtually in November.
We play in attractive market segments, with solid growth fundamentals and with long term trends that align with our strategy. We expect these markets to grow around 4% per year, assuming that the world economy returns to growth next year.
Building on our transformation and investments over the last few years, we anticipate an acceleration of our average annual comparable sales growth to 5% to 6%, with all business segments in that range. This is underpinned by our strategic imperatives to further improve customer and operational excellence, boost growth in our core businesses through innovation, geographical expansion and more customer partnerships, and of course winning with innovative solutions along the health continuum.
For 2021, our current view is that group comparable sales will deliver low single digit growth, driven by solid growth in Diagnosis & Treatment and Personal Health, but partly offset by lower Connected Care sales, as demand in these businesses normalize from the spike in COVID-19 generated demand in 2020. We aim for an average adjusted EBITA margin improvement of 60 to 80 basis points annually starting in 2021 and reaching high teens by 2025.
Looking at the business segments, we expect Diagnosis & Treatment to reach 15% to 17% adjusted EBITA margin, Connected Care to reach 17% to 19% and Personal Health to reach 19% to 20%. This profitability step up is driven by above mentioned growth, delivering operating leverage, increasing return of investments in growth businesses like telehealth and informatics, and a further step up in the profitability of Diagnostic Imaging, as well as operational excellence resulting in further sizeable productivity savings over the next years.
Next to this, cash generation will step up to above €2 billion of free cash flow, and organic ROIC will improve to mid to high teens by 2025. We will discuss the strategic and overall performance roadmap in more detail during our Capital Markets Day on November the 6th. But we did not want to keep the suspense until then, so that investors can reflect on it in the meantime. We look forward to a very engaging dialogue during the Capital Markets Day.
I'm also very proud to share with you that we are reinforcing our commitments as a purpose-driven company, with a fully integrated approach to doing business responsibly and sustainably. Our leadership in environmental responsibility is recognized by our stakeholders, and we have been consistently raising the bar.
For example, earlier this month, Philips ranked number two over 5500 publicly traded companies on the Wall Street Journal list of the 100 most sustainably managed companies in the world. We expect to deliver on all targets set out in our 2016, 2020 Healthy people, Sustainable planet program by the end of this year. And in September, we announced a comprehensive new set of commitments and targets across the entire spectrum of our environmental, social and corporate governance activities that will guide the execution of our company's strategy.
We are enhancing our ambitions to reduce CO2 emissions in line with a 1.5 degree celsius global warming scenario set out by the Paris Agreement. By 2025, Philips will be 75% powered by renewable energy. All our products and services will be designed in line with eco design requirements. And where we cannot completely eliminate our CO2 emissions, we will offset them by investments in health benefiting environmental projects.
When it comes to social responsibility, we commit to improving the lives of 2 billion people a year by 2025, including 300 million in underserved communities. We have also set a new goal of 30% gender diversity in senior leadership positions by the end of 2025, up from 25% in 2020.
And when it comes to good governance, we commit to being transparent in the text contributions we make in all countries we operate in. Bringing together all these aspects of responsible and sustainable business into a single framework will not only help us improve lives throughout the world, but it will also reinforce our purpose and strengthen our power of innovation.
Ladies and gentlemen, let me also give you an update on the current status of the divestment of the Domestic Appliances businesses. Separation process is on track and expected to be completed in the third quarter of 2021. As planned, we started to engage with interested parties and continue to see good interest for the asset.
Domestic Appliances is a solid business and has returned to robust growth with increasing margins in the third quarter based on a strong portfolio of innovations with market leading positions.
To round off, I'm pleased that we are delivering to plan and very thankful to our employees. I'm also convinced that Philips is well positioned to serve the current and future needs of hospitals and health systems, next to supporting consumer health and that the gross margin profile of our company is well underpinned.
And with that, I'd like to turn the call over to Abhijit.
Abhijit Bhattacharya
Thank you, Frans and thank you all for joining us today. Let me start with providing some color on the third quarter comparable sales for the group. Our Diagnosis & Treatment businesses comparable sales declined 3% in the quarter on the back of strong 9% growth in Q3, 2019.
Diagnostic Imaging sales declined below single digit, as growth in computed tomography and diagnostic X-ray was offset by lower volume of installations in MR. Ultrasound sales declined double-digit, with strong demand for point-of-care devices more than offset by lower installations of cardiac systems in the quarter.
Image-guided therapy sales declined low single digit in Q3, the volume of elective procedures continue to recover being very close to pre COVID-19 levels by the end of the quarter. As a result, our image-guided therapy devices business delivered low single digit comparable sales growth in Q3.
Sales for image-guided therapy systems improved to a low single digit decline, compared to a high teens decline in Q2, as hospitals are gradually resuming installations.
Services sales for our Diagnosis & Treatment businesses grew low single digit compared to the same period of 2019. Let me remind you that recurring revenue streams from services represent more than 35% of the total sales of our Diagnosis & Treatment businesses.
The sales for Connected Care businesses grew a very strong 42% in Q3, driven by shipments of patient monitors and respiratory care solutions. As mentioned by Frans, we have ramped up the production of these devices to meet urgent demand and fulfill the orders we have on hand for these products.
For Personal Health, we saw a steady recovery in demand in the third quarter and helped [ph] by the normal pattern of selling ahead of the high season in Q4. Comparable sales increased by 6% with high single digit growth in Personal Care and Domestic Appliances, and low single digit growth in Oral Healthcare.
North America and Western Europe delivered double-digit growth, this was partly offset by a decline in growth geographies driven by China. Consumer sales through digital channels grew double-digit in the quarter and represented 37% of total sales for the Personal Health businesses. This compares to around 33% of total sales before the COVID-19 pandemic. In-store sales grew low single digit in Q3.
Given the uncertainty around consumer demand and the slower pace of recovery in China, we continue to expect our Personal Health businesses to deliver low single digit comparable sales growth in the fourth quarter of this year.
Moving to orders as mentioned by Frans, order intake grew 3% in Q3, excluding the impact from the partial cancellation of the HHS contract. This builds on double-digit growth seen in the first half of the year resulting in double-digit growth year-to-date, and a strong order book for the group as depicted on page 29 of our IR booklet.
For reference, if the booking and cancellations of the HHS deal has taken place in the same quarter, so assuming that the booking and cancellation has happened in Q4, the order intake growth for Q2 would have been high single digit compared to the 27% reported previously.
Comparable order intake in Connected Care grew by 26% in the quarter, excluding the impact from the HHS contract, with double-digit growth across all businesses, including the impact of the cancellation, order intake for Connected Care declined by 56%.
I'm particularly encouraged by another strong quarter in monitoring and analytics, with more than 20% order growth compared to last year. We also witnessed strong traction in our Connected Care, Informatics and Therapeutic Care businesses. Based on this order intake performance, we expect to continue to see solid growth in Connected Care sales in the fourth quarter, although not comparable to the magnitude seen in Q3.
Diagnosis & Treatment comparable order intake improved to a decline of 5% in Q3 compared to a 20% decline in Q2. Growth in computed tomography, X-ray and portable ultrasound was more than offset by a decline in other parts of the portfolio.
High single digit growth in Western Europe was more than offset by a decline in North America and growth geographies. We expect that some areas of the Diagnosis & Treatment businesses will continue to experience a gradual recovery in demand through the fourth quarter. But it's important to note that we have not seen cancellations of orders due to the COVID-19 outbreak and continue to experience positive competitive momentum for our portfolio.
Let me now turn to the profitability development for the quarter. Adjusted EBITA for the group was €769 million or 15.4% of sales compared to 12.4% in the third quarter of 2019.
Looking at the business segments, Connected Care delivered an adjusted EBITA margin of 27.1% of sales, compared to 11.3% in the third quarter of 2019, as strong operating leverage, and productivity measures initiated from last year more than offset the investments to ramp up production.
In Diagnosis & Treatment, the adjusted EBITA decreased to 9.7% of sales. This was a result of lower sales and lower factory coverage, and an unfavorable product mix driven by lower growth of the cardiac ultrasound and image guided therapy portfolios.
In Personal Health, we adjusted EBITA was 14.5% broadly in line with last year, sales growth and cost savings were offset by adverse currency impacts of 50 basis points due to the depreciation of growth geography currencies, as well as the planned higher investments in advertising.
We remain on track to deliver over €400 million productivity savings this year and exceed the €1.8 billion productivity targets set for the overall period of 2017 to 2020. In the third quarter, our productivity program delivered €120 million net savings. More specifically, procurement savings delivered €62 million of bill of material savings. Net non-manufacturing cost reduction amounted to €26 million and the manufacturing productivity program contributed to €32 million.
Restructuring acquisition related and other charges were higher than the guided range, mainly due to the provision of €38 million related to a legal matter and an onerous contract provision of €57 million in relation to changes in ventilator demand, and certain aspects of the partial HHS contract termination. Net income amounted to €340 million in the quarter. The adjusted diluted EPS from continuing operations grew 30% in Q3 to €0.60.
Free cash flow was an inflow of €543 million compared to €126 million in Q3, 2019. In the first three quarters of 2020, our free cash flow generation was around €800 million, €700 million better than the same period of last year, as a result of strong working capital performance.
Our customers continue to face cash pressures due to the impact of COVID-19. But we do not expect it to impact our total cash flow generation over a 12 to 18 month time horizon.
Let me provide some guidance for certain areas of our business. Based on the announcement made so far, we continue to expect the full year gross impacts of tariffs to be around €70 million, including mitigating actions we expect the net tariff impact to be around €40 million in 2020. This is €30 million lower than the net impact seen in 2019.
In the segment Other, we expect an adjusted EBITA loss of around €115 million in 2020. This is 20 million lower than our previous guidance due to cost savings delivered in the third quarter. At EBITA level, we now expect a net cost of around €240 million for the full year 2020. This includes €50 million to €60 million of cost related to the separation of the Domestic Appliances business as explained before.
Financial income and expenses are expected to be a net cost of around €100 million in 2020. This is €50 million lower than our prior guidance, mainly due to lower interest expenses paid and positive value adjustments of financial assets.
To summarize, we ended the quarter with 10% comparable sales growth and 15.4% adjusted EBITA margin. For the fourth quarter of the year, we continue to expect to deliver growth and improve profitability for the group. Consequently, for the full year 2020, we expect to deliver modest comparable sales growth and an adjusted EBITA margin of around the level of last year.
We have seen increasing interest from investors seeking clarity on our post 2020 performance roadmap. And as Frans mentioned, we decided to announce our targets for accelerated growth, higher profitability, and improve cash flow to date to give you sufficient time to prepare for an engaging dialogue during our Capital Markets Day on the 6th of November. We request you to kindly reserve your questions on the performance roadmap for the Capital Markets Day, so that we can focus today's Q&A on the third quarter performance and the outlook for the year.
Due to the current restrictions around COVID-19, we will have a Virtual Capital Markets Day this year. Despite the change in format, we will have sufficient time for Q&A and interaction. Additionally, we will hold a series of fireside chats during the weeks following the CMD to be hosted by Frans and our segment leaders. More information on these events are published on our Investor Relations website.
To conclude, I want again to thank our customers for their support, as well as our employees for how they have stepped up to deliver against our triple duty of care during these difficult times. This has also been reflected in our high employee engagement scores.
With that, we will now open the line for your questions. Thank you.
Question-and-Answer Session
Operator
Thank you, sir. [Operator Instructions] The first question comes from Veronika Dubajova from Goldman Sachs. Please state your question.
Veronika Dubajova
Good morning, and thank you for taking my question. Can we please start - just I love to understand Frans what you're seeing a little bit from a hospital CapEx perspective. obviously the D&T order momentum, big improvement versus Q2. But if you can give us a little bit of sense for how it progressed as you move through the months and your degree of confidence in order growth, either turning neutral or positive in the fourth quarter, which I think was your original expectation a quarter ago? That would be a great place to start. And then I have a follow up after that, if that's all right.
Frans van Houten
Okay. Hi, good morning, Veronika. And, well, hospital CapEx has been directed to the acute care area. So it's not that hospitals are not investing, but they have prioritized their emergency response. And that went to the expense of, let's say, the other modalities, leading to some delays in installations.
If we look at the plans that hospitals are making, then we see a great desire to invest in the more profitable elective procedure areas, all right. So we actually do not expect a structural impact on hospital CapEx because this is the lifeline of the providers to generate to support to patients with chronic disease and generate their revenue stream.
So while there is a delay, we don't think that that is structural and the improvement in D&T from Q2 to Q3 is a step in the right direction, is maybe a tad slower than what you all expected, but
But there's quite an old installed base in the world, especially in the United States, in Europe. That is 10, 12 years old, and that needs to be upgraded. And if we look at our funnel, then we have every reason to believe that we can see the recovery of the D&T segments strongly.
Now, if you look Veronika, at our guidance for next year, right, we are basically indicating that we expect 5% to 6% growth across D&T and Personal Health, while only Connected Care will be negative due to the very difficult to compare. And that means that the totality of Philips [ph] will then be low single digit, and then from there on, we'll take the growth to 5% to 6%. That indicates a strong confidence in our ability to get the order intake back up to a level to support that revenue growth. Let me pause there.
Veronika Dubajova
That's very, very helpful. And can I just follow up on that 2021 comment? I mean, it's obviously tough for us to see there's quite a lot of moving parts, but I'm just curious when it comes to profitability, your degree of confidence in that 60 to 80 basis points, and potentially what might be some of the upside risks to that as we think about 2021 margins?
You know, clearly this year, you've demonstrated much better margin resilience, and I think a lot of us would have expected at the outset. So just curious how you're thinking about that, all that dynamic on the margin side for 2021?
Frans van Houten
Yeah, well, I could of course, say that this is not typically a question that belongs to the Capital Markets Day. But let me at least say something about it, Veronika. It's a complex calculation, right, because the categories of patient monitoring and hospital respiratory care generated a lot of operational leverage in 2020.
Some of that will fall away next year, although we do see resilience in the order funnel for patient monitoring, because monitoring will get into our care settings. And I think the category will prove to be much more resilient then hospital ventilation. But then the other Connected Care modalities will come back up.
We will provide at Capital Markets Day the typical bridge that you have gotten used to and you will see there a balance coming from gross margin expansion, thanks to innovation, productivity gains, because we see a lot of opportunity to continue to drive productivity programs over the next 5 years, in fact, and then other improvements.
So I think, I'm being prompted here by Abhijit to also mention something about that, while let say hospital ventilation goes down, actually sleep will come back up. And also, of course, the elective procedures recovering means that the high growth IGT area and especially IGT devices will demonstrate strong growth and also cardiac ultrasound and MRI. So there's plenty of excitement brewing to underpin both growth and profit expansion. Again, let me pause there Veronika.
Operator
The next question comes from Michael Jungling from Morgan Stanley. Please state your question.
Michael Jungling
Great. So good morning all. I have two questions, both on Personal Health, please. The first one is, are the accounts receivables with your customers becoming an issue? Or have you taken already sufficient amount of provision against down for [ph] debt charges going forward to avoid a negative surprise in the fourth quarter?
And then question number two also in Personal Health is, how do your customers normally purchase for the Christmas period? Most of let's say 90% of the orders sort of taken in Q3. And is this year different as customers wait to see how difficult COVID is and come in with some last minute orders for the Christmas period? Thank you.
Frans van Houten
Yeah, hi, Michael. Well, let me reassure you on the accounts receivable side because we have not seen difficulties on the Personal Health side. In April Q2, we were a bit worried about it. But we are in close contact with our customers. And we think this is entirely under control.
On the Health System side, let me deviate slightly from your question and also cover the accounts receivable on the Health System side. There, we have seen some hospitals asking for help. But then we have been able to leverage our Philips Capital Financial services portfolio to help them out. And as a consequence, collections have been very strong. And you also see that our working capital has been very much under control.
With regards to PH ordering, of course, Q3 was very strong. There was an element of stocking up for this fourth quarter, as is normal in a seasonal pattern, as you get Prime Day and Black Friday, and all these other things coming up. But I think what is very reassuring is that our sell out data is also strong. And that means that there is really underlying demand from consumers that want to buy into good personal care, put good personal hygiene, and the products that we have on offer. Also our Domestic Appliances business is very resilient, very strong recovery in Q3 across the entire portfolio.
In passing. Michael, I mentioned that Prime Day is coming up that as you know, Amazon has moved their Prime Day from Q2 to Q4. And so there is a lot of seasonal festivals coming up in the fourth quarter. That's I think how I look at Personal Health.
Michael Jungling
Okay. [indiscernible] because you guided for the fourth quarter to sort of a little bit of growth in Personal Health. Are you taking a very conservative approach just in case things go the wrong way? Because the way it sounds right now, that things could actually go a bit better then what you initially plan to do…
Frans van Houten
That guidance for Q4 is more because given the long shipping lines for Personal Health, and the typical highest quarter in terms of selling in is the third quarter, right therefore we should not expect to repeat what we did in Q3 in Q4. So I would not label it as conservatives on how we see consumer demand, but there is - given the pipeline and the time lag some of Q4 sales is already recorded in Q3 as a consequence.
Operator
The next question comes from Patrick Wood from Bank of America. Please state your question.
Patrick Wood
Perfect. Thank you for taking my questions. I'll just ask both upfront if I can. And first one, maybe China a little bit of a surprise there on, at least on my end. What are you seeing there? I mean, some of the macro data seems to suggest that the recovery is relatively strong, but I'm just kind of curious what you guys are seeing on the commercial side with consumers. And just a little surprise, the weakness and how you feel about that going into next year?
And then the second question is on Connected Care. Maybe just a little bit of help in terms of the phasing. Thank you for the commentary around Q4 still being strong growth, but should we expect generally over the next bunch of quarters, however you want to define it growth to fairly meaningfully retreat down? I mean, I'm trying to get a sense of how sharp the drop off is? Thanks, guys.
Frans van Houten
Yeah. Hi, Patrick. Yeah, China was a bit weak in the third quarter. And we have some work to do on the Personal Health side in China, where we think we can step up the effectiveness of our marketing. We have several launches planned that will support the future.
But - and even though the gross numbers in China showed a good recovery, we feel that the market is not completely there yet. To a degree that also applies to the Health System side where we saw growth a little bit softer than we had hoped for. So some work to be done in China. That is of course compensated by a very resilient Europe and United States market that we feel very good about.
On the Connected Care. I think its bit in line with the questions from and the discussion we had on Veronika's question. So Abhijit already said that, you know, order book and orders and pipeline for Connected Care in fourth quarter look strong. I mentioned that I see monitoring also extend into other care areas and that therefore, monitoring will be an area where we can see a longer demand cycle than hospital ventilation, which is a market that is going to be more saturated expectedly.
However, the home ventilation and sleep category, sleep apnea categories have suffered this year, because of the COVID pandemic. Fewer sleep tests are being done. That means that there are quite a lot of patients that are under diagnosed and under treated. We think that that will get a big boost next year. Even so, the comparison from 2020 to 2021 will of course be very hard, given the high revenue in CC this year.
And therefore we expect a negative growth in Connected Care in 2021. Just because of the comparison, and therefore Philips as a group comes into the low single digit growth rate for next year, while D&T and Personal Health are expected to grow in the 5% to 6% bracket. I hope that helps…
Operator
The next question comes from…
Frans van Houten
Patrick, that is we see strong demand for health informatics in Connected Care, tele health related and we certainly think that that's on a winning streak with a lot of demand. And we think that's permanent. I mean, that's the finally the acceleration that we have been hoping for and that we talked about many times in the past, you know, when is it coming, with all the investments done. And we think it's coming now.
Abhijit Bhattacharya
Maybe just to give a bit more color. So in patient monitoring, we are - we have grown order intake, I think 20% in the quarter, 50% in the previous quarter. So we have good momentum there. So I think Patrick, a good way to look at it is to compare the 2021 growth over 2019. And then you see, if you take out the spike of 2020, you see really good steady growth, but yet compared just mathematically to the spike of this year, there will be a decline.
Operator
The next question comes from David Adlington from JPMorgan. Please go ahead.
David Adlington
Thanks for taking the question. I just wanted to check if the consolidation in the imaging and radiotherapy space had changed your thoughts on the outlook for your D&T business and its competitiveness going forward? And associated with that, I just wondered if you recognized any one-off costs in the quarter associated with aborted [ph] M&A attempts?
Frans van Houten
That's an interesting question. Well, you're referring to the Siemens, Varian deal, which is a big deal. But I bring to your recollection that we have a partnership in the radiotherapy area with Elekta. That partnership is going well. It serves as well. We do believe that the care pathways in oncology benefit from a good integration of technologies and software clinical decision support systems.
We think that we can accomplish that through this partnership, and therefore nothing to report. There are no charges for whatever in the - in that space. So negative on your second question.
And perhaps a wider perspective on the market of oncology. You know, that we are already active in oncology in many years with a combination of our diagnostic informatics systems, therapy planning, and more recently, oncology informatics, where we combine radiology pathology in genomics and longitudinal data of patients. We combine it with the Dana-Farber clinical decision support for decision making. And we are making a lot of headway in that segment. So let me leave it at that.
Operator
The next question comes from Hassan Al-Wakeel from Barclays. Please state your question.
Hassan Al-Wakeel
Thank you for taking my questions. I have a couple please. So firstly, where do you think ventilator capacity is now globally? And how much of the HHS contract cancellation do you think you can offset? And what about critical care capacity, and do you expect a strong growth in patient monitoring to persist?
Secondly, on the medium term top line guidance, could you elaborate on the most significant drivers for your increased optimism and the narrowing of this range relative to your prior range? And also what is the net margin benefit you have assumed from the disposal of domestic appliances at a group level please? Thank you.
Frans van Houten
All right. Hassan, good morning. That's three questions, I think. First, the ventilator capacity, I don't have the industry top of mind. But we had approximately 30,000 or so ventilators in 2019. And kind of sevenfold increase this year, in which the cancellation of the 30,000 by US takes a bite out of that. But it is still a very sizable step up versus 2019.
The - it's the expectation that the vent - the hospital ventilator market will return to kind of a 2019 level in 2021. Now, that's a rough outline. And we are not the only one that is affected by the way by partial cancellation also to other vendors. It happens to them.
And still as Abhijit said, we still see orders coming in. In the fourth quarter there are still countries in the world that are under equipped when it comes to acute care. And depending on how COVID develops, it could well be that we will also see stockpile programs coming up from various governments. It's for example being debated in the European Commission. And if stockpile programs would emerge, then that could actually change the narrative I've just given for 2021. So it's a bit fluid situation.
On monitoring, I think we can be much more optimistic longer term, because historically, monitoring was something for the intensive care department. In the meantime, we see more and more hospitals, equipping patients also in the general ward, where the survey and sort of the continuous surveillance of patients reduces the stress on hospital staff. It provides with the predictive analytics on how patient is doing and the health economic benefits of monitoring in the general ward, as well as the clinical benefits are well documented.
In the meantime, we also expect to see monitoring to take off in the out of hospital space, with more and more chronic patients being monitored on a continuous basis or at least certainly after discharge for a while. These are new monitoring markets that will kick in also post COVID. And therefore, we are very – we expect to be very positive about the monitoring and analytics marketplace for the years to come, certainly some something where it will sustain that 5% to 6% growth.
I mentioned hospital respiration to go down, but then the home ventilation and sleep apnea market will strongly recover, right, and therefore, we can be - and then the health - telehealth market will also get a boost. So, we can expect Connected Care to be in that 5% to 6% bracket in 2022.
After we have compensated for the spike, and you heard Abhijit say basically that if you think about Connected Care versus 2019, the next year should be in positive gross territory as well. I think with that you should be able to model that.
The mid term optimism, well, you know, over the last 5 years, we have been delivering consistently around 4.5% growth. And we have been stepping up investments, repositioned the portfolio towards higher growth categories. Let me just mention one, IGT devices, double-digit growth this year, of course, a bit under pressure due to the postponement of elective procedures. But with all our exciting moves in image guided therapy, we expect IGT overall to be high gross, but then IGT devices to be double-digit.
And it's - we are now getting closer to the 1 billion in size for IGT devices. So, it becomes a sizable business and really contributing to the overall growth of Philips. I mentioned health informatics as a area where we have invested quite a lot and that is expectedly getting to much - structurally a much higher gross ratio, right.
And then there is all the other - then Personal Health structurally on 5% to 6% growth. In fact, that should not be a surprise because also historically we have been performing in that level. Then we see the strong performance with long term strategic partnerships. We recorded another 11 deals with customers across the world who believes in the fact that if you partner you get better health productivity, better health outcomes.
The recurring revenue portfolio is increasing year-on-year, right, it makes us more resilient, but it also adds to the growth. So - and we saw double digit growth in the solutions part of our portfolio. So plenty to think of when it comes to underpinning the mid term targets.
And on the profitability side of course, that goes back to the question on the bridge, partly driven by growth, partly by innovations on higher gross margins, partly by productivity programs that we will elucidate at the Capital Markets Day, but I can tell you that we see productivity programs to go through every year over the next 4 years. So also there I think quite some - as it called as a Dutch expression, we have quite a few irons in the fire as that is called.
And then your third question on the DA impacts, so the guidance is exclusive of DA and we expect to complete the deal by the third quarter of next year. DA is slightly below the average profitability of Philips, therefore maybe 10 basis point…
Abhijit Bhattacharya
Is not material.
Frans van Houten
Is not material impact on the profitability and it's a great asset, has nice gross, also there not a material impact in the portfolio mix. I hope Hassan that answers all your questions.
Operator
The next question comes from Lisa Clive from Bernstein. Please state your question.
Lisa Clive
Hi. Three questions please. First of all, just a comment you made around the long term contracts adding to growth, I guess it's more of an accounting question for Abhijit. So I assume you only book one year of revenues in the first year - say a 10 year contract and versus selling that - selling equipment outright to that customer, that actually would be a headwind to growth as you aren't accounting for the full value of all the unit placements in year one. So actually, if we look at your long term, your new midterm guidance, and that includes an acceleration in these long term contracts, should we actually see that as a positive?
Second question on Connected Care? Could you give us some guidance on the margins around Connected Care, informatics? I assume it hasn't been that profitable to date just because of investments required and being fairly small. But as we look out at that just 3, 4 years out, will that become a strong contributor to your EBITA growth?
And then lastly, you mentioned the old installed base of imaging equipment in the US and Europe, what about patient monitors? I assume, in order for hospitals to be able to take advantage of eICU and other platforms that they need to have newer monitors that are Wi-Fi enabled, et cetera. So how should we think about the installed base that you have out there and how quickly that can turn over, so that you can offer more of your sort of software as a service solutions?
Frans van Houten
Okay, great. Lisa, let me start with question three, and then hand it over to Abhijit for one and two. The installed base and patient monitoring is not as old as let's say you see on the imaging side. And many of our patient monitoring systems are already connected to a central station, where on a departmental level, you can oversee the entire ICU ward.
The interoperability with the electronic medical record is already arranged. Therefore, you know, integration with hospital networks is completely there, that also - and given that we are so advanced, it actually helped us to be the market leader, right. So it's not correct to think of patient monitors as a old fashioned kind of a hardware device next to the bed. This is very advanced informatics applications.
We do offer hospitals, of course, the newer systems and we become more and more Artificial Intelligence enabled and predictive in their nature. So it is very exciting area. That's also why earlier in the questions, I said, I see sustained growth in monitoring and analytics. Abhijit?
Abhijit Bhattacharya
Yeah. So, Lisa, let me explain a bit about the long-term strategic partnerships. It is not necessarily that they are as a service deal and let me explain the difference. So some of them we have a contract over 10 years to renew their equipment as and when necessary with newer technology. So actually, it just locks us in with that hospital group over a period of 5 or 10 years where we just execute capital sales over that period, which is pre-committed, so helps us to plan better, helps the hospital to plan better.
Now, in some cases, these hospitals also prefer over that period to have a fixed cash outlet through the period. And then we arrange it through Philips Capital. So then it becomes a financing arrangement, which in most cases, we even offload to banks. So as far as our sales is concerned, it provides assurance of sales in the coming year, but does not necessarily convert capital sales to, let's say, per use sales.
There are a couple of sales that we do, which is based on per use models, that has an impact but it's in the larger – and it will be bigger as we go forward, but in the larger scheme of things, not that big. And this can be also, let's say, collaborated with our overall solution sales, which has grown significantly above our, let's say, equipment sales business.
So if you look, I think few years ago, we had solution sales around the 28%. We are now north of 35%, that our target was to get to 35% this year. So actually we grow our solutions business and recurring revenue business by more than double of what we are growing our equipment business. So that hopefully that gives you a bit of more of that background as to why we have a higher level of confidence on the sales growth.
We don't give specific guidance on Connected Care, informatics but just to tell you yes, it is a relatively small business. And you know, with the expected growth coming forward, we expect it to get into margins in the range for a normal informatics business, which is in the teens. So there is a significant part of that improvement still to come.
Operator
The next question comes from Ed Ridley-Day from Redburn. Please state your question.
Ed Ridley-Day
Good morning. Thank you. First of all, great to see explicit return invested capital targets as part of your mid term guidance. Frankly, far too rare to see that from companies we look at. Abhijit, can just give us - remind us of the base there from the 2019 in terms of your organic ROIC. And also in terms of organic ROIC, I presume that is including bolt-ons, but nothing in terms of strategic acquisitions?
Abhijit Bhattacharya
Yeah. Ed, maybe couple of points. One, you said not many people have it, but we have actually always had a ROIC target. We ended 2019 with 14.8%. So in the mid teens, it will go slightly lower this year as we get the knock for volcano into our net operating capital.
But I think what we do for our acquisitions, and we mentioned that very clearly, because it's very difficult to give a prediction on how M&A will go. We have a 5 year period for which M&A is excluded. So from year 6 of an M&A we put it into it as an organic target. So that's why you see this year volcano comes in. And then let's say over the course of the next 5 years, the other acquisitions that have happened subsequent to 2025 will keep coming into the numbers.
So I think we would end this year, if you - around the mid teen, so maybe around the 13%, if you - specially if you exclude there was a big impact of a change in accounting. So when we had actually set out the targets, the IFRS guidance on capitalization of lease assets was not there. So if you keep it on that basis, we will end around the mid teens. That is what we had targeted and then over the period, we expect it to go higher.
Operator
The next question comes from Scott Bardo from Berenberg. Please state your question.
Scott Bardo
Yeah. Thanks very much for taking the questions. The first question please just relates to the new mid term guidance you provide and I appreciate your want to wait until the Capital Markets Day to outline your strategy and how you achieve that.
But the question is, does the mid term targets imply a very heavy gearing to the Diagnostic & Treatment business to be achieved? If my calculations are correct, the Personal Health business already achieved a 19% margin last year when you exclude the Domestic Appliance business.
And Connected Care, I think is already for the 9 months at the upper end of the new margin range you set for 2025. So I just want to understand whether there is a very heavy weighting to D&T progression with embedded within these targets, please?
And the second question following on from that, I think that some of your competitors are launching new products in the diagnostic imaging space. And we've talked a little bit about broader consolidation in the channel. Can you give us an update please as to where Phillips's within its innovation cycle here? Should we expect some new products to come at the RSNA and so forth? Thank you.
Frans van Houten
Yeah. Hi, Scott. Well, all three reporting segments will improve their profitability in the next period. And certainly a big step up by D&T as you imply, but also by Connected Care, right, which, in fact, we would all say has been underperforming up till 2019. And now has this nice boost from acute care, but still has to structurally further improve over the next years. So that underpins the group targets next to of course, the operational productivity programs that we will elucidate at Capital Markets Day.
And the questions around to launches and innovation, especially related to diagnostic imaging. We feel very confident about the product range - launches of innovations are not necessarily restricted to RSNA. In fact, I think that's a little bit overrated as a launch platform.
We have just launched the extension of the Azurion platform, which is a several years ahead of the competition according to our customers, and the feedback that we are getting. We have a very strong MRI portfolio. The demand, for example, the ambition, which is a helium-free operations platform, and with the compressed sense, the scan time is less 50%, less. So very fast system, that demand is very strong.
Now, currently, of course, impacted by COVID, we have a renewal of our ultrasound portfolio. We have a strong slate of enterprise diagnostic informatics, the acquisition of Carestream has worked out very well. We get very good ratings on the few packs [ph] implementation. We see strong interest in the oncology informatics platform.
So, you know, I can go on and on, the innovation portfolio is very strong. And it underpins basically the fact that we have been an art growing market share versus several, maybe not all of our competitors.
Operator
The next question comes from Max Yates from Credit Suisse. Please state your question.
Max Yates
Thank you. Just my first questions on the D&T margins. And I just wondered if could give a little bit more color about the headwinds that you face – that you face in the quarter, because I guess looking at it, Q2 had a greater growth headwind, yet margins on a year-on-year basis, were more resilient than what we saw in Q3. I imagine many of the same sort of trends of factory under utilization were there in Q2. So I just like to understand a little bit better what happened this quarter and what was perhaps a headwind that we have this quarter that we didn't last? That's my first question.
Abhijit Bhattacharya
Hi, Max. So I think, you know, as we have seen, let say slower installs on Diagnosis & Treatment, we have adapted our supply chain a bit stronger in the third quarter. So that gives a slightly higher impact on factory leverage. But also, I think, important to understand two more things. One is the mix. So let's say the more profitable categories of cardiac ultrasound, or IGT, right, which are big drivers, they have suffered from low growth. And that has impacted us to a certain extent.
And, you know, we have mentioned right through the crisis that we are not scaling back on R&D. And that's linked to Frans’s reply that he just gave on the innovation pipeline, we know that there is a couple of tough quarters with demand getting postponed. But we want to come out with all innovations at the right time.
So we are not delaying or postponing any R&D related investments that we have. And that also weighs a bit heavily and you know, if we - as soon as we start getting elective procedures back, and then there is a bit of installations, which start going quicker, you will find it coming back in subsequent quarters with a higher leverage. So I think there's not more to it than that.
Max Yates
Okay. And just my follow up question is on the ventilator business, I mean, I think, in 2019, we have the figure, it was around €300 million, I think you talked about the capacity earlier in this call. But could you give us – given you should have good visibility on Q4 deliveries, just in absolute revenue terms, how big you expect that business to be and also contribution to adjusted EBITA this year would also be helpful just to understand where we are with that business today versus 2019 levels, given your assumption of going back to those 2019 levels is probably a reasonable outlook?
Abhijit Bhattacharya
Yeah. Let us come back to you on that on the Capital Market Day because otherwise we could - get too much into the details of what's happening next year. That's a couple of weeks off. We will give you a bit more color. But we have seen quite some increase this year, which would not come next year, maybe close to three x [ph] of what we had last year. So that should give you, let's say a good idea of how much to factor in.
Operator
The next question comes from Julien Dormois from Exane BNB Paribas. Please state your question.
Julien Dormois
Hi, good morning. Good morning, gentlemen, thanks for taking my questions. I'm left with two. One relates to the use of cash, because you should get a pretty sizable amount of cash from the divestiture of Domestic Appliances early next year, and that should probably take you to close to cash positive by the end of 2021. So how should you think about cash utilization in the near term? Is it more about shifting gears on M&A and possibly proceeding with a large M&A deal or more about cash redistribution maybe?
And the second question just relates to growth in PH, in Q3 there was a slight discrepancy between Personal Care, Domestic Appliance and lower growth, you know, overall health care is just a phasing [ph] quarterly issue or is the sign of return of price pressure in that segment?
Frans van Houten
Yeah. Hi, Julien. Well, with regards to the use of cash, we will apply our capital allocation policy, right. So judging carefully, what is driving the best return on investment. We have a balanced approach. We have been using all instruments in the past, ranging from returns to shareholders, as well as organic and M&A. And it's very likely that we will continue to do that also in the future. And we are also quite comfortable with cash sitting on the balance sheet for a while, while we figure out what is the best way forward.
Yeah, the growth in Personal Health, very much driven by North America and Europe. Strong across the range, and I referred that China will slow in Q3, and also their oral care, which is normally a very high gross category was low. And that dented the global oral healthcare gross percentage.
Operator
The next question comes from Falko Friedrichs from Deutsche Bank. Please state your question.
Falko Friedrichs
Thank you. Good morning, I would have one question left please. It's very good to see you're implementing new ESG targets? Could you share some more color on how you aim to measure those targets? And especially this target of improving the life of 2 billion people year by 2025, how do you measure this exactly? And what specific improvements in the life of these people are you looking for?
Frans van Houten
Hi, Falko. Yeah, we measure of course, all our commitments, and at the Capital Markets Day that will affect the presentation around ESG to bring it to the fore. The measurements are also elucidated on our website, among which the lives improved. And we track how many patients and consumers have benefited from our products, either directly because they own them or indirectly, because they are either diagnosed or treated in hospital.
And then we take out double counts, so that we cannot count the same person twice. Of course, that is a statistical method, where there we look at how often a consumer is touched by Philips innovations. So I gladly refer you to the website for the exact calculation.
And it's by the way clear that to drastically increase the number of lives improved. And given that you cannot double count people that much of that growth also needs to come out of emerging markets and Asia as we are still, let's say under penetrated versus what the market share could become. So quite a lot of exciting growth opportunities there.
And I was encouraged to see that the winds now in Indonesia and in Vietnam. Indonesia, as you recall [indiscernible] after his stint in Investor Relations and you know, already a few months later he comes back with a big order. So that was very nice.
Operator
The next question comes from Daniel Wendorff from Commerzbank. Please state your question.
Daniel Wendorff
Yes, good morning and thanks for taking my questions. And two, if I may. The first one on Diagnosis & Treatment and how do you see your IGT portfolio developed in Q3 now, and is that risk for that if hospitals get filled with COVID-19 patients, again, as it looks like at least in some European countries?
And my second question is on the patient monitoring business? And how would you see the competitive market that develop and hospitals demanding apparently more holistic solutions? And you're also moving monitoring solutions beyond the ICU with that having an impact there on the competitive environment? And maybe can you remind us again, on the contribution of your patient monitoring business to your divisional sales and adjusted EBITA now going into 2021? Thank you.
Frans van Houten
Okay, Daniel. Yeah, the IGT business, of course, is dependent on the return of elective procedures. About one third of IGT is devices, and the devices are directly linked to the recovery of elective procedures. Our business is overweight in the United States. And there, the COVID improvements are still going in the right direction. And therefore, we also still expect a further recovery of elective procedures.
On the whole, even when some countries in Europe are, let's say, scaling down elective procedures may have some effects. But in the world, it may be limited. If the second wave accelerates, we could also see some risk to hospital installations. Although at this moment, we have our revenue plan well backed up by the installation schemes agreed with customers, and we feel confident that we can deliver on the growth that we - of course, the growth in Q4 will be lower than the growth in Q3 slightly because he gave a full year guidance on low single digit growth for Philips. But we feel confident about our ability to deliver that.
Then the question around monitoring. So I think we have been quite vocal that we see monitoring to become more and more an informatics application where we leverage big data to do predictive analysis on patients and how they're faring. And as that gets extended beyond the ICU, it becomes really an enterprise-wide installation. And we have increasingly than to deal with the CIO of hospitals.
And the architecture of patient monitoring is well catered for enterprise-wide installations. And even we expected as patients are monitored outside of the hospital, that it will follow the architectural choices that hospitals have made for their hospital environment.
Versus competition, Philips is ahead of the typical competitors, who are still more in the standalone monitors bedside, and therefore more in the hardware age era, than Philips where we are much more in a client server model. If I use an informatics term in how we measure and we put sensors on patients that sends us - gives data that gets processed in our central systems. So we feel good about our competitive position.
The contribution to margins, I am looking to Abhijit?
Abhijit Bhattacharya
Yeah, I think that you're monitoring analytics contributes a little more than 40% to the Connected Care sales and a little bit more to the margin. Because let's say, our informatics pieces I mentioned earlier is still low on profitability. So as that keeps increasing, let's say over a period of time you will find that the sales and profit contribution will equalize. But at this moment, it's a little bit above 40% of sales and slightly above that in terms of EBITA.
Operator
Due to time, we will take one last follow up question from Veronika Dubajova from Goldman Sachs. Please state your question.
Veronika Dubajova
Great. Guys, thanks for squeezing me in at the end. If I can, just a follow up on the mid term guidance, just it would be helpful to understand Abhijit, I guess that 60 to 80 basis point margin improvement that you have, is that organic growth rate or to be more consistent with what you've delivered historically, so 4 to 5 as opposed to the 5 to 6. What would that 60 to 80 basis points look like? Would it be lower and if so how much, if you can help clarify that, that would be super helpful?
And then just a quick follow up on the Connected Care fourth quarter expectations you said lower course than Q3, but is it higher than Q2? Or is it lower than Q3 and Q2?
Abhijit Bhattacharya
Well, I have to check that. But regarding the mid term guidance, you know, we give a range of 60 to 80 basis points. If it's a little bit low or a little bit higher, I think we will be in and around that range. So I don't want to get more specific around that at this time. I think…
Frans van Houten
And it is all in number.
Abhijit Bhattacharya
Yeah. And I think Q4 will be similar to Q2, and not with the big bubble in Q3. So that's, I think, how you should look at Q4 for Connected Care.
Operator
Thank you, Mr. Frans van Houten and Mr. Bhattacharya. That was the last question. Please continue.
Frans van Houten
Well, I'd like to thank everybody for tuning in this morning with us to be part of the exciting Phillips journey, that with the new mid term targets we’ll continue full force and we look forward to engage with you at our Capital Markets Day where we will be elucidating and underpinning, providing underpinning on how we expect to achieve those targets. Thank you very much for today.
Operator
This concludes the Royal Philips third quarter 2020 results conference call on Monday the 19th of October 2020. Thank you for participation. You may now disconnect.
