Good afternoon and welcome everyone to the Omnicell Second Quarter 2023 Financial Results Call. Please note that this call is being recorded. All lines have been placed on mute to prevent any background noise. After the speakers' remarks there will be a question and answer session. I will now turn the call over to Kathleen Nemeth, Senior Vice President of Investor Relations, you may begin your conference.

Good afternoon, and welcome to the Omnicell second quarter 2023 financial results conference call. On the call with me today are Randall Lipps, Omnicell Chairman, President, CEO, and Founder; Nchacha Etta, Executive Vice President and Chief Commercial Officer. This call will contain forward-looking statements, including statements related to financial projections or other statements regarding Omnicell's plans, strategies, objectives, goals expectations, cost savings actions or outlook that are subject to risks, uncertainties, and other factors that could cause actual results to differ materially from those expressed or implied. For a more detailed description of the risks that impact these forward-looking statements, please refer to the information in our press release issued today, in the Omnicell annual report on Form 10-K filed with the SEC on March 1, 2023, and in other more recent reports filed with the SEC. Please be aware that you should not place undue reliance on any forward-looking statements made today. All forward-looking statements speak only as of the date hereof or the date specified on the call. Except as required by law, we do not assume any obligation to update or otherwise release publicly any revisions to our forward-looking statements. Our results were released this afternoon and are posted in the Investor Relations section of our website at ir.omnicell.com. Additionally, we would like to remind you that during this call, we will discuss some non-GAAP financial measures. Reconciliations of these non-GAAP measures to the most comparable GAAP financial measures are included in our financial results press release issued today. With that, I will turn the call over to Randall. Randall?

Good afternoon, and thank you for joining us today. I will discuss our performance this quarter, highlighting our key customer successes and the trends we’re observing in our business and the industry. I’ll also provide an update on our outlook for the rest of 2023. Starting with our results, we achieved sequential revenue growth, which we attribute to the ongoing financial discipline of the Omnicell team. Through strong execution, we surpassed our second quarter 2023 guidance for total product and service revenues, non-GAAP EBITDA, and non-GAAP earnings per share. We generated total revenues of $299 million, non-GAAP EBITDA of $47 million, and non-GAAP earnings per share of $0.57. Our better-than-expected performance was mainly due to increased technical and advanced service revenues, a favorable customer and product mix, and effective cost management. Nchacha, whom we recently appointed as Omnicell CFO, will delve into our financial results and key drivers in more detail during his remarks, as well as present our outlook for the second half of the year. During last quarter's call, we provided an update on the integration of the ReCept acquisitions. ReCept, now known as Omnicell Specialty Pharmacy Services, FDS Amplicare, and Market Touch Media, has largely completed its integration. Throughout the second quarter, we continued to execute our go-to-market strategy for these acquisitions, and we are pleased with the progress made to date. With this momentum and a strong portfolio, we are uniquely positioned to support pharmacy operations across the healthcare continuum, providing essential medication management solutions for our customers worldwide. Now, let’s discuss the customer landscape and our recent customer victories. Customers continue to select Omnicell solutions to enhance clinical and financial outcomes, underscoring our significant role in modernizing global medication management. In terms of advanced services, a major southern health system, after successfully implementing our inventory optimization service for a group of hospitals, is expanding the service to around 20 facilities. The decision to expand was driven by a heightened need for visibility, insights, and analytics for inventory control and cost savings. Additionally, facing ongoing labor shortages, this health system seeks insights from the Omnicell platform to improve pharmacy technician efficiency. A Florida health system has chosen our IV compounding service to better manage medications and reduce dependency on 503b outsourcing. This customer is also extending its central pharmacy automation with our carousels and premium software licenses for their XT automated dispensing systems. In competitive conversions, a central pharmacy in Minnesota is shifting to our XT cabinets and enhancing system-wide inventory management with our optimization service, which aligns with their patient safety goals. A southern California XT customer has selected our specialty pharmacy services to launch a health system-owned specialty pharmacy, citing our expertise and a comprehensive technology strategy as key factors in their decision. In live and health has also made significant progress by entering the Medicaid market through a new medication synchronization partnership with a leading Medicaid plan to boost medication adherence among underserved populations. We take pride in the role Omnicell plays in enhancing patient health. Lastly, a northeast pharmacy chain has adopted our personalized IVR, leading to a notable increase in automated prescription refills and a reduction in pharmacy interruptions by approximately 17%. Moving on to the market environment, we are cautiously managing the business, but our [customer-wise] this quarter indicates that Omnicell’s products, software, and tech-enabled services resonate with the market. Our health system customers have faced multiple challenges in recent years and are assessing technologies and innovative solutions that can help them achieve long-term strategic goals. With ongoing salary pressures and labor constraints, we believe Omnicell is part of the solution. The need to automate, optimize, and modernize medication management processes is evident, which should alleviate some pressure on hospitals to implement purchased services and solutions immediately. While these trends are expected to benefit Omnicell in the long term, we are encountering near-term challenges, as some customers are postponing the adoption of new technologies to avoid additional training for their workers. Looking forward to the second half of the year, we anticipate that bookings will trend toward the lower end of our previously provided guidance due to ongoing capital expenditure budget constraints and the factors I mentioned earlier. Given our strong first half performance and solid expense management, we are raising our full-year 2023 guidance for total revenues, non-GAAP EBITDA, and non-GAAP earnings per share. Nchacha will elaborate on our guidance, but the long-term outlook remains positive as we expect customers' need for automation tools and software-enabled services to counteract the ongoing labor pressures. Now, regarding ESG, we were pleased to publish our third annual report at the start of the second quarter. We continue to progress toward creating positive change and delivering innovative technologies to help our customers build a healthier world. This includes designing our products to minimize environmental impact while maximizing patient outcomes. We also continue to support diversity, equity, and inclusion initiatives to foster an engaging workplace. Our ESG efforts aim to promote healthy lives and well-being for everyone. Before I turn it over to Nchacha for a deeper dive into our quarterly financial results, I want to note the latest addition to our board and some leadership changes. In July, we welcomed Kaushik Bobby Ghoshal as an independent director as part of our ongoing board refreshment. This brings our board to 10 members. Bobby has over 30 years of experience in global SaaS and healthcare technology and currently serves as the president of SaaS for ResMed Incorporated. His record of leading high-performance teams and managing software products makes him a valuable addition to our board. We are also excited to have Nchacha join us as Omnicell's new CFO at the beginning of June. With more than 20 years of experience in global financial organizations across healthcare and consumer products, he brings a wealth of expertise. Working with him has been a pleasure, and he is a collaborative leader who shares our commitment to improving patients' health. We’re already seeing benefits from his insights, and he is looking forward to sharing some of his priorities with you today. Along with Nchacha’s arrival, we are implementing various organizational changes to create a more streamlined organization focused on operational excellence. This includes new appointments to our leadership team and other structural changes within the organization. We believe we have assembled the right team to guide the next phase of our performance as we strive to deliver value for our shareholders, employees, healthcare partners, and their patients. While our strategy remains unchanged, we are now moving into the next phase of Omnicell's evolution. Adjusting to meet the evolving needs of the industry and our customers, this new leadership structure should allow us to operate more efficiently and enhance our standing as a leading medication management provider. We are committed to executing a strategy that will transform the global pharmacy care delivery model. Now, we are focused on execution and attracting talent that is concentrated on profitable growth, positioning us well for the future. With that, I’ll turn the floor over to Nchacha to introduce himself and provide additional details on our performance and outlook.

Thank you for the warm welcome, Randy, and thank you to the entire Omnicell team for the support through my onboarding over the last several weeks. I am excited to be here with all of you today and I am looking forward to meeting many of you in the weeks ahead. I believe in the company's mission and vision, and I am thrilled to be leading Omnicell's finance and IT organization, which plays a key role in enabling the overall strategy and driving operational excellence. Since joining in June, I have been working closely with the executive team and others to enhance Omnicell's mission to continue to be the healthcare provider's most trusted partner for medication management. My time here so far has reaffirmed why I joined Omnicell. Omnicell has a differentiated strategy to transform the pharmacy care delivery model, along with incredibly strong customer relationships and impressive brand recognition. The talented team here at Omnicell is mission-driven and fully committed to improving patient care and ensuring positive healthcare outcomes. These are just a few of the reasons why I believe the company is well-positioned for long-term success. Now, before I discuss our financial results, I would like to share with you my immediate priorities in the second half of the year and going forward. First, I intend to leverage data analytics and insights to strengthen our financial performance and improve the predictability of our business. Second, I will seek to ensure that we are strategically deploying capital to support innovation and sustainable profitable growth. And third, I will work to ensure that we continue to operate with financial discipline as we work to improve operational efficiency throughout the organization. I have really enjoyed my first few weeks at Omnicell and I look forward to working with the team as we move the company's strategy forward and continue to deliver long-term value to our stakeholders. Now, turning to our financial results. Our second quarter 2023 total GAAP revenues were $299 million, an increase of $8 million or 3% over the prior quarter, and a decrease of $32 million or 10% compared to the second quarter of 2022. The year-over-year decrease reflects lower point of care revenues primarily as a result of ongoing healthcare systems capital budget constraints. Services revenue were $111 million, an increase of 13% versus the second quarter of 2022, primarily driven by growth in advanced services. Total revenues in the quarter were $11 million above the top end of our previously disclosed second quarter 2023 guidance range, primarily due to favorability within technical and advanced services, which is not expected to reoccur in the second half of the year. Non-GAAP growth margin for the second quarter 2023 was 46.8%, an increase of 200 basis points from the prior quarter, primarily due to higher services revenues and the result of our prior cost containment actions. In addition, we saw lower costs for semiconductors still and freight compared to the prior quarter. A full reconciliation of our GAAP to non-GAAP results are included in our second quarter earnings release and is posted on our investor relations website. Our second quarter 2023 earnings per share in accordance with GAAP were $0.08 compared to a loss of $0.33 in the prior quarter and an income of $0.20 per share in the second quarter of 2022. This improved performance compared to the first quarter of 2023 reflects the absence of impairment and abandonment charges for operating leases, right-of-use assets, and other assets, profit from higher revenue, and the full benefit of prior cost containment actions. As we have previously shared with you, sustained GAAP profitability is a key objective for the company. Our second quarter 2023 non-GAAP earnings per share was $0.57 compared to $0.39 in the prior quarter and $0.84 in the same period last year. Our second quarter non-GAAP EBITDA was $47 million, an increase of $20 million compared to the previous quarter and a decrease of $9 million when compared to the same period last year. Our second quarter 2023 non-GAAP EBITDA and non-GAAP earnings per share exceeded guidance primarily due to higher services revenue, customer and product mix timing within the year, and strong cost management. The operational favorability in the second quarter non-GAAP earnings per share was offset by higher than expected second quarter income taxes. The impact from the income tax expense reflects timing within the year and is expected to be favorable in the second half of the year. At the end of the second quarter of 2023, our cash balance was $399 million, up from $340 million as of March 31, 2023. As of June 30, 2023, we had $418 million of availability under our revolving credit facility and there was no outstanding balance. In terms of accounts receivable, this sales outstanding for the second quarter of 2023 was 85 days, a decrease of 17 days over the prior quarter primarily due to strong cash collections as well as timing of invoicing within the quarter. Inventories as of June 30, 2023 were $131 million, a decrease of $11 million from the prior quarter. Reflecting continued strong progress, our global supply chain team is making on key process improvements and inventory management initiatives. Free cash flow during the second quarter of 2023 was $58 million, driven by strong cash collection. Now moving on to our full-year and third-quarter 2023 guidance. As Randall mentioned earlier, we continue to take a prudent approach to managing the business. We expect the full year bookings for 2023 to trend towards the lower end of the previously provided range of $1 billion to $1.1 billion. Customers are showing signs of caution implementing new workflows that stress already stretched nursing and IT labor, which is continuing to impact the timing of new capital and software projects. We are pleased with our strong first half performance, underscoring our solid execution and prudent cost management. Considering the strengths in our advanced services and technical services, as well as continued strong execution, we are raising our full year 2023 total revenues to range between $1.16 billion to $1.2 billion, an increase of $10 million from the top and bottom end of our previously provided guidance range. We are reaffirming our full year 2023 product revenues to range between $740 million to $760 million. Due to the solid execution in the first half, we are raising our full year 2023 service revenues to range between $420 million to $440 million, an increase of $10 million from the top and bottom end of our initial guidance. We expect advanced services revenue to be between $205 million and $215 million, an increase of $5 million from the top and bottom end of our original guidance. This reflects its 13% increase at the midpoint compared to 2022, and approximately 18% of 2023 total revenues. We expect technical services revenues to range between $215 million and $225 million in 2023, an increase of $5 million from the top and bottom end of our original guidance. Please refer to Slide number 14 in our earnings presentation published on our investor relations website for a summary of the total year revenue guidance component. We expect total year 2023 non-GAAP EBITDA to range between $130 million and $145 million, an increase of $10 million from the top and bottom end of our initial guidance, which reflects the incremental profit from higher expected services revenues for the year and prudent cost management. We expect 2023 non-GAAP earnings per share to be between $1.75 and $2 per share, an increase of $0.20 from the top and bottom end of our initial guidance. The full-year non-GAAP EBITDA and non-GAAP earnings per share guidance includes the impact of the previously disclosed $50 million of annual operating expense savings derived from the recent reduction in falls and other expense containment efforts, primarily within SG&A. We continue to expect 2023 operating expense annual savings will be largely offset by the impact of year-over-year inflation in employee salaries and increases in expected performance-based compensation, vendor cost increases, and investments in R&D. We expect non-GAAP operating expenses to be flat to down year-over-year. Included in these numbers is a higher expected blended tax rate in 2023 as a result of the increased profit expectations. For the full year 2023, we are now assuming an effective blended tax rate of approximately 11% in our non-GAAP earnings per share. For the third quarter 2023, we are providing the following guidance. We expect total third quarter 2023 revenues to range between $290 million and $300 million. We expect product revenues to range between $185 million and $190 million and services revenues to range between $105 million and $110 million. We expect third quarter 2023 non-GAAP EBITDA to range between $31 million and $37 million. And we expect third quarter 2023 non-GAAP earnings per share to range between $0.42 and $0.52. The third quarter non-GAAP EBITDA and non-GAAP earnings per share guidance includes the expected impact of product and customer mix and planned investments in innovation and advanced services as well as increased third quarter expenses. Additionally, the third quarter 2023 non-GAAP earnings per share guidance reflects the income tax timing benefit compared to the second quarter. In summary, we believe the long-term opportunities for Omnicell are compelling and we are committed to delivering strong financial and operational performance.

Your first question comes from Scott Schoenhaus with KeyBanc. Your line is now open.

Hi team, congrats on the very, very strong results and outlook. My first question is really on the operating expense line. Seeing SG&A coming down 17% sequentially from last quarters and nice operating leverage there, what's driving that? Is that mostly headcount on the point of care side or are there other cost efficiencies that we should be aware of? Thanks.

Thank you, Scott. There are definitely other cost efficiencies that you need to be aware of. As we previously announced, a reduction in force and other expense containment efforts achieved $50 million of annual operating expense savings. Based on timing, it is reasonable to assume that we saw slightly less than half of the savings in the first half and we will see the full remaining impact of cost savings in the second half of the year.

Great. Just as a follow up, you mentioned headwinds continuing related to labor environment at the hospitals around nursing and technicians. Do you guys have any expectations for that to improve over the remainder of the year, or is that built into your guidance? Really just the similar levels of kind of labor issues that we're seeing at hospitals right now. Thank you.

So while we're seeing incremental improvements as the year progresses, Scott, our health systems are still challenged by continued macroeconomic uncertainty and labor constraints which, of course, are impacting our customers' buying decisions. While advanced services including our technology-enabled solutions help to drive automation and reduce the need for labor, near-term labor challenges continue to impact our customers' ability to adopt new technologies which is contributing to our decision to guide towards the lower end of the range.

Yes, this labor and concerns about committing to new projects, particularly in advanced services, where you have more disruption than you would in just ADC business, where we're not seeing that in that particular area but mostly in advanced service areas where you've got new robots and new things to install. You need IT and technical people on the organizational side to commit.

Thanks, Randy.

Your next question comes from Allen Lutz with Bank of America. Your line is now open.

Thanks for taking the questions. The product revenue was up quarter-over-quarter and I guess you're kind of guiding for sort of flatter sequentially, but I guess three quarters kind of in this range, it seems to me that things have at least bottomed. It doesn't seem like they're getting worse. I guess what are you seeing in the pipeline? Is the pipeline today better than it was three months ago, six months ago? Just trying to get some perspective on what you're seeing there.

Yes. I would have to say that the customers are excited about our products and the pipeline continues to expand. I think it's all about what is the funding timing on these products. I think we all would have to agree that the modernization of medication management has to take place. There needs to be robots, there needs to be automated software doing these things so that we can run pharmacies at near perfection or get us to the autonomous pharmacy. I think the industry has bought into that vision and it's bought there. It's just a question on the timing of that. We're engaged as much as we ever have been. It's just the uncertainty about the funding piece.

Great. And then to follow up on Scott's question, Randy you mentioned that hospital budgetary pressures on new solutions. Can you bifurcate between, I guess, the in-live and product suite, the products you acquired, and then the products that you built in-house? Is there a difference in growth rates between those two business lines? Or is there any difference you're seeing with prospective clients on either of those? Thanks.

Well, I think the in-live-in is a very exciting area. We've developed a lot of new products. We talked about the go-to market with the Medicaid product for the Medicaid plan, which I think is very unique for us. And so there's a lot of opportunity there. What's probably more interesting is we're bringing that mostly retail product solution set into our core customers because these big provider networks, big hospital networks, they want to engage patients in the same way in an outpatient format and even all the way to the home. So they need the same kinds of tool sets that have traditionally been sold in the in-live-in environment, which has been to retail pharmacies. So we're really starting to see that crossover begin to happen. And that's the exciting piece. I think most of the headwinds is not in the retail piece, but it's mostly in these big provider hospitals where nursing and IT people particularly are redlining or exhausted, some pharmacy techs as well. So it's just a matter of time before they get those positions funded and get the relief and it doesn't know exactly when. I think we're seeing the for-profit hospitals are already probably ahead of the regular market as far as getting better results and getting better alignment on some of those things. But I think the pipeline is strong and the in-live-in product is really an exciting place not just because of what it's doing there, but that we're actually crossing it over into our core product expansion of our marketplace.

Great. Thank you.

Your next question comes from Stan Berenshteyn with Wells Fargo. Your line is open.

Hi, thanks for taking my questions and a warm welcome to Nchacha. Maybe we can start on booking guidance. I mean, you guided lower here on the lower side of the range. Can you maybe just share some details as to what's impacting that on any particular products or services to call out?

Yes, Stan. Thank you for the warm welcome. As I mentioned earlier, as well as in my prepared remarks, again, our customers are still challenged with labor constraints as well as macroeconomic uncertainty. But we're also seeing some near-term headwinds in advanced services, particularly IV, as customers are navigating a very complex regulatory environment.

Okay.

Yes, just to expand on that a little bit, if I can, Stan, on that. The IV has gone through an FDA filter to get some insights and has gotten made through that. Now it's going through individual states, pharmacy boards to set further regulations or compliance rules. So in some states, it's just going slower than other states. And so that's holding back certainly some decision-making until they understand how that's fully going to be executed.

Okay. And I guess to square that with guidance. I mean, it seems like you are performing advanced services side. Product bookings was reiterated. Maybe if we just take a step back here. You started the year with about $500 million in short-term backlog. You essentially need $250 million in entry or bookings to hit that. We're over 50% of the way through the year. What kind of visibility do you have here? And where are you versus where you thought you'd be at the start of the year?

Well, I think we have really strong visibility. And we've implemented particularly on revenue and earnings, particularly for the second half of the year because much of it is already scheduled. And we've brought in new processes and new disciplines to lock in those that visibility. So we feel really strong about that piece as we move forward. And I think the part that we're talking about where there's less visibility is when are people going to commit their capital or commit to these new projects? Not necessarily. Some of it may be financial, but a lot of it is when is the organization going to be ready to take on these newer platforms which really require new workflows, new training, or they require IT to go in and spend some time integrating these new platforms into their operation. That's where we see the hesitancy mostly.

Okay. Thanks so much.

Your next question comes from Matt Hewitt with Craig Hallum Capital Group. Your line is now open.

Good afternoon. Thank you for taking the questions. And it's nice to speak with you, Nchacha. Maybe the first question, there recently was a Supreme Court ruling that prompted CMS to announce a $9 billion payment to hospitals related to the 340B program. I realize that that market has been pretty challenged over the past couple of years, but does this change things? And what does that mean for your 340B platform going forward?

Well, it probably means that a couple of things. We have two angles to 340B. One is the 340B where we have contracted pharmacies, and that we have said is relatively flat for this year, $30 million to $35 million, and we continue to believe that is what that outcome will be. But it does mean that in our specialty pharmacies where we're spinning up services, remember, it means there are bigger rebates for our customers, which means there's more advantage to deploying our services, and it means slightly more revenues for us, but not significant in that specialty pharmacy services. Probably the bigger opportunity, frankly, is the $9 billion rebate which has been discussion about whether it's going to actually hit two hospitals in either Q4 or Q1, no one really knows, is an opportunity for hospitals to spend more money, obviously, on our solution sets. Now, I haven't really seen that connection point take place yet where a CFO has said, I know I've got this X millions coming in, now I'm ready to spend it on this project. My guess is they're going to wait until they get the money in the bank and then decide what to accelerate in the light. But I think that's a big opportunity for us, and it reaffirms that 340B, I think, the program to have your own in-house pharmacy, you're going to get richer rebates, you're going back to the old rebate amounts, which were significantly higher in many cases, so that just bolsters that program to be adopted by more people.

That's great, and maybe one separate question here regarding gross margins. A nice step up here this quarter, I think much of it was on the services side, but when I think back to a year ago, you faced three specific challenges: steel, semiconductor chips, and transportation costs. It sounds like you got a little bit of benefit this quarter from on the semiconductor side and then on transportation. As we look at the remainder of this year, are you expecting some further benefits from those three areas as you kind of work through either inventory on hand or as the prices for those products come down? Thank you.

Yes, so as we disclosed during the Q4 2022 prepared remarks, inventories as of December 31, 2022 included approximately $18 million of advanced purchases and resets of semiconductors. The balance was really deeply consistent as of June 30 of this year compared to December 31. We believe that also we have some resets of remaining buybacks that we have committed to purchase to ensure continuity of our supply chain.

Your next question comes from Bill Sutherland with the Benchmark Company. Your line is now open.

Hey, thank you. Welcome, Nchacha. I guess my main question for you at this point might be as you evaluate the capital deployment, kind of what's going into your thinking and what's that process going to be?

Yes, so we will continue to evaluate our capital deployment strategy and we'll make the right investment decisions to fuel our sustainable growth from an innovation standpoint.

I think M&A is definitely a long-term strategy that will be there. I think, but I think that Nchacha is looking at the balance sheet and then we definitely have nice cash flows. We've got maybe some debt we need to restructure eventually. I don't think it feels like there's anything immediately at this point, but something to really consider as we move forward.

Got it. And then can't have a call this quarter without asking about AI and what your thoughts are as far as implementing that technology across your products?

I think AI has a lot of potential for many of the obvious areas that many companies are looking at: software development, customer interaction, communications both internally and externally with customers, and the ability to gain unique efficiency. So we love the fact that AI here, we think it eventually will accelerate the ability to get to the autonomous pharmacy sooner, and that's really important to us. I think it's a little too soon to say where and exactly how those impacts will be, but we have AI on top of our list as we move forward to have specific strategies around specific use cases, mostly internal to the company, and we want to be very careful as we use them externally because of just regulatory and proper use of such a powerful tool when we use it outside the full loss of the company.

So it's been mostly an internal focus, Randy?

I think the first steps are internal and, we may have some proof cases that we may use with certain selected beta customers but many of our customers, we are very encouraged by them. They are actually leading some of the way on some of these projects and bringing us then to them. So I think there's a lot of excitement about solving large unstructured data questions that can be easily answered. So there are a lot of unstructured data in healthcare. So lots of opportunities for sure, right?

Right. Okay. Thanks so much.

I would just make a Bobby Ghoshal from ResMed and SaaS. He is one of the reasons we got him and put him on this board. He is an AI pro and he's helping us think through the process as well. And we've got a lot of resources on our team that are top-notch. So I just feel like we have lots of opportunities there but we're not ready to share how that's going to impact us directly but it's definitely a part of our strategy.

Your next question comes from David Larsen with BTIG. Your line is now open.

Hi. It's my understanding that you were increasing prices for your products in 2023. Just any color around that? And are those price increases more than offsetting inflation for semiconductors? And then over what time period should we expect to see these price increases continue to occur? Will they be sort of complete at 12/31/23? Thanks.

Yes. So we will continue to assess our price increase strategy. But as we continue to see the benefit of pricing actions put in place over our last, over the last two years, we are also seeing modest reduction in cost for semiconductors on freight and steel, which had been subject to significant inflationary pressures in recent periods. So in the second quarter for the first time, we saw the benefit of pricing actions outweigh the impact of these inflationary costs, which will modestly be favorable to product and gross margin in the second half.

And I'd also add to that some of our pricing actions are, you can't implement them every year. Only for those customers that renewing service contracts coming up that year can you renew them for. So they're ongoing as we move forward. So there are some increases as we move forward and I think where our strategy is to, to be prudent about that.

Okay. And then how far along are you in terms of the XT sort of upgrade process? Are you like 60% of the way through that process? And then it's my understanding that at some point, everybody's going to have to upgrade because you'll sunset support of the more legacy solutions. Is that correct or not? And then once you do get through these XT upgrades, won't there simply be another version of the automated dispensing cabinets that you sort of bring to market and there will be a whole new cycle that starts? Just any thoughts or color there will be very helpful.

Yes, we are significantly way through the XT upgrade. It's well over 60%. And we don't believe that the whole 100% of the market is even going to convert. So we're getting to the end of that, but we continue to add on with what we call expansions, which is a big part of our XT business as well as competitive conversions. We usually have a 10-year lifecycle to our systems and we generally cycle new products. On that, I believe we started in 2017. We don't time it exactly with those days, but certainly, we have to continue to upgrade our hardware to take on new software solutions and really looking to add more value, create more value for our customers. And so you're right in assuming that we don't have any timelines to talk about, but you're right. We do have product cycles that we traditionally do, and we're nearing the end of the XT.

Great. And then just one last quick one if we can squeeze it in. Did I hear you say, Randy, that the $9 billion from CMS will be paid in Q4 of '23 and Q1 of '24?

There hasn't been, it's still up for grabs, whether it's Q1 or Q4 of this year. But as far as my current understanding is that it will be a lump sum and it will be in Q4, Q1. Just coming up Q4 or Q1 of the new year. And those extra dollars I think, are waiting to be seen by these hospitals I think to be sure of what those dates are, but I think that will have an impact on the ability to spend money.

Thanks, Dave. Next question.

Your next question comes from Jessica Tassan with Piper Sandler. Your line is now open.

Hi, thanks for taking the question and congrats to Nchacha on the start date. So I think my first question is just on product growth margins. Those have been kind of moving around quite a bit in the last couple quarters. I'm hoping you guys can describe the structure of product cost of goods and maybe the mix between fixed and variable and just what you would expect for normalized product growth margins, like where should they be trending, '24 or '25?

Thank you, Jessica. So we really cannot comment on 2024 or 2025, but I'll tell you that in 2023, the key drivers of our gross margin were higher services revenue, favorable customer and product mix, as well as the full impact of cost containment actions that we took last year.

Got it. So just, I guess we're trying to understand, right the impact of incremental products revenue on the product growth margin. So can you help us maybe understand the mix between this fixed versus variable cost of goods within product growth margin?

The mix is really primarily between, again like I said, customer and product mix, as well as higher services revenue.

Okay, got it. So maybe for Randy, is the Medicaid deal that you mentioned the first payer deal within in-live in health? And if so, can you just help us understand kind of the context for that deal and maybe the pricing? Does Omnicell have any exposure to outcomes or any sort of value-based components of that deal?

Well, it's always somewhat outcomes driven as the medication synchronization is based on signing up customers and keeping them synced up to the regular use of their medication management. And that's around a plan that's more holistic that is, they are the provider and the pharmacy, if you so to speak. So I think that's the unique opportunity that came here to come outside of what I would call the retail customer base to be inside of a plan where you see more of this engagement directly with the patient in order to get better outcomes. And we know it's really hard to service the Medicaid market. So I think we're really excited about that. I think, there were, I feel like we're the only company doing these kinds of things that are really making the difference at these multiple levels and multiple market penetration points. And because of these services are so uniquely put together and can be formulated if you have a good patient interaction scenario to go after. And certainly this is one that fits well with us.

Got it. And my last question is just that you guys see the high end of services revenue guidance now two quarters in a row. So is that upside relative to the high end of guidance coming from better-than-expected implementation? And if that's the case, just why wouldn't that strength persist in the second half, when the operating environment is arguably going to get better for hospitals? And you potentially have this $9 billion remuneration payment hitting in Q4. Thank you.

Yes, services revenue is expected to be approximately flat due to the strong performance that we saw in Q2, primarily from the favorability in timing of revenues, which is driven by technical services. We knew all timing as well as advanced services, which we do not expect to reoccur in Q3 and the second half of this year.

We just had a lot of renewals in Q2, and sometimes those renewals come with back payments for a few months they hadn't paid for. And so you get extra few payments there. And so a lot of that happens in Q1 and Q2. It doesn't happen as often in Q3 and Q4.

Thanks, Jess.

There are no further questions at this time. I will now turn the call back over to Omnicell Chairman, President, CEO, and Founder, Randall Lipps.

Well, I'd really like to thank the Omnicell team for delivering a solid quarter, getting us, I would say, back on track, the new management team, particularly having Nchacha join us. He's been such a great help to us getting our heads straight, moving the company forward. And it's just an exciting time for innovation, exciting time for our customers to deploy these new products and get back to this predictable, profitable, scalable growth infused with great vision. So thanks for being here and we'll see you next time.

This concludes today's conference call. You may now disconnect.