WEBVTT - Coinbase Cooperating With SEC on Users Metric as News of Hack Emerges

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<v Speaker 1>Bloomberg Audio Studios, Podcasts, radio News. This is Bloomberg business

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<v Speaker 1>Carol Masser and Tim Steneveek on Bloomberg Radio.

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<v Speaker 2>I'm looking right now at shares of Coinbase. They're down

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<v Speaker 2>about six and a half percent. They fell as much

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<v Speaker 2>as eight point nine percent. This was this after The

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<v Speaker 2>New York Times reported that the SEC has been investigating

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<v Speaker 2>Coinbase whether or not it misstated its user numbers in

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<v Speaker 2>past disclosures. I want to bring in Stacey Marie Ishmel.

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<v Speaker 2>She's executive editor for Crypto and Payments. She joins us

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<v Speaker 2>here in the Bloomberg BusinessWeek Studio. What do we know

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<v Speaker 2>about this?

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<v Speaker 3>Well, I think the first thing we know is, and

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<v Speaker 3>this is going to come as a surprise to a

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<v Speaker 3>lot of few wells, that the SEC has not in

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<v Speaker 3>fact dropped any in all of its potential enforcement actions

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<v Speaker 3>against crypto companies. You know, there was a move over

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<v Speaker 3>the past couple of months for this very important financial

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<v Speaker 3>regulator to say, hey, when it comes to crypto, we're

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<v Speaker 3>largely not going to be looking into most things. So

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<v Speaker 3>it was interesting to see you both the New York

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<v Speaker 3>Times story and then the confirmation statement from Coinbase that

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<v Speaker 3>this was an ongoing investigation coming out of the Genstler era,

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<v Speaker 3>at a time when I think a lot of folks

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<v Speaker 3>in the industry had thought, okay, good, all clear, there's

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<v Speaker 3>no hangovers and we don't need to worry about anything.

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<v Speaker 2>Is there something different about this case than the cases

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<v Speaker 2>that have been dropped.

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<v Speaker 3>I think one of the key points is it does

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<v Speaker 3>relate to sort of a very bread and butter SEC issue,

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<v Speaker 3>which is are you being accurate and transparent in your disclosures?

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<v Speaker 3>And at heart of it is this idea that, according

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<v Speaker 3>to the SEC's allegations, or i should say, according to

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<v Speaker 3>the allegations represented in the New York Times story, Coinbase

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<v Speaker 3>had previously you used a verified user figure of one

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<v Speaker 3>hundred million, which they stopped using a couple of years ago,

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<v Speaker 3>and according to the SEC that that figure was initially misleading.

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<v Speaker 4>So this is the second piece of news that we're

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<v Speaker 4>getting in regards to Coinbase just today.

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<v Speaker 5>Yes today, Yes, totally. There was also a reported hack.

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<v Speaker 4>Tell us what's going on with that.

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<v Speaker 3>Yeah, this one is arguably a bigger deal in that

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<v Speaker 3>it's happening now and it affects very sensitive customer data.

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<v Speaker 3>So Coinbase put out a statement and regulatory filing earlier

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<v Speaker 3>today that hackers had targeted some of their overseas kind

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<v Speaker 3>of contractors and workers and brought offered them bribes to

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<v Speaker 3>seal sensitive customer data. Now, when we're talking sensitive customer data,

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<v Speaker 3>we're not just talking about email addresses and passwords. It's

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<v Speaker 3>like photographs of your government ID, you know, things people

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<v Speaker 3>would have had to submit to verify their identities. In

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<v Speaker 3>some cases it was you know, physical addresses, mailing addresses,

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<v Speaker 3>you know, so you can imagine with those government nineties.

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<v Speaker 3>It's also things like date of birth. There might be

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<v Speaker 3>other forms of contact information. So that is, you know,

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<v Speaker 3>in a moment in which crypto companies are have been

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<v Speaker 3>on a kind of a charm offensive since the since

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<v Speaker 3>President Trump was inaugurated, to say, you know, hey, crypto

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<v Speaker 3>is safe, it's reliable. It's the future of finance. To

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<v Speaker 3>have something that comes in and sort of reminds people

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<v Speaker 3>that crypto companies are high value targets for hackers is

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<v Speaker 3>the timing is a little bit challenging for them.

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<v Speaker 2>Well, speaking of timing, I mean Coinbase probably wanted us

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<v Speaker 2>talking about their inclusion in the S and P five

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<v Speaker 2>hundred this week, which was remarkable given the fact that

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<v Speaker 2>we saw the stock move higher by twenty four percent

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<v Speaker 2>YEP on Tuesday as a result of the news that

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<v Speaker 2>it would be included in the S and P five

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<v Speaker 2>under replacing Discovery replacing the.

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<v Speaker 3>Stock companies, which you know, I think is kind of

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<v Speaker 3>exactly what we're talking about here. And if you think

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<v Speaker 3>of Discover Financial as like the bastion of what some

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<v Speaker 3>people in cryptoil liked to call old finance or traditional finance,

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<v Speaker 3>and then this crypto exchange coming in and being like

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<v Speaker 3>or the future of finance, and then you know, the

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<v Speaker 3>news cycle is like time out some reminders about the

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<v Speaker 3>risks embedded in innovation.

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<v Speaker 2>Does it I don't want to ask you if it

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<v Speaker 2>taints the moment at all, But for me, the news

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<v Speaker 2>earlier this week about its inclusion in the S and

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<v Speaker 2>P five hundred, it felt really symbolic as a recognition

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<v Speaker 2>that this asset class was being recognized by as a

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<v Speaker 2>blue chip essentially.

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<v Speaker 3>Yeah, and I think one of you know, having been

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<v Speaker 3>somebody paying close attention to this for a minute, one

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<v Speaker 3>of the things that really struck me is that feels

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<v Speaker 3>like it happens all the time. Like you know, Emily,

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<v Speaker 3>you remember when we were doing stories about the Super

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<v Speaker 3>Bowl of Crypto, when you had FTX and others being like,

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<v Speaker 3>come join, do these amazing things. And then what happens

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<v Speaker 3>to FDx very shortly after it filed for bankruptcy sand

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<v Speaker 3>bankqueint Freed was in handcuffs being accused of massive fraud.

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<v Speaker 3>And so like crypto goes through, much like crypto prices themselves,

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<v Speaker 3>these moments in which that long awaited day for many

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<v Speaker 3>executives is institutional acceptance, retail acceptance, and tim to your point,

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<v Speaker 3>this idea of we are a legitimate asset class, we

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<v Speaker 3>are a contender, you should take us seriously, and then

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<v Speaker 3>something happens in the market where they're like, or here

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<v Speaker 3>are some bad things like can happened instead.

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<v Speaker 4>But it's interesting because now that if they want to

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<v Speaker 4>be treated like a you know, a public company in

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<v Speaker 4>the s and P. Five hundred, they're going to be

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<v Speaker 4>up to the scrutiny of just like any other public company.

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<v Speaker 4>So I thought it was a very interesting point that

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<v Speaker 4>you made in the beginning that like this SEC probe,

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<v Speaker 4>it's not unique to crypto.

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<v Speaker 3>Companies, certainly not. And you know it's it's the we're

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<v Speaker 3>in an interesting period in which crypto companies, when they're

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<v Speaker 3>being scrutinized, it's not because of the assets underlying them, right,

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<v Speaker 3>It's more like you are doing big company things. This

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<v Speaker 3>is the big company behavior we expect.

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<v Speaker 2>Stacey Mrie Stacey re Ishmael, Executive editor for cript Do

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<v Speaker 2>and Payments at Bloomberg News. You can check out the

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<v Speaker 2>entire teams reporting on the Bloomberg terminal and of course

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<v Speaker 2>at Bloomberg dot com.

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<v Speaker 1>You're listening to the Bloomberg Business Week Daily podcast. Catch

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<v Speaker 2>Let's bring in Dana Telsey. She's found her CEO and

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<v Speaker 2>Chief Research Officer of Telsey Advisory Group for Specialty all

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<v Speaker 2>Things retail. Dana, I want to start with Walmart, even

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<v Speaker 2>though this is not a company that you particularly follow.

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<v Speaker 2>One of your colleagues does that, but the company did

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<v Speaker 2>say that it is going to pass on costs to consumers,

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<v Speaker 2>not yet but soon. We saw shares fall. How do

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<v Speaker 2>you take the results that we got from the company

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<v Speaker 2>today in the context of what we know about tariffs

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<v Speaker 2>and also the way that you've been talking about potentially

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<v Speaker 2>empty shelves in the next couple of weeks.

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<v Speaker 5>A couple things, and thank you very much for having me.

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<v Speaker 6>First of all, if a like Walmart, with the skies

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<v Speaker 6>and scale of Walmart is going to raise prices because

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<v Speaker 6>of the external environment out there, what does it say

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<v Speaker 6>for all the others? So everyone, given the headwinds of

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<v Speaker 6>carries and costs that are out there, price increases are coming. However,

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<v Speaker 6>it may be selective. It's not going to be across

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<v Speaker 6>the board. It'll be called surgical, whatever word you want

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<v Speaker 6>to use, it'll be surgical and what it is. But

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<v Speaker 6>I've even heard we have this price tracker where we've

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<v Speaker 6>been tracking eighty items and it comes out every Tuesday,

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<v Speaker 6>same eighty items. And we have seen of the eighty

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<v Speaker 6>items we track, around twenty percent of them have a price,

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<v Speaker 6>have had a price increase each week, and it changes.

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<v Speaker 6>Sometimes there may be a promotion, sometimes there's an event,

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<v Speaker 6>but just on a tracker basis, price increases are coming.

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<v Speaker 5>There's a reason.

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<v Speaker 6>Why, in my mind, there has been some pull forward

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<v Speaker 6>to sales the tracker.

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<v Speaker 2>This is fascinating to me that you have this tracker.

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<v Speaker 2>Is is there rhyme or reason too the types of

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<v Speaker 2>products that are being that are increasing in price.

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<v Speaker 6>Well, we track the same items every week, and it

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<v Speaker 6>could their legacy items, whether it's a pair of Levi's

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<v Speaker 6>or it's a Barbie doll, whatever.

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<v Speaker 5>It may be.

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<v Speaker 6>There isn't a rhyme or reason. But what's happening is

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<v Speaker 6>that we expect when we heard about these tariffs, we

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<v Speaker 6>need a way to be able to track it. And

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<v Speaker 6>so this way, look what Walmart just said, prices increases

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<v Speaker 6>are coming. Let's see what this tracker shows in the

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<v Speaker 6>next four weeks in terms of pricing. So it's very interesting.

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<v Speaker 4>Michael McKee had mentioned, you know, the difference that we're

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<v Speaker 4>seeing in the soft data and the hard data that

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<v Speaker 4>consumers are saying that they're really pessimistic, but we're not

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<v Speaker 4>necessarily seeing that yet in hard data or earnings reports.

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<v Speaker 4>Are you do you agree with that thesis or are

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<v Speaker 4>you seeing pockets in some of these earnings reports that

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<v Speaker 4>consumers are feeling the pain.

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<v Speaker 5>A little bit of each.

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<v Speaker 6>When you think about where there's been a slow down,

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<v Speaker 6>luxury brands has been a slow down. You take a

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<v Speaker 6>look at the high end. LVMH reported a negative three

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<v Speaker 6>percent same store sales decline. That's typically weaker for an LVMH.

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<v Speaker 6>You're seeing other companies that are brand leaders at not

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<v Speaker 6>the luxury price points, but where there's brand leaders, where

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<v Speaker 6>there's innovation. Look at today's results that came out of Birkenstock.

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<v Speaker 6>You had a high teen sales increase, you increase the

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<v Speaker 6>guidance for the year on sales the high end of

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<v Speaker 6>the previous range seventeen percent plus, and you increase your ajusity.

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<v Speaker 6>But da, what do they have? They have newness and

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<v Speaker 6>innovation at the same time. I met with Tapestry on Tuesday,

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<v Speaker 6>I met with Levi's yesterday. Tapestry and Levi's and Birkenstock

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<v Speaker 6>heritage companies with authenticity that are reinventing their product. You

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<v Speaker 6>know what they're doing. They're capturing a younger consumer. And

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<v Speaker 6>companies like Coach, which is owned by Tapestry, a fifteen

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<v Speaker 6>percent increase in averaging retail selling price.

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<v Speaker 5>Why it's new and different.

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<v Speaker 2>Emily and I are smiling right now because on our

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<v Speaker 2>editorial call this morning, I said, we have to ask

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<v Speaker 2>Dan about Birkenstock shares are up what six percent? You

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<v Speaker 2>were on surveillance with Tom Keen and me last week.

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<v Speaker 2>We asked you to name one company to watch. You

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<v Speaker 2>said it was Birkenstock. You called this why are you

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<v Speaker 2>bullish on Birkenstock?

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<v Speaker 6>Because their footwear overall has wide appeal. You have the

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<v Speaker 6>flywheel of younger customers that are being attracted to the brand.

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<v Speaker 6>It's not just open toed sandals, it's closed toed shoes.

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<v Speaker 5>Also, you look at the.

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<v Speaker 6>Expansion opportunities they have with their own stores. They only

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<v Speaker 6>have around ten stores in the US. They have wholesale

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<v Speaker 6>accounts who have stores, but of their own. You take

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<v Speaker 6>a look at Asia, which is a rising market for them.

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<v Speaker 5>You look at the fact that they bring in goods

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<v Speaker 5>they're made in Europe.

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<v Speaker 6>Yes, they have terif exposure, but not the as significant

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<v Speaker 6>teriff exposure. And look at their adjustinity bitdam margins, I

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<v Speaker 6>mean you're in exos to thirty one percent. I don't

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<v Speaker 6>have many companies that are generating mid to high teen

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<v Speaker 6>sales increases with increasing EBITDA margins in an environment where

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<v Speaker 6>the uncertainty.

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<v Speaker 5>But you're seeing a little bit in footwear.

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<v Speaker 6>You look at some of the other brands, Socony thirty

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<v Speaker 6>percent increase in sales by Wolverine worldwide, Merrill up in

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<v Speaker 6>excess to thirteen percent.

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<v Speaker 5>So newness drives demand.

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<v Speaker 4>Yeah, Maryls are having a comeback. I've seen a couple

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<v Speaker 4>Marrals on the streets of New York City and that

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<v Speaker 4>was like a shoe that.

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<v Speaker 5>I want, I like to hear when I was like

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<v Speaker 5>a child's But.

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<v Speaker 7>They're coming back, you know.

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<v Speaker 4>Dan, I was looking at the S and P five

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<v Speaker 4>hundred sectors, the group levels. What was the top performing

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<v Speaker 4>this year so far? What's the worst? Consumer Staples is

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<v Speaker 4>one of the best performing groups. Consumer discretionary is one

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<v Speaker 4>of the worst. How are investors supposed to invest in

0:11:28.960 --> 0:11:31.440
<v Speaker 4>the consumer space at large? How should they be thinking

0:11:31.440 --> 0:11:33.559
<v Speaker 4>about kind of the direction of travel when.

0:11:33.360 --> 0:11:36.520
<v Speaker 6>You those when you think about exactly the difference with

0:11:36.559 --> 0:11:40.440
<v Speaker 6>staples and discretionary staples as essentials, it's what you need,

0:11:40.520 --> 0:11:41.280
<v Speaker 6>not what you want.

0:11:41.679 --> 0:11:44.040
<v Speaker 5>And when you think about this environment where we don't.

0:11:43.840 --> 0:11:45.880
<v Speaker 6>Know what the price increases is going to be We've

0:11:45.880 --> 0:11:49.320
<v Speaker 6>all seen the backward looking data of consumer confidence, and

0:11:49.440 --> 0:11:53.600
<v Speaker 6>so they're being careful. And so with staples, that's careful.

0:11:54.000 --> 0:11:57.680
<v Speaker 6>With discretionary, it feels you have spending power. There's always

0:11:57.679 --> 0:12:00.199
<v Speaker 6>the old adage that goes when the stock market it

0:12:00.280 --> 0:12:03.679
<v Speaker 6>goes up, people feel great and spending can happen when

0:12:03.760 --> 0:12:07.160
<v Speaker 6>the stock market comes down. You know, mind the hatchets,

0:12:07.200 --> 0:12:09.800
<v Speaker 6>you know, be careful. And so look what we've had

0:12:09.880 --> 0:12:13.000
<v Speaker 6>over the past two months. That's what you've had. Companies

0:12:13.120 --> 0:12:16.280
<v Speaker 6>in the consumer area are reporting first quarter earnings. Now

0:12:16.559 --> 0:12:19.360
<v Speaker 6>when you look at Walmart and what's to come, if

0:12:19.400 --> 0:12:21.880
<v Speaker 6>they're saying prices are going up, that's going to be

0:12:21.920 --> 0:12:23.040
<v Speaker 6>the mantra going forward.

0:12:23.160 --> 0:12:24.680
<v Speaker 2>We got to get you to weigh in on Dick's

0:12:24.679 --> 0:12:28.040
<v Speaker 2>buying foot Locker. Dick shares down about sixteen percent right now,

0:12:28.080 --> 0:12:32.360
<v Speaker 2>Footlocker hire by eighty five percent, but that's still you know,

0:12:32.400 --> 0:12:34.079
<v Speaker 2>going back to like just a few months ago. I

0:12:34.080 --> 0:12:37.280
<v Speaker 2>think those are like December levels that we're saying, what

0:12:37.320 --> 0:12:38.520
<v Speaker 2>does it say to you? I mean, this is the

0:12:38.559 --> 0:12:39.960
<v Speaker 2>end of an era for foot Locker. This is a

0:12:39.960 --> 0:12:42.840
<v Speaker 2>company that's been a public company since nineteen eighty What

0:12:42.840 --> 0:12:43.920
<v Speaker 2>does this m and A mean to you.

0:12:44.320 --> 0:12:47.040
<v Speaker 6>So overall on the M and A, where's the scale

0:12:47.080 --> 0:12:50.400
<v Speaker 6>and where's the synergies? Foot Locker on its own is

0:12:50.440 --> 0:12:54.480
<v Speaker 6>taking a long time to undergo this transformation, even under

0:12:54.559 --> 0:12:58.040
<v Speaker 6>a well recognized, well respected.

0:12:57.400 --> 0:12:58.440
<v Speaker 5>CEO, Mary Dillon.

0:12:58.520 --> 0:12:59.360
<v Speaker 2>She came from Malta.

0:12:59.440 --> 0:13:03.160
<v Speaker 6>Right, great things at Alta ed Stack. Basically you know

0:13:04.040 --> 0:13:08.319
<v Speaker 6>Legacy Dix, his father founded it, Lauren Hobart. They basically

0:13:08.480 --> 0:13:11.480
<v Speaker 6>reinvented what Dix was with Dick's House of Sport. You

0:13:11.600 --> 0:13:13.880
<v Speaker 6>talk to every real estate landlord. What do they all

0:13:13.880 --> 0:13:15.079
<v Speaker 6>want Dick's House of Sport?

0:13:15.480 --> 0:13:15.720
<v Speaker 4>Why?

0:13:15.800 --> 0:13:20.000
<v Speaker 6>Because it brings traffic. What's the difference between Dix and Footlocker.

0:13:20.480 --> 0:13:23.719
<v Speaker 6>The customer base of Footlocker the eighteen to twenty five

0:13:23.800 --> 0:13:27.160
<v Speaker 6>year old guy. The customer base at Dix could be

0:13:27.200 --> 0:13:29.880
<v Speaker 6>more families. What do you get with both of it?

0:13:30.280 --> 0:13:33.120
<v Speaker 6>And granted the stock is down because the certainty of

0:13:33.160 --> 0:13:36.880
<v Speaker 6>the execution at Dix's, Dix alone was there and you

0:13:36.880 --> 0:13:39.920
<v Speaker 6>could basically see the path of growth with House the Sport.

0:13:40.480 --> 0:13:44.200
<v Speaker 6>Putting it together, there's work to be done, transformation to

0:13:44.240 --> 0:13:46.840
<v Speaker 6>be done with foot Locker gives them more buying power.

0:13:47.120 --> 0:13:50.000
<v Speaker 6>Let's see what Dix does because what ed Stack says

0:13:50.120 --> 0:13:52.520
<v Speaker 6>is he's got the vision. He had the vision before

0:13:52.520 --> 0:13:54.240
<v Speaker 6>with House of Sport. Let's see what he can do

0:13:54.280 --> 0:13:55.160
<v Speaker 6>with foot locker.

0:13:55.000 --> 0:13:56.920
<v Speaker 2>Just thirty seconds. Sounds like you're optimistic. This is a

0:13:56.920 --> 0:13:57.320
<v Speaker 2>good deal.

0:13:57.920 --> 0:14:01.720
<v Speaker 6>I think it's the valuation basically at six times and

0:14:01.800 --> 0:14:07.200
<v Speaker 6>seventeen times, PE's not bad from that spectrum. What is

0:14:07.200 --> 0:14:09.920
<v Speaker 6>it time length? And can you keep the focus on

0:14:09.960 --> 0:14:12.880
<v Speaker 6>Dick's and Dick's House a Sport while you're integrating full

0:14:12.960 --> 0:14:14.400
<v Speaker 6>lockers the question go forward?

0:14:14.760 --> 0:14:17.120
<v Speaker 2>All right, Dana, appreciate you joining us from talk to retail.

0:14:17.160 --> 0:14:19.520
<v Speaker 2>Not a better voice out there, Dana Telsey, founder, CEO,

0:14:19.880 --> 0:14:23.280
<v Speaker 2>chief Research Officer of Telsey Advisory Group, joining us here

0:14:23.320 --> 0:14:25.080
<v Speaker 2>in the Bloomberg a BusinessWeek Studio.

0:14:26.480 --> 0:14:30.600
<v Speaker 1>This is the Bloomberg Business Week Daily Podcast. Listen live

0:14:30.680 --> 0:14:33.920
<v Speaker 1>each weekday starting at two pm Eastern on Applecarflay, and

0:14:33.920 --> 0:14:36.960
<v Speaker 1>Android Auto with the Bloomberg Business App. You can also

0:14:37.080 --> 0:14:40.720
<v Speaker 1>listen live on Amazon Alexa from our flagship New York station,

0:14:41.280 --> 0:14:43.920
<v Speaker 1>Just say Alexa play Bloomberg eleven thirty.

0:14:44.840 --> 0:14:48.160
<v Speaker 4>All right, well, Cutter's offering of a luxury Boeing seven

0:14:48.280 --> 0:14:51.520
<v Speaker 4>forty seven. President Donald Trump has set off alarm bells

0:14:51.520 --> 0:14:55.840
<v Speaker 4>within the US intelligence and diplomatic community, where gifts from

0:14:55.880 --> 0:14:59.800
<v Speaker 4>foreign powers have long been viewed with suspicion. Jamie terrib

0:15:00.160 --> 0:15:04.000
<v Speaker 4>writes the story today. She's Bloomberg News national security reporter,

0:15:04.040 --> 0:15:07.360
<v Speaker 4>and she joins us on Zoom from Washington, DC to

0:15:07.400 --> 0:15:11.360
<v Speaker 4>discuss give us the latest on what is going on

0:15:11.720 --> 0:15:14.840
<v Speaker 4>right now. Trump is potentially getting a plane.

0:15:15.280 --> 0:15:19.640
<v Speaker 8>He has been offered a reportedly four hundred million dollar

0:15:19.800 --> 0:15:25.960
<v Speaker 8>luxury jumbo jet by the Qatari government for his use,

0:15:26.040 --> 0:15:30.000
<v Speaker 8>because he has been quite vocal about his frustration with

0:15:30.200 --> 0:15:33.920
<v Speaker 8>Boeing for the delays in the delivery of the Air

0:15:33.960 --> 0:15:37.080
<v Speaker 8>Force one jets that he has asked for during his

0:15:37.120 --> 0:15:40.920
<v Speaker 8>first administration. The current Air Force one planes that he

0:15:41.080 --> 0:15:47.280
<v Speaker 8>uses are decades old, and they certainly don't compare when

0:15:47.400 --> 0:15:50.680
<v Speaker 8>you stand them up against, you know, the sort of

0:15:50.720 --> 0:15:56.320
<v Speaker 8>the luxury furnishings, French interior designed comfort that a Katari

0:15:56.400 --> 0:16:01.400
<v Speaker 8>royal family would enjoy in the air. But of the

0:16:01.560 --> 0:16:04.840
<v Speaker 8>question of the gift, the question of the plane itself

0:16:05.560 --> 0:16:08.280
<v Speaker 8>being used by the President of the United States has

0:16:08.400 --> 0:16:11.920
<v Speaker 8>raised all kinds of concerns, whether they're legal or ethical.

0:16:12.520 --> 0:16:13.480
<v Speaker 7>But I've been.

0:16:13.360 --> 0:16:17.280
<v Speaker 8>Focusing a lot more on the security concerns that are

0:16:17.280 --> 0:16:21.359
<v Speaker 8>inherent with accepting any kind of gift, let alone a plane.

0:16:21.640 --> 0:16:24.320
<v Speaker 2>Let's talk about those security concerns. I can't stop laughing

0:16:25.520 --> 0:16:28.200
<v Speaker 2>when you quoted Thad Troy, a former station chief with

0:16:28.240 --> 0:16:31.360
<v Speaker 2>the CIA, who said, if we had built the plane

0:16:31.400 --> 0:16:33.480
<v Speaker 2>knowing it was going to a foreign government, we would

0:16:33.520 --> 0:16:36.680
<v Speaker 2>probably have bugged it. Like that's just the way it

0:16:36.720 --> 0:16:39.880
<v Speaker 2>works when it comes to one country in another country,

0:16:39.880 --> 0:16:42.680
<v Speaker 2>when it comes to national intelligence, when it comes to

0:16:42.720 --> 0:16:46.040
<v Speaker 2>the CIA, what did you learn in your reporting about

0:16:46.240 --> 0:16:50.200
<v Speaker 2>this being a national security challenge for the US.

0:16:51.240 --> 0:16:54.600
<v Speaker 8>There wasn't a single person, whether they were a former

0:16:54.760 --> 0:17:01.000
<v Speaker 8>three letter agency, intelligence, foreign service, international intelligence officers that

0:17:01.080 --> 0:17:04.840
<v Speaker 8>I spoke to who said for sure that plane would

0:17:04.840 --> 0:17:09.200
<v Speaker 8>be bogged in some fashion, whether it was by special

0:17:09.240 --> 0:17:13.760
<v Speaker 8>interests from the host family or from you know, self

0:17:13.760 --> 0:17:14.600
<v Speaker 8>interest within.

0:17:14.480 --> 0:17:17.359
<v Speaker 5>That country, or allies or friends.

0:17:16.920 --> 0:17:21.120
<v Speaker 8>Or adversaries hacking into surveillance systems. It's still it's it's

0:17:21.240 --> 0:17:25.000
<v Speaker 8>very porous before it gets the word that they used

0:17:25.040 --> 0:17:28.400
<v Speaker 8>a lot to me was hardened, and it gets hardened

0:17:28.400 --> 0:17:34.600
<v Speaker 8>when it becomes a DoD approved aircraft. And you know,

0:17:34.960 --> 0:17:36.920
<v Speaker 8>I didn't even know a lot of these things when

0:17:36.920 --> 0:17:39.440
<v Speaker 8>I was working on this and talking to all these people.

0:17:39.600 --> 0:17:43.399
<v Speaker 8>But the airplane itself needs to be hardened to withstand

0:17:43.440 --> 0:17:47.800
<v Speaker 8>an explosion, It needs to be able to continue, it

0:17:47.840 --> 0:17:50.520
<v Speaker 8>needs to be able to fuel air to air, It

0:17:50.920 --> 0:17:54.240
<v Speaker 8>has a surgical center. It's basically a flying White House,

0:17:54.320 --> 0:17:56.320
<v Speaker 8>complete with a situation room.

0:17:56.440 --> 0:17:58.080
<v Speaker 5>So the first.

0:17:58.040 --> 0:18:01.800
<v Speaker 8>The idea of having something like that at being given

0:18:01.960 --> 0:18:07.240
<v Speaker 8>to the US by a foreign government and not doing

0:18:07.520 --> 0:18:11.919
<v Speaker 8>all kinds of security sweeps to establish that it's clean

0:18:12.000 --> 0:18:14.800
<v Speaker 8>and it's fine, and then going in and fortifying it,

0:18:15.080 --> 0:18:20.320
<v Speaker 8>weaponizing it and getting it ready for the president, it's

0:18:20.920 --> 0:18:24.200
<v Speaker 8>it just seems I was told it would take months,

0:18:24.240 --> 0:18:29.080
<v Speaker 8>if not years to accomplish everything to everyone's satisfaction. So

0:18:30.480 --> 0:18:33.359
<v Speaker 8>I don't know if those security concerns will make a

0:18:33.400 --> 0:18:36.439
<v Speaker 8>difference or not, but that was definitely something that the

0:18:36.440 --> 0:18:39.400
<v Speaker 8>people that I speak to that was immediately where their

0:18:39.440 --> 0:18:39.960
<v Speaker 8>minds went.

0:18:40.760 --> 0:18:43.840
<v Speaker 4>So in terms of the security concerns, and we talk

0:18:43.880 --> 0:18:50.080
<v Speaker 4>about potentially bugging spy, where are there any other concerns

0:18:50.280 --> 0:18:54.520
<v Speaker 4>like tech like tech related security concerns that come about

0:18:54.600 --> 0:18:59.919
<v Speaker 4>with a foreign party giving the US a plane.

0:18:59.520 --> 0:19:03.399
<v Speaker 8>The technical concerns that I I mean, there were people

0:19:03.400 --> 0:19:05.760
<v Speaker 8>who were talking to me who said they didn't want

0:19:05.840 --> 0:19:08.879
<v Speaker 8>to say what they were thinking because they didn't want

0:19:08.920 --> 0:19:13.680
<v Speaker 8>to give any one idea. Well, you know, I mean

0:19:13.720 --> 0:19:17.280
<v Speaker 8>installing a kill switch, you know, playing with the mechanism.

0:19:17.760 --> 0:19:20.199
<v Speaker 2>That is some seriously scary stuff. I thought you were

0:19:20.200 --> 0:19:22.359
<v Speaker 2>going to be talking about, like, you know, a microphone

0:19:22.400 --> 0:19:25.120
<v Speaker 2>hidden behind the wall of the plane or something. I mean,

0:19:25.119 --> 0:19:26.959
<v Speaker 2>that is some seriously scary stuff.

0:19:27.359 --> 0:19:30.760
<v Speaker 8>I spoke to someone who was living across the road

0:19:30.880 --> 0:19:33.840
<v Speaker 8>from the US embassy in Moscow during the Cold War,

0:19:33.960 --> 0:19:37.920
<v Speaker 8>and he said that the listening devices were inside the concrete,

0:19:37.960 --> 0:19:42.800
<v Speaker 8>in the bricks. So the idea of wiring and behind

0:19:42.800 --> 0:19:45.960
<v Speaker 8>the molding and all these beautiful furnishings is not out

0:19:46.000 --> 0:19:46.240
<v Speaker 8>of the.

0:19:46.200 --> 0:19:47.320
<v Speaker 7>Realm of possibility.

0:19:47.760 --> 0:19:49.520
<v Speaker 8>So you know, I mean, you just have to have

0:19:49.560 --> 0:19:53.920
<v Speaker 8>an imagination and you can imagine how creative you can

0:19:53.960 --> 0:19:56.760
<v Speaker 8>be with what you install. And where there could be

0:19:56.840 --> 0:20:00.639
<v Speaker 8>cameras inside, there could be a loaf case tracker that

0:20:00.720 --> 0:20:03.520
<v Speaker 8>will tell you exactly where the president is at any time.

0:20:03.880 --> 0:20:06.159
<v Speaker 8>So these are all things that not only like in

0:20:06.359 --> 0:20:11.600
<v Speaker 8>danger he's saved in security, but also could give anyone

0:20:11.960 --> 0:20:15.280
<v Speaker 8>intelligence on the sort of communications and conversations that he

0:20:15.359 --> 0:20:18.240
<v Speaker 8>might be having with people. On the plane with him

0:20:18.320 --> 0:20:20.280
<v Speaker 8>or with people you know elsewhere.

0:20:21.000 --> 0:20:26.480
<v Speaker 2>This is remarkable. Well yeah, yeah, you actually really have.

0:20:26.560 --> 0:20:28.800
<v Speaker 2>But what you also point out in your piece the

0:20:29.240 --> 0:20:33.359
<v Speaker 2>criticism that the president has gotten from people who've been

0:20:33.359 --> 0:20:36.480
<v Speaker 2>allied with him, including Ben Shapiro, Laura Lumer, and others.

0:20:37.240 --> 0:20:40.080
<v Speaker 2>But he's kind of holding firm, at least with his

0:20:40.119 --> 0:20:42.399
<v Speaker 2>public comments that this is the type of gift he

0:20:42.440 --> 0:20:43.440
<v Speaker 2>would accept.

0:20:44.119 --> 0:20:47.680
<v Speaker 8>Well, it's become a poison chalice in a way, because

0:20:49.040 --> 0:20:52.520
<v Speaker 8>you know, it is it is a tremendous honor that

0:20:52.600 --> 0:20:55.000
<v Speaker 8>he has been paid by this Arab.

0:20:54.880 --> 0:20:57.639
<v Speaker 7>Country to accept this gift.

0:20:58.000 --> 0:21:00.520
<v Speaker 8>And you know the Arabs. I'm Lebanine, so I think

0:21:00.560 --> 0:21:03.440
<v Speaker 8>I know something about this, but they're big gift gippers

0:21:03.480 --> 0:21:07.000
<v Speaker 8>and there the hospitality is really embedded in the culture.

0:21:08.040 --> 0:21:10.520
<v Speaker 8>So this for them is a really it's it's it's

0:21:10.520 --> 0:21:15.040
<v Speaker 8>a huge gesture. But it also, you know, it runs

0:21:15.119 --> 0:21:18.120
<v Speaker 8>completely counter to what what what a lot of Trump

0:21:18.160 --> 0:21:21.720
<v Speaker 8>supporters stand by, not just the sort of the ethical

0:21:21.760 --> 0:21:24.879
<v Speaker 8>concerns and the idea of what's the quick pro quo here,

0:21:25.200 --> 0:21:30.719
<v Speaker 8>But you know, katar is, it's a complicated. Uh, it

0:21:30.720 --> 0:21:34.960
<v Speaker 8>has complicated relationships with countries that may not have relationships

0:21:35.000 --> 0:21:37.600
<v Speaker 8>with the US that have strained relationships with the US.

0:21:38.240 --> 0:21:41.879
<v Speaker 8>And it also it has been a very active participant

0:21:42.040 --> 0:21:46.080
<v Speaker 8>in the Ganza talks because Hamas for the longest time

0:21:46.280 --> 0:21:50.840
<v Speaker 8>has a political office in Doha, so you know, it's

0:21:51.080 --> 0:21:54.159
<v Speaker 8>there's there's a lot there and so you know, I

0:21:54.280 --> 0:21:58.600
<v Speaker 8>was talking to one person about the capabilities of the

0:21:58.960 --> 0:22:02.080
<v Speaker 8>Qatari Intelligent and Service and he said to me, well,

0:22:02.119 --> 0:22:05.480
<v Speaker 8>we train them, so you know, I mean, if they're good,

0:22:05.680 --> 0:22:07.919
<v Speaker 8>it's you know, a lot that has to do with

0:22:07.960 --> 0:22:10.600
<v Speaker 8>the fact that they have the strategic security partnership with

0:22:10.640 --> 0:22:13.880
<v Speaker 8>the US. The US has a military based in cutter

0:22:14.119 --> 0:22:18.639
<v Speaker 8>So it's very, very, very complicated, and I think it

0:22:18.840 --> 0:22:22.240
<v Speaker 8>just should be treated with a lot of caution and wariness.

0:22:22.359 --> 0:22:25.600
<v Speaker 5>And you know what we used to hear like trust

0:22:25.640 --> 0:22:26.720
<v Speaker 5>but verify.

0:22:26.920 --> 0:22:30.040
<v Speaker 2>Right, I mean, this story you've given us a lot

0:22:30.040 --> 0:22:33.359
<v Speaker 2>to think about. Jamie, appreciate you joining us. Jamie Terraby,

0:22:33.440 --> 0:22:36.879
<v Speaker 2>she covers national security. She's out of our Washington, DC bureau,

0:22:36.920 --> 0:22:40.159
<v Speaker 2>but she spent time in Baghdad. She was the bureau

0:22:40.240 --> 0:22:44.359
<v Speaker 2>chief for NPR News close to twenty years ago. She

0:22:44.440 --> 0:22:47.040
<v Speaker 2>reported on the unraveling of Iraqi society. She was with

0:22:47.080 --> 0:22:49.640
<v Speaker 2>Al Jazeera America. She was with CNN. She's been doing

0:22:49.640 --> 0:22:52.280
<v Speaker 2>this for a long time. Check out her stories on

0:22:52.320 --> 0:22:55.359
<v Speaker 2>the Bloomberg Terminal and of course at Bloomberg dot Com

0:22:55.440 --> 0:22:58.920
<v Speaker 2>as well. You're listening to and watching Bloomberg BusinessWeek Daily.

0:23:02.400 --> 0:23:06.280
<v Speaker 1>You're listening to the Bloomberg Business Week Daily podcast. Catch

0:23:06.359 --> 0:23:09.520
<v Speaker 1>us live weekday afternoons from two to five eastering. Listen

0:23:09.560 --> 0:23:13.160
<v Speaker 1>on Apple Karplay and Android Auto with the Bloomberg Business app,

0:23:13.320 --> 0:23:15.560
<v Speaker 1>or watch us live on YouTube.

0:23:16.560 --> 0:23:19.600
<v Speaker 2>As we mentioned, companies just day after day in the

0:23:19.640 --> 0:23:22.760
<v Speaker 2>most recent earnings period have been pulling their guidance. They've

0:23:22.760 --> 0:23:26.399
<v Speaker 2>been lowering their expectations for earnings per share. One company

0:23:26.440 --> 0:23:29.880
<v Speaker 2>last week though, doing the exact opposite of that, Inspire

0:23:29.920 --> 0:23:34.760
<v Speaker 2>Medical Systems, reported and they actually kept their guidance for revenue.

0:23:34.800 --> 0:23:37.600
<v Speaker 2>They raise their EPs guidance. We've got Tim Herbert with

0:23:37.640 --> 0:23:40.040
<v Speaker 2>us right now. He's founder, chairman, and president of Inspire

0:23:40.080 --> 0:23:43.480
<v Speaker 2>Medical Systems. It's a medtech company. It specializes in devices

0:23:43.520 --> 0:23:47.280
<v Speaker 2>for sleep apnea. Tim joins us from Minneapolis. Tim, what's

0:23:47.320 --> 0:23:49.480
<v Speaker 2>working for you? Why in the face of so much

0:23:49.560 --> 0:23:52.520
<v Speaker 2>uncertainty concerns about trade And we'll talk about that in

0:23:52.640 --> 0:23:58.520
<v Speaker 2>just a second, why are you actually increasing your guidance freeps, Well, thank.

0:23:58.320 --> 0:23:59.720
<v Speaker 7>You so much for having us today.

0:24:00.000 --> 0:24:02.280
<v Speaker 9>I think if we stay focused on the patient, we

0:24:02.320 --> 0:24:05.680
<v Speaker 9>stay focused on the outcomes that our therapy can deliver,

0:24:05.720 --> 0:24:07.920
<v Speaker 9>it to help people with obstructive sleep at me and

0:24:08.080 --> 0:24:11.280
<v Speaker 9>with that, we know that demand for a therapy is

0:24:11.720 --> 0:24:13.160
<v Speaker 9>quite high and we can.

0:24:13.000 --> 0:24:15.200
<v Speaker 7>Show it continued growth.

0:24:15.680 --> 0:24:18.199
<v Speaker 9>As long as we continue to add our innovation and

0:24:18.240 --> 0:24:21.640
<v Speaker 9>continue to focus on the patient, we can see.

0:24:21.800 --> 0:24:23.159
<v Speaker 7>Sustained growth going forward.

0:24:23.560 --> 0:24:27.040
<v Speaker 9>And now that we're a profitable company, we can increase

0:24:27.040 --> 0:24:29.520
<v Speaker 9>our guide on our earnings per share as well. So

0:24:29.920 --> 0:24:31.920
<v Speaker 9>the futures in front of us, we really just stay

0:24:31.960 --> 0:24:34.520
<v Speaker 9>we made focus and we can continue to see growth

0:24:34.560 --> 0:24:35.240
<v Speaker 9>moving forward.

0:24:35.840 --> 0:24:39.400
<v Speaker 4>Tim, you said in your earnings that most of your

0:24:39.440 --> 0:24:43.679
<v Speaker 4>products are currently sourced and assembled primarily in the US,

0:24:44.080 --> 0:24:47.600
<v Speaker 4>and I'm wondering to what extent that has helped the

0:24:47.680 --> 0:24:49.200
<v Speaker 4>success of the company right now.

0:24:50.160 --> 0:24:52.440
<v Speaker 7>Well, I think that that's certainly true.

0:24:52.480 --> 0:24:54.520
<v Speaker 9>I think that we want to make sure that we

0:24:54.560 --> 0:24:59.280
<v Speaker 9>provide the best possible products for our patients, and being

0:24:59.320 --> 0:25:04.240
<v Speaker 9>an implant product is the highest level of quality that

0:25:04.920 --> 0:25:07.359
<v Speaker 9>the products have, and so we're able to really make

0:25:07.400 --> 0:25:10.919
<v Speaker 9>sure that we source our products, make sure that we

0:25:10.960 --> 0:25:13.720
<v Speaker 9>assemble now in the United States, we can really control

0:25:13.800 --> 0:25:17.440
<v Speaker 9>the quality of that and we can really stand behind

0:25:17.480 --> 0:25:18.760
<v Speaker 9>the products as we move forward.

0:25:18.800 --> 0:25:22.080
<v Speaker 7>So we watch the turiffs. Of course, we watched the

0:25:22.160 --> 0:25:24.720
<v Speaker 7>trade discussions going on, but.

0:25:24.840 --> 0:25:28.119
<v Speaker 9>Where we are right now that that's rather dimendmus to

0:25:28.160 --> 0:25:29.119
<v Speaker 9>our business today.

0:25:29.560 --> 0:25:31.600
<v Speaker 7>And again we can remain focused on the patient.

0:25:31.960 --> 0:25:33.879
<v Speaker 2>You got to explain to us how this product actually

0:25:33.880 --> 0:25:36.600
<v Speaker 2>works because you have the first and only FDA approved

0:25:36.640 --> 0:25:41.080
<v Speaker 2>implant to treat this type of sleep apnea. I think

0:25:41.080 --> 0:25:43.240
<v Speaker 2>a lot of people here sleep apnea, They think of masks.

0:25:43.800 --> 0:25:44.560
<v Speaker 5>What's an implant?

0:25:44.600 --> 0:25:45.240
<v Speaker 2>Where does it go?

0:25:46.200 --> 0:25:48.679
<v Speaker 9>Well, let's start with what is obstructed sleep AVENE and

0:25:48.800 --> 0:25:52.960
<v Speaker 9>is when you're sleeping, your airway actually restricts airflow. Therefore

0:25:53.000 --> 0:25:57.280
<v Speaker 9>you're not getting proper oxygen into your lungs and transition

0:25:57.359 --> 0:25:59.840
<v Speaker 9>to the bloods and so you have a low ox

0:26:00.080 --> 0:26:02.399
<v Speaker 9>gin level and your blood during sleep and you're not.

0:26:02.400 --> 0:26:04.360
<v Speaker 7>Getting RESTful sleep during the night.

0:26:04.880 --> 0:26:08.280
<v Speaker 9>And I think most people know somebody who may wear

0:26:08.400 --> 0:26:10.760
<v Speaker 9>or been given a mask that they put on their

0:26:11.000 --> 0:26:13.280
<v Speaker 9>on their face at night. It's called the sea papera

0:26:13.800 --> 0:26:17.359
<v Speaker 9>continuous positive airway pressure, and that the method is to

0:26:17.400 --> 0:26:22.879
<v Speaker 9>blow pressure that continuously holds your airway open while you sleep,

0:26:22.920 --> 0:26:26.399
<v Speaker 9>preventing obstructive sleep ABNA. But of course, as you can

0:26:26.440 --> 0:26:29.159
<v Speaker 9>imagine by having an apparatus on your face and that

0:26:29.320 --> 0:26:33.280
<v Speaker 9>constant pressure, there's a percent of patients, up to fifty

0:26:33.280 --> 0:26:36.520
<v Speaker 9>percent of the patients just cannot tolerate that therapy. And

0:26:36.600 --> 0:26:39.880
<v Speaker 9>it's necessary to treat obstructive sleep an because the risks

0:26:39.880 --> 0:26:44.720
<v Speaker 9>of stroke or heart failure, high blood pressure, even diabetes,

0:26:45.080 --> 0:26:48.359
<v Speaker 9>and it's been shown to be causal for early mortality.

0:26:48.440 --> 0:26:53.000
<v Speaker 9>It's important that patients receive proper treatment. Knowing that patients

0:26:53.000 --> 0:26:56.879
<v Speaker 9>with seat PAPERA unable to tolerate that therapy. What we

0:26:57.000 --> 0:26:59.760
<v Speaker 9>had inspired it is we created an implantable product that

0:26:59.800 --> 0:27:03.720
<v Speaker 9>we're inside your body and we provide mild stimulation to

0:27:03.800 --> 0:27:06.280
<v Speaker 9>the hypogloss of nerve, a nerve just underneath your chain,

0:27:06.840 --> 0:27:10.160
<v Speaker 9>and so when you breathe in, we stimulate the tongue

0:27:10.200 --> 0:27:12.000
<v Speaker 9>and hold the tongue open while you.

0:27:12.040 --> 0:27:15.160
<v Speaker 7>Breed, preventing the sleep at me events.

0:27:15.760 --> 0:27:19.720
<v Speaker 9>Over the years, we were improved in twenty fourteen.

0:27:19.280 --> 0:27:19.840
<v Speaker 7>By the FDA.

0:27:19.960 --> 0:27:23.280
<v Speaker 9>We're the only product approved in the United States and

0:27:23.359 --> 0:27:26.560
<v Speaker 9>today we have treated over one hundred thousand patients with

0:27:26.720 --> 0:27:29.359
<v Speaker 9>Inspire therapy. We're proud to say that a patient in

0:27:29.400 --> 0:27:33.679
<v Speaker 9>the United States receives Inspire every fifteen minutes. And just

0:27:33.800 --> 0:27:37.400
<v Speaker 9>this week we announced the fifth generation of Inspire.

0:27:37.480 --> 0:27:40.240
<v Speaker 7>This is the Inspire five, the fifth generation.

0:27:40.320 --> 0:27:42.920
<v Speaker 9>You can see, have a small device that works inside

0:27:42.920 --> 0:27:46.160
<v Speaker 9>your body. And now we're working with well over thousand

0:27:46.359 --> 0:27:49.520
<v Speaker 9>clinics and hospitals in the United States to get them

0:27:49.560 --> 0:27:53.240
<v Speaker 9>under contracts so they can offer the fifth generation product

0:27:53.280 --> 0:27:54.080
<v Speaker 9>to their patients.

0:27:54.400 --> 0:27:59.000
<v Speaker 4>I'm curious, if it's so effective, if patients are saying

0:27:59.040 --> 0:28:01.400
<v Speaker 4>that they would r use this than the mask, why

0:28:01.440 --> 0:28:05.399
<v Speaker 4>isn't everyone in the industry going to this implant model

0:28:05.520 --> 0:28:06.760
<v Speaker 4>over the seapop mask.

0:28:07.280 --> 0:28:09.480
<v Speaker 9>Well, seapap has been around for quite some period of

0:28:09.520 --> 0:28:11.800
<v Speaker 9>time and it's very prevalent therapy.

0:28:12.240 --> 0:28:14.520
<v Speaker 7>But you're right, with the number of patients out there,

0:28:15.000 --> 0:28:16.320
<v Speaker 7>we know we're very.

0:28:16.400 --> 0:28:19.240
<v Speaker 9>Lightly penetrated in the target market of the patients that

0:28:19.280 --> 0:28:23.000
<v Speaker 9>we wish to serve, So we're continuing to grow. Since

0:28:23.440 --> 0:28:25.840
<v Speaker 9>we went public in twenty eighteen, we shown a fifty

0:28:25.880 --> 0:28:28.760
<v Speaker 9>eight percent care in our revenue, so it's been a

0:28:28.880 --> 0:28:31.520
<v Speaker 9>very steady growth and adoption and a number of patients

0:28:32.000 --> 0:28:34.399
<v Speaker 9>that we can treat and as we talk about in

0:28:34.400 --> 0:28:37.960
<v Speaker 9>twenty twenty four as our first year of profitability, so we.

0:28:37.840 --> 0:28:40.160
<v Speaker 7>Can continue to grow the adoption of the therapy.

0:28:40.720 --> 0:28:43.560
<v Speaker 9>We really again focus on the patients and having very

0:28:43.640 --> 0:28:47.400
<v Speaker 9>high level of therapy outcomes, and that's what that's going

0:28:47.440 --> 0:28:49.840
<v Speaker 9>to really be the impetus for further growth in the future,

0:28:50.240 --> 0:28:56.040
<v Speaker 9>and we will see additional companies developing competing therapies because

0:28:56.080 --> 0:29:01.240
<v Speaker 9>I think the therapy adoption is becoming quite well aware

0:29:01.600 --> 0:29:03.479
<v Speaker 9>and people are really adopting to it.

0:29:03.840 --> 0:29:06.360
<v Speaker 2>Tim, You've been in the business for a long time.

0:29:06.440 --> 0:29:09.240
<v Speaker 2>Even before this in two thousand and seven, you spent

0:29:09.320 --> 0:29:12.160
<v Speaker 2>over a decade ad Medtronic and this is where Inspire

0:29:12.520 --> 0:29:15.200
<v Speaker 2>spun out of. You've spent a lot of time working

0:29:15.200 --> 0:29:18.920
<v Speaker 2>with the FDA. The FDA right now under AHHS Secretary

0:29:19.040 --> 0:29:22.120
<v Speaker 2>RFK Junior looks a lot different than the FDA under

0:29:22.160 --> 0:29:25.800
<v Speaker 2>previous administrations. What have you noticed as differences that your

0:29:25.880 --> 0:29:29.760
<v Speaker 2>team has experienced or encountered with this FDA versus other FDAs.

0:29:30.720 --> 0:29:34.120
<v Speaker 9>Yeah, I think what's most important is making sure you

0:29:34.200 --> 0:29:38.000
<v Speaker 9>set a good plan to execute and demonstrate safety and

0:29:38.000 --> 0:29:40.960
<v Speaker 9>efficacy or products. Make sure that you work in concert

0:29:41.080 --> 0:29:45.320
<v Speaker 9>with your partners at the FDA, so they understand your strategy,

0:29:45.360 --> 0:29:49.760
<v Speaker 9>they understand the trials that you're embarking on, and then

0:29:49.800 --> 0:29:52.600
<v Speaker 9>be able to be transparent and show them the data

0:29:53.400 --> 0:29:57.240
<v Speaker 9>that can prove that your therapy is efficacious as well

0:29:57.280 --> 0:30:00.880
<v Speaker 9>as your ability to manufacture, produce implicate.

0:30:00.520 --> 0:30:03.560
<v Speaker 7>Those same results as you move forward into the market.

0:30:04.160 --> 0:30:06.240
<v Speaker 7>And with that, that's the one common thread with.

0:30:06.320 --> 0:30:10.800
<v Speaker 9>FDA that remains where it needs to be that the

0:30:10.840 --> 0:30:14.120
<v Speaker 9>FDA knows what their jobs are. Yes, there's stress points

0:30:14.120 --> 0:30:18.200
<v Speaker 9>with the FDA, especially with the concerns over their budgets

0:30:18.200 --> 0:30:20.160
<v Speaker 9>and do they have to cut back here or cut

0:30:20.200 --> 0:30:23.440
<v Speaker 9>back where, But I think the FDA really understands what's

0:30:23.480 --> 0:30:26.520
<v Speaker 9>important and to be able to really be able to

0:30:26.560 --> 0:30:28.120
<v Speaker 9>evaluate products.

0:30:28.160 --> 0:30:28.920
<v Speaker 7>And so our.

0:30:28.760 --> 0:30:31.959
<v Speaker 9>Team has a good relationship with the FDA because they

0:30:31.960 --> 0:30:36.240
<v Speaker 9>are transparent. We're provide all the necessary data to them

0:30:36.280 --> 0:30:40.080
<v Speaker 9>in a timely manner. They understand the items for which

0:30:40.120 --> 0:30:42.320
<v Speaker 9>we will be submitting to them, so the FDA can

0:30:42.360 --> 0:30:46.560
<v Speaker 9>plan their resources appropriately as well. So, yes, I understand

0:30:46.560 --> 0:30:49.560
<v Speaker 9>the FDA is understrained, but they're also working really hard

0:30:49.600 --> 0:30:53.560
<v Speaker 9>to continue to deliver the proper reviews necessary for these

0:30:53.600 --> 0:30:54.440
<v Speaker 9>medical devices.

0:30:54.560 --> 0:30:57.000
<v Speaker 2>So you're still confident in the FDA despite the changes

0:30:57.000 --> 0:30:58.160
<v Speaker 2>that we've seen at HHS.

0:30:58.200 --> 0:31:02.480
<v Speaker 9>Already their job, they know how to review product, They

0:31:02.520 --> 0:31:06.240
<v Speaker 9>know how to ask the necessary questions to get the

0:31:06.280 --> 0:31:09.640
<v Speaker 9>proper products out in the market. They are under stress,

0:31:09.680 --> 0:31:12.640
<v Speaker 9>as we talked about, with concerns over the budget. How

0:31:12.680 --> 0:31:15.240
<v Speaker 9>can we control the budget a little bit more yet

0:31:15.320 --> 0:31:16.800
<v Speaker 9>still be able to be as.

0:31:16.680 --> 0:31:19.360
<v Speaker 7>Effective in getting the reviews out there.

0:31:19.400 --> 0:31:21.040
<v Speaker 9>So, at least in our part of the world and

0:31:21.480 --> 0:31:24.600
<v Speaker 9>the medical device side, I think the FDA knows their

0:31:24.680 --> 0:31:28.480
<v Speaker 9>role and they're still able to perform those proper reviews.

0:31:29.000 --> 0:31:31.760
<v Speaker 4>Tim, what about insurance, do you think that the insurance

0:31:31.800 --> 0:31:36.720
<v Speaker 4>companies are a constraint on more widespread adoption of the implant?

0:31:37.640 --> 0:31:40.360
<v Speaker 7>Well, I think again with the insurance companies, they also.

0:31:40.640 --> 0:31:43.040
<v Speaker 9>Take sucuriny, just like the FDA, to make sure that

0:31:43.080 --> 0:31:46.200
<v Speaker 9>the products that they cover do have the proper safety

0:31:46.240 --> 0:31:50.200
<v Speaker 9>and effectiveness and to ensure that their customers the patient

0:31:50.960 --> 0:31:54.680
<v Speaker 9>have the benefits expected from the products if the insurance

0:31:54.680 --> 0:31:57.040
<v Speaker 9>companies are being asked to pay for it.

0:31:57.360 --> 0:31:59.200
<v Speaker 7>So again, we are very transparent.

0:31:59.280 --> 0:32:03.120
<v Speaker 9>We make sure that we continually monitor our progress, continue

0:32:03.200 --> 0:32:06.440
<v Speaker 9>to publish on the safety and effectiveness and the new

0:32:06.520 --> 0:32:09.880
<v Speaker 9>generation of products like to Inspire five device, and so

0:32:09.960 --> 0:32:12.840
<v Speaker 9>we can give that information also to the insurance companies

0:32:12.880 --> 0:32:15.320
<v Speaker 9>and be transparent so they really understand that they know

0:32:15.960 --> 0:32:18.160
<v Speaker 9>if they're going to cover an Inspire case, that they

0:32:18.240 --> 0:32:22.400
<v Speaker 9>know the patient can expect a high patient outcome and

0:32:22.480 --> 0:32:23.920
<v Speaker 9>a benefit with the therapy.

0:32:24.320 --> 0:32:28.040
<v Speaker 7>So again they're doing their jobs too. They're under a lot.

0:32:27.840 --> 0:32:30.840
<v Speaker 9>Of strainers as we've as you just talked about the

0:32:30.880 --> 0:32:33.800
<v Speaker 9>prior segment, and it's really hard for them to keep

0:32:34.160 --> 0:32:38.360
<v Speaker 9>focused on covering their proper patients and making sure Companies

0:32:38.440 --> 0:32:40.680
<v Speaker 9>like ours are staying on our toes to make sure

0:32:40.720 --> 0:32:43.120
<v Speaker 9>that we are delivering the highest level quality to get

0:32:43.120 --> 0:32:44.880
<v Speaker 9>the best patient outcomes.

0:32:45.400 --> 0:32:47.920
<v Speaker 2>We're speaking with Tim Herbert, founder, chairman and president and

0:32:48.000 --> 0:32:51.600
<v Speaker 2>CEO of Inspire Medical Systems. Tim, we wanted to speak

0:32:51.600 --> 0:32:54.280
<v Speaker 2>to you today also about health and the association with

0:32:54.560 --> 0:32:58.240
<v Speaker 2>sleep apnea and health. So curious now how people with

0:32:58.360 --> 0:33:02.440
<v Speaker 2>the age of Apple watches or rings other devices that

0:33:02.480 --> 0:33:05.960
<v Speaker 2>help measure sleep, if that tells them and those devices

0:33:05.960 --> 0:33:07.680
<v Speaker 2>tell them that they may have sleep apnea and then

0:33:07.680 --> 0:33:09.000
<v Speaker 2>they don't have to go spend the night in some

0:33:09.000 --> 0:33:11.120
<v Speaker 2>sort of sleep study sleep lab.

0:33:11.240 --> 0:33:15.040
<v Speaker 9>Right, it's so important that we talk about the three

0:33:15.080 --> 0:33:15.920
<v Speaker 9>pillars of life.

0:33:15.880 --> 0:33:17.680
<v Speaker 7>Or diet, exercise, and a good night's sleep.

0:33:17.840 --> 0:33:22.280
<v Speaker 9>And so now with the technology so available, people have

0:33:22.440 --> 0:33:25.640
<v Speaker 9>just provided information on their own health and the number

0:33:25.680 --> 0:33:29.120
<v Speaker 9>of steps they took, their caloric intake, and also how

0:33:29.200 --> 0:33:31.680
<v Speaker 9>well did they sleep. And your or a ring will

0:33:31.720 --> 0:33:34.400
<v Speaker 9>give you a little bit more precise information than your

0:33:34.440 --> 0:33:35.040
<v Speaker 9>Apple watch.

0:33:35.040 --> 0:33:37.600
<v Speaker 7>Well, your Apple watch may tell you to you know,

0:33:38.120 --> 0:33:39.240
<v Speaker 7>maybe we might want to.

0:33:39.240 --> 0:33:42.760
<v Speaker 9>Call your doctor to have your sleep evaluated because you

0:33:42.800 --> 0:33:46.240
<v Speaker 9>may have a sleep disorder such as obstructive sleep ABNA.

0:33:46.880 --> 0:33:50.600
<v Speaker 7>Sleep physicians today have many, many more tools available to

0:33:50.640 --> 0:33:53.840
<v Speaker 7>help assess sleep BABNA. In the old days, as you

0:33:53.920 --> 0:33:54.440
<v Speaker 7>refer to.

0:33:54.920 --> 0:33:58.960
<v Speaker 9>You'd be brought to a hospital bed and put wires

0:33:59.000 --> 0:34:00.760
<v Speaker 9>all over your body and they tell you and I'll

0:34:00.800 --> 0:34:02.360
<v Speaker 9>go to sleep so we can evaluate you.

0:34:02.880 --> 0:34:05.120
<v Speaker 7>It's just not a comfortable environment to get a really

0:34:05.160 --> 0:34:08.240
<v Speaker 7>accurate measurement of the quality of your sleep. So today

0:34:08.239 --> 0:34:09.840
<v Speaker 7>there's many home sleep tests.

0:34:09.840 --> 0:34:12.640
<v Speaker 9>It's just a simple pass out symmetry that will go

0:34:12.719 --> 0:34:15.120
<v Speaker 9>on your fingertip to measure how well you're sleeping and

0:34:15.200 --> 0:34:17.560
<v Speaker 9>if you're having obstructive events.

0:34:17.800 --> 0:34:20.600
<v Speaker 7>And then we can use things like the rings and.

0:34:21.400 --> 0:34:24.680
<v Speaker 9>The watches, and there's even sensors that come in some

0:34:24.880 --> 0:34:28.160
<v Speaker 9>mattresses that will tell you how good your sleep is

0:34:28.360 --> 0:34:31.040
<v Speaker 9>and are you having obstructive events to be able to

0:34:31.080 --> 0:34:35.839
<v Speaker 9>monitor successive therapy such as Inspire, and so I think

0:34:35.920 --> 0:34:40.040
<v Speaker 9>the advent of technology for sleep is just beginning. It's

0:34:40.040 --> 0:34:42.680
<v Speaker 9>really going to grow, and we like to leverage that

0:34:42.760 --> 0:34:46.759
<v Speaker 9>technology to help monitor just how successful Inspire is with

0:34:46.880 --> 0:34:50.000
<v Speaker 9>our patients. Again focusing on patient outcomes, knowing that we

0:34:50.040 --> 0:34:54.600
<v Speaker 9>want sustained benefit because with sustained benefit of treating obstructed

0:34:54.640 --> 0:34:56.840
<v Speaker 9>sleep ABTY, it can have a reduction in some of

0:34:56.920 --> 0:35:00.520
<v Speaker 9>those former abilities, and that's what's a really important. So

0:35:00.560 --> 0:35:03.040
<v Speaker 9>if a patient's gunning as a therapy, they need to

0:35:03.080 --> 0:35:05.120
<v Speaker 9>show their adherent to that therapy and they know the

0:35:05.280 --> 0:35:08.920
<v Speaker 9>need to show that that therapy is effective. That's with

0:35:09.080 --> 0:35:12.440
<v Speaker 9>these tools and these watches in these race that's what

0:35:12.520 --> 0:35:16.239
<v Speaker 9>it's bringing to the patients, and the patients want to

0:35:16.239 --> 0:35:18.799
<v Speaker 9>be a part of their own solution, so they are

0:35:18.840 --> 0:35:21.759
<v Speaker 9>able to monitor how well they're sleeping and how well

0:35:21.800 --> 0:35:24.320
<v Speaker 9>their bed partner is sleeping as well. And that's the

0:35:25.000 --> 0:35:28.279
<v Speaker 9>greatest source of identifying sleep disorders is the bad partner

0:35:28.320 --> 0:35:30.520
<v Speaker 9>because they're right there, they see the patient they're snoring

0:35:31.040 --> 0:35:35.359
<v Speaker 9>or they stop breathing, having an obstruct obstructed sleep at

0:35:35.360 --> 0:35:38.760
<v Speaker 9>any event. So it's fun to watch it technology evolve

0:35:39.000 --> 0:35:41.359
<v Speaker 9>and we want to make sure that we remain.

0:35:41.080 --> 0:35:41.640
<v Speaker 7>A part of that.

0:35:42.080 --> 0:35:45.880
<v Speaker 4>Americans seem to be better at monitoring the sleep. The

0:35:45.960 --> 0:35:49.480
<v Speaker 4>sleep tech is getting better. Just last question, Tim, do

0:35:49.520 --> 0:35:53.439
<v Speaker 4>you think Americans are sleeping better? Are we getting better

0:35:53.480 --> 0:35:55.319
<v Speaker 4>at sleep or are we getting worse. There's a ton

0:35:55.400 --> 0:35:56.800
<v Speaker 4>more distractions these days.

0:35:57.320 --> 0:36:00.000
<v Speaker 9>There are, but people are becoming so much more aware

0:36:00.080 --> 0:36:02.319
<v Speaker 9>of it and aware of how important it is to

0:36:02.320 --> 0:36:04.759
<v Speaker 9>get a good night's sleep, and if you have sleep disorders,

0:36:05.000 --> 0:36:07.240
<v Speaker 9>to make sure that you get proper treatment and proper

0:36:07.280 --> 0:36:10.719
<v Speaker 9>care to monitor or receive and monitor how well that

0:36:10.760 --> 0:36:11.920
<v Speaker 9>treatment is working for you.

0:36:12.400 --> 0:36:15.600
<v Speaker 7>So, yes, as we're aging the muscles.

0:36:15.160 --> 0:36:17.239
<v Speaker 9>Relax a little bit more, you tend to have a

0:36:17.239 --> 0:36:20.160
<v Speaker 9>little bit more storing and a little bit more obstructive

0:36:20.160 --> 0:36:20.960
<v Speaker 9>sleep abnea.

0:36:21.040 --> 0:36:23.840
<v Speaker 7>So it's important that we monitor our sleep.

0:36:23.920 --> 0:36:26.160
<v Speaker 9>It's also very important to make sure we maintain a

0:36:26.200 --> 0:36:29.279
<v Speaker 9>good sleep hygiene, that you have consistency and when you

0:36:29.320 --> 0:36:31.239
<v Speaker 9>go to bed and don't have the distractions in the

0:36:31.360 --> 0:36:34.160
<v Speaker 9>room and get a RESTful night's sleep, but measure how

0:36:34.200 --> 0:36:37.719
<v Speaker 9>well you sleep because the tools are available. And more importantly,

0:36:37.719 --> 0:36:41.200
<v Speaker 9>if your bed partner is not having a good night

0:36:41.239 --> 0:36:47.920
<v Speaker 9>sleep or consistently snoring or having that breakage in breathing patterns, then.

0:36:47.880 --> 0:36:50.120
<v Speaker 7>They be seen by their family practice doctor.

0:36:50.360 --> 0:36:53.480
<v Speaker 9>That by being referred to a sleep physician, being evaluated

0:36:53.960 --> 0:36:57.480
<v Speaker 9>because the cause of effects of untreated, monitored to severe

0:36:57.560 --> 0:37:02.120
<v Speaker 9>sleep avenia is really detrimental. Fact again highlighted earlier on,

0:37:02.840 --> 0:37:06.239
<v Speaker 9>there are risks of comorbidity are even quite severe. So yes,

0:37:06.280 --> 0:37:09.680
<v Speaker 9>I think America is sleeping better and will continue to

0:37:09.680 --> 0:37:13.280
<v Speaker 9>get better as technology advances and provides information to guide

0:37:13.280 --> 0:37:13.920
<v Speaker 9>that process.

0:37:14.080 --> 0:37:16.200
<v Speaker 2>Tim, I appreciate you taking the time and joining us.

0:37:16.200 --> 0:37:19.480
<v Speaker 2>That's Tim Herbert, founder, chairman, president, CEO of Inspire Medical Systems.

0:37:19.480 --> 0:37:21.959
<v Speaker 2>It's publicly traded about four and a half billion dollar

0:37:22.120 --> 0:37:24.080
<v Speaker 2>market cap, joining us from Minneapolis.

0:37:24.960 --> 0:37:30.400
<v Speaker 1>This is the Bloomberg Business Weekdaily podcast, available on Apple, Spotify,

0:37:30.560 --> 0:37:34.600
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0:37:34.640 --> 0:37:38.840
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