Google
 

Saturday, December 29, 2007

CMED & MR - Chinese Medical Device Companies With Legs

Anyone who observes the basic conditions in China's rapidly growing economy understands they face a number of significant government challenges. Healthcare is amongst the greatest of challenges and will be at the highest of the priorities. It is my opinion that Mindray (MR) and China Medical (CMED) stand to benefit from what will be a 10+ year investment into healthcare services and hospital infrastructure throughout China.

Recently, China's Minister of Health, Chen Zhu, spoke about how the government will need to 'significantly' increase their investment in terms of providing basic medical services to all of their people. Read this article and you will probably agree there is a likely chance that revenue will continue to accelerate for both these companies in the coming years.

My instinct tells me that 2008 might be the year when people discover basic healthcare as the next wave of China growth (beyond energy and consumers) as the global spotlight from the Olympics will bring a focus on domestic issues precisely like this. Currently, China's spend on healthcare is abysmally low (6% of GDP) and most of it is on medicine and not treatments or preventions. This dynamic will change, and we are talking in billions and billions of dollars.

Major healthcare investment in China means big things for CMED and MR. The types of diagnostics and devices these companies produce are precisely where the government will invest whether it be the form of tax incentives to these companies or via huge subsidies to the patients. It's safe to say it will be both. It's also safe to say that these companies will benefit from their partnership with the government as Chinese companies, something their global competitors (GE) will struggle to beat in terms of profit margins and contract wins.

If these were companies that were just doing business in China it would be one thing, but their low cost manufacturing and highly regarded quality also mean explosive growth overseas in Europe and North America. MR is growing rapidly in the US market (80%) and CMED has recently filed with the FDA to obtain HIFU approval (a potentially explosive technology that has not gained any visibility in the US). HIFU just obtained FDA approval in Korea and was given a go ahead from the FDA in the US to proceed with human trials. I think we are just getting started here. For information and an overview of HIFU go here

MR is the best domestic Chinese medical device maker and CMED is an undervalued gem ('08 P/E = 22) with 50% margins while proving very capable of integrating acquisitions. The acquisition of FISH for CMED could not have gone any better and they are very clear on how to differentiate from their domestic competitors. Both companies have excellent management and having listened to all of their conf calls since their IPOs can validate their management seen as credible and capable. These are two companies who I believe chose to be listed in the US markets to demonstrate the standard they are looking to be held to from an accounting and governance perspective, and their performance since their respective IPO's demonstrate the legitimacy and the sustainability of their business models.

For anyone who thinks China stocks may cool off, MR & CMED are well positioned to avoid major selloffs given the strong fundamentals behind each of them. MR is trading at a loftier valuation (40x '08 earnings), but they are also competing for a much larger market and have more maturity as a proven company.

I believe these are two companies that are just beginning in the new era of global markets. CMED seems more undervalued and undiscovered (PEG = .96), so I would recommend a ratio of 60% CMED and 40% MR to start.

Interestingly enough, despite significant differences in their product line and business events, their performance over the past year has trended very similarly:




All the best,
RSB

Current Universe

Hopefully, those who arrive at my site will enjoy the commentary and content I provide. To start, I will list some of my currently favorite stocks and brief comments:

CMED - My favorite stock to own. Chinese medical device company that is well positioned to receive significant revenues from the exploding Chinese healthcare economy and also in Europe/USA via their low cost/high quality product line. Will post more about this later.

MR - Another Chinese medical device company, mainly focused on diagnostics. They are the 'best of breed' medical co. in China who competes with the likes of GE and Siemens. Considering their product line is well respected for high quality amongst it's customers, the 60% lower cost compared to it's bigger competitors makes it a steal even at it's current lofty valuations

BTU - Peabody is well positioned for the next 10-20 years as coal goes 'mainstream' and becomes more environmentally friendly. Coal recently spun off it's east coast USA operations (Patriot Coal - PCX) so that it can focus on it's major expansion of it's Illinois Basin operations and it's western business. More importantly, it spun off Patriot to focus on the emerging technologies surrounding coal (CTL - Coal to Liquids/ Coal Cleaning/ etc). From my perspective, coal's reputation as a major pollutant doesn't mean bad things for Peabody.....it just means they need to find ways to make more money by being more eco-friendly. They have invested largely in the Pan Asian market, and stand to do very well considering that 3% of the world's electricity is delivered by Peabody.

LDK - I write extensively on LDK, and am intrigued by the solar boom. LDK is a stock I will talk a lot about on this blog over the next few weeks, so for now, I can tell you they are a leading manufacturer of polysilicon solar wafers which are the primary component for solar energy generation.

AUY - Yamana gold is in my portfolio but has been underperforming since they acquired Meridian (went from $15 to $9 before recovering to the current $13 level). I believe the run on Gold is not over and that Yamana is well positioned to explode profits over the next 2-3 years given their strong management, and politically friendly mine locations. Spot prices at $1000 mean $20 for AUY.

DNDN - My mind invests in the above companies, but my heart is with Dendreon. Their prostate cancer drug candidate, Provenge, has been quite a story in 2007. The drug was recommended by an FDA panel (17-0 on safety, 13-4 on efficacy), but was later given an 'approvable' letter from the FDA. Corruption exists, which I will talk about, and congress is getting involved. I believe that Provenge will be approved in 2009 and the stock will be in the $20 level.

SOMX - Somaxon is one I am not sure of at this point, but it's on my radar. Their drug candidate, Silenor, is looking very good for FDA approval in the insomnia space, and they file their NDA (new drug appplication) with the FDA in Q1 '08. The NDA was supposed to be filed in mid '07, but the FDA requested a toxicity trial which is underway. The recent 'approvable' of competitor Neurocrine Biosciences (NBIX) insomnia drug was largely unexpected, so this one is no sure thing as the FDA is becoming more difficult to understand then any girlfriend I've ever had. Add to the fact that SOMX has been unsuccessful in finding a pharma partner and their CEO recently resigned, and you have a lot of negativity surrounding this one. Due to all of these things, their stock price has been battered down from $15 to $5 and it can't get much worse for SOMX unless they get flat out rejected by the FDA next year.

CEGE - Another prostate cancer drug company that develops GVAX. Similar to DNDN, they are in the exciting, yet unproven, immunotherapy space. While their current Phase 3 trial is not slated to be finished by 2010, and I currently have no position in CEGE, they are part of the landscape that I am interested in.

There are more....many many more, but this is an introductory post that consists of the stocks that interest me for the moment.

All the best,
RSB