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Orthopedic and Dental Industry News Complete Archive »

Orthopedic Fundamentals Remain Strong BY HUYEN NGUYEN, NOVEMBER 8, 2005

This article was co-authored by Huyen Nguyen and John McCormick.

As we move into the fourth quarter earnings calendar, we look back to third quarter reported earnings with some interesting thoughts. (1) Due to natural disasters, some major orthopedic players (primarily large joint) were slightly affected by these unfortunate events. (2) Earnings in Q3 were slightly affected by pricing pressure accross the board. (3) Individual stock prices were heavily affected by negative press and company lowering guidances for the year.

In Q3, according to our Orthopedic Index, the orthopedic sector experienced some minor turmoil as its trailing-twelve-months (TTM) price-to-earnings (P/E) ratio hit as low as 27.1x compared to 36.0x a year ago; price-to-sale (PSR) ratio is at 4.3x compared to 5.5x as of November 4, 2004. Our Orthopedic Index weighted market capitalization currently stands at $71 billion compared to $78 billion, or down by 9% year-over-year. Zimmer alone contributed to a loss of $4 billion in market capitalization compared to last year.

We did a quick roundup of all sales and earnings for the nine months period in the orthopedic sector and found that in aggregated total, public orthopedic companies reported a 15% increased in sales and a 23% increased in earnings year-over-year. From YTD, these companies took in $15.3 billion compared to $13.3 billion; net income (excluding DePuy and Synthes) were reported at $1.8 billion compared to $1.4 billion.

9 months '05 vs. 9 Months '04

Company Revenues
($mm)
% Chg Net Income
($mm)
% Chg Notes
2005 2004 2005 2004
Anika Therapeutics 24.4 18.8 30% 5.07 2.40 112% Excluding $7 million benefit in 2004
Arthrocare 155.0 111.4 39% 16.95 8.34 103% Non-GAAP basis
Biomet* 1,470.0 1,295.5 13% 306.89 272.83 12% Excluding all acquisitions related charges (2005 & 2004)
DePuy (JNJ) ** 2,870.0 2,468.0 16% N/A N/A N/A  
dj Orthopedics 211.2 187.9 12% 21.06 14.62 44% Non-GAAP basis
Encore Medical Corp. 218.7 79.7 175% 6.19 4.39 41% Continuing operations only
Exactech 68.0 60.9 12% 4.77 5.45 -13%  
IsoTis Biologics 23.5 19.0 24% 2.40 (16.41) N/A Non-GAAP basis
Kyphon 220.3 151.0 46% 26.89 15.65 72% Non-GAAP basis
LifeCell 67.1 44.5 51% 8.21 3.04 170%  
NuVasive 43.2 26.6 63% (9.68) (6.21) N/A Non-GAAP basis
Orthofix 233.0 213.0 9% 28.36 24.64 15% Excluding $40 million in settlement & costs relating to KCI
OrthoLogic N/A N/A N/A (19.70) (11.63) N/A Excluding CBI R&D expeneses in 2004
Osteotech 71.4 68.1 5% (9.51) (.66) N/A  
Regeneration Technology 55.1 69.5 -21% (3.84) 4.54 N/A  
Smith and Nephew plc ** 1,799.2 1,658.5 8% 274.60 247.20 11% Adjusted Earnings
Stryker 3,593.0 3,106.8 16% 520.80 423.80 23% Adjusted Earnings
Synthes ** 1,540.8 1,309.9 18% N/A N/A N/A  
Wright Medical 238.9 219.8 9% 19.02 17.73 7%  
Zimmer Holdings 2,437.8 2,179.8 12% 560.20 421.20 33% Adjusted Earnings
Total^ 15,340.6 13,288.8 15% 1,758.7 1,430.9 23%  
Footnotes:
* Currency exchange is based on 9/30/05 exchange rate (£1 = $1.76)
** Company did not report net income in the quarter.
^ Excluding net income for DePuy and Synthes.

Whether or not these companies can sustain strong growth in Q4 is yet to be determined. However, considering changes in innovative technologies, the rise of the baby boomers and the increase in public awareness of orthopedic surgeries will help to sustain the orthopedic market for years to come.

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