From a more bottoms up view, there is no debt, decent cash flow and the rest of the stats look good as well--most of them anyway. In the time I have owned it it has not really distinguished itself as being a good or a bad hold. At times it has outperformed and at times it has lagged in coming out about the same as the broad healthcare sector over the last five plus years.
The reason why I sold it is that it began to dawn on me that there is some aspect of this type of surgery that can be viewed as being discretionary and if the financial crisis has really had the impact on personal finances that the experts say it did then it stands to reason that some procedures won't get done as money needed for the deductible would be harder to part with (all the more so for people who would pay out of pocket for whatever reason). Carrying it a step further it is possible that boomers will have to cut back some on some of the more expensive activities that could necessitate a future replacement.
My thinking may be right or not but I don't want to stick around in the name to find out. In the healthcare sector I would rather avoid any hint of discretionary (or perhaps more precisely, elective) spending which lead me to diabetes. Some of the numbers I dug up doing research were brutal in terms of growth rates for diabetes and once someone learns they have it it has to be treated. Sadly it seems that everything points to more and more people being diagnosed which bodes well for Novo Nordisk (NVO) so the trade was dollar for dollar out of SYK and into NVO.From the top down the trade slightly increases the foreign exposure of the portfolio (although about 30% of NVO's revenue comes from the US) after a big move up in the greenback, adds a new non-euro country in Denmark but it also increases the average cap size a little (SYK about $20 billion and NVO about $40 billion). Additionally the position provides access to about 25% of Novozymes.
NVO's stats look pretty good as do estimates and the primary business is something that a growing number of people (and their insurance companies) will have to spend money on. Being wrong about this would mean very good things for the health of Americans. NVO is the largest company in the OMX Copenhagen 20 Index and so is featured prominently in a couple of ETFs including the GlobalX FTSE Nordic 30 ETF (GXF).
A couple of things about Denmark; you know from Bill Gross's ring of fire that its debt situation is well under control, unemployment in December was 4.3%, GDP contracted slightly in 2009 but is forecast to go slightly positive this year.
The picture includes a couple of dogs that we are babysitting for the week. The dogs are up for adoption through my wife's rescue. The brown one at the bottom left whom I am calling Brownie and the black one in the middle of the steps whom I am calling Blackie can be found through the United Animal Friends website.





11 comments:
Good morning, Roger--NVO has been on my radar for quite sometime. I was guessing that you already owned it. Thank you for the instructive post.
If you have time, I have a hypothetical question. If NVO were headquatered in, say, Germany, would that have been a dealbreaker? I get the euro thing, but NVO has a global franchise that's not as dependent on the Danish economy as a consumer discretionary company, for example.
Thank you. I'm just trying to understand the moving parts.
Your analysis seems good to me.
Actually though my doctor thought I was a candidate for diabetes 13 years ago. It has been a difficult learning experience, but diet and exercise has led to losing 35 lbs and lowering my cholesterol by 25 to 30%.
I hate to admit this next one to you but I cut out soda 6 months ago and think that may have been positive as well.
Diabetes is or at least the degree of medication needed is also discretionary IMO. But you are betting people will be lazy and I am willing to bet you are correct.
anon 7:05, what you are really pointing out is that NVO is a multinational that benefits (or not) from overseas business. This is really not much different, conceptually, than CAT which is another name we own. As the largest name in the OMX C20 (unless the 2 Maersk listings add up to more, which I do not know) I believe it to be a proxy. good question re: Germany, that certainly would have been a big strike.
7:22 ah that evil soda. glad to hear anytime anyone gives it up. very sadly the laziness of Americans in this regard is a good bet.as implied in the post I would not be too upset if this name did not work out because people got healthier.
I followed SYK when I ran a value stocks portfolio, it never entered the portfolio but I remember that the fundamentals were strong... I don't know why it never seemed to move strongly toward "fairly valued".
I personally would shy away from NVO because they are a charade. I laugh when I hear their tagline on NPR about 'finding the causes and treatments for diabetes' because actually succeeding at that would destroy the sales for their product line.
If our spendthrift healthcare system is ever reformed on purpose or by accident of economic deterioration then I predict that chronic illness will ACTUALLY be treated with diet changes instead of lip service for diet and a big bill for prescription drugs.
There is a study showing that a vegan diet is a better treatment for diabetes type I and II than the ADA recommended diet LOL. Type II diabetics can actually become symptom free on diet alone, which should surprise no one. Here is a pop-media review of the journal article: http://www.cbsnews.com/stories/2006/07/26/health/webmd/main1837927.shtml
NVO would pair well with KO.
Roger the link for the russian forum is working now,
Jeff from Milan, Italy
The photo looks like an album cover for Muttly Crue.
Muttley Crue, i like it
I think the other question is will health care reform limit insurance companies covering this kind of thing? That may hurt quite a few stocks - not just the insurers.
Roger,
for anyone who is interested in Roger Bobson works, here is a list of works that are downloadable for free: http://tinyurl.com/yj6l4nf
Best,
Jeff from Milan, Italy
It seems to me me the current financial deficits and looming budgetary constraints the federal government will be obliged to revisit the medicare Part D law and have a restricted formulary and competitive bidding in the next five years. This will reduce profit potential of all drug companies.
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