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瑞信-美股-医疗用品与设备行业-COVID-19医疗技术估值下调:降低与2021年估值-36-32页.pdf
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瑞信-美股-医疗用品与设备行业-COVID-19医疗技术估值下调:降低与2021年估值-36-32页.pdf
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U.S. Medical Supplies & Devices
COVID-19 Med Tech Estimate Cut:
Reducing 2020 & 2021 Estimates
6 March 2020
Research Analysts
Matt Miksic
212
-325-4381
matt.miksic@credit
-suisse.com
Vik Chopra
212
-325-1749
vik.chopra@credit
-suisse.com
Equity Research Americas
DISCLOSURE APPENDIX AT THE BACK OF THIS REPORT CONTAINS IMPORTANT DISCLOSURES, ANALYST CERTIFICATIONS, LEGAL ENTITY DISCLOSURE AND THE STATUS OF NON-US ANALYSTS. US Disclosure: Credit
Suisse does and seeks to do business with companies covered in its research reports. As a result, investors should be aware that the Firm may have a conflict of interest that could affect the objectivity of this report. Investors should consider
this report as only a single factor in making their investment decision.
2
Credit Suisse Securities (USA) LLC, Matt Miksic
Source: Company, Credit Suisse estimates
Background and Introduction
3/6/2020
Reducing Estimates & Targets Based on Our Analysis and Framework
Given concerns regarding the potential impact on business trends and
valuations in Med Tech and across the broader market, we have put together
a framework for assessing the potential range of effects the spread of the
virus could have on the companies in our universe.
Having evaluated and analyzed the risks and potential range, scope and
duration of these issues on our universe, we believe the potential impact may
vary significantly, based on regional exposures and revenue mix of each
company. Due to the level of volatility driven in part by the rapidly evolving
news flow related to COVID-19, and also by the uncertainty about the range
of the potential impact on sales and earnings, we have opted to publish our
framework as a guide for investors to help assess these risks.
In addition, given our comfort at this point in the middle of the range of our
Blue Sky and Grey Sky scenarios (i.e. our Base Case), we have taken the
additional step of reducing our estimates in accordance with the middle of
these ranges, and make what we view appropriate corresponding adjustments
to our target prices. Please see slides 9 through 11 for a summary of these
changes.
3/6/2020
3
Credit Suisse Securities (USA) LLC, Matt Miksic
Source: Company, Credit Suisse estimates
Why Cut Estimates Now?
3/6/2020
Stocks Already Discounting Impact of COVID-19, Our Framework
Aims to Put Sharper Point on “What’s Priced In”: While it remains
early in understanding the scope and duration of the COVID-19 impact on
Med Supplies and Devices projections, we believe our analysis provides a
reasonable framework, and our new estimates represent the middle of that
range;
Management Commentary on China Impact in Q1 Has Been Clear,
and Impact on Q2-Q3 Seems Likely to Be More “When” Than “If” : A
number of management teams in our universe with exposure to China and
APAC have commented on the significant slowdown in procedures,
particularly deferrable surgeries in that region (see slides 26-29). While
there has not been much color on the impact beyond March 31, it seems
highly likely that pressure will continue in China and spread in some form to
other regions, including the US. Our framework takes these risks into
consideration to assess the potential impact on Q2-Q4 and 2021.
3/6/2020
4
Credit Suisse Securities (USA) LLC, Matt Miksic
Source: Company, Credit Suisse estimates
Key Take-Aways From Our Framework Analysis
3/6/2020
Highest China and APAC Exposure and Deferrable Surgery Mix
Most Affected: The most significant factors driving differences in
projected impact across our universe are regional exposure and sales mix;
– We’ve reduced sales estimates for 2020 in the low-to-mid-single-
digit range for companies with more US-focused businesses, and
higher mix of less-deferrable procedures (e.g. BAX, EW, IART, ORGO);
– We’ve trimmed sales estimates by mid-to-upper single digits for
companies with higher mix of deferrable procedures and greater
exposure to OUS and China (e.g. ALC, BSX, MDT, ZBH);
Despite Estimated Hit to 2020, We See 2021 Impact as Modest:
Given our expectations that the virus impact is less likely to be structural,
we see 2021 sales as bouncing back with above trend growth rates. Our
Grey Sky scenario assumes virus impact continues into 1Q21, but even in
this scenario, we would expect volumes to stabilize in 1H21.
Biggest Disconnect: SYK and ZBH Both Sold Off on Ortho
Concerns, But … ZBH’s exposure to deferrable procedures (~90%) is
significantly higher than SYK’s (~50%), by our estimates.
3/6/2020
5
Credit Suisse Securities (USA) LLC, Matt Miksic
Source: Company, Credit Suisse estimates
Easing Uncertainty Should Drive Improving Performance
3/6/2020
China Risks for Q1 Have Been Widely Discussed by Med Tech
Management Teams, But Full-Year Global Impact Unaddressed: We
expect management teams to provide updated comments on 2020 outlook
either prior to or during Q1 earnings;
Our Scenario Analysis Provides a Reasonable Framework for Where
Estimates Can Go, In Our View: Our scenarios include a range of
potential impact on sales growth, from a 1.0 – 1.5% reduction in sales in
our Blue Sky scenario, to a 6.0 – 6.5% reduction in our Base Case
scenario, and 13.0 – 14.0% reduction in our Grey Sky scenario;
Our New Target Prices, Based on Reduced Estimates, Reflect
Compelling Upside: After cutting numbers for 2020 and 2021 and
reducing most target multiples by 0.5x – 1.0x, we see the potential for
improving performance in the weeks and months ahead;
Regional Risks, End-Markets and Sales Mix Drive our Framework:
Our scenario analysis incorporate regional exposures, potential duration of
COVID-19 impact on volumes, potential for recovering (i.e. “catching- up”
on deferred procedures and revenue mix.
3/6/2020
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