Surveying Fourth Quarter Earnings at Health Care Firms

The broader equity markets have been under pressure for much of January, and while it may be tempting to consider completely exiting stock investing for a time, we’re staying the course with both of our actively-managed portfolios. We had been expecting a contraction in price-to-earnings (P/E) multiples across the broader market (see our outlook here), and the performance thus far in 2014 has not been surprising. In case you may have missed it, I sent out some very important thoughts over the weekend to keep in mind as uncertainty and volatility increase through the course of 2014:

The goal of the Best Ideas portfolio centers on risk-adjusted outperformance, and the portfolio’s current 25% cash position will serve to aid such a measure in a down-market. This unique potential for outperformance in either up or down markets is achieved by methodological design, and a material pullback in the broader equity markets will allow the portfolio to put new capital to work. As for where this capital might go, we’ll be looking closely at either existing portfolio constituents or firms with high ratings on the Valuentum Buying Index, the stock-selection methodology (download it ).

As for our take on health care earnings during the fourth quarter, they’ve been mixed. Abbott’s (ABT) fourth quarter earnings were a little light on the top line, but we’re not worried too much about the industry stalwart, especially considering that the firm is targeting another year of double-digit earnings per share growth in 2014. Johnson & Johnson’s performance was solid (see here), and we had been expecting a strong top and bottom-line beat from St. Jude (STJ) thanks to peer Medtronic’s (MDT) fiscal second quarter results released mid/late November. Covidien’s (COV) fiscal first quarter results were also a pleasant surprise. On the other hand, Intuitive Surgical’s (ISRG) outlook is murky at best, but we think robotic surgery will be a long-term growth market. The company remains a very speculative idea. Perhaps the two biggest disappointments, however, have been Bristol-Myers (BMY) and Hill-Rom (HRC), the former on the basis of concerns about its cancer drug pipeline and the latter on a terrible quarterly miss and new restructuring efforts.

Valuentum’s Take

We haven’t seen anything in the fourth quarter that would send us rushing to the exit with the health care exposure in the actively-managed portfolios. We continue to like the Health Care Select SPDR ETF (XLV) in the portfolio of the Best Ideas Newsletter, augmented by small positions in Intuitive Surgical and Teva Pharma (TEVA). Johnson & Johnson and Medtronic are two ideas to consider for dividend growth, both positions of the Dividend Growth portfolio.

The article is tickerized for the following firms:

Biotechnology: ALXN, AMGN, BIIB, BMRN, CELG, GILD, QCOR, REGN, TECH

Drug Providers – Wholesale: ABC, CAH, MCK, SAB, OCR

Health Care Providers & Services: ALR, BRLI, CVD, DGX, IRWD, LH, PRXL

Health Care Services: DVA, HGR, HLS, MD, NDZ

Home Health Care: ADUS, AFAM, AMED, CHE, GTIV, LHCG

Hospitals: CYH, HMA, LPNT, THC, UHS

Managed Care: AET, CI, CNC, HNT, HUM, UNH, WCG, WLP

Medical Devices: AFFX, BIO, BRKR, CPHD, ISRG, LIFE, MDT, MSA, SIRO, STE, STJ, VAR, WAT, ZMH

Medical Equipment Providers – Wholesale: HSCI, MWIV, OMI, PDCO, STAA

Medical Information Service Providers: CERN, CPSI, MDAS, MDRX, MDSO, QSII

Medical Instruments: ALGN, BAX, BCR, BDX, BSX, COO, COV, HRC, HSP, KND, MTD, NUVA, RMD, SYK, TFX, THOR, TMO, WST, XRAY

Pharmaceuticals: ABBV, ABT, ACT, AGN, ARNA, AZN, BMY, CBST, ENDP, LLY, FRX, MRK, MYL, NVO, PFE, RDY, SLXP, TEVA, VRTX