2008
An Intuitive Investment? - Intuitive Surgical (ISRG) is Poised to Grow in 2008
Posted by Jim in Stock Pitches
I’ve been tracking healthcare rockstar Intuitive Surgical (NYSE: ISRG) for about six months now, and have been impressed with their results… its astonishing to me that they are back to their late-October trading levels despite all of the hard work. After a terrific earnings call, including a 2008 guidance boost, shares of ISRG took a hit. Capitalize on the market’s mistake and unlock some growth!
So why exactly did ISRG slide downward after good earnings? They raised outlook, but perhaps not by enough. Kind of a ridiculous expectation, but we’ve grown accustomed to Intuitive’s 22 consecutive quarters of above-guidance outlook bumps that the $853.2 million sales forecast fell short of analyst’s
$857.3 million dream. What’s more? Monday night, Jim Cramer came out on his show, CNBC’s “Mad Money,” and told us that the bullish run is done, and that you should “take gains here.”
Wrong. Wrong. Wrong.
Intuitive Surgical is fine. The fact that medical facilities are purchasing the pricey “da Vinci” robotic-surgery system sparingly in the near term is a cyclical theme… not a business problem! Hospitals loaded up on the system in the fourth quarter when it was most economical to do so… I think this is the future of surgery and everyone is going to want one in stock. Perhaps the outlandish P/E multiple will “catch up” in 2008, but its not going to stop this train from accelerating to the mid-$300 levels that it deserves to be trading around.
I’m a believer that robotic-surgery is the future, and Intuitive Surgical’s “da Vinci” program offers the best-of-breed solution. Think about it, elimination of human error and easier medical processes. This is like iRobot meets Terminator, and hey… ISRG is really bringing the heat. They sold 74 systems in the previous quarter versus an expected 68… which is a HUGE deal when each sale brings. Bottom line, these suckers are expensive, and a lot of hospitals have felt financially unable to buy them. But the tides are turning. The da Vinci Surgical System costs a rough $1 million plus maintenance and all the bells and whistles. It’s good to see the sales roll in!
So they are selling a multi-million dollar robotic system, so what? The thing is expensive, but people are paying up for the technology, which really improves things. ISRG announced a strategy to increase what they call the “field sales rep concentration” from five to four, unlocking new value where we might even see some facilities buying multiple systems. When you have
each robotic arm running $175,000, you know that getting people to buy the thing is a big deal, and deserves a nice premium trading value.
I’m no technical analyst, but I’ve noticed a strange “box trend” in the stock chart. It seems to me that the stock has been traded back and forth over the last seven months between $250 and $350 with relative consistency. Well guess what, we’re back closing in on $250, and I think it’s time to get back in the game. ISRG is going to break the box soon, and I think this next run-up could do the trick. I would jump at the chance to pick them up under $268.37 (yes, that is a random number
), but you may not get the chance. The way I see it, I’m measuring about 25%-30% upside, with just 10% downside from current $282 values. Nice.
A lot of success in the future is going to stem off of how well they sell the surgical system. This may sound kind of “door-to-door salesmen” of them, but really the da Vinci system is capable of handling so many different procedures, so convincing relevant doctors that they need it is essential.
Replacement parts, recurring profits, maintenance fees, and flat-out sales have this company reeling. The fact that they couldn’t please the Street’s ridiculous expectations should be a non-factor in the long term. Intuitive Surgical is in the process of penetrating new markets, and this is one company you need to take a look at before there is a da Vinci Surgical System on every street corner.
-The Net Fool
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4 Foolish Comments » - Random Post


found a solution in Harsco, an established 5 billion dollar company with an
currency exchange. So when the dollar falls, Harsco rolls… don’t worry, a good dollar isn’t too bad either.
pinpoint which areas of their business model are lagging, as well as how they can work to improve them. We’re talking renegotiated contracts, divestments, and the like.
The typical recession advice says not to buy steel companies in a bear market. But this group of companies has been among the strongest performers year to date! Explosive steel demand has entirely outdone global supply. Despite the U.S. recession lag, global steel demand is expected to rise 5% a year. Whether you turn to the Middle East, India or China, buildings are going up daily, everywhere you look.
producers need to offset higher ore costs with higher prices, but U.S. Steel has a unique integrated business model that includes self-sourced ore operations. Less exposure to the global iron ore market means potential to outperform by taking advantage of price increases without taking a hit on input costs like most other producers.
up-and-up because a lot of these deals are adding insane value and security to Nucor’s business. JP Morgan feels that rising metal spreads “are likely to result in significant margin expansion” for NUE, and I agree. Also trading near their 52-week highs, keep Nucor on a short leash.
Historically, Reliance Steel has been able to turn out huge revenue growth from smart acquisitions, I think they continue on this path (just purchased Dynamic Metals on April 2nd). Management has a great focus on improving performance where they are market leaders. In a consolidating steel market, this is a very important strategy. Trading around $62, I expect them to reach a target over $70 in 12 months, but I wouldn’t want to own them until I can get them closer to $55. Regardless, this is another winner in my eyes.
In a shaky stock market environment, there is no better place to turn than the defense contractors. Leading the S&P index by about 20% in 2008 (the 8th straight year of better relative performance), the so-called “big five” have their work cut out for them in 2008 and beyond. It is pretty much a foregone conclusion that defense spending will increase this year.
but I think that a strong aerospace backlog along with a geographic diversity balances their resume enough to ensure a strong year under even the worst conditions.
Raytheon is set to benefit from some big contracts in homeland and border security, such as a $5+ billion Saudi middle east border contract and the ability to capitalize on cyber security after acquiring Oakley. Strong foreign orders and redeployment of cash should drive Raytheon into a profitable 2008/2009, and I stand by the hype.
There’s GOLD in them thar hills!
If you want to capitalize on appreciation in the value of gold, you want to buy Yamana Gold! I’ve already owned and sold this stock in 2008, taking a quick 19.4% profit (bought at $15.28 January 17th, sold last week at $18.24), and with the latest drop in value… I’m gearing up to buy more. Risky? Yeah. Rewarding? You bet. I think gold will trade up to $1400 in 2008, making me the most conservative of Jim’s… but that is still a pretty impressive amount of upside.
catalyst for the year. Cash flow multiple’s were increased last week from 20x to 25x because of copper operations. Yamana is in the smartest places of the commodities party, and with their smaller relative size and growth capacity (management projects 120% production increase to 2012)… I expect good things.
Starting with Barrick, these guys are a bit more secure than Yamana in the fact that they are 5 times bigger, and after dropping 7% on Friday they present an interesting buy point. There are, however, some problems at home. In a recent article from the Wall Street Journal, some tax-sharing problems were exposed in Barrick between Argentina and Chile. Most of Barrick’s mining is in Chile, but most of the processing is in Argentina… there are a few uncertain government taxation issues at hand that could hurt you in handling costs. But as a whole, Barrick is one of the best stocks to get growth on gold with a nice valuation.






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