Thursday, July 05, 2007

Comparative Valuation of Selected Medical Labs and Research Analysis Companies

By: Steve Rubis

Interesting Options in Medical Labs and Research

Recommendation
Quest Diagnostics, Inc. appears to be the most timely opportunity for investors in this industry. The company is the industry leader and has the largest market cap among Medical Labs and Research companies. Furthermore, recent trading action in DGX suggests a possible buyout or that it is in play. Despite a low overall fair value, given the recent events concerning DGX take out value should be the key valuation. If investors use take out valuation, DGX should go private somewhere between $75 and $85.

National Dentex Corporation and Alliance Imaging, Inc. are also attractive opportunities for investment within this industry. Each trades at a significant discount to fair value and both companies offer an unlikelihood of financial distress.

Valuation Comparison
Table 1: Equity Valuations for Selected Companies in the Medical Labs and Research Analysis Industry


Table one shows that National Dentex and Alliance Imaging have the best showing in terms of valuation. Each trades at about a 40% discount to fair value, which certainly is compelling, but neither one is the most attractive opportunity in the industry.

The most attractive issue is Quest Diagnostic, Inc. Investors will probably ask why, considering the illustration above says DGX is only 10% undervalued. The reason is that the stock was up $3.43 today, with heavy option buying for July $55 and $60 calls. This leads some knowledgeable investors to believe that DGX could be in play. According to our take out value calculations above the stock should fetch a significant premium if gobbled up by private equity. Follow these links for an interesting take on trading action in DGX for July 5, 2007:

Reuters: Quest Diagnostics Options, Shrs up on Buyout Talk
Forbes: Quest Shares Spike Amid Takeover Rumors

Stock Universe
Table 2: Undervalued universe for the Medical Labs and Research Analysis Industry


Only 25% of the companies in this industry made it through our analysis. Again, investors should focus their time on trying to understand the opportunity in Quest Diagnostics, Inc. since it seems to be the most likely to advance sooner rather than later.

Valuation Calculations
Table 3: Take Out Valuations


Table three offers investors strong implications given the current private equity climate. Quest Diagnostics is the industry leader which puts it in a strong economic position. DGX’s large market share and mediocre management metrics make for an attractive opportunity for private equity. These characteristics suggest that the 33% discount in terms of take out value could be realized in the near term. If DGX is taken private, then look for other companies such as National Dentex and Alliance Imaging to possibly go private as well.

Table 4: Relative Valuation


Exhibit number four shows Quest to be overvalued on both a Price to Earnings and Price to Book Value basis, yet undervalued on a Price to Sales basis. These facts result in a disappointing showing, but National Dentex and Aeterna Zentaris both perform well under the relative analysis test. The question is can the latter two companies sustain their strong earnings streams.

Table 5: Earnings Power and Reproduction Values


Table five further illustrates why Quest is the superior investment despite a poor showing on a Price to Earnings and Price to Book Value basis. DGX has an earnings power value which ranges from $65 to $105. Both prices seem to be at the extreme, which further supports a $75 to $85 target. Reproduction values for DGX also exhibit a vast range with a midpoint of $43. Despite such large valuation ranges, shares seem attractive.

In the end, each company that is profiled in this comparative valuation analysis has some sort of short-coming. National Dentex Corp. and Alliance Imaging, Inc. look attractive from an overall perspective given their 40% - plus discount to fair value. Aeterna Zentaris proves to be quite speculative given its negative take out values and poor earnings power value. Finally, Quest Diagnostics despite a poor overall showing seems to be the most attractive issue. Quest performs well on both take out and earnings power values, which bodes well for any investors that believe the company may be taken private.

*The author cannot be held responsible for any gains or losses incurred from trades undertaken based upon information herein.
**The author holds no shares in the aforementioned companies, he is currently long: Agilent Technologies (A), Verigy, Ltd. (VRGY), Brasil Telecom Participacoes S.A. (BRP), ConocoPhillips (COP), and ChipMOS Taiwan (IMOS).

Medical Labs and Research - Not Much of a Bargain

By: Steve Rubis

Medical Labs Do Not Offer Much Opportunity For the Longs

Industry: Medical Labs and Research
Market Cap: 30.1B
Number of Companies: 16
Sales (ttm): 12.7B
EBITDA (ttm): 2.8B
Net Income (ttm): 540M

Recommendation
Our interest in the Medical Labs and Research Industry started with my father’s investment in Spherix (SPEX). The company seemed speculative and I wanted to get an assessment of SPEX’s value. While developing our valuation spreadsheet we realized that this industry is not of much interest currently. There are some discounts to be found, but other industries offer greater opportunity.

Investment Thesis
Investors interested in this space should focus on the companies listed at the end of the article as best values. The issues listed as undervalued at the end of the article seem to be undervalued by 30% on average. All values are small / micro cap stocks with the exception of Quest Diagnostics, making this industry the domain of those who are comfortable with greater than average risk.

Most Interesting Players
1.) Quest Diagnostics (DGX): almost anyone who has a full-time job has come across this company through their main business diagnostic testing. They perform a pre-hiring test that many people fear taking - urinalysis. The company owns and operates nearly 2,000 service centers across the US. The current market cap makes each center worth about $5.3M each, while only $3.12M in revenue is generated per center.

2.) National Dentex Corporation (NADX): this company is also one that many investors will are unwittingly familiar with. If you have ever had a cavity or know someone with "falsies" (false teeth), the cavity was probably filled and the dentures produced by National Dentex. NADX is compelling because it trades slightly above its $15+ book value.

3.) Alliance Imaging, Inc. (AIQ): this company is a supplier of MRI equipment to hospitals and medical centers.

4.) Aeterna Zentaris (AEZS): this is an interesting biopharmaceutical play. They discover and develop oncology and endocrine therapy focused drugs. Their two most promising drugs are Cetrorelix and Ozarelix. Cetrorelix helps curb sex hormones and assists with in vitro fertilization. Ozarelix is a Phase 2b trial drug with hopes of being used to treat prostate cancer.

Industry Metrics
Table 1: Key Financial Metrics for the Medical Labs and Research


The industry averages suggest that the Medical Labs and Research Industry is overvalued. These metrics seem pricey in terms of other industries and the over all market. Investors should focus on the poor showing of management in this industry. Returns on Assets, Equity, and the Capitalization rate are all lackluster. Interested investors might watch for management changes before purchasing any shares.

Valuation
Table 2: Average Per Share Values for the Medical Labs and Research


Investors can quickly see that the industry as a whole is no bargain. From a valuation standpoint, the industry should be watched rather than bought. There seem to be a few turnarounds afoot, i.e. eResearch Technology (ERES), but for the most part shares in this industry are over valued. The price to sales metric offers investors a substantial discount, but the majority of other metrics are over valued. Finally, the industry has a poor showing on earnings power value versus reproduction value. This suggests that the underlying assets of these companies might be too expensive.

Financial Health
Table 3: Altman Z Score for Selected Medical Labs and Research


Those looking for a more risky proposition will be attracted to Alliance Imaging, Inc. and Aeterna Zentaris. These companies provide a poor showing from a financial health standpoint, which is supported by lackluster management performance. National Dentex does a little better, but shows average management. Finally, Quest Diagnostics seems to be the safest of all with an Altman Z Score of 4.22. Such a score suggests that investors in Quest can rest assured that financial distress will not occur.

Best Values:
1.) National Dentex Corporation (NADX) – 35% discount to fair value
2.) Alliance Imaging, Inc. (AIQ) – 34% discount to fair value
3.) Aeterna Zentaris (AEZS) – 35% discount to fair value
4.) Quest Diagnostics (DGX) – 22% discount to fair value
5.) Psychmedics Corporation (PMD) – interesting earnings growth
6.) eResearch Technology (ERES) – turn around play

*The author holds no shares in any companies mentioned in this article. He is currently long: Agilent Technologies (A), Verigy, Ltd. (VRGY), ConocoPhillips (COP), Brasil Telecom Participacoes S.A. (BRP), and ChipMOS Taiwan (IMOS).