Many Medtech Companies Struggled to Find Funding in 2011

A large number of medical device companies, especially startups, had a difficult time finding funding in 2011—with the problem growing worse later in the year. Many fault FDA for the trend. “We are seeing the lack of transparency on the regulatory pathway through the FDA impacting these companies’ ability to raise money,” says Tracy Lefteroff, global managing partner with PricewaterhouseCoopers, life sciences industry services (PwC; San Jose). “They’ve tried to do drastic change on the way that they allow medical devices to be cleared under 510(k)s.

Brian Buntz

December 13, 2011

10 Min Read
Many Medtech Companies Struggled to Find Funding in 2011

A large number of medical device companies, especially startups, had a difficult time finding funding in 2011—with the problem growing worse later in the year. Many fault FDA for the trend. “We are seeing the lack of transparency on the regulatory pathway through the FDA impacting these companies’ ability to raise money,” says Tracy Lefteroff, global managing partner with PricewaterhouseCoopers, life sciences industry services (PwC; San Jose). “They’ve tried to do drastic change on the way that they allow medical devices to be cleared under 510(k)s. They are much more conservative on which device companies need a PMA.”

Power SourceAnother recent trend to emerge is large medical device companies establishing their own venture capital arms. While this will almost certainly increase funding opportunities for the industry, Lefteroff says these venture arms are unlikely to fund early-stage ventures— which is where, perhaps, the most funding is needed.

For overall funding conditions to improve, the public markets must become healthier, Lefteroff stresses. The volatility in the stock markets has resulted in a negative sentiment about the profitability of smaller-cap medical device companies. “You need to see, globally, business pick up for a lot of these companies, so that sales continue to increase, profits increase, which will then attract later-stage M&A activity, which all trickles down from there,” Lefteroff says.

Company

Product type(disease)

Gross raised(US $mil)

Quarter

DynaVox

Other

141

Q2 2010

GenMarkDiagnostics

Nonimagingdiagnostics

28

Q2 2010

PacificBiosciences

Research and otherequipment

200

Q4 2010

REVA Medical

Therapeuticdevices

78

Q4 2010

CompleteGenomics

Research and otherequipment

54

Q4 2010

Fluidigm

Research and otherequipment

86

Q1 2011

BG Medicine

Non-imagingdiagnostics

40

Q1 2011

Kips BayMedical

Therapeutic devices(cardiovascular/vascular)

16

Q1 2011

Trading Multiples

S&P 500HealthcareEquipmentIndex

S&P 500

Price to Earnings

14.9×

14.0×

Price to Book

2.5×

2.1×

Price to Tangible Book Value

10.2×

4.2×

Market Cap / Total Revenue

2.3×

1.2×

Market Cap / EBT Excl. Unusual Items

10.3×

9.1×

Profitability

Industry

S&P 500

Return on Assets %

8.7%

3.5%

Return on Equity %

17.3%

15.4%

Margin Analysis

Industry

S&P 500

SG&A Margin %

30.3%

16.1%

Earnings from Cont. Ops Margin %

15.5%

9.1%

Net Income Margin %

15.4%

8.9%

Net Income Avail. for Common Margin %

15.4%

8.8%

Normalized Net Income Margin %

13.9%

8.4%

Growth Over Prior Year

Industry

S&P 500

Total Revenue, 1-Year Growth %

6.6%

12.3%

Earnings from Cont. Ops., 1-Year Growth %

40.5%

20.5%

Net Income, 1-Year Growth %

38.7%

21.0%

Normalized Net Income, 1-Year Growth %

5.9%

16.5%

Common Equity, 1-Year Growth %

6.3%

9.4%

Total Assets, 1-Year Growth %

7.2%

5.0%

Tangible Book Value, 1-Year Growth %

(11.2%)

14.3%

Compound Annual Growth Rate (CAGR)Over Two Years

Industry

S&P 500

Total Revenue, 2-Year CAGR %

5.5%

11.4%

Earnings from Cont. Ops., 2-Year CAGR %

30.6%

96.2%

Net Income, 2-Year CAGR %

28.5%

108.4%

Normalized Net Income, 2-Year CAGR %

4.5%

36.9%

Common Equity, 2-Year CAGR %

3.7%

11.0%

Total Assets, 2-Year CAGR %

6.5%

5.3%

Tangible Book Value, 2-Year CAGR %

(2.2%)

14.6%

Compound Annual Growth RateOver Three Years

Industry

S&P 500

Total Revenue, 3-Year CAGR %

4.5%

2.3%

Earnings from Cont. Ops., 3-Year CAGR %

8.5%

10.0%

Net Income, 3-Year CAGR %

8.3%

9.5%

Normalized Net Income, 3-Year CAGR %

5.4%

2.8%

Common Equity, 3-Year CAGR %

3.3%

7.4%

Total Assets, 3-Year CAGR %

5.1%

4.2%

Tangible Book Value, 3-Year CAGR %

3.2%

11.0%

Rank

Company Name

Ticker

Total Revenues ($ mil)

Market Capitalization ($ mil)

Website

1

Johnson & Johnson

NYSE:JNJ

25,610.0

175,102.0

www.jnj.com

2

Bayer AG

DB:BAYN

23,239.9

52,362.3

www.bayer.com

3

Siemens AG

DB:SIE

16,990.7

86,114.4

www.siemens.com

4

Medtronic, Inc.

NYSE:MDT

16,209.0

36,463.0

www.medtronic.com

5

Roche Holding AG

SWX:ROG

15,955.3

131,090.2

www.roche.com

6

Hitachi Ltd.

TSE:6501

13,959.7

24,145.8

www.hitachi.com

7

Fresenius SE & Co KGaA

DB:FRE

12,303.1

16,053.3

www.fresenius.com

8

Koninklijke Philips Electronics NV

ENXTAM:PHIA

12,288.2

18,225.9

www.philips.com

9

Novartis AG

SWX:NOVN

9,900.0

131,948.4

www.novartis.com

10

Covidien plc

NYSE:COV

9,241.0

22,979.5

www.covidien.com

11

Cardinal Health, Inc.

NYSE:CAH

9,132.1

14,925.9

www.cardinalhealth.com

12

3M Co.

NYSE:MMM

8,709.0

56,291.9

www.3m.com

13

Abbott Laboratories

NYSE:ABT

7,390.0

84,043.1

www.abbott.com

14

Becton, Dickinson and Company

NYSE:BDX

6,487.8

15,995.4

www.bd.com

15

Essilor International SA

ENXTPA:EI

5,790.7

14,520.7

www.essilor.com

16

Olympus Corporation

TSE:7733

5,790.3

1,581.3

www.olympus-global.com

17

Danaher Corp.

NYSE:DHR

5,563.0

33,349.6

www.danaher.com

18

St. Jude Medical Inc.

NYSE:STJ

5,412.6

12,300.2

www.sjm.com

19

Thermo Fisher Scientific, Inc.

NYSE:TMO

5,019.7

18,055.3

www.thermofisher.com

20

Synthes Inc.

SWX:SYST

4,689.1

19,446.1

www.synthes.com

21

Zimmer Holdings, Inc.

NYSE:ZMH

4,419.2

9,258.1

www.zimmer.com

22

Boston Scientific Corporation

NYSE:BSX

4,176.0

8,681.6

www.bostonscientific.com

23

Hospira Inc.

NYSE:HSP

4,035.2

5,209.7

www.hospira.com

24

CareFusion Corporation

NYSE:CFN

3,561.0

5,514.3

www.carefusion.com

25

Stryker Corp.

NYSE:SYK

3,282.6

18,471.6

www.strykercorp.com

26

Smith & Nephew plc

LSE:SN.

3,232.0

7,773.5

www.smith-nephew.com

27

Getinge AB

OM:GETI B

3,155.6

5,998.0

www.getingegroup.com

28

CR Bard Inc.

NYSE:BCR

2,861.6

7,505.9

www.crbard.com

29

Varian Medical Systems Inc.

NYSE:VAR

2,596.7

6,668.9

www.varian.com

30

Alere Inc.

NYSE:ALR

2,217.1

2,189.0

www.invernessmedical.com

31

Dragerwerk AG & Co. KGaA

DB:DRW3

1,955.5

1,288.1

www.draeger.com

32

BioMérieux S.A.

ENXTPA:BIM

1,872.1

3,356.3

www.biomerieux.com

33

Sonova Holding AG

SWX:SOON

1,780.4

6,733.0

www.sonova.com

34

Lincare Holdings Inc.

NasdaqGS:LNCR

1,777.5

2,078.2

www.lincare.com

35

Intuitive Surgical, Inc.

NasdaqGS:ISRG

1,649.8

16,749.5

www.intuitivesurgical.com

36

Sysmex Corp.

TSE:6869

1,642.8

3,515.3

www.sysmex.co.jp

37

Agfa-Gevaert N.V.

ENXTBR:AGFB

1,607.8

373.3

www.agfa.com

38

Bruker Corporation

NasdaqGS:BRKR

1,606.8

2,195.8

www.bruker.com

39

Kimberly-Clark Corporation

NYSE:KMB

1,568.0

27,764.1

www.kimberly-clark.com

40

Medius Holdings Co., Ltd.

JASDAQ:3154

1,504.2

44.0

www.medius.co.jp

41

Teleflex Incorporated

NYSE:TFX

1,503.5

2,368.2

www.teleflex.com

42

Nihon Kohden Corp.

TSE:6849

1,478.2

1,066.5

www.nihonkohden.com

43

Pall Corp.

NYSE:PLL

1,407.9

5,828.7

www.pall.com

44

Tokuyama Corp.

TSE:4043

1,361.4

1,129.3

www.tokuyama.co.jp

45

William Demant Holding A/S

CPSE:WDH

1,360.9

4,374.4

www.demant.com

46

Bio-Rad Laboratories, Inc.

NYSE:BIO

1,353.0

2,778.4

www.bio-rad.com

47

Smiths Group plc

LSE:SMIN

1,332.8

5,744.1

www.smiths-group.com

48

MIRACA Holdings Inc

TSE:4544

1,321.4

2,185.2

www.miraca-holdings.co.jp

49

ResMed Inc.

NYSE:RMD

1,275.9

4,621.4

www.resmed.com

50

Altran Technologies SA

ENXTPA:ALT

1,245.0

618.1

www.altran.com

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