Recon

Get Hip to These Orthopedic Players

Credit Suisse

We expect sales growth for Stryker of about 5% in 2011-2016, stemming from a rebound to trend-line growth in the hip and knee markets to about 3% world-wide (hips/knees are 30% of Stryker sales) following recent market softness.

We also expect contribution from Stryker‘s (ticker: SYK) higher-growth segments: Med/Surgery and Spine and Neurotech, which combined are about 55% of Stryker sales and should grow about 6% through 2016. Against a 5% top-line growth backdrop, we assume about 300 basis points of 2011-2016 earnings before interest (EBIT) margin improvement, which, combined with about $400 million in annual share buybacks, drives our about 9% 2011-2016 earnings-per-share growth forecast. Our sales and margin forecasts give us confidence that Stryker can generate about $1.8 billion per year in free cash flow (FCF) through 2016, which we see as a source of upside potential to the extent that Stryker can use merger and acquisitions to enhance its growth profile.

We initiate coverage of Stryker with an Outperform rating and a $63 target price. Given Stryker’s growth profile, we believe that current valuation (13 times and 12 times our 2012-2013 EPS estimates) is attractive. Our $63 discounted-cash-flow (DCF)-based target price implies a price/earnings multiple of 15 on our 2012 EPS estimate (14 times excluding $4 per share in net cash), which represents a discount to Stryker’s five-year average P/E multiple of 17 times on a next-12-month basis. We expect a discount to historical trading levels to persist, given broader economic challenges; however, we believe that modest multiple expansion is plausible, given Stryker’s solid growth trajectory, FCF profile, and diversified business model.

We project Zimmer Holdings‘ (ZMH) sales growth of 4% in 2011-2016 due to a rebound to trend-line growth in the hip and knee markets (71% of Zimmer’s sales). We also assume about 300 basis points of EBIT margin gains, which, combined with about $550 million in share buybacks annually, drives our 10% 2011-2016 EPS growth forecast.

We Initiate Coverage of Zimmer with an Outperform rating and a $72 target price. Given Zimmer’s 10% EPS compounded annualized growth rate (CAGR), we believe that current valuation (12 times and 11 times our 2012-2013 EPS estimates) is attractive. Our $72 discount DCF-based price target implies a multiple of 14 on our 2012 EPS estimate (in line with Zimmer’s five-year next-12-months average P/E multiple of 14 times) and 13 times our 2013 EPS. We think modest multiple expansion is possible, given Zimmer’s steady growth and FCF generation ability.

Moreover, Zimmer’s hip/knee exposure makes the company highly leveraged to a better-than-expected rebound in major joints. We see a one- to two-year bounceback to 5%-plus major-joint market growth as a plausible outcome (given the potential demand build following recent economic-related procedure postponements) and one that could benefit Zimmer’s sales and valuation.

— Bruce Nudell
— Matthew Keeler
— Narendra Nayak

Josh Sandberg

Josh Sandberg is the President and CEO of Ortho Spine Partners and sits on several company and industry related Boards. He also is the Creator and Editor of OrthoSpineNews.

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