Syneron Medical - ELOS
Syneron Medical, Ltd. (ELOS) engages in the design, development, and marketing of aesthetic medical products to physicians and other practitioners worldwide. This is a medium risk play on the rapidly growing aesthetic surgery industry. The company’s products are based on its proprietary electro-optical synergy (elos) technology, which uses the synergy between electrical energy and optical energy. Most companies use only optical (light) energy in the various procedures, and Syneron argues that is dual-use (optical and bi-polar radio frequency) is both more effective and safer. Syneron Medical was incorporated in 2000 and headquartered in
Syneron’s product line includes
The Bull case for ELOS:
-The stock has been battered recently, due to Sharon’s stroke and a short-term revenue miss (at its last CC the company raised guidance for the year, but now will miss by $3-4M, which is the exact amount which the company announced it had sold but could not recognize because of shipping issues with the shortened holiday week at the end of the year). Having dropped from $45 to $27 recently, the company has a trailing PE of 20 and a forward PE of 12. With expected growth rates in the 20% range this is an attractive valuation. Note also that from a logistical viewpoint the recent drop makes little sense. In October the company increased its revenue guidance from $84-$85M to $91-$92M, and the stock jumped from $33 into the $40’s. Recently the company announced that it would actually have revenues of $88M, with $3-4M in unrealized sales. This news, coupled with an analyst downgrade and
-The company has $114M in cash on hand (with a total market cap of $682M), and no debt, giving it many options in terms of organic development and or prudent acquisitions.
-The company has the highest profit margins in the industry, and has an excellent return on equity.
-Syneron has done an excellent job recently with bundling sales (selling units that can do several procedures), and also offers units that can easily handle add-ons (i.e. incremental sales).
-Future product introductions, particularly a non-invasive liposuction treatment (and a spin-off home-use version) could drive sales significantly higher.
-Analysts currently expect the company to earn $2.11 in 2006. If the company earns ~$2.00 this would be >20% growth, and could easily merit a PE of 25 (especially considering the company’s strong cash position). That would put the stock at $50, a near double from here.
The Bear case on ELOS:
- Syneron has many competitors, and there are risks that its margins could be pressured. That said, I think that as the boomers age and as Syneron enters a host of new markets, top line growth will more than make up for any margin concerns. The stock has been struggling recently and could drop further.
- Analyst estimates were predicated on that extra $3-4M in sales which will end up being recorded next Q because of timing issues around the holidays.
- I've also seen reports that the company's increased hiring will result in some incremental G&A expenses that may have not been fully modeled. Put the lower revenues and higher expenses together and you've got a recipe for earnings that may not meet the all important "analyst estimates." If this "miss" comes to pass, and the markets focus on it (I can just see the comments about "deteriorating margins") the stock could take another hit. Of course the argument can also be made that a miss has been more than accounted for in the stock price.
- The longer term bearish case is predicated on the argument that Syneron's industry leading margins are not sustainable, and that increasing competition will result in falling margins, muting the effect of sales increases. This is a plausible argument, as the natural progression of capitalistic markets is to erode abnormally high margins in the absence of barriers to entry or consistent innovation. The question is whether ELOS does have a sustainable competitive advantage. The company clearly has a differentiating factor in that its products use the dual optical/radio methodology. I'm not a doctor and do not really feel comfortable assessing the efficacy of this versus other methods, but I have no qualms with pointing out that from a selling standpoint, this is a major advantage for the company. The medical institutions performing these procedures are all fighting for the same pool of clients, and there's most certainly a benefit in being able to tout the fact that one's equipment uses a patented, dual-method technology that promises superior results.
Syneron’s product line includes
I believe the company will earn $2.20 this year but let's be conservative and call it $2.00. If you attach a 25 multiple on that - also conservative relative to its peer group multiple of 27 times and its earnings growth rate - you get a $50 stock. Over $100mm in cash, no debt. Huge new product cycle - the VelaSmooth alone, for example, will do more sales in 2007 than the whole company did in 2004. Then there's non-invasive liposuction coming out next year. And a home solution in the works so people can zap their problem areas without leaving the house. Throw in the demographic shift and aging effects on the body.
2006 has been seen as something of a transition year, with Syneron expecting to bring a couple potential huge sellers (the non-invasive liposuction product being perhaps the most interesting), but I think that if the company can deliver adequate results the market will respond quite positively. Right now ELOS is being priced as if its business has hit a major roadblock, but there simply isn't any real indication yet that this is the case.
And on the patent infringement issue that is of concern on all the companies in this segment thanks to Palomar's patent attorneys who have been working overtime. Not only is the company going after Cutera (CUTR:Nasdaq), but Cynosure is also at risk. And other companies in the sector that use lasers or intense pulse light (IPL) -- which is almost all of them -- are also getting nasty legal notices from Palomar. In Cynosure's prospectus, it states: "On July 2, 2004, Palomar Medical Technologies, Inc. sent us a letter proposing to enter into negotiations with us regarding the grant of a nonexclusive license under specified United States and foreign patents owned or licensed by Palomar with respect to our Apogee Elite, Apogee 5500, PhotoLight and Acclaim 7000 products, and also with respect to our SmartEpil II product, which we no longer offer. In subsequent letters from Palomar dated September 14, 2004 and March 24, 2005, Palomar reiterated its willingness to negotiate a license under these patents and, in its March 24, 2005 letter, stated that it continues to believe that we need a license under these patents for each of the products listed in the July 2, 2004 letter, as well as for our PhotoSilk, PhotoSilk Plus, Cynergy, Cynergy PL and Cynergy III systems. We have not entered into negotiations with Palomar with respect to such a license."
Syneron is insolated from any of Palomar's patent disputes because its Electro-Optical Synergy technology, or ELOS, is unique. Other noninvasive aesthetic products rely solely on optical energy from lasers or IPL, limiting the safety and effectiveness of many procedures because optical energy alone isn't able to adequately penetrate the skin. Rather, it undesirably becomes absorbed in the outer layer of skin. High-power optical energy also requires relatively large and heavy equipment, which can be cumbersome and costly. Syneron's ELOS technology adds radiofrequency energy to the mix, and is the first approach to combine electrical and optical energy. So it looks like ELOS will steer clear of all patent infringement claims because its technology is so very different.
In a recent analyst report in December, investment bank CE Untenberg suggested that Syneron is trading at 31% discount to peers (prior to the huge drop in Syneron’s price). Its peer group, by the way, is small medical technology companies, mainly ones making products for laser and cosmetic therapies.
ELOS announced their results in February and there were really no surprises from the pre-announcement in December. ELOS now trades at PE ratios almost half of its major competitors.
From smallest to largest:
-- PMTI 2005 rev 76.2, 2006 rev estimate 93.5, increase +17.3, or 22.7%
-- CUTR 2005 rev 74, 2006 rev estimate 93, increase +19, or 25.7%
-- ELOS 2005 rev 87.4, 2006 estimate 116.5 (I used midpoint of their guidance), increase +29.1, or 33.3%
-- CLZR 2005 rev 124, 2006 estimate 148, increase +24, or 19.4%
So on revenue alone, ELOS is far and away the fastest projected grower. Peer group at 20-26% (CUTR is the highest of the peer group and it has serious patent fight on hand!), and ELOS is still in this "disappointing" #s expected to come in, in the low 30%s
Again, if ELOS was the highest valued in the group on PE, PS etc maybe some haircut in order, but before PMTI's recent fall, ELOS was valued at half the valuation measures of PMTI and still trades at a deep discount to the 3 named above. Yet now it is being punished further.
ELOS has announced an analyst day on March 6th in SF. Other comment on note from their earnings call in February:
- Net margin 45-47% for 2006 down from 51% in 2005, more expense in sales force (commissions, new sales avengues, etc) and R&D more spending
- Q3 2005 was very low in sales expenses which in retrospect in getting the word out about Syneron.
- Gross and operating margin will stay steady in 2006 vs 2005
- They plan to get into a lot of medical conferences in first half of 06 to get word out. "Doctors talking to doctors" is the best marketing. They anticipate the Vela product to be more popular after working through the medical conferences in 1st half of 2006.
- They have been working on the home use product internally for 18 months and the first cycle of clinical trials are already complete. ELOS May also enter into a PMTI and Johnson and Johnson type of distribution agreement with 3rd party big distributors – they are making sure safety is verified before moving forward. The home use product could be in the market by the end of 2006.
Disclosure:
Position: Very long and my largest position in the portfolio as of
Last Updated:
