Market View

The U.S. market remains in a Confirmed Uptrend. The S&P 500 and Nasdaq closed relatively flat for the week
after each held support along short-term moving averages. The S&P 500 rallied off its 10-DMA Friday to close

back at its upper channel line, while the Nasdaq held its 21-DMA before moving back toward all-time high re-
sistance at 14,175. The distribution day count stands at four each with one expiring on the S&P 500 and two on

the Nasdaq next week.

Danaher

Key points from this report:

  • Buy Danaher. The stock broke out from a six-month consolidation in heavy volume into new-all-time highs following beat-and-raise Q1 results.
  • Beat-and-raise Q1Revenue grew 58% y/y, 1% better than last week’s preannouncement and 9% above consensus. EPS increased 140% y/y to $2.52, 43% better than consensus of $1.76. The company is now looking for 2021 core revenue growth in the “high teens,” up from previously expecting “low double-digit” growth. 
  • Bioprocessing business – Cytiva: Through the acquisition of Cytiva, Danaher has become the global market leader for bioprocessing, with 30%+ share. In 2020, Cytiva generated 25%+ core revenue growth and $4B+ in revenue. In Q1, Cytiva accounted for 10% core revenue growth. Before COVID-19, the biotherapeutics industry was expected to grow by double digits through 2025.
  • Base business recovering: Danaher’s base business is now recovering following a 10% y/y decline in Q2 2020. In Q1, core revenue growth accelerated 10% y/y from 3–4% y/y in Q3 2020 and Q4 2020. This business is expected to grow by a high-single-digit percentage in 2021. We believe revenue from diagnostic testing will begin to decline due to global vaccination initiatives, however, tools related to COVID vaccine production will likely remain strong given recurring vaccinations may be necessary for years to come.

 

Market View

The U.S. market remains in a Confirmed Uptrend. The S&P 500 continues to make new all-time highs, now
gaining 1% or more for four straight weeks. The index is trading above its upper channel line and ~6% above its
50-DMA, the biggest extension since August 2020. Though extended, there are no signs of technical weakness
as the index remains above all major moving averages with low distribution. The Nasdaq is testing all-time high
resistance between current prices and 14,175. Look for the 10- and 21-DMA to act as near-term support should
indices pullback next week. The distribution day count stands at three and four, respectively, with no expiration
next week.

O’Neil Health Care Weekly

  • XLV’s RS line (vs S&P 500) remains at seven-year lows. XLV is the worst performing sector ETF over the last
    8- and 13-weeks, and the third worst performer over the last six months.
  • Over the last five sessions, Outpatient Care (AMED), Systems/Equipment (WAT), Research
    Equipment/Services (AVTR), and Products (STAA) led, while Commercial Services (VCRA), Generic Drugs
    (AMRX), and Biotech (BGNE) lagged.

Market View

The U.S. market remains in a Confirmed Uptrend. The S&P 500 and Nasdaq rallied strongly this week, building
on last week’s gains and now approaching levels of potential resistance. The S&P 500 is now sitting just below

its upper channel line, a level the index has respected since breaking out last November. The Nasdaq, after re-
gaining its 50-DMA late last week, is now on the right side of an eight-week consolidation and approaching re-

Carl Zeiss Meditec

Key points from this report:

 

  • Buy Carl Zeiss Meditec. The stock is on the right side of a new base with a pivot of €140.5. We recommend accumulating shares in anticipation of a breakout.
  • Business approaching pre-COVID levels. This is a reopening play. The APAC region is leading the way in the recovery with China and South Korea being key growth markets. Given the mass vaccinations expected this year, elective surgery volume is expected to improve.
  • Leader in refractive laser surgery. Carl Zeiss has 25%+ market share in the refractive laser eye surgery market. The global market for refractive surgery is estimated to be $1B with a 6-7% CAGR. The company is growing by low-double digits, driven by its superior procedure SMILE.
  • Total addressable market worth $12B. The company provides the most comprehensive diagnostic and surgical portfolio in eye care, ranging from routine diagnostic, retinal imaging, biometry to refractive laser surgery, surgical microscopy, and intraocular lenses. Surgical ophthalmology is the largest market at $8.5B, growing by mid-single digits.

Straumann Holding

Key points from this report:

 

  • Buy Straumann. The stock is breaking out of a five-week flat base into new highs.
  • Reopening play; favorable comps. The company reported 8% organic growth in H2 2020, recovering sharply from the pandemic. The company now expects double-digit growth across all regions in Q1. With easy comps in Q2, it is on track to report 30%+ revenue growth in H1.
  • Initial 2021 guidance looks conservative. Based on positive business progress and performance in H2 2020, management guided for high-single-digit organic revenue growth in 2021 and expects improvement in profitability over 2020. This looks conservative given the company and peer’s commentary regarding the rebound in 2021.
  • Leadership in the $4B dental implant market. Straumann is the leader in the segment with 27% share, up from 26% in 2019, and ahead of its peers Envista (NVST) and Dentsply Sirona (XRAY) at 17% and 11%, respectively. The company also announced geographic expansion in China to focus on the fast growing non-premium segment.
  • Next Catalyst: The company will host its AGM on April 9 and will announce Q1 results on April 29.

Ambu

Key points from this report:

 

  • Add to positions. The stock is on the right side of a stage-two base with good overall volume trends: A/D Rating A- and Up/Down Volume ratio of 1.7.
  • Positive news: On April 1, the FDA announced that it is investigating numerous medical device reports (MDRs) describing patient infections and other possible contamination issues associated with reprocessing urological endoscopes. This is positive for Ambu’s single-use endoscopies.
  • $2.5B global market opportunity: Ambu estimates that the single-use endoscopy market will reach $2.5B by 2024 from $500M in 2020. The company aims to sell 1.3M–1.4M (+24% y/y) units of single-use endoscopes in FY21 (consensus: 1.36M), driven by pulmonary, ENT, urology, and GI businesses. In Q1 FY21, the company sold 370K (+106% y/y) units of endoscopes.

O’Neil Health Care Weekly

XLV’s RS line (vs S&P 500) fell back to a seven-year low Friday following strong gains in the broader market.
The ETF continues to underperform as the market strengthens and only goes through short spurts of
outperformance when the overall market weakens.