Can this small-cap healthcare stock continue to beat big-cap rivals?

Roland Head looks at the latest results from a fast-growing healthcare business with strong overseas growth potential.

| More on:

The content of this article was relevant at the time of publishing. Circumstances change continuously and caution should therefore be exercised when relying upon any content contained within this article.

When investing, your capital is at risk. The value of your investments can go down as well as up and you may get back less than you put in.

Read More

The content of this article is provided for information purposes only and is not intended to be, nor does it constitute, any form of personal advice. Investments in a currency other than sterling are exposed to currency exchange risk. Currency exchange rates are constantly changing, which may affect the value of the investment in sterling terms. You could lose money in sterling even if the stock price rises in the currency of origin. Stocks listed on overseas exchanges may be subject to additional dealing and exchange rate charges, and may have other tax implications, and may not provide the same, or any, regulatory protection as in the UK.

You’re reading a free article with opinions that may differ from The Motley Fool’s Premium Investing Services. Become a Motley Fool member today to get instant access to our top analyst recommendations, in-depth research, investing resources, and more. Learn More.

Investing in small caps has delivered big results for many investors over the last year. Fast-growing smaller firms have lived up to their reputation for outperforming big-cap stocks, but will this situation continue as valuations rise?

Shareholders of infection control specialist Tristel (LSE: TSTL) have seen the value of their shares rise by almost 40% to 159p over the last 12 months. But today’s full-year results from Tristel appear to have left the market unimpressed, despite a 12% rise in revenue. In this article I’ll explain why this might be.

I’ll also contrast Tristel with a larger manufacturer of healthcare products, joint replacement specialist Smith & Nephew (LSE: SN).

Expenses issues

Sales of Tristel’s infection control products rose by an impressive 12% to £17.1m during the year ending 30 June. Adjusted pre-tax profit rose by 27% to £3.3m, while adjusted earnings rose by 20% to 6.62p per share.

The group’s total dividend — including a 3p per share special payout — rose by 11% to 6.33p per share. Tristel ended the year with net cash of £5.7m, up from £4m at the end of last year.

However, in my view these impressive adjusted figures are clouded by the exclusion of the expenses relating to a £1m stock option bonanza enjoyed by management earlier this year.

This share-based payout is one of the main reasons why Tristel’s weighted average share count rose from 40.7m to 41.9m last year. The dilutive effect of these new shares pushed Tristel’s reported earnings down by 8% to 5.01p per share. This equates to a trailing P/E of 32.

Is Tristel too expensive?

Tristel looks expensive based on historic earnings. However, broker forecasts suggest that adjusted earnings will rise by 15% to 6.8p per share this year, putting the stock on a forecast P/E of 23.

Stock option costs should fall this year, so adjusted earnings will hopefully be closer to the group’s reported numbers. A planned move into the US market in 2018 could give Tristel access to new markets worth up to £18m, according to management estimates.

Although Tristel shares aren’t obviously cheap, I believe they could still deliver further gains. I’d hold for now.

A hip replacement stock?

Shares in joint replacement group Smith & Nephew have risen by 113% during the last five years. But the group’s growth appears to have slowed. Smith & Nephew shares are flat so far this year and don’t look especially cheap, on a 2016 forecast P/E of 18.1. The forecast dividend yield is just 2%, which isn’t very tempting either.

Things could be about to improve, however. Earnings per share are expected to rise by 12% next year, bringing the forecast P/E down to 16. There’s also the potential for a takeover bid. The combination of the weaker pound and Smith & Nephew’s stagnant share price means that for a US buyer, this company would be cheaper than it was at the start of 2016.

It’s worth remembering that despite a £10bn market cap, Smith & Nephew is only a medium-sized player in this sector. A bid could make sense.

Overall, I’d argue that as with Tristel, Smith & Nephew looks fully priced at the moment but has decent medium-term potential.

Should you invest, the value of your investment may rise or fall and your capital is at risk. Before investing, your individual circumstances should be assessed. Consider taking independent financial advice.

Roland Head has no position in any shares mentioned. The Motley Fool UK has no position in any of the shares mentioned. We Fools don't all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors.

More on Investing Articles

Two white male workmen working on site at an oil rig
Investing Articles

Shell hints at UK exit: will the BP share price take a hit?

I’m checking the pulse of the BP share price after UK markets reeled recently at the mere thought of FTSE…

Read more »

Investing Articles

Why I’m confident Tesco shares can provide a reliable income for investors

This FTSE 100 stalwart generated £2bn of surplus cash last year. Roland Head thinks Tesco shares look like a solid…

Read more »

Smart young brown businesswoman working from home on a laptop
Investing Articles

£20,000 in savings? I’d buy 532 shares of this FTSE 100 stock to aim for a £10,100 second income

Stephen Wright thinks an unusually high dividend yield means Unilever shares could be a great opportunity for investors looking to…

Read more »

Investing Articles

Everyone’s talking about AI again! Which FTSE 100 shares can I buy for exposure?

Our writer highlights a number of FTSE 100 stocks that offer different ways of investing in the artificial intelligence revolution.

Read more »

The flag of the United States of America flying in front of the Capitol building
Investing Articles

3 top US dividend stocks for value investors to consider in 2024

I’m searching far and wide to find the best dividend stocks that money can buy. Do the Americans have more…

Read more »

Investing Articles

1 FTSE dividend stock I’d put 100% of my money into for passive income!

If I could invest in just one stock to generate a regular passive income stream, I'd choose this FTSE 100…

Read more »

Young mixed-race woman jumping for joy in a park with confetti falling around her
Investing Articles

Forecasts are down, but I see a bright future for FTSE 100 dividend stocks

Cash forecasts for UK dividend stocks are falling... time to panic! Actually, no. I reckon the future has never looked…

Read more »

Young female analyst working at her desk in the office
Investing Articles

Down 13% in April, AIM stock YouGov now looks like a top-notch bargain

YouGov is an AIM stock that has fallen into potential bargain territory. Its vast quantity of data sets it up…

Read more »