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

Businessman use electronic pen writing rising colorful graph from 2023 to 2024 year of business planning and stock investment growth concept.
Investing Articles

2 dirt cheap growth stocks with heaps of potential!

These two growth stocks are currently trading some way below their highs, but they've also got bags of potential. Dr…

Read more »

Young Black man sat in front of laptop while wearing headphones
Investing Articles

3 of the best FTSE 100 stocks to consider in May

FTSE stocks are back in fashion as investors look for undervalued shares. Here are some our writer Royston Wild thinks…

Read more »

Mixed-race female couple enjoying themselves on a walk
Investing Articles

£7,000 in savings? Here’s what I’d do to turn that into a £1,160 monthly passive income

With some careful consideration, it's possible to make an excellent passive income for life with UK shares. This is how…

Read more »

Investing Articles

If I’d invested £1k in Amazon stock when it went public, here’s what I’d have today

Amazon stock has been one of the biggest winners over the last couple of decades. Muhammad Cheema takes a look…

Read more »

Investing Articles

If I’d put £5,000 in Nvidia stock 5 years ago, here’s what I’d have now

Nvidia stock has been a great success story in the past few years. This Fool breaks down how much he'd…

Read more »

Young black woman walking in Central London for shopping
Investing Articles

Could investing in a Shein IPO make my ISA shine?

With chatter that London might yet see a Shein IPO, our writer shares his view on some possible pros and…

Read more »

Silhouette of a bull standing on top of a landscape with the sun setting behind it
Investing Articles

The FTSE 100 reached record highs in April! Here’s what investors should consider buying in May

The FTSE 100 continues to impress in 2024 as last month it reached new highs. Here are two stocks investors…

Read more »

Investing Articles

Despite hitting a 52-week high, Coca-Cola HBC stock still looks great value

Our writer reckons one flying UK share that has been participating in the recent FTSE 100 bull run remains a…

Read more »