Take a look at MedCare Technologies, Inc. (NASDAQ: MCAR). Great company joining the medical and internet industries. Great report from Small Cap Forum below with all the details...
This report may be viewed at: smallcapforum.com
---------------------------------------- SMALL CAP FORUM NEWSLETTER smallcapforum.com April 18, 1999
A Business Financial Network Publication bizfn.com ----------------------------------------
Over the past week, many of the yet-to-be blue chip Internet stocks have gotten hammered and have corrected well off their highs. Many Internet pure plays still sell at astronomical multiples of potential earnings many years out. While the volatility over the past months demonstrates the immense upside potential of the Internet sector, the recent correction also shows the risks in the sector.
When combing through the sector, we have tried to identify companies who are positioning themselves to take advantage of lucrative niches on web, but have limited downside over the intermediate term. Recognizing the low barriers to entry and uncertainty of whom the winners and losers will be, we have concentrated on companies with superior business plans and profitable core businesses to support the internet ventures. LCS Golf, the first company our Small Cap Forum Research Staff initiated coverage of fit this description quite nicely.
Our second pick, MedCare Technologies, Inc. (NASDAQ: MCAR) is another gem. The company also offers those who are penny-stock-phobic some reassurance. The company is already listed on the Small Cap Nasdaq, so the company should not experience the more extreme volatility of the OTC Bulletin Board. The company also has a very strong balance sheet with lots of cash and no debt. Those are the reasons why we believe the downside risk is relatively small. The analysis that follows explains why we believe the upside target of this $7 stock could be well over $38 in the next 12-18 months. That would represent a 443% return over present levels.
________________________________________ MedCare Technologies, Inc. NASDAQ: MCAR Bid/Ask: $6.875 / $7.00 52 Week Hi/Low: $9.50 / $4.56 Shares Outstanding: ~ 7.8 million shares Estimated float: ~ 5.8 million shares Internet: medcareonline.com ________________________________________
Contact: MedCare Technologies, Inc. Mr. Bill Mann, 800/611-3388
MedCare Technologies, Inc.(NASDAQ: MCAR) has two primary businesses, both with huge potential. The first is the MedCare Program, a non-surgical, proven solution to incontinence. Incontinence? Don't smirk, it's a $26 billion market, ten times larger than the impotence market. The second business is a vertically integrated healthcare portal, medcareonline.com. MedCare Online is working to tie the largest component of the U.S. economy, health care, with the fastest growing component of the economy, the Internet. Small Cap Forum research staff believes that this strategic move on the part of MCAR will revolutionize the way in which doctors, health care providers, and patients work together and use the phenomenal leverage that the internet provides.
In our opinion, the most informative way to evaluate MedCare Technologies, Inc. is to value the two parts individually. The company has tentative plans to spin off the MedCare Online business, so that the Internet side of the business will receive a more appropriate valuation by investors. The "tentative plans" is about as far as the company is willing to go at this point, but in our opinion, the question of the spin-off is a matter of "When," not "If." As such, we will try to shed some light on how an investor may want to value the two enterprises.
MECAREONLINE.COM
The single largest sector of the U.S. economy is healthcare, consuming 14% of America's GNP, $1 trillion in annual spending. Despite the absolutely massive size and potential of sector, the internet and healthcare have yet to cross paths in any meaningful way. Medcare Technologies, through its MedCareOnline subsidiary is going to change that. MedcareOnline is rapidly positioning itself to be one of the premiere healthcare portals. The company has already begun to address the spectrum of healthcare related areas and integrate them into the leading healthcare portal. MedCareOnline www.medcareonline.com is a comprehensive healthcare portal offering meaningful, relevant and quality medical information. The site offers wide ranging direct-to-consumer health specific information, such as health travel advisory, health news, symposiums, medical journals and publications, and extensive research and web based services for the some 750,000 US physicians.
More info: biz.yahoo.com
The major revenue components of MedCare Online will be advertising, ecommerce, and within a couple months, auctions.
E-COMMERCE & AUCTIONS
The Company is developing an e-commerce component, which will feature a wide range of health-related products and services. In a January 8th , 1999 institutional research report entitled ''The health.net Industry,'' Hambrecht & Quist analysts Stephen Fitzgibbons and Richard Lee state, "The three largest health.net revenue opportunities, in our opinion, are e-commerce, connectivity, and advertising/sponsorship. E-commerce, estimated to be in the hundreds of billions of dollars, represents the largest and most immediate opportunity. The connectivity market, estimated to be $10+ billion, will be penetrated more gradually. We estimate the current advertising/sponsorship opportunity to be in the hundreds of millions of dollars, although with huge potential upside.''
MedCare Online will have a health-related ecommerce mall within approximately one month and auctions for health-relation products, equipment, and supplies are likely to follow before year-end. The potential ecommerce market in healthcare is massive:
Pharmaceuticals (domestic) = $90 billion Pharmaceuticals (worldwide) = $270 billion Over-The-Counter Medications = $20 billion Personal Care Products = $35 billion Vitamins and nutraceuticals = $12 billion Medical Equipment = $97 billion ($43 billion by US Manufacturers)
Other Info: 77% of healthcare systems have no strategies for dealing with outdated equipment.
28% of hospital budgets are non-brick and mortar capital spending.
Of that 28%, 23% Diagnostic 25% Biomedical 13% Information Systems 12% PCs
The market for medical equipment is dominated by regional distributors and refurbishers. MedCare Technologies, Inc. is presently negotiating partnerships with many of these regional suppliers of medical equipment. The business is quite fragmented and great efficiencies can be realized through an internet distribution and auction market. A company like MedCare can leave the back end, fulfillment, warehousing, and inventory problems to others. MedCare will help link buyers and sellers and will take a small slice (4%-7%) of each sale.
More info: biz.yahoo.com biz.yahoo.com
On March 29, 1999, MedCare Technologies announced its Affiliate Network agreement with MotherNature.com. As a member of MotherNature.com's Affiliate Network, medcareonline.com will offer for sale over 30,000 items, or seven times the assortment of an average natural products store, including vitamins, supplements, minerals, herbs and other natural products. Presently, 96 percent of all consumers still purchase their natural products from a traditional store, representing a great online sales opportunity.
More info: biz.yahoo.com
HEALTH INFORMATION
One of the most prevalent uses of the internet as an information source is in the area of healthcare. A healthcare portal, such as medcareonline.com , aggregates and simplifies the searches for such information. MedcareOnline makes the searches efficient and private. Furthermore, the information comes from a credible and comprehensive source.
In a January 8th , 1999 institutional research report entitled ''The health.net Industry,'' Hambrecht & Quist analysts Stephen Fitzgibbons and Richard Lee state, ''We believe the Internet will dramatically change how information flows and how people and organizations interact in healthcare. As an inexpensive, ubiquitous, and flexible technology, the Internet will be used to streamline current processes, enhance the quality of care, and create entirely new ways of conducting business. Individual participants, such as patients and physicians, will benefit from the Internet's strength as an information source and a communications medium. Companies that successfully deploy Internet-based strategies will grow revenues and decrease costs at the expense of their less advanced competitors...Health.net companies, in our opinion, will be a driving force behind this change and reap the rewards of progress.''
By accessing its already existing national network of doctors, which includes leading urology and gynecology physician specialists, the Company plans to make available specific women's and men's health related information that most individuals are often too embarrassed to discuss. For example, an estimated 40% of the 25 million urinary incontinence sufferers never seek advice from their physician. Other such conditions include sexual dysfunction, infertility, addictions, obesity, chronic constipation, and psychological disorders such as depression.
On March 4, 1999, MedCare Online announced plans to launch an Internet Health Magazine with content, features and information on a wide range of health topics, including fitness and nutrition, drugs and medications, women's health, men's health and the latest healthcare and medical news. The online health magazine will be available without charge and is designed to address the growing demand sweeping across the web, where 46% of all online users search for information about a medical or personal problem according to a recent Intelliquest Inc. survey. MedCare's new online magazine will allow subscribers to customize content specific to their own unique health needs and interests, and will also be enriched by the streaming of audio and video content.
More info: biz.yahoo.com
On March 12, 1999, MedCare Technologies announced an agreement with Reuters Health Information Inc. for the distribution of ''Reuters Health eLine'' through MedCare's health portal, www.medcareonline.com, and to subscribers of MedCare's online health magazine. MedCare Technologies, Inc. intends to further develop brand building and marketing initiatives designed to increase site traffic and repeat visitors. The site will offer a targeted audience for advertisers interested in reaching health conscious consumers, doctors and healthcare practitioners.
More info: biz.yahoo.com biz.yahoo.com
On April 5, 1999, MedCare Technologies: medcareonline.com announced the expansion of its consumer and professional information content from a current 2,000 healthcare resources to over 10,000, a fivefold increase. In doing so, medcareonline.com positions itself as one of the most content rich healthcare-specific portals targeting the estimated 46 percent of all online users that search the Internet for healthcare information.
More info: biz.yahoo.com
MEDCARE ONLINE'S CORPORATE STRATEGY
Like several other successful publicly traded internet stocks, MedCare Online plans to take a community approach to medcareonline.com . "Community" has served as a successful buzzword for internet stocks, but MedCare has already initiated steps to make the sense of community happen. MedCare Technologies, Inc. will provide free web hosting and home page services for physicians. This strategy should enhance content, and increase the site's credibility and traffic. In addition to information on the location of their office, hours of operation, profiles of doctors and services offered, MedCare will also allow physicians to easily customize content on their websites, send and retrieve free e-mail, conduct e-commerce and allow patients to interact on various health topics in ''disease and condition'' specific chat rooms. MedCare's physician-specific web services will be initially offered in the US, with future expansion planned overseas.
Long considered computer shy, with only 3% of all doctors using electronic record keeping nationwide, a growing number of physicians are now recognizing the potential of the Internet as a flexible, low-cost communication and commerce medium. MedCare plans to take advantage of the late adoption of technology by doctors by making it easy and free for Doctors to establish an online presence.
biz.yahoo.com
By attracting the community of healthcare professionals, including doctors, nurses, and pharmacists, MedCare Online will expand on a captive and loyal audience. While the portion of consumer ecommerce is significant, business-to-business is magnitudes larger. The community of healthcare practitioners will be able to make equipment and product purchases, take advantage of online auctions for medical equipment and supplies.
It is difficult to value the MedCare Online as an individual business, but one can get a sense of the value by looking at other internet stocks in the healthcare sector. Such companies include: Healtheon (NASDAQ: HLTH) - $531.4 million market cap, MediConsult (OTC BB: MCNS), WebMD (Still Private), Amazon's (NASDAQ: AMZN) purchase of Drugstore.com, and OnHealth Network (ONHN) - $177 Mil market cap.
Once the auction and ecommerce is up and running and the company initiates a more active marketing of the site, the company will have a more mature entity to offer Wall Street. We believe the company will be in a position 12-18 months out to seek $10-$20 in financing in an IPO of MedCare Online. A reasonable value, without the hype premium given to other pure internet plays after a year's maturity should fetch this component of MCAR a market value of $60-80 million. As such, this side of MedCare's business would be worth $7.50-$10 per share by itself within 12-18 months.
ABOUT MEDCARE PROGRAM
Unlike many internet companies that use "dot com" as their main selling point, MedCareOnline.com will only be one component in the future success of the MedCare Technologies, Inc. The MedCare Program is a proprietary non-surgical and non-drug system for treating individuals suffering from urinary incontinence, a condition affecting an estimated 25 million individuals in the U.S. alone each year and creating a $26 billion industry. The MedCare Program is currently being employed by over 300 physicians nation-wide, an increase from only 50 doctors last year.
Despite being more prevalent than diabetes, and costing $26 billion annually, more than what is spent on dialysis and heart bypass surgery combined according to USA Today, incontinence remains one of the least talked about conditions in healthcare today. A unspoken but wide-spread problem that significantly impacts the quality of life of individuals suffering from the condition. Pfizer's Viagra was expected to sell very well, but the response by the public and doctors was incredible. Once a viable and non-surgical treatment option becomes available for an embarrassing condition, many more people feel comfortable discussing the problem with medical professionals.
Unlike traditional treatment options, which are costly and often unsuccessful or inadequate, MedCare's treatment program is completely risk free and has a proven national success rate in excess of 85%. In association with over 300 physicians, MedCare has the largest network of offices treating UI in the US. There is a massive void in incontinence treatment and MedCare is very well positioned to fill the void.
The company has developed The MedCare Program, a non-surgical, non-drug, non-invasive and cost effective treatment program for urinary incontinence, as well as pelvic pain, chronic constipation, fecal incontinence, and disordered defecation. The MedCare program is a multi- modality program based primarily on behavioural techniques for treatment. These techniques include biofeedback using electromyography (EMG), pelvic floor muscle exercises, and bladder and bowel re-training. The program is designed to activate and strengthen the various sensory- response mechanisms that maintain bladder and bowel control. The therapy is provided through computerized instrumental electromyography biofeedback and is based on operant conditioning strategies whereby specific physiological responses are progressively shaped, strengthened, and coordinated.
Highlights:
· Market and problem are not discussed and market is untapped · Appropriate for 90% of all sufferers · Covered by most health insurance plans · $26 billion market for treatment of urinary incontinence: adult diapers, surgery, drugs, catheters and other invasive procedures. · 10X size of impotence market · 85% success rate · Lack of competition · Inferior treatment alternatives · Non-drug, non-surgical treatment program · Does not require FDA approval · Has proven successful with thousands of patients · 30-40% a month in revenue growth
"One of the most significant 'quality of life' developments in urological history."
The MedCare Program is available through the practices of physicians (urologist, urogynecologist, gastroenterologist, and/or colon rectal surgeon), either in a private office, clinic, or a hospital setting. There are expansion plans to introduce the MedCare Program into new markets, such as nursing homes and other institutions, and eventually foreign countries.
On March 18, 1999, MedCare Technologies announced MedCare Program revenues were increasing 35% per month during the first quarter of 1999. Reached company target of 90 contracted MedCare Program sites with over 300 physicians.
585 visits in January 965 in February and an expected 1,200 in March.
"At this level of growth, we'll surpass the 6,000 per month patient visit mark by the last quarter of 1999.'' Mr. Jeff Aronin, President and CEO of MedCare Technologies
More Info: biz.yahoo.com
Presently, the company negotiates with doctors offices to put nurses in the doctor's offices and bill patients $145 per treatment. The doctors then bill insurance companies significantly more. As such, doctors are able to make thousands of dollars per month on the program. Recognizing the potential to capture a greater portion of the revenue involved, MedCare Technologies is instituting a new business model. Now the company allows physicians to purchase the rights to the MedCare Program for their office. The doctors pay a one time fee of $48,000 and a monthly support fee of $3,000.
One analysis that has been used to project earnings from the MedCare Program is the following: One half of 1% = 0.5% of physicians' offices. This market share would generate $180 million in one time fees and $135 million in recurring fees. The company is projected to reach this 0.5% milestone within 18-24 months. With 60% margins, an income of $189 million or $22/ share would be realized based on 8 million shares outstanding in 2001. This number looks doable, but is aggressive.
Using the figure of 750,000 physicians in U.S. and 3-5 physicians per office on average, we have projected the following number of new Programs and total operating programs 150,000-250,000:
Year New Programs Total Programs 1999 400 400 2000 1,000 1,400 2001 1,100 2,500
So far, the company has 90 Programs contracted 45-50 are open. This was done in a year with a three person sales staff. The company will expand its sales staff to 20 and can also offer prospective enrollees testimonials from existing Programs. Year One-Time Fees Recurring Revenue 1999 $19.2 million $4.8 million 2000 $48 million $14.4 million + $12 million 2001 $52.8 million $50.4 million + $13.2 million
The recurring revue was calculated using the $3,000 per month multiplied by a full year for Programs enrolled the previous year and a four month credit of the monthly $3,000 for programs initiated the same year.
Year Earnings Earnings per share Target Value 1999 $13.9 million $1.74 $34.80 2000 $42 million $5.25 $105.00 2001 $63.5 million $7.94 $158.80
For the earnings numbers above, we used a 60% profit margin for the one-time fee of $48,000 and a 50% profit margin on monthly fees. Both of these are lower than the company expressed to us. The target value was based on a reasonable 20X price to earnings ratio. Building of sales and administrative infrastructure could reduce the earnings and the overall company earnings will likely be taken down by losses by MedCare Online in the first year or two. Not factored into these numbers are the existing MedCare Programs, now with an annualized revenue run rate of $2.1 million and that number for existing programs is expected to grow to over $10.0 million by year end.
As you can see, the numbers above are truly astronomical relative to a stock price of around $7. As such, we feel it necessary to hedge our bets and put a $30 target 18 months out, until we can see how the new business model pans out. Adding to that $30 value on the MedCare program, we add approximately $8 for MedCare Online, for a total 12-18 month target of $38.
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© Copyright 1999, Business Financial Network, Inc. All rights reserved.
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