Tuesday, September 9, 2008

DNA makes RNA makes Protein makes Money...

The surge in start-up ventures and academics setting up shop in the hopes of bringing the the latest in biotechnology to the consumer, presents investors with a major problem. One that has its fundamentals embedded in traditional number-crunching, and yet is so subject to external variables that it seems to involve more guesswork than science. The problem I refer to is that of "Valuation". How does one find that hidden gem amidst the slew of companies promising future success? How do you value a company that has no track record, no revenue and almost no assets? If Steve Jurvetson Managing Partner at Drapper/Fisher/Jurtvenson were here, his response would be - "in a very subjective & capricious way".

Valuation can take on many forms. However, When performing a valuation, you will find there are three well known approaches : DCF or income approach, market approach, & the asset approach. The generally accepted approach to valuing healthcare companies that are years away from payoff uses Discounted Cash Flow (DCF) which tries to work out the value of a company today, based on projections of how much money it's going to make in the future.


DCF analysis says that a company is worth all of the cash that it could make available to investors in the future. The major difference in using DCF in valuing healthcare companies versus other sectors is the flexibility to take a product-centric approach. What this means, is that you must be willing to treat each potential drug as a separate entity within a portfolio. Hence, in order to obtain an amount representing the fair value of the entire company today you must:

  • Determine Free Cash Flow (FCF) of each drug
  • Adjust FCF to Risk
  • Determine a Discount Rate
  • Determine DCF (which is Risk adjusted FCF x Discount)
  • Obtain Total Enterprise Value
It is generally safe to say that it is only worthwhile conducting a DCF analysis on drugs that are in the clinical trial stage. A drug that is in the discovery or pre-clinical stage is a very risky proposition, with less than a 1% chance of getting to market (according to an industry report published in 2003 by the Pharmaceutical Research and Manufacturers of America). So, drugs in the pre-clinical stage are usually assigned zero value by public market investors.

Determining FCF requires the Peak Annual Sales Revenue and an estimation of costs. Forecasting sales revenue for each drug is probably the most important estimate that needs to be made. Some considerations that must be taken into account especially for biotech/pharma are:
  • Market Potential (estimated market size)
  • Market Share (penetration rate)
  • Sales price Estimate
  • Royalty Rate
When forecasting future cash flows for a drug, you need to consider the costs of discovery and bringing the drug to market. The commonly used criteria are:
Deducting the drug's operating costs, taxes, net investment and working capital requirements from its sales revenues, you arrive at the amount of free cash flow generated by the drug if it becomes commercial.

Next Step - Inclusion of risk into our estimates. As the drug moves through the development process, the risk decreases with each major milestone. The Pharmaceutical Research and Manufacturers of America reported in 2003 that drugs entering Phase I clinical trials have a 15% probability of becoming a marketable product. For those in Phase II, the odds of success rise to 30%, and for Phase III, they climb to 60%. Once clinical trials are complete and the drug enters the final FDA approval phase, it has a 90% chance of success. These improvements in the odds of success translate directly into stock value. By multiplying the drug's estimated free cash flow by the stage-appropriate probability of success, you get a forecast of free cash flows that accounts for development risk.

Applying a legitimate discount rate will allow us to figure out what these cash flows are worth today.
So, how do we figure out the company's discount rate? That's a crucial question, because a difference of just one or two percentage points in the cost of capital can make a big difference in the total value. There are many ways of calculating discount rate, and an in depth discussion is beyond the scope of this post, but a safe strategy is to use the Weighted Average Cost of Capital (WACC) which incorporates both debt & equity into the overall picture.

Finally, we can obtain a value for a drug by multiplying the FCF to our discount rate. Repeating this process for the entire portfolio of products and adding up their individual DCF's will give us the Total Enterprise Value of the company.

As you can see, valuing of early stage healthcare entities is possible even by the dilligent individual investor. The issue of contention arises when the methods/models used do not accurately reflect the potential for failure. This, unfortunately, means that there can be several different valuations on the market for the same company. So really, recognizing a good valuation when you see one is the real measure of success.

For more in depth information visit the DCF valuation section under research & papers at Professor Damodar's site http://pages.stern.nyu.edu/~adamodar/


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Thursday, August 14, 2008

About Us

Healthcare Nexus is a social project that aims to educate, provide critical analysis, and be an active sounding board for issues surrounding todays global healthcare systems. The hope is not only to initiate change & create innovative functional systems through the collective expertise of various players in the industry, but also to question & criticize current developments to instil value for continuous improvement on a societal basis.

We are a small but dedicated team of researchers and writers holding advanced degrees in varying scientific backgrounds. Our approach & work style focus on our complementary skill sets, making us a perfect fit for clients looking for integrated solutions to their healthcare research and report/article writing needs.

Our portfolio of work includes:

- Research reports for medical conditions, drugs, therapies & healthcare systems
- Systematic & literature reviews
- Content generation for medical websites & blogs
- Editing and proofreading of thesis, scientific reports, academic articles
- Translation & interview transcription services (To/From English)
- Health Economics research

Join! There are openings for collaborations. Healthcare Nexus needs both bloggers and designers with a passion for shaping the future of the healthcare & life science industry. If you are a forward thinking student, researcher, employee of pharma/biotech, policy maker, market researcher, health economist, member of the medical community- and want to be part of a forum of passionate individuals with progressive perspectives please contact admin@healthcarenexus.net.


Chief Contributor -  Rohan Deogaonkar is an independent healthcare industry analyst. He is available for consultation and commentary on health economics, regulatory affairs, health technology assessment, and competitive intelligence in the healthcare/life science sectors. He can be contacted at rohand@healthcarenexus.net

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Hot Jobs

Got a few weeks off? Gap year? Looking for field credits? In between jobs? Volunteer opportunities ranging from 2 weeks + for all levels available:
http://www.uniteforsight.org/

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Tuesday, March 4, 2008

Jan 09 approvals

USA>>
- Forest Labs> Savella (milnacipran hydrochloride): Fibromyalgia
- Galderma Labs> Vectical (calcitrol): B3 ointment for plaque psoriasis
- Watson> Gelnique (oxybutynin chloride): Gel for overactive bladder (OAB)
- Takeda> Kapidex (dexlansoprazole): Erosive esophagitis


Canada>>
- Alexion> *Soliris (eculizumab): Paroxysmal nocturnal hemoglobinuria (PNH)
- Biovitrium> Kineret (anakinra): Rheumatoid arthritis
- Biovitrum> Stemgen (ancestim): Supportive oncology
- Biovitrum> Kepivance (palifermin):
Supportive oncology
- Bayer> Helixate FS & Kogenate FS: Spontaneous hemorhagic episodes & prevention of joint damage in children
- Bausch & Lomb> Lotemax (loteprednol etabonate): Opthalmic corticosteroid
- Paladin> Trinipatch (nitroglycerin): Anti-anginal
- BMS> Reyataz (atazanavir): Treatment naive HIV
- CSL Behring> Humate-P: Von Willebrand disease, excess bleeding
- ScheringPlough> Deca-Durabolin (nandrolone): Anabolic androgen
- ScheringPlough> Andriol (testosterone): Anabolic androgen


Japan>>
- Novartis> Xolair (olabizumab): Bronchial Asthma
- Novartis> Tasigna (nilotimib): Philadelphia chromosome-positive chronic myeloid leukemia
- Novartis> Diovan (valsartan/hydrochlorothiazide combi): blood pressure
- Novartis> Lucentis (ranibizumab): Wet macular degeneration

EU>>
-Janssen Cilag/J&J> Stelara (ustekinumab): Moderate to severe plaque psoriasis

*Priority review drug

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