As We See It...                                                                  Fourth Quarter 2004

The markets for securities have changed dramatically in recent years. Markets today have become increasingly complex with many crosscurrents. Trading patterns have changed. About half of the shares traded are generated by sophisticated computer-driven programs, taking advantage of small spreads between stocks and their derivatives. In these trades there is no need to know what a company does or what its prospects are. All that is needed is the ticker symbol and the last sale. The minimum trade is said to involve a $10 million basket of stocks.

Markets have changed, but sound investment principle has not changed. Peter Lynch focused on the long run, “The Ten Baggers,” those stocks that had the potential to appreciate ten-fold. Know your company, its markets, competitive position, and its finances.  We believe in concentrating on a few individual companies where we can know the business and the management. These are companies that have a sustainable competitive advantage because they are solving problems through research.  We aim to be holders for the long run, achieving “Ten Baggers” rather than playing for pennies by trading in and out.  

For the last few quarters, we have affirmed our belief that the medical area was attractive for investment. The population is aging, and there still are many unmet medical needs. To our thinking big pharma, while attractive, is becoming less so, especially relative to the medical device-companies. Recently this idea was borne out when Johnson & Johnson made a bid for Guidant, a company that makes implantable devices to control heart functions. We feel positive, for example, about Boston Scientific and Varian Medical, both attractive device companies.

Company Focus: Boston Scientific

Boston Scientific (BSX, 32.70) is best known for its stents, the tiny little scaffolds that prop open clogged arteries.  The company has enjoyed explosive growth recently after the debut of its drug coated stent product line, which,  while second to market, managed to gain significant share from the Goliath of the industry, Johnson & Johnson.  They now lead this market but are not resting on their laurels.

They have 30 research and development programs underway in this product line.  They are conducting trials for new applications, refining and improving the product and delivery system.  Share holders should continue to enjoy growth in this product line for many years.

Nonetheless, this is old news.  What excites us are the other offerings that the company is developing.  We attended Boston Scientific’s analyst meeting and got a glimpse of the deep bench of exciting products that the company is working on.  Two products particularly intrigued us.

Through their investment in Cameron Health, BSX has access to a technology that could potentially revolutionize the cardiac rhythm management business.  These are the devices that are typically known as pace-makers or implantable defibrillators.  Cameron’s team believes that the current state of the technology is much more complex than it needs to be.  They believe the same functionality is possible in a smaller device implanted closer to the heart without the long lead wires that are currently in use.  It allows for greater patient comfort, less risky implantation procedures, and fewer potential complications.  As investors in BSX, we are excited about the potential for this approach, but as owners of competing technologies, we are also monitoring the development to see what impact this potentially disruptive technology will have on other companies.

Through their acquisition of Advanced Bionics, BSX has strengthened its position in another exciting field, neuro-modulation.  Pain is an increasing focus of the healthcare industry.  Pain, besides being painful, hinders recoveries from injury, leads to the use of potentially harmful drugs, and produces other unwanted secondary effects.  Advanced Bionics is a leader in the field of electrical nerve stimulation to reduce chronic pain, including back pain and migraines.  At the meeting we were shown a tiny implantable device that can provide a minute electrical stimulus to nerves to alleviate specific types of pain.  The device is rechargeable in the body and can be controlled with a remote control.  Self contained with all electronics it needs, it is about the size of a Tylenol capsule.  Implantation should take a surgeon less than ten minutes.

These are but two of many projects underway at the company, but they typify what we like about Boston Scientific.  They invest to innovate, rarely to follow.  They have a long investment horizon, as do we. 



 

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