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Abbott Laboratories (ABT)

August 21, 2024

Compared to: AbbVie, Inc. (ABBV) | Eli Lilly & Co. (LLY) | Health Care Select Sector SPDR Fund (XLV)

Our reasoning

Abbott Laboratories appears slightly undervalued based on its strong financial performance, growth prospects, and current valuation metrics. The company's P/E ratio is below the industry average, while its diversified portfolio and potential for growth in key areas like diabetes care and medical devices suggest room for valuation expansion. However, ongoing litigation and tax disputes present risks that temper the upside potential.

Key takeaways
  • Abbott Laboratories is a diversified global healthcare company with a strong financial position and a track record of growth.
  • The company is well-positioned to capitalize on growth opportunities in high-growth areas like diabetes management, cardiovascular devices, and minimally invasive structural heart procedures.
  • Abbott's financial flexibility allows it to pursue future acquisitions and organic growth opportunities.
  • The company faces ongoing industry challenges like pricing pressures, regulatory changes, and supply chain disruptions, as well as litigation and tax disputes.
  • Despite these challenges, Abbott's strong financial performance and growth prospects suggest that it is undervalued.
  • Investors should be aware of the risks associated with litigation and tax disputes, but the company's overall financial health and growth potential make it an attractive investment opportunity.
  • ABT's price performance has lagged behind its peers and the XLV benchmark, suggesting that it may be undervalued.
  • The company's strong financial performance and growth prospects suggest that it is undervalued, but investors should be aware of the risks associated with litigation and tax disputes.
Undervalued

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Evaluation summary
  1. Company Overview:

    • Abbott Laboratories is a diversified global healthcare company with a focus on the discovery, development, manufacture, and sale of medical devices, diagnostics, nutritional products, and branded generic pharmaceuticals.
    • The company operates through four reportable segments: Established Pharmaceutical Products, Diagnostic Products, Nutritional Products, and Medical Devices.
    • Key products include cardiac rhythm management devices, electrophysiology products, heart failure and vascular devices, continuous glucose monitoring systems, infant formula, adult nutritional products, and a portfolio of branded generic pharmaceuticals sold primarily in emerging markets.
    • Abbott sells its products directly to retailers, wholesalers, hospitals, health care facilities, laboratories, physicians' offices, and government agencies worldwide.
    • The company's target market is global, encompassing patients, healthcare providers, and government agencies.
    • We are using the Health Care Select Sector SPDR Fund (XLV) as a benchmark for price performance comparison and AbbVie, Inc. (ABBV) and Eli Lilly & Co. (LLY) as industry peers for comparative analysis.
  2. Financial Performance:

    • Abbott has demonstrated consistent revenue growth, driven by strong demand for its products, particularly in medical devices, established pharmaceuticals, and nutrition.
    • The company's recent acquisitions of Bigfoot Biomedical and Cardiovascular Systems, Inc. are likely contributing to the increase in revenue.
    • Profitability is strong, with positive net income and increasing margins.
    • The company's focus on cost control and pricing power is evident in the increasing gross margin.
    • Efficient operations are contributing to the expanding operating margin.
    • Overall profitability is improving, as indicated by the increasing net margin.
    • ROA, ROE, and ROIC are all increasing, indicating efficient asset utilization and strong profitability.
    • Compared to its peers, ABBV and LLY, ABT has underperformed in terms of both absolute and risk-adjusted returns.
  3. Operational Efficiency:

    • Abbott's liquidity position is strong, with a current ratio and quick ratio greater than 1.
    • The decreasing short-term debt further supports this assessment.
    • However, these ratios are lower than the industry average, suggesting that Abbott may be managing its working capital more conservatively.
    • The company's long-term solvency is also robust, with a low debt-to-equity ratio and a decreasing debt-to-EBITDA ratio.
    • This suggests that Abbott has ample financial flexibility and is not overly reliant on debt financing.
    • Cash flows from core business operations are generally strong, with positive net income and depreciation.
    • Abbott is actively investing in its business, as evidenced by the increasing capital expenditures.
    • The company is also engaging in acquisitions, though the recent activity has been relatively modest.
    • Abbott is returning value to shareholders through dividends, and the company has been reducing its debt levels.
    • Free cash flow is projected to remain healthy, providing ample capacity for debt repayment, dividend growth, and investment in organic growth opportunities.
    • Compared to its peers, ABT has a lower Sharpe Ratio, indicating that it has been less efficient in generating risk-adjusted returns.
  4. Growth Opportunities:

    • Abbott is well-positioned to capitalize on growth opportunities, including the launch of new over-the-counter CGM products, expansion of its biosimilar portfolio, and continued innovation in its medical device businesses.
    • The company's financial flexibility will remain strong, allowing it to pursue future acquisitions and organic growth opportunities.
    • Future cash flows are expected to be strong, supported by the company's robust operating performance and continued investments in growth initiatives.
    • The company's strategic focus areas include diabetes management, cardiovascular devices, and minimally invasive structural heart procedures.
    • Management has demonstrated a history of successfully executing strategic plans, including acquisitions and product launches.
  5. Risks and Threats:

    • The company faces ongoing industry challenges like pricing pressures, regulatory changes, and supply chain disruptions.
    • Litigation and tax disputes remain key risks for Abbott, with a major $495 million jury verdict against the company in a preterm infant formula lawsuit and ongoing battles with the IRS over income allocation.
    • The high volatility in book value per share - tangible may warrant further investigation.
    • The company's diagnostics business is subject to volatility in demand for COVID-19 tests.
  6. Valuation Analysis:

    • Abbott's valuation metrics, such as P/E and EV/EBITDA, are in line with its industry peers.
    • The company's strong financial performance and growth prospects support its current valuation.
    • Potential catalysts for future growth include the launch of new products, expansion into new markets, and continued innovation.
  7. Price Performance:

    • ABT has consistently underperformed its peers, ABBV and LLY, over all the specified periods.
    • The stock's performance has been inconsistent relative to its peers, with periods of outperformance in shorter timeframes, but overall underperformance in longer timeframes.
    • ABT has also consistently underperformed the XLV benchmark over all periods.
    • ABT has been more volatile than XLV, with a higher annualized volatility over all periods.
    • ABT has experienced significantly larger drawdowns than XLV, with a maximum drawdown of 33.88% compared to XLV's 16.06%.
  8. Future Outlook:

    • Management is forecasting full-year adjusted earnings per share of $4.61 to $4.71 and organic sales growth excluding COVID testing sales of 9.5% to 10%.
    • Analyst estimates are generally in line with management guidance, suggesting a positive outlook for the company.
  9. Summary:

    • Abbott Laboratories is a diversified global healthcare company with a strong portfolio of medical devices, diagnostics, nutritional products, and branded generic pharmaceuticals.
    • The company's broad product offerings and geographic reach provide diversification, though it faces ongoing industry challenges like pricing pressures, regulatory changes, and supply chain disruptions.
    • Abbott is actively expanding its capabilities through strategic acquisitions and new product launches, particularly in high-growth areas like diabetes management, cardiovascular devices, and minimally invasive structural heart procedures.
    • The company's financial position is strong, with ample liquidity, low debt levels, and high profitability.
    • Abbott is effectively managing its operating expenses and generating strong cash flow from operations.
    • The company is returning value to shareholders through dividends and has a balanced approach to capital allocation.
    • Litigation and tax disputes remain key risks for Abbott, but the company appears to be navigating these challenges well.
    • Overall, Abbott is well-positioned for continued growth and profitability, but it must continue to innovate, manage costs, and mitigate legal/regulatory risks to drive sustainable long-term growth.
    • ABT's valuation is in line with its peers, but its price performance has lagged behind both its peers and the XLV benchmark.
    • The company's strong financial performance and growth prospects suggest that it is undervalued, but investors should be aware of the risks associated with litigation and tax disputes.
Peer fundamentals 
Fundamentals
Insights
  • Abbott Laboratories is a diversified global healthcare company with a strong portfolio of medical devices, diagnostics, nutritional products, and branded generic pharmaceuticals.
  • The company's broad product offerings and geographic reach provide diversification, though it faces ongoing industry challenges like pricing pressures, regulatory changes, and supply chain disruptions.
  • Abbott is actively expanding its capabilities through strategic acquisitions and new product launches, particularly in high-growth areas like diabetes management, cardiovascular devices, and minimally invasive structural heart procedures.
  • The company's financial position is strong, with ample liquidity, low debt levels, and high profitability.
  • Abbott is effectively managing its operating expenses and generating strong cash flow from operations.
  • The company is returning value to shareholders through dividends and has a balanced approach to capital allocation.
  • Litigation and tax disputes remain key risks for Abbott, but the company appears to be navigating these challenges well.
  • Overall, Abbott is well-positioned for continued growth and profitability, but it must continue to innovate, manage costs, and mitigate legal/regulatory risks to drive sustainable long-term growth.
Analysis
  • Revenue - Abbott's revenue growth is driven by strong demand for its products, particularly in medical devices, established pharmaceuticals, and nutrition. - The company's recent acquisitions of Bigfoot Biomedical and Cardiovascular Systems, Inc. are likely contributing to the increase in revenue. - The company's focus on supply chain initiatives, lower commodity costs, and favorable sales mix is contributing to margin expansion.
    • Profitability
      • Abbott's profitability is strong, with positive net income and increasing margins.
      • The company's focus on cost control and pricing power is evident in the increasing gross margin.
      • Efficient operations are contributing to the expanding operating margin.
      • Overall profitability is improving, as indicated by the increasing net margin.
    • Liquidity
      • Abbott's liquidity position is strong, with a current ratio and quick ratio greater than 1.
      • The decreasing short-term debt further supports this assessment.
      • However, these ratios are lower than the industry average, suggesting that Abbott may be managing its working capital more conservatively.
    • Solvency
      • The company's long-term solvency is also robust, with a low debt-to-equity ratio and a decreasing debt-to-EBITDA ratio.
      • This suggests that Abbott has ample financial flexibility and is not overly reliant on debt financing.
    • Operational Efficiency
      • Abbott's asset utilization efficiency is high, as evidenced by the increasing return on average assets, return on average total equity, return on average total capital, and return on average invested capital.
      • The company is effectively managing operating expenses, as they are increasing at a slower rate than revenue.
    • Cash Flow Analysis
      • Cash flows from core business operations are generally strong, with positive net income and depreciation.
      • Abbott is actively investing in its business, as evidenced by the increasing capital expenditures.
      • The company is also engaging in acquisitions, though the recent activity has been relatively modest.
      • Abbott is returning value to shareholders through dividends, and the company has been reducing its debt levels.
    • Risk Factors
      • The high volatility in book value per share - tangible may warrant further investigation.
      • The company faces ongoing industry challenges like pricing pressures, regulatory changes, and supply chain disruptions.
      • Litigation and tax disputes remain key risks for Abbott, with a major $495 million jury verdict against the company in a preterm infant formula lawsuit and ongoing battles with the IRS over income allocation.
    • Future Outlook
      • Abbott is well-positioned to capitalize on growth opportunities, including the launch of new over-the-counter CGM products, expansion of its biosimilar portfolio, and continued innovation in its medical device businesses.
      • The company's financial flexibility will remain strong, allowing it to pursue future acquisitions and organic growth opportunities.
      • Future cash flows are expected to be strong, supported by the company's robust operating performance and continued investments in growth initiatives.
      • Free cash flow is projected to remain healthy, providing ample capacity for debt repayment, dividend growth, and investment in organic growth opportunities.
Most recent earnings report
Financial statements 
All public filings
Comparative Analysis
Benchmarks (as of 2024-08-08)
Health Care Select Sector SPDR Fund (XLV)
  • Performance Comparison:
    • ABT has consistently underperformed XLV over all periods, with the largest underperformance being 23.0% over the past 3 years. This suggests that XLV has been a better investment than ABT over the long term.
  • Risk and Return Analysis:
    • ABT has provided lower annualized returns than XLV over all periods, with the largest difference being 7.4% over the past 3 years. This suggests that XLV has been a more profitable investment than ABT.
    • ABT has been more volatile than XLV, with a higher annualized volatility over all periods. This suggests that ABT is a riskier investment than XLV.
    • ABT has experienced significantly larger drawdowns than XLV, with a maximum drawdown of 33.88% compared to XLV's 16.06%. This further supports the notion that ABT is a riskier investment than XLV.
  • Risk-Adjusted Performance:
    • XLV has consistently offered a better risk-adjusted return than ABT, as indicated by its higher Sharpe ratio over all periods. This suggests that XLV has been a more efficient investment than ABT.
    • ABT's beta values suggest a lower risk profile than the overall market, but slightly higher than XLV. This indicates that ABT is slightly more sensitive to market movements than XLV.
  • Overall Assessment:
    • ABT has consistently underperformed XLV over all periods, with lower annualized returns and higher volatility. This suggests that XLV has been a better investment than ABT over the long term. ABT's higher volatility and larger drawdowns indicate a higher risk profile, while its lower Sharpe ratio suggests that it has been less efficient in generating risk-adjusted returns.
    • While ABT's beta values suggest a lower risk profile than the overall market, they are slightly higher than XLV's, indicating that ABT is slightly more sensitive to market movements.
    • Overall, the analysis suggests that XLV has been a more attractive investment than ABT, offering higher returns with lower risk. However, it is important to note that past performance is not indicative of future results, and investors should conduct their own due diligence before making any investment decisions.
Peers Price History(as of 2024-08-08)
  • Performance Comparison:
    • ABT has consistently underperformed its peers, ABBV and LLY, over all the specified periods. This underperformance is particularly pronounced over longer periods, such as the 3-year period, where ABT has underperformed ABBV by -93.61% and LLY by -232.93%.
    • The stock's performance has been inconsistent relative to its peers, with periods of outperformance in shorter timeframes, such as the 1-month period, but overall underperformance in longer timeframes.
  • Risk and Return Analysis:
    • ABT has provided lower annualized returns than its peers, ABBV and LLY, over all the specified periods. For example, over the 3-year period, ABT's annualized return was -1.97%, while ABBV's was 23.38% and LLY's was 48.45%.
    • ABT's annualized volatility has been lower than LLY's but higher than ABBV's. This suggests that ABT has been more volatile than ABBV but less volatile than LLY.
    • ABT has experienced the largest maximum drawdown of 33.88% in Q4 2023, indicating a higher risk profile compared to its peers. This suggests that ABT's price can decline more significantly than its peers during market downturns.
  • Risk-Adjusted Performance:
    • ABT's Sharpe Ratio has been lower than LLY's, indicating that LLY has offered a better risk-adjusted return.
    • ABT's beta value has been below 1, suggesting that it is less sensitive to market movements than the overall market. However, its beta has been increasing in recent periods, indicating a potential increase in risk.
  • Overall Assessment:
    • ABT has consistently underperformed its peers, ABBV and LLY, in terms of both absolute and risk-adjusted returns. The stock has also exhibited a higher risk profile, as evidenced by its larger maximum drawdown.
    • The increasing volatility and beta values of ABT in recent periods suggest a potential increase in risk.
    • Investors should carefully consider the stock's underperformance, higher risk profile, and recent trends before making any investment decisions.
Peers Fundamentals(as of 2024-06-30)
  1. Market Position and Size:
    • ABT is significantly smaller than its peers, ABBV and LLY, based on market capitalization and key financial metrics like revenue, EBITDA, and net income. This suggests that ABT is a smaller player in the medical specialties industry compared to its peers.
  2. Profitability and Efficiency:
    • ABT's profitability metrics are generally lower than its peers and the industry average, indicating that it may face challenges in achieving higher profitability compared to its larger peers.
    • ABT's operating efficiency is better than the industry average, but still lags behind its peers.
  3. Financial Health and Stability:
    • ABT's liquidity position is better than its peers, but lower than the industry average.
    • ABT's debt position is significantly better than its peers and the industry average, indicating a strong financial stability.
  4. Valuation and Market Perception:
    • ABT's valuation metrics are generally lower than its peers and the industry average, suggesting that the market may perceive ABT as less valuable than its peers and the industry average.
  5. Cash Flow and Capital Management:
    • ABT's cash flow generation strength is mixed. While it generates significantly more free cash flow than LLY, it lags behind ABBV, despite being a smaller company. This suggests that ABT may need to improve its cash flow generation capabilities to compete with its larger peers.
  6. Growth and Future Prospects:
    • ABT's growth metrics indicate a mixed performance compared to its peers. While it shows strong growth in free cash flow and free cash flow margin, it lags behind in revenue growth, profitability, and return on equity. This suggests that ABT may need to improve its growth trajectory to compete with its larger peers.
  7. Potential for Investment:
    • ABT's investment attractiveness is mixed. While it has a strong financial stability and generates more free cash flow than LLY, it faces challenges in achieving higher profitability and growth compared to its larger peers. The market may also perceive ABT as less valuable than its peers and the industry average.
  8. Key Risks and Considerations:
    • ABT's lower profitability and slower growth compared to its peers may pose risks to its future performance and market share.
    • The market's perception of ABT as less valuable than its peers could limit its ability to raise capital or attract investors.
  9. Overall Assessment:
    • ABT is a smaller company in the medical specialties industry with a strong financial stability and cash flow generation capabilities. However, it faces challenges in achieving higher profitability and growth compared to its larger peers. The market may also perceive ABT as less valuable than its peers and the industry average. Investors should carefully consider these factors before making any investment decisions.