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Author: Labadal   😊 😞
Number: of 5386 
Subject: Mungofitch: Healthcare Ideas
Date: 01/15/26 7:37 PM
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No. of Recommendations: 5
I just read a recent GMO Insights piece, titled "Quality Opportunities in Healthcare." The piece leads with, In markets, short-term underperformance can often set the stage for a compelling long-term opportunity. Although healthcare was the S&P 500’s worst-performing sector over the past year (from 9/30/24 to 9/30/25), innovation remains strong, demographic trends are supportive, and valuations have fallen to attractive levels. In our opinion, areas within the sector present fertile ground for quality-focused investors.

https://www.gmo.com/americas/research-library/qual...

This reminded me of a screen that mungofitch had proposed either on this board, another Shrewd'm board, or one of the boards at the Fool. I sort of remember the screen being ROE-based in the medical device industry, perhaps including other medical-related industries. The only Shrewd'm posts of his containing the phrases "medical device" or "medical devices" are these three, but they're not the one I'm thinking of:

https://www.shrewdm.com/MB?pid=739527066

https://www.shrewdm.com/MB?pid=669381202

https://www.shrewdm.com/MB?pid=740556794

Jim, are you able to remember the screen I'm thinking of, and post its details here? If so, thanks a bunch! It might be time to break out that screen and put some capital behind it!
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Author: rayvt   😊 😞
Number: of 5386 
Subject: Re: Mungofitch: Healthcare Ideas
Date: 01/15/26 8:06 PM
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This may be the one you are thinking of. This Jim's post is from June 2021.

---------------
https://boards.fool.com/what-stock-or-fund-would-y...
https://boards.fool.com/an-equally-weighted-portfo...

An equally weighted portfolio of all the stocks covered by Value Line in the industries "Medical Supplies - Invasive (8060)" and "Medical Supplies - Non Invasive (3842)".

I recommend rebalance and reconstituting the portfolio periodically, but it doesn't mean much trading as firms don't change industries quickly.
You could do it annually and get much the same result.

Since 1986, that set has averaged about 55 stocks.
If that's too much typing, limit it to (say) 20 or 30 stocks by choosing the ones with the highest fraction of cash in their market cap.
That way they're probably either immensely profitable or very well funded : )

....
This assumes reconstituting the portfolio every 6 months.
...
If you posted twice a year on the MI board asking for a list, I'm sure someone would oblige.
...
You don't need to have the latest week's issue, as the list changes so slowly.
It still seems to give nice results just checking twice a year.
...
Their larger full entire database, usually called the "Plus" or "Extended" edition, currently has 5657 stocks, but the smaller ones have relatively little information coverage.
I was testing only the subset that have full coverage, those in the traditional "Value Line 1700" stock edition.
If for some reason you can't find the list in the 1700 stock edition, but you have access to the full edition,
you can get the same set by adding the requirement that the stock have a valid "Timeliness" ranking.
That data field exists only for stocks in the standard 1700 stock subscription.
Don't require it to be a good Timeliness ranking, just require that it have one. (anything 1-5).

----------------------------------------------
11/4/2021 https://boards.fool.com/ps-what-is-this-quotrebala...
FWIW, to get an idea of what firms it would recommend, this is the current list.
ABT ABMD ADPT ALGN ABC ANGO AVNS BAX BDX BIO BSX CAH CTLT
CRL CNMD COO CRY CUTR XRAY DXCM EW NVST GKOS GMED HAE HRC
HOLX ICUI IDXX ILMN NARI INGN INSP PODD IART ISRG IVC IRTC JNJ
LIVN MASI MCK MDT VIVO NTUS NEOG NVRO NVCR NUVA OMCL PDCO PEN
QDEL RMD HSIC SILK SDC STE SYK SRDX TNDM TFX WST ZBH

My "top 15" picks would be
QDEL ICUI NUVA DXCM NEOG SRDX IVC CUTR NTUS INGN OMCL PODD CRY GKOS IART
No dividends, average 5-year rate of growth of sales per share 13%/year, average cash about 15% of market cap.

==================

As for the return, I think this is an example of what you were asking about:
* Value Line stocks, standard edition (average 1658 stocks)
* Stock has any valid Timeliness rating (average 1512 stocks)
* in those two industries (average 59.4 stocks)
* No dividend (average 32.4 stocks)
* Sales-growth 5 year greater than zero (average 23.4 stocks)
* Equally weight them all, reconstitute and rebalance each two months
* Round trip trading costs estimated at 0.4%

Result Jan 1997 to Nov 1 2021, 21.4%/year.

Screen S&P
1997 1.5 27.9
1998 14.2 34.5
1999 15.2 18.4
2000 34.4 -10.8
2001 53.8 -8.0
2002 5.4 -18.9
2003 56.1 23.0
2004 16.3 8.9
2005 25.3 7.5
2006 2.0 13.8
2007 37.5 1.9
2008 -37.6 -32.9
2009 51.3 25.5
2010 22.0 14.2
2011 2.8 2.5
2012 28.6 17.1
2013 34.2 27.6
2014 29.9 12.9
2015 15.0 1.9
2016 23.8 14.4
2017 37.8 21.8
2018 20.1 -3.5
2019 32.5 29.9
2020 34.8 16.9
2021 17.6 25.2

Average 12.1% better than S&P

---------------------------------
This strategy works very nicely with the "Information Services" and "IT Services" industries, too.
(About 81 matches) (About 38 with a Timeliness)

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Author: RAMc   😊 😞
Number: of 5386 
Subject: Re: Mungofitch: Healthcare Ideas
Date: 01/15/26 10:16 PM
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No. of Recommendations: 8
Jim’s initial post on the subject I believe was:
Mungofitch A simple industry screen 9/1/2020
“””As has been noted here from time to time, some industries are just plain better long run performers than others.
They have better economic characteristics. Retail will probably forever be a dud on average, and beer will probably stick around.

A random post from 2012, for example, mentions medical devices, among others, as a good long run bet.
https://boards.fool.com/jeremy-siegel-looked-at-th......

Medical devices have remained a long term good bet.
I still use the Value Line database, so I`ll use their 100-industry classification.

In mid 2011, Value Line split their medical supplies industry ("MEDSUPPL" or 8060) in two, invasive ("MEDICINV" or 8060) and non-invasive ("MEDICNON", not sure the number).

From 2011 to August this year, an equally weighted portfolio of those two industries has beat the S&P 500 by a quite remarkable 4.7%/year before friction.
It beat the S&P in all of the individual calendar years 2012-2019, and year to date.
That`s an average of just under 60 stocks, close to half in each industry.

If you stick to the 20 stocks with the highest sales growth, it gets better.
The rate of sales growth changes quite slowly, and industry changes almost not at all, so the turnover is negligible.
I used the sum of the 1-year and 5-year annualized rates of growth of sales per share, though using just the 5-year rate gives essentially identical results.
This beat the S&P 500 by 10.0%/year, after 0.4% friction, 1997 to July 2020.
Returns are almost indistinguishable trading every 1, 2, 3, or 4 months, though 2 looks nicest by a hair.
It beat the S&P in all but two calendar years since 2000, including year to date: 2006 and 2008.
It gave a positive return in all but two years since 1997: 1999 and 2008, so only 2008 was both negative and underperforming this century, about 6% worse than the S&P.

Even though it`s possible for something to change the economic characteristics of an industry, there`s something to be said for "simple".

Jim”””
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Author: lizgdal 🐝  😊 😞
Number: of 1171 
Subject: Re: Mungofitch: Healthcare Ideas
Date: 01/16/26 10:50 AM
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No. of Recommendations: 9
Labadal wrote: I sort of remember the screen being ROE-based in the medical device industry, perhaps including other medical-related industries.

This sounds like a merge of two separate mungofitch ideas. One idea is using a high ROE criteria to pick from all stocks. A second idea is Medical Devices, maybe sorted by sales growth or cash.

mungofitch wrote: A couple of my suggestions would be a collection with unusually high ROE, which is simplest. Or a collection of stocks in industries with unusually good long run economics, like medical devices. https://yorickm.com/Message.php?pid=35126464

mungofitch wrote: Industry either MEDICINV "Medical Supplies Invasive" or MEDICNON "Medical Supplies Non Invasive" Then pick a final sort. Two suggestions were highest 5 year sales growth rate, or highest cash-to-market-cap ratio. https://yorickm.com/Message.php?pid=35126464

mungofitch is not a fan of the medical device ETFs (because of poor weighting), but here they are:

Symbol  3 Year  5 Year  ETF Name
IHI 5.12% 2.75% iShares U.S. Medical Devices ETF
MDEV 2.73% N/A First Trust Indxx Medical Devices ETF
XHE -1.63% -5.72% State Street SPDR S&P Health Care Equipment ETF


======================
Some past posts:

Author: mungofitch
Subject: A simple industry screen
Date: 9/1/2020
"... Medical devices have remained a long term good bet. I still use the Value Line database, so I`ll use their 100-industry classification. In mid 2011, Value Line split their medical supplies industry ("MEDSUPPL" or 8060) in two, invasive ("MEDICINV" or 8060) and non-invasive ("MEDICNON", not sure the number). From 2011 to August this year, an equally weighted portfolio of those two industries has beat the S&P 500 by a quite remarkable 4.7%/year before friction. It beat the S&P in all of the individual calendar years 2012-2019, and year to date. That`s an average of just under 60 stocks, close to half in each industry. If you stick to the 20 stocks with the highest sales growth, it gets better. ..."
https://yorickm.com/Message.php?pid=34606949


Author: mungofitch
Subject: Re: OT bond funds
Date: 6/11/2022
"... Actually I said nice things about investing in the stocks, not the ETF. Most ETFs are cap weighted = bad. Two reasons: too concentrated to do well (cap weight is bad), and in this case heavily concentrated in more diversified firms that aren`t as purely medical devices/supplies. See post 278840 What I tested and recommended was a classic MI screen (so not off topic!) Value Line set Industry either MEDICINV "Medical Supplies Invasive" or MEDICNON "Medical Supplies Non Invasive" Then pick a final sort. Two suggestions were highest 5 year sales growth rate, or highest cash-to-market-cap ratio. ..."
https://yorickm.com/Message.php?pid=35126464

Some mungofitch Medical Device posts:

Year                      Post
2012 https://yorickm.com/Message.php?pid=30023922
2012 https://yorickm.com/Message.php?pid=30197509
2012 https://yorickm.com/Message.php?pid=30248710
2012 https://yorickm.com/Message.php?pid=30248735
2012 https://yorickm.com/Message.php?pid=30249134
2013 https://yorickm.com/Message.php?pid=30736639
2013 https://yorickm.com/Message.php?pid=30880542
2013 https://yorickm.com/Message.php?pid=30978151
2016 https://yorickm.com/Message.php?pid=32222995
2016 https://yorickm.com/Message.php?pid=32255663
2020 https://yorickm.com/Message.php?pid=34469817
2020 https://yorickm.com/Message.php?pid=34606949
2021 https://yorickm.com/Message.php?pid=34710044
2021 https://yorickm.com/Message.php?pid=34710598
2021 https://yorickm.com/Message.php?pid=34865523
2021 https://yorickm.com/Message.php?pid=34956956
2022 https://yorickm.com/Message.php?pid=35126464



Some quotes from these posts:

For business model sustainability, there`s not much you can do from a quant point of view other than filter out the businesses that have had historically high failure rates, low average returns, or occasional panics/blowups. It never makes sense to put money in airlines, for example. You`re way better off with things like drugs, cosmetics, oil, medical devices, hotel&gaming.

There are some industries which have fundamentally good economics, and others which have fundamentally bad economics. The past won`t tell you exactly what`s best mainly because a given sector might be overvalued or undervalued right now, but it`s probably a pretty good general guide. In the next 30 years medical devices are still going to be in the top quartile and airlines are still going to be in the bottom quartile. Try a simple screen of only only those things in the top N industries by past performance followed by a simple 1-year momentum sort (RRS preferably).

Jeremy Siegel looked at the last 100 years of sector performance in his book "Stocks for the Long Run" and found that cosmetics, energy, pharmaceuticals, booze, tobacco, and medical device makers tend to have been the best industries to be in over the long run. That matches almost perfectly with my own research. Medical supplies, beer, armaments, pharmacy services, hotels/gaming have also done well. Much to my surprise basic chemicals and rails made the top 10 too. My work goes back only around 40 years.

Unless and until you have a very good reason to think otherwise in a specific case, the smart money bets that medical devices will do better than airlines, that beer will do better than clothes, and that soap will do better than paper. When in doubt go with the "base rate" for the situation under consideration.

That being said, I do believe that there are some industries that are simply better bets than others because they have structurally better business economics. I expect medical devices will probably continue to beat airlines, and cosmetics will still beat textiles.

Despite what people might tell you (EMH?), some businesses simply have better long run average economics than others. The "drugs" industry remains one of the ones that seems better than a average over the long haul. Some other good ones seem to be medical devices, makeup, oil, hotels&gaming.

Here`s an idea if you`re a fan: Try a low P/S screen limited to industries with commodity-like competition. e.g., exclude drugs, medical devices, branded consumer staples, beverages, tobacco, arms. Rather than building a list, you could simply pick out (say) the 2/3 of industries with the lowest industry-wide return on sales or return on equity, then do relative P/S within just those lower-markup businesses.

The general philosophy here: (1) take care of the risk, and the returns will take care of themselves. At least with that metric. (2) since you`re including sectors and perhaps industries, to a certain extent you`ll end up drifting towards those that have the best average long run returns, while avoiding chasing bubbles as might happen with a pure CAGR metric. You don`t want to get put into internet stocks in 2000-2001. The goal is to get put into (say) medical devices and gaming and makeup, not transport and toys and thrifts.

For example, historically some good winning industries have been drugs, medical devices, hotels and gaming, cosmetics, beer, rails, pharmacy services, oil. Tobacco was best by a wide margin for a long time, if you have the stomach for it. Similarly, if using backtests to do it, I`d use backtests of rankings of industries by their average value of some metrics, then use that test to decide which industry ETFs to buy. Much longer backtest than anything ETF based.

For individual stock screening some of my favourite criteria would be five year average ROE (available at the FT.com screener), and price to five year average EPS. I`d eliminate a number of industries, though, as their economics are unlike those of simple product and service forms for whom EPS works. As a general rule I`d skip banks, miners and commodities, utilities.

There is also much to be said for some very simple conservative "KISS" quant investing. This is the MI board. Buy 25 stocks that all meet reasonable criteria for being unusually predictable in their trend of rising value (not price). A couple of my suggestions would be a collection with unusually high ROE, which is simplest. Or a collection of stocks in industries with unusually good long run economics, like medical devices.
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Author: mungofitch 🐝🐝 SILVER
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Number: of 1171 
Subject: Re: Mungofitch: Healthcare Ideas
Date: 01/18/26 8:28 AM
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No. of Recommendations: 11
A health warning: as with so many screens that worked for ages in backtest, this is an approach that stopped adding value not long after the suggestion was made. Of course: MI meets Murphy. And Mungo's curse.

It's true I noticed that it was a better than average industry over the long haul, among a few others, quite a while ago. But the suggested MI screen stopped outperforming around end 2019 right when I was posting some backtests, and started underperforming strongly, at least for a while, around mid 2022. Didn't keep up with SPY in 2021, 2022, 2023, or 2024. Though the 2020-2024 CAGR was 12%, which is hardly a wipeout at least. I don't know what happened in 2025.

An interesting way to try to figure out if it might recover when market dynamics change from their current setting, or should be relegated to the scrap heap of overmined history: check the median sales growth rates, ROE, and P/S and P/E valuation multiples of the picks in the last couple of years that it worked. Compare that to current figures. If the group's typical business success metrics are still good (the first 2 things), but the valuations are better (last 2), then it's a good omen that it might start working again when people stop buying nothing but gold and LLMs.

Jim
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