BB Adamant Medtech & Services (Lux)

Medtech & Services is an investment in 10% of global gross domestic product: Healthcare sector excluding drugs 

Bottom line: above-average and steady growth compared to the broad market

 Focusing on profitable, liquid mid and large cap companies with an established product portfolio

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Investment Focus

ISIN-No. LU0415391431

The Fund invests worldwide in companies active in the medical technology and healthcare services sector. Stock selection is based on fundamental company analysis, focusing in particular on the medical benefits and the potential savings for the healthcare system as well as the expected market potential of a company’s products and services.

Indexed performance (as at: 22.10.2021)

NAV: EUR 691.07 (21.10.2021)


Fonds (Brutto)
01 Jan 2010 - 01 Jan 2010
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Rolling performance (21.10.2021)

B-EURBenchmark
21.10.2020 - 21.10.202124.72%26.44%
21.10.2019 - 21.10.202011.53%16.70%
21.10.2018 - 21.10.201911.28%19.94%
21.10.2017 - 21.10.201824.44%21.80%

Annualized performance (21.10.2021)

B-EURBenchmark
1 year24.72%26.44%
3 years15.63%20.90%
5 years16.08%19.03%
Since Inception p.a.15.25%18.60%

Cumulative performance (21.10.2021)

B-EURBenchmark
1M0.59%-1.84%
YTD20.01%21.05%
1 year24.72%26.44%
3 years54.79%76.98%
5 years110.83%139.07%
Since Inception454.32%683.48%

Annual performance

B-EURBenchmark
20206.24%13.62%
201928.45%34.08%
201817.43%16.34%
201713.87%14.41%

Investment Focus

The Fund invests worldwide in companies active in the medical technology and healthcare services sector. Aim is to provide investors an attractive Healthcare Fund solution by investing in the entire healthcare universe with the exclusion of drug makers. Experienced sector specialists focus on profitable, liquid mid- and large-cap companies with an established product portfolio as well as fast growing small-cap companies with leading-edge technology offering. Stock selection is based on fundamental company analysis, focusing in particular on the medical benefits and the potential savings for the healthcare system as well as the expected market potential of a company’s products and services. A global network of experts spanning scientific and industrial fields supports the Management Team in forming opinions and making investment decisions. The selection of the portfolio companies is entirely bottom-up, independent of benchmark weightings.Show moreShow less

Investment suitability & Risk

Low risk

High risk

The Fund’s investment objective is to generate attractive and competitive capital growth in the long term. It is therefore particularly suited to investors with an investment horizon of at least 5 years who want to selectively diversify their portfolio with investments in the medical technology sector and who are willing to accept the equity risks typical of this sector.

General Information

Investment ManagerBellevue Asset Management AG
CustodianRBC Investor Services, Luxembourg
Fund AdministratorRBC Investor Services, Luxembourg
AuditorPWC, Luxembourg
Launch date28.09.2009
Year end closing30. Jun
NAV CalculationDaily "Forward Pricing"
Cut of time15:00 CET
Management Fee1.60%
Subscription Fee (max.)5.00%
ISIN numberLU0415391431
Valor number3882623
BloombergBFLBBBE LX, M0U1 GF
WKNA0RP23
Total expense ratio (TER)2.21% (30.09.2021)

Legal Information

Legal formSICAV Luxembourg jurisdiction
SFDR categoryArticle 8

Key data (30.09.2021, base currency EUR)

Beta1.03
Volatility23.30
Tracking error8.62
Active share39.02
Correlation0.93
Share ratio0.67
Information ratio-0.49
Jensen's alpha-5.66
No. of positions57

Top 10 positions

Abbott Laboratories
Danaher
Boston Scientific
Intuitive Surgical
Becton Dickinson
Stryker
Edwards Lifesciences
IDEXX
UnitedHealth
Dexcom
9.6%
6.1%
5.8%
5.7%
5.0%
5.0%
4.2%
3.3%
3.1%
3.1%

Market capitalization

0 - 1 bn
1 - 2 bn
2 - 5 bn
5 - 15 bn
15 - 20 bn
> 20 bn
Others
0.1%
1.1%
2.3%
10.5%
6.5%
78.1%
1.4%

Geographic breakdown

United States
Switzerland
Denmark
Australia
Japan
Cash
91.2%
4.6%
1.1%
1.0%
0.9%
1.2%

Breakdown by sector

Cardiology
Managed Care
Life Science Supply
Surgery
Orthopedics
Diabetes
Ophthalmology
Dental
Neuromodulation
Others
Cash
22.7%
14.8%
11.4%
9.1%
7.2%
5.9%
3.9%
3.8%
2.6%
17.5%
1.2%

Currency

USD
CHF
EUR
DKK
JPY
92.1%
4.6%
1.2%
1.1%
0.9%

Opportunities

  • Digitalization of the healthcare sector is boosting medtech companies’ growth and earnings.
  • Focusing on profitable, liquid mid and large cap companies with an established product portfolio as well as on rapidly growing small cap businesses delivering cuttingedge technology.
  • Managed care profits from the privatization of the health insurance sector and lower treatment costs.
  • Minimally invasive techniques gaining ground – shorter treatment times reduce healthcare costs.
  • Bellevue – Healthcare pioneer since 1993 and today one of the biggest independent investors in the sector in Europe.

Risks

  • Equities are subject to strong price fluctuations and so are also exposed to the risk of price losses.
  • The fund invests in foreign currencies, which means a corresponding degree of currency risk against the reference currency.
  • The fund may invest in financial instruments that might have a relatively low level of liquidity, which can in turn affect the fund’s liquidity.
  • Investing in emerging markets entails the additional risk of political and social instability.
  • Increased opportunities through possible derivative transactions go hand in hand with increased risk of losses.

September was a month of negative returns as global stocks (MSCI World Net -2.2%), the Euro Stoxx 50 (-3.4%) and Germany’s Dax index (-3.6%) all headed south. Macro factors, such as rising US bond yields and uncertainties in China, were mostly to blame for the stock market weakness. The medtech sector (MSCI World Healthcare Equipment & Supplies (-2.6%) and the BB Adamant Medtech & Services Fund (-2.3%) were unable to escape the general sell-off either. There have also been signs of rising input costs, supply chain challenges and labor shortages in the healthcare sector, but, generally speaking, these factors have had a much milder impact compared to what other sectors are experiencing.

Baxter (+8.0%) and Avantor (+5.8%) delivered positive returns. Both announced major acquisitions. Baxter issued a bid for Hill-Rom, a manufacturer of hospital beds, for USD 11.7 bn, while Avantor is taking over supplier Masterflex (bioprocessing) for USD 2.7 bn. Thermo Fisher Scientific's shares (+5.1%) rose after management presented a significantly stronger growth forecast at its Capital Markets Day. Diabetes specialists Dexcom (+5.4%) and Tandem Diabetes Care (+8.6%) also made good gains. Dexcom expects that almost all type 1 diabetics will be using a continuous glucose monitoring device by 2025. This would also benefit Tandem Diabetes Care, an insulin pump manufacturer that offers the most advanced sensor-augmented insulin pump for automated insulin delivery.

Selling in September largely erased the gains that the growth stocks Axonics (-11.4%), Abiomed (-8.7%), Idexx (-5.8%), Align (-4.2%) and Intuitive Surgical (-3.7%) had made in the previous month. Innovative large cap medtech companies such as Abbott (-4.6%), Danaher (-4.1%) and Medtronic (-3.7%) also declined in the wake of the rotation toward value stocks.

US health insurers generally traced the broader market’s moves in September after their weak showing in the previous month, but their performance was mixed. Molina (+3.0%), Anthem (+1.7%) and Centene (+1.0%) advanced, while United Health (-3.9%), Cigna (-3.1%) and Humana (-1.9%) traded lower. Investors have been wary about the “double whammy” of extra costs due to COVID-19 and the resumption of postponed medical treatments, which is why US health insurers are trading at a significant discount of about 30% versus the total market. The publication of third-quarter results in October should eliminate much of this uncertainty. We expect the companies we cover to provide their initial guidance for the 2022 financial year and these forecasts should narrow their discount versus the market. All performance data is in EUR / B shares.

Even without a normalization of the coronavirus situation, the sector-specific structural growth factors such as rising life expectancy and high rates of innovation will sustain the medtech & services sector's above-average growth versus the overall economy and power its high rates of profit growth.

Vaccination rates in key medtech & services markets (North America, Europe and Japan) were still trending higher at the end of September. Between 68% and 81% of the population in major Western European countries have already received at least one dose of a coronavirus vaccine. In the US, 64% of the total population is vaccinated and in Japan 71%.

This is an important prerequisite for achieving herd immunity in these countries without a significant increase in hospitalizations. Vaccine booster shots and oral antiviral therapies, a recent development, will also be available to prevent and treat COVID-19 infections. The number of elective procedures should therefore continue to normalize during the course of 2021 and 2022.

The Medtech & Services Fund invests in the entire healthcare market except for the drug developers. As a fully adequate healthcare investment vehicle, the fund aims to generate a significantly higher return than a traditional healthcare fund but with a comparable risk profile. The medtech & services sector is one of the stock market's most defensive sectors with sustainable outperformance potential and that is one reason for the unqualified success of our investment strategy. This and the additional growth from non-emergency treatments that had to be postponed during the pandemic create attractive entry points for investors.

Past performance is not a reliable indicator of future results and can be misleading. As the sub-fund is denominated in a currency that may differ than an investor’s base currency, changes in the rate of exchange may have an adverse effect on prices and incomes. Performance is shown net of fees and expenses for the relevant share class over the reference period. All performance figures reflect the reinvestment of dividends and do not take into account the commissions and costs incurred on the issue and redemption of shares, if any. Individual costs are not taken into account and would have a negative impact on the performance. With an investment amount of EUR 1,000 over an investment period of five years, the investment result in the first year would be reduced by the front-end load of up to EUR 50 (5%) as well as by additional individual custody charges. In subsequent years, the investment result would also be reduced by the individual custody account costs incurred. The reference benchmark of this class is used for performance comparison purposes only (dividend reinvested). No benchmark is directly identical to a sub-fund, thus the performance of a benchmark is not a reliable indicator of future performance of the sub-fund it is compared to. There can be no assurance that a return will be achieved or that a substantial loss of capital will not be incurred. All figures in base currency in %, calculated by the total return / BVI method.Show moreShow less

  • Lead Portfolio Manager

    Stefan Blum

    Stefan Blum joined Bellevue Asset Management in 2008 and is portfolio manager of the funds BB Adamant Medtech & Services and BB Adamant Digital Health. Prior to joining Bellevue Asset Management, he spent 4 years as head of investor relations at Sonova. As a financial analyst at Bank Sarasin, he covered medical technology and high tech stocks. After that he served as CFO of Obtree Technologies Inc. Stefan Blum obtained a degree in business administration from the University of St. Gallen and is CEFA charterholder.
  • Portfolio Manager

    Marcel Fritsch

    Marcel Fritsch joined Bellevue Asset Management in 2008 as portfolio manager of the BB Adamant Medtech & Services and BB Adamant Digital Health Fund. Prior to that, he spent more than 3 years as a consultant with Deloitte & Touche. Formulating company strategy, evaluating organizational structures and valuing companies prior to corporate transactions were among his duties in this function. Marcel Fritsch holds a degree in business economics from the University of St. Gallen (HSG).
  • Analyst

    Mateusz Niedzwiecki

    Mateusz Niedzwiecki has been a Healthcare Analyst at Bellevue Asset Management since 2021. Before joining Bellevue Asset Management, he worked in general and trauma surgery at the Horgen Hospital and most recently at the department of Urology at the University Hospital Zurich. He holds a degree in medicine from the University of Zurich.
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