Forum Topics RMD RMD Risks

Pinned straw:

Added 2 months ago

Sharing some thoughts out loud from the worrier in my head. Might be my mood today.

What happened at Philips in recent years—with so much value lost following a major product recall—got me thinking about the possibility of something similar happening at ResMed.

Looking back through ResMed’s history, there have been a few recalls of varying scale (as with Cochlear too), with the last large-scale device recall dating back to 2007. On top of that, there are plenty of negative customer reviews online that don’t quite align with the company’s polished brand image.

While those reviews should be taken with a grain of salt, together with the recall history they suggest a business that may be a little more fragile than I first considered. I’m still a holder, as ResMed continues to appear best-in-class despite these risks—but it’s worth keeping in mind when weighing up the overall risk profile. What happened to Philips could happen to ResMed too, though I see it as simply part of the territory when investing in medical device companies

On a side note, I had a similar thought about Nick Scali. Their customer reviews don’t seem to match the company’s polished public image. In fact, some of the worst retail reviews I’ve ever seen came from them—particularly during the COVID lockdowns, but also beyond that. The poor feedback was partly hidden by combining reviews from their furniture repair arm which was received fantastically, with those of the retail business. At one point there was even an “I Hate Nick Scali” Facebook group with around a thousand members who felt scammed. Yet despite all that, profits kept growing showing sometimes product quality may not matter as much as we think.

thunderhead
Added a month ago

It's a valid risk, but my issue with left-field events like a material product recall is how do you handicap the odds and factor it into your valuation?

The only way to guard against it is to manage your position size, and that too varies from investor to investor based on their individual risk tolerance.

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Solvetheriddle
Added 2 months ago

@PhilO , what you say is possible, and i group within the broad equity risk bucket. i wrote a blog "The Trouble with Phil" which referenced Phil Fisher's scuttlebutt method, and basically, i said beware small samples or biased samples and extrapolating them. for RMD NCK or whoever, you will always get adverse feedback. what may be interesting is tracking the feedback over time, and it is trending above sales over several years, which could have information value, if, for example, the trend suddenly worsens.

on a broader view, i am falling into the bucket of giving the company the benefit of the doubt if it has an impeccable profits record until i see evidence in the numbers. Maybe that is a bit too late for some, but chasing maybes can be an expensive exercise as well.

hold both NCk RMD

good luck

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PhilO
Added 2 months ago

Yes, I agree @Solvetheriddle — it’s the trend in customer sentiment over time that really tells the story. I’ll take a look at “the trouble with Phil” article - great title!

Whilst review sites are supposed to be balanced, they often get complainers and I’ve seen how easily reviews can be gamed — from companies only asking happy customers to leave feedback, to prompting reviews before the service is even completed. So I usually take them with a grain of salt.

But with Nick Scali, it felt different. The surge in bad reviews didn’t look manipulated or isolated — for a while there, it seemed like a large portion of customers were getting faulty furniture. My theory was they’d lost control of their drop-shipping model after switching to manufacturers who couldn’t maintain quality. A Facebook group formed and grew quickly to around a thousand frustrated customers pushing for investigations and legal action. It really looked like a systemic breakdown. Yet despite all that, profits kept climbing. 

With ResMed, the history of reviews just suggest that it’s a fragile product where a lot can go wrong. It’s obvious from their long term financial growth that they’re best-in-class and probably still the best option. It just doesn’t seem to be a product that’s widely loved by its customers as much as I thought. More one that’s tolerated. Maybe that’s good enough. I continue to hold Resmed

I once held Nick Scali also but sold at around $9 for the above reasons.

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mikebrisy
Added 2 months ago

@PhilO you make a very important point.

Especially in medical devices (and also in pharma), a "high impact" quality issue (like a recall) can become an existential crisis. And there is almost nothing management can do to assure investors of how well they are managing that risk, although an orange flag to me is if they ever come across as complacent.

There are some things to look out for when assessing this risk. I'll highlight the high risk factors I consider:

  1. A single product or concentrated product portfolio
  2. Concentrated manufacturing facilities
  3. One or few markets
  4. High reliance on outsourced providers, however, an early stage company trying to do things in-house can be higher risk than using best-in-class vendors! After all, contracting manufacturing is itself a capability.


Several years ago, at an investor call, I remember asking David Williams (Chair, $PNV) about the concentration risk of having all their $500m capacity of the expanded Novosorb manufacturing capability located in one site, albeit in physically separated facilities. He pretty much dismissed the question, saying the plants were in separate buildings. But he didn't address important aspects of the question, such as: did each facility have a separate GMP licence, such that would a quality problem from one "plant" shut the whole shop down? It was an important orange flag that made me question the competence of the Board on critical manufacturing and supply chain risks.

Ultimately. my response is that I will not allow one medical device or pharma company to be more than 10% of my RL ASX portfolio. Overnight, a quality issue could wipe out 30-50% of value (at the riskier end), and we wouldn't see it coming.

$RMD has a moderate risk profile in my view. The have mutliple products, albeit concentrated in one therapy area. The product are at different stages of the life cycle, and therefore use different materials and technologies. They have mutliple manufacturing locations. But they are relatively concentrated, compared with the more diversified Big Pharma and Big Med Tech companies.

So, I just wanted to reinforce your post for everyone investing in this space. Understand your concentration risk WITHIN any company!

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thunderhead
Added a month ago

Ah, I didn't see this post before my own little 2c. @mikebrisy has articulated it way better than I ever could!

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SayWhatAgain
Added a month ago

…maybe @thunderhead but not as concisely as you did ;-) so that’s perfect — we have it all here at STRAWMAN.com :)

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