Cartoon of the Day: The Writing On The Wall

Cartoon of the Day: The Writing On The Wall - Bull case cartoon May 2016


With a "0" in front of GDP and S&P 500 earnings growth -8.5% year-over-year, the writing is on the wall for investors.

The Good Stuff: Reports and News Articles you May Have Missed This Week

Takeaway: The best of the best: our favorite reading material from the week of May 23rd.

Welcome to the long weekend! Need a little poolside media? Below is our list of the week's most interesting articles on healthcare and a little Maren Morris to rock you through them.


Clinical Labs

Stealth Research and Theranos, JAMA, May 18, 2016



Long-dreaded Superbug Found in Human and Animal in US, Phenomena, May 26, 2016


Health Care Services:  

Memorial Sloan Kettering is blown away by response to Humans of New York's campaign, Crains, May 20, 2016

Moving Patient Payment Upfront, Modern Healthcare, May 21, 2016

Veterans Affairs Health Care System is trying a partnership with CVS to offer urgent care to vets, Healthcare Finance News, May 25, 2016 <CVS>

Medicare boss is spearheading changes to the way doctors get paid, San Francisco Chronicle, May 26, 2016


Health Care IT

The IT holy grail remains out of policymakers' hands, Modern Healthcare, May 26, 2016 <ATHN> <CERN>

Health care payment auditing company goes public, Modern Healthcare, May 26, 2016 <COTV>



Anthem and Cigna privately bicker as they seek merger approval, WSJ, May 22, 2016 <ATHM> <CI>

Uninsurance Rates and the Affordable Care Act, May 23, 2016 Health Affairs <All Insurers>


Random Miscellany

Sorry, There's Nothing Magical About Breakfast, NYT, May 23, 2016


Shameless Sell Promotion

REPLAY: Post-Acute Providers - A Review of Major Regulatory Trends, May 27, 2016

Hillary's Headache, Trump Triumphs; Bernie v. Donald?, May 27, 2016

UPDATE: CMS's Part B Drug Demo Sidelined 'til 2019, May 24, 2016



A very Happy Friday and, as we so infrequently get to say, Happy Monday too. Let's remember the people that fought the good fight. Can I get a Hallelujah?






 Follow me on Twitter for more throughout the week

The Energy Election: Trump Provides More Clues on Energy Priorities in North Dakota Speech

Takeaway: Energy policy will play a prominent role in the 2016 presidential election.

The Energy Election: Trump Provides More Clues on Energy Priorities in North Dakota Speech - trump 44


Energy promises to play a big role in the 2016 presidential election and will provide sharp contrasts between the candidates on energy policies. The November election will be a key catalyst on several issues of interest to investors. This is the first in a series of client notes on The Energy Election.


As with most issues, Donald Trump has not provided much if any details on his energy policies to date. There is no energy plan on his campaign web site so we have been left with some campaign trail rhetoric with some snippets in press interviews and tweets.


Today we got a little more visibility on Trump’s energy policies during the candidate’s speech to the annual Williston Petroleum Conference in North Dakota. It was an important venue and the home state of Trump energy advisor - Congressman Kevin Cramer.


While the speech was still lacking details, it likely provided some reassurance to those in the oil, natural gas and coal sectors.

Hedgeye Statistics

The total percentage of successful long and short trading signals since the inception of Real-Time Alerts in August of 2008.

  • LONG SIGNALS 80.46%
  • SHORT SIGNALS 78.35%

HOLX: Adding Hologic to Investing Ideas (Short Side)

Takeaway: We are adding Hologic to Investing Ideas today.

Editor's Note: Please note that Healthcare analyst Tom Tobin will send out a full report outlining our high-conviction short thesis next week. In the meantime, below is a brief summary of our thesis sent today by Hedgeye CEO Keith McCullough in Real-Time Alerts.


HOLX: Adding Hologic to Investing Ideas (Short Side) - hologic


Healthcare stocks have been some of the worst performers in the US stock market in 2016. This should surprise no one who shares our #LateCycle view. Some sub-sectors of the Healthcare economy are as late cycle as late cycle gets.


A Healthcare stock we used to like (when the cycle was a tailwind) is Hologic (HOLX). Now, with #TheCycle as a headwind, Tom Tobin likes it on the short side. In his latest Institutional Subscriber note he pointed out the following:


"We have made no change in s-curve which forecasts declines in late 2016 and into 2017.  We listened to the BofA presentation by CEO Steve MacMillan yesterday.  We were interested to hear more commentary regarding deceleration in 2017,  which sounded incremental and consistent with our view. Additionally, while we expect gross margins to turn lower as a result of declines in 3D product revenue, we were interested in MacMillan's comment that there remains opportunity to drive gross margins higher from here, which we don't expect to happen given lower mix of 3D system sales. One point of disagreement may also be a misunderstanding the use of the word "peak" when speaking about 3D adoption. We would definitely disagree that the peak will occur in 2017 as MacMillan stated yesterday. Our data and view suggests we will see the peak in June 2016."


Buying at cycle peaks can be disastrous,



Steiner: ‘China Is An Enormous Systemic Risk’


In this brief excerpt from The Macro Show earlier today, Hedgeye Financials analyst Josh Steiner discusses why the “unbelievable rate of credit growth” in China is now slowing and why it could pose risks for investors long the stock market.

FYI: Using Fed's Inflation Measure GDP Would Be Negative

Takeaway: Today's update on 1Q16 GDP was revised up to 0.8% vs the prior estimate of 0.5% but while using a misleading measure of inflation.

FYI: Using Fed's Inflation Measure GDP Would Be Negative - GDP cartoon 02.29.2016 


With a "0" in front of GDP and S&P earnings growth -8.5% y/y, should the Federal Reserve raise rates in June?


There's no debating the earnings recession anymore but, with Macro consensus predicting 2Q16 GDP growth of +2.3%  and the Atlanta Fed’s GDPNowcast at 2.9%, so it's worth reviewing our #GrowthSlowing call.


Today's 1Q16 GDP estimate was revised up to 0.8% versus the first estimate of 0.5%.


That's misleading.


In calculating economic growth, the government used the sub-1% GDP Deflator, which stands at 0.6%. Meanwhile, if the US Government used the Federal Reserve's prefered measure of inflation, core PCE which now reads 2.1%, US GDP would have been NEGATIVE in Q1.


Look at the difference between the two inflation measures in the table below:



In related news, this marks the 5th straight quarter where Hedgeye's Predictive Tracking Algorithm has been within 20-30bps of nailing GDP. That's more than we can say for the Fed and Old Wall Consensus which have an average quarterly intra-quarter tracking error of between 152 to 246 basis points.



investing ideas

Risk Managed Long Term Investing for Pros

Hedgeye CEO Keith McCullough handpicks the “best of the best” long and short ideas delivered to him by our team of over 30 research analysts across myriad sectors.