LinkedInXFacebook
Subscribe
Orthopedics This Week
  • My Feed
  • |Posts
  • |Events
  • |MSK Innovations
  • |Power Rankings
  • |Masterclasses
  • |Technology Awards
  • Press Releases
  • |Advertising
  • |Job Board
  • Spine
  • ◆Joints
  • ◆Upper Extremities
  • ◆Foot & Ankle
  • ◆Sports Medicine
  • ◆Pain Mgmt
  • ◆Trauma
  • ◆Biologics
  • ◆Technology
  • ◆People
  • ◆Company News
  • ◆Legal & Regulatory
Home/Company News/Are Orthopedic Insiders Buying or Selling?
Company News

Are Orthopedic Insiders Buying or Selling?

March 29, 2011 4 min read Premium comments

Advertisement

Are Orthopedic Insiders Buying or Selling?
Source: Thomas O’Halloran and Wikimedia Commons

In the U.S. stock market, all players are supposed to be buying and selling securities based on equal access to material information.

In 2002, ImClone CEO Samuel D. Waksal passed along some key information to his friends and family about his company’s FDA progress. His daughter, Aliza Waksal, sold $2.5 million of her shares in ImClone stock on December 27. Waksal’s father sold $8.1 million worth of ImClone shares. Even ImClones general counsel, John B. Landes, sold $2.5 million of ImClone shares. Waksal pleaded guilty to illegal insider trading and received a seven-year prison sentence.

Martha Stewart, who knew Waksal and owned ImClone stock also sold, lied about it and was also sentenced to prison.

By definition, company executives or “insiders” have information about a company’s prospects that outsiders do not have. They know, for example, what new products are in the pipeline, how FDA applications are progressing (or not), how product demand is developing, what the competition is doing and so forth.

In one form, as was demonstrated in the Waksal/Stewart case, trading on specific, non-public information is a quick path to prison.

But…there is another, LEGAL way for executives at public companies buy or sell stock in their own company even if they have material non-public information.

Under SEC and other rules and precedents, insiders are able to purchase or sell shares in their company’s stock at certain times of the year, by filing with the SEC that they plan to buy or sell shares, by disclosing how many shares and for how much or if these transactions are the exercise of their stock options.

In those cases, insiders can and do buy and sell—despite having insider knowledge of the most sensitive kind. Furthermore, these insiders are perfectly within their rights to make these buying and selling decisions based on that information and for their own benefit.

Advertisement

They just have to be transparent about the transactions.

The good news is that non-insiders can watch what the insiders buy or sell and, even though they may not know the precise reason for those actions, they can reasonably infer that insiders are acting in their own self interest.

As it happens, there are many studies that support the idea that insider trading is, in fact, based on insider information.

Former University of Illinois finance Professors Josef Lakonishok and Inmoo Lee, who now work for the private sector, calculated insider trading returns from 1975 to 1995 and found that they were 7.7% higher and 4.8% higher on a risk adjusted basis to either standard returns or naïve returns.

In 1986 University of Michigan Professor Nejat Seyhun found that insiders had received abnormally positive returns of 4.3% for the first 300 days for firms with more insider purchases than sales and a negative 2.2% over the first 300 days for firms with more insider sales than purchases.

Two years after Seyhun’s study, Harvard University’s Leslie Jeng and Richard Zeckhauser and Yale University’s Andrew Metrick studied insider purchases and sales and discovered that, without any sort of screening for size of transaction nor risk adjusting transactions, that insider purchases beat market returns by 11.2% per year.

More recently, there was a fascinating study published last year in the Journal for The Society for Financial Studies which found a strong inverse relationship between insider trading and institutional demand. Turns out institutions provide the liquidity necessary for insiders to buy or sell stock. Second, insiders are more likely to buy shares in their companies at times of low valuations and low lag returns while institutional investors are likely to do the opposite (i.e., buy high and sell low).

The authors’ conclusions? Insiders are more likely to view their stocks are overvalued (or undervalued) following a period when institutions are net buyers (or sellers).

Advertisement

In short, insiders know exactly what they are doing.

Which brings us to insiders at 19 public manufacturers/suppliers of orthopedic products. Over the last six months insiders at public orthopedic companies have purchased in either open market purchases or through stock option programs 3.357 million shares of their own company’s stocks while selling a much smaller 1.969 million shares.

Orthopedic company insiders bought 70% more shares than they sold over the past six months.

The following table shows which orthopedic companies have had the strongest insider buying:

From 10/1/10 to 3/31/11

 Insider BUYS Last Six Months

 Insider SELLS Last Six Months

Percent of BUYS to SELLS

Advertisement

1

Alphatec Holdings

109, 636

86, 423

127%

2

ArthroCare

98, 861

Advertisement

14, 733

671%

3

CryoLife

201, 334

32, 502

619%

4

Advertisement

Exactech

193, 538

104, 874

185%

5

Kensey Nash

27, 318

15, 950

Advertisement

171%

6

Mako Surgical

1, 174, 041

179, 657

653%

7

NuVasive

Advertisement

175, 413

13, 462

1303%

8

Orthofix

74, 341

1, 741

4270%

Advertisement

9

RTI Biologics Inc

283, 283

100%

10

Symmetry Medical

401, 163

100%

Advertisement

11

Tornier N.V.

17, 500

100%

12

TranS1

10, 000

100%

Advertisement

13

Zimmer Holdings

125, 884

103, 722

121%

TOTAL

2, 892, 312

553, 064

Advertisement

523%

Source:  Yahoo!/RRY Publications, LLC

Of those companies whose insiders are net buyers, the ratio of buys to sell is a whopping 5 to 1.

The following table shows which orthopedic companies have had the strongest insider selling of their stock;

From 10/1/10 to 3/31/11

 Insider BUYS Last Six Months

 Insider SELLS Last Six Months

Percent of BUYS to SELLS

Advertisement

1

ConMed

117, 756

167, 213

70%

2

Integra LifeSciences

209, 803

Advertisement

619, 665

34%

3

Stryker

137, 731

625, 973

22%

4

Advertisement

Wright Medical

3, 401

0%

TOTAL

465, 290

1, 416, 252

33%

Source:  Yahoo!/RRY Publications, LLC

Advertisement

There are, of course, many reasons for buying and selling shares of one’s own company. In Stryker’s case, for example, the vast majority of those sales were by Ronda Stryker who is, no doubt, adjusting her estate and as a percent of the roughly 16 million shares the Stryker family holds, these sales are a small percentage.

The aggregate buy/sell pattern is crystal clear. Orthopedic insiders are buying orthopedic stocks. Last week, the average P/E for an orthopedic company was 12.93. The average price to sales was 2.66. And the ratio of P/E to expected growth was just 1.17. In short, insiders know bargains when they see them. And they are voting with their pocket book.

React:

Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

Join the conversation

Orthopedic professionals are discussing this. Sign in and upgrade to read every comment and add your voice.

Subscribe

Get Full Access

Read every OTW article and join member discussions for $24.99/month.

Get Full Access

Advertisement

Advertisement

Advertisement

Orthopedics This Week

The most trusted source in orthopedic industry news since 2005. Covering spine, joints, trauma, biologics, and the business of orthopedics.

A publication of RRY Publications, LLC

LinkedInXFacebook

Categories

  • Spine
  • Joints
  • Upper Extremities
  • Foot & Ankle
  • Sports Medicine
  • Pain Mgmt
  • Trauma
  • Biologics
  • Technology
  • People
  • Company News
  • Legal & Regulatory

Resources

  • Subscribe
  • Community Posts
  • Job Board
  • Press Release Opportunities
  • Power Rankings
  • About OTW
  • Advertise
  • Contact Us

Get Full Access

Unlimited articles, community posts, and Power Rankings.

Get Full Access

Plans start at $24.99/mo · Annual saves 20%

© 2026 Orthopedics This Week · RRY Publications, LLC

Privacy PolicyTerms of ServiceCookie Policy