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Health Care Sector Company Presentation

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Health Care Sector Company Presentation. Sarah Hemmelgarn Jason Wattier Alex Wisler Billy Wong. SECTOR SUMMARY. SIM Weight (as of 7/31/2009). SECTOR SUMMARY. Defensive Opportunities Aging U.S. Population Universal health care may increase number of people insured Risks - PowerPoint PPT Presentation
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HEALTH CARE SECTOR COMPANY PRESENTATION Sarah Hemmelgarn Jason Wattier Alex Wisler Billy Wong
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Page 1: Health Care Sector Company Presentation

HEALTH CARE SECTORCOMPANY PRESENTATION

Sarah HemmelgarnJason WattierAlex WislerBilly Wong

Page 2: Health Care Sector Company Presentation

SECTOR SUMMARY

SIM Weight (as of 7/31/2009)

  S&P 500 Weight

SIM Weight +/-

Consumer Discretionary 9.11% 7.19% -1.92%Consumer Staples 11.81% 11.65% -0.16%Energy 12.04% 10.74% -1.31%Financials 13.86% 8.93% -4.93%Health Care 13.73% 13.30% -0.43%Industrials 9.98% 12.37% 2.39%Information Technology 18.72% 20.41% 1.69%Materials 3.40% 4.98% 1.58%Telecommunication Services

3.41% 3.39% -0.02%

Utilities 3.94% 3.61% -0.34%Cash 0.00% 3.38% 3.38%Dividend Receivables 0.00% 0.06% 0.06%

Page 3: Health Care Sector Company Presentation

SECTOR SUMMARY

Defensive

Opportunities Aging U.S. Population Universal health care may increase number of people

insured

Risks Branded pharmaceuticals patent cliff Lack of bargaining power under one-buyer system

Page 4: Health Care Sector Company Presentation

SECTOR SUMMARY

Currently underweight vs. S&P 500 SIM weight = 13.30% S&P 500 = 13.73%

Bring to even-weight with S&P500 +43 basis points

Page 5: Health Care Sector Company Presentation

SECTOR SUMMARY

Current SIM Holdings:

Company % of SIM

Current Price

Target Price

Div. Yield

Total Upside

Cardinal Health 2.51% $33.84 $39.18 2.10% 18.68%

Eli Lilly 2.39% $33.83 $37.61 5.60% 16.79%

Gilead Science 0.96% $45.87 $61.93 0.00% 35.01%

Johnson&Johnson

4.01% $60.72 $75.38 3.27% 27.41%

Wellpoint 3.43% $51.90 $59.48 0.00% 15.30%

*Prices as of market close 8/10/2009

Page 6: Health Care Sector Company Presentation

SECTOR SUMMARY

Recommended Action:

Company UpsideActio

n

Current

Weight

Target Weight

Change

Cardinal Health 18.68% Hold 2.51% 2.51% 0.00%

Johnson&Johnson

27.41% Hold 4.01% 4.01% 0.00%

Eli Lilly 16.79% Sell 2.39% 0.00% - 2.39%

Wellpoint 15.30% Sell 3.43% 2.00% - 1.43%

Gilead Science 35.01% Buy 0.96% 2.50% + 1.54%

TEVA 20.91% Buy 0.00% 2.71% + 2.71%

SECTOR TOTAL

13.30%

13.73% + 0.43%

Page 7: Health Care Sector Company Presentation

ELI LILLY

Page 8: Health Care Sector Company Presentation

Company Overview

Industry: PharmaceuticalsFounded in 1876Develops, manufactures, and sells

pharmaceutical products worldwide Offers medicinal treatments for:

Schizophrenia, Bi-polar disorders, ADHD, Diabetes, Osteoporosis

2008 Sales: $20.378B

Page 9: Health Care Sector Company Presentation

Company Overview

SIM Basis = $45.61Market Price = $33.83Dividends = $1.92Unrealized Holding Gain (Loss) = ($11.78)After dividends = ($9.86) Return to Date (after dividends) = -21.62%

Page 10: Health Care Sector Company Presentation

Strengths & Opportunities

Diversified Product PortfolioHigh Dividend Yield

Currently at 5.6% annual yield Increased in each of last 42 years

Aging population expected to drive demand for drugs

Page 11: Health Care Sector Company Presentation

Risks & Concerns

Steep upcoming patent cliff

2008 US Sales Exposed: $7,277m

% of 2008 Sales Exposed:

Excluding biologics 28.9%Including biologics 35.7%

Page 12: Health Care Sector Company Presentation

Risks & Concerns

Weak late-stage pipeline Is it adequate to replace expected lost sales? Big names to replace: Zyprexa, Cymbalta,

Gemzar Up to 35.7% of 2008 sales is exposed to

generic competition through 2015 Last major drug launch: 2005 Not expecting a “steady stream of product

introduction” until 2013 (Annual Report)

Page 13: Health Care Sector Company Presentation

Risks & Concerns

Ability to maintain current dividend payout in question Shoring up pipeline is #1 priority Two options:

Increased R&D spending Purchase late-stage pipeline

R&D is costly, time consuming and risky Acquisitions more likely due to immediate need

for product introduction Acquisitions will be priority in use of free cash Can Eli Lilly maintain its current dividend

payout?

Page 14: Health Care Sector Company Presentation

Price Target

• Valuation target: $38.71• DCF target price: $37.24• Final target price: $37.61*

• Current price: $33.83• Upside potential (including dividends): 16.79%

*Calculated from 75% DCF and 25% Valuation target prices

Absolute Valuation

High Low Median Current Target

P/Forward E

24.1 7.1 16.4 8.2 $33.65

P/S 6.0 1.6 4.0 1.9 $43.77

Page 15: Health Care Sector Company Presentation

Recommendation

Liquidate position in LLYWhy?

Significant percentage of revenue at risk for generic competition, beginning in 2011

Concerns over relatively weak pipeline and impact on future revenue growth

Current dividend yield may not be sustainable with acquisition becoming a priority

Limited long-term upside

Page 16: Health Care Sector Company Presentation

WELLPOINT

Page 17: Health Care Sector Company Presentation

WELLPOINT

Headquartered in Indianapolis, IndianaManaged Healthcare Organization—Largest

in the United States Sell commercial health benefits

Formed by a merger on Nov 30, 2004 by Anthem, Inc. and Wellpoint Health Networks Inc.

Anthem Blue Shield and Blue Cross licensee in 14 states—brand strength

Page 18: Health Care Sector Company Presentation

WELLPOINT

Sector: HealthcareIndustry: Managed Healthcare

Current Price: $51.90Market Cap: 24.66 BillionCurrent SAP Weighting: 3.43%Proposed Change: Sell 143 basis pointsProposed SAP Weighting: 2.00%

Page 19: Health Care Sector Company Presentation

Reasons for Selling

Sales and Earnings projections low

Page 20: Health Care Sector Company Presentation

Reasons for Selling

Government Regulation Government will likely pressure Managed Healthcare

Companies to cut costs

Profit Margins at risk due to increasing competition

Rising Unemployment—has not yet peaked More unemployment means lower commercial

enrollment in healthcare plans

Page 21: Health Care Sector Company Presentation

Wellpoint and Unemployment

Source: Spring 2009 Healthcare Stock Presentation

Obvious Negative Correlation

Page 22: Health Care Sector Company Presentation

Possible Reasons Against Taking a Sell Position:

Healthcare reform could actually benefit Wellpoint and other Managed Healthcare companies because more people will be in the healthcare system

Wellpoint is a well diversified company that often engages in mergers and acquisitions

Strong brand name with their Anthem Blue and Blue Cross brands

Page 23: Health Care Sector Company Presentation

Valuation

Multiple Target Price: $64.31DCF Target Price : $58.35

Final Target Price: $59.84*

Current Price: 51.90

Upside: 15.3%

*Multiple Target*25%+DCF Target*75%

Page 24: Health Care Sector Company Presentation

GILEAD SCIENCE

Page 25: Health Care Sector Company Presentation

Gilead Science (GILD)

•Founded in 1987

•Biopharmaceutical company that discovers, develops and commercializes therapeutics

•Focus on antiviral drugs for HIV/AIDS, hepatitis and influenza

•Recently began developing drugs for pulmonary

diseases

Page 26: Health Care Sector Company Presentation

Why Gilead?

U.S. HIV drug market share expandingDiversifying product lineIncreasing R&D pipeline investmentProposed changes to health care system

Page 27: Health Care Sector Company Presentation

Why Gilead?

Products in pipeline Darusentant Elvitegravir GS-9350 GS-9150 Aztrenam Lysine

Page 28: Health Care Sector Company Presentation

Why Gilead?

Brand Name Indication Patent Expiration % Total SalesAmBisome fungal infection, meningitis, candida 2016 6%

Atripla HIV, AIDS 2021 31%

Emtriva HIV, AIDS 2021 1%

Flolan pulmonary hypertension expired <1%

Hepsera Hepatits B 2014 7%

Letairis pulmonary arterial hypertension 2015 2%

Macugen age-related macular degeneration 2017 *

Tamiflu influenza 2016 *

Truvada HIV, AIDS 2021 41%

Viread HIV, AIDS, Hepatitis B 2017 12%

Vistide CMV retinitis 2010 <1%

Page 29: Health Care Sector Company Presentation

Risks for Gilead

Slowdown in HIV product salesFailure of pipeline products to gain FDA

approval

Page 30: Health Care Sector Company Presentation

Price Target

• Valuation target: $71.31• DCF target: $58.50• Final target: $61.70*• Current price: $45.76• Upside potential: 34.84%

*Calculated from 75% DCF and 25% Valuation target prices

Absolute Valuation High Low Median Current Target PriceP/Forward E 41.1 17 26.2 18.8 74.15

P/S 15.7 7.4 11.9 7.7 82.82P/B 18.2 7.9 11.2 9 59.63

P/EBITDA 32.24 13.93 21.77 15.49 84.69P/CF 49.7 18.6 29.4 20.6 55.27

Page 31: Health Care Sector Company Presentation

TEVA Pharmaceuticals

Page 32: Health Care Sector Company Presentation

TEVA

Company – Based in Israel, largest generic drug manufacturer in the world.

Investment Thesis: Company’s position as a leader in the generic market, relatively good valuation, along with very favorable macro trends for the generic drug industry, lead us to recommend purchasing 271 basis points.

Page 33: Health Care Sector Company Presentation

Why TEVA?

Favorable Macro Trends for Industrya) Availability of Generic Drugs as Substitutes for name-

brands Approximately 75% of all FDA-approved drugs have generic

counterparts. In 2008, 69% of all prescriptions dispensed were generics.

b) Expected Growth of Generic Drug Market $80 billion in 2008, expected to be $84 billion in 2009 and $129.3

billion in 2014 CAGR of 9% for the 5-year period

U.S.: projected $34B in 2009 and $54B in 2014 CAGR of 9.7%

Page 34: Health Care Sector Company Presentation

Why TEVA?

c) Cost Discrepancy National Association of Chain Drug Stores [2007]:

Average Retail Price (Brand-Name) = $119.51 Average Retail Price (Generic) = $34.34

d) Broad-based Support from Retailers Price Competition among retailers such as CVS, Walgreen,

and Rite Aid has been a big catalyst behind the greater use of generic drugs. Walmart’s $4 generic medicine offer

Generic drugs represent both lower costs and higher margins to these retailers than brand name drugs.

Page 35: Health Care Sector Company Presentation

Why TEVA?

d) Regulatory Favoritism For the most part, many

aspects of U.S. and international health care reforms favor generics in their attempt to curb costs.

Example – Medicare Part D’s, which accounted for 19% of all retail prescriptions in 2007, “success” is attributed in large part to its significant use of generic drugs.

Page 36: Health Care Sector Company Presentation

Why TEVA?

Positives:1) Largest generic drug manufacturer in the world2) Enjoyed a 23% sales growth through the first 6

months of 2009 despite global recession, and only had one single-digit growth year in the past 5 years.

3) Worldwide market leader and in North America, the largest generic drug market in the world, and among the leaders in Europe.

4) Has size and capacity to capitalize on the upcoming patent “cliff.”

Page 37: Health Care Sector Company Presentation

Why TEVA?

Worries/Risks/Concerns:1) Increased competition among generic manufacturer

and from the “names” of the industry.2) Prevalence of Generics in the market will reduce

incentive for brand-names to invest in new drugs.3) Presence in Asia not as strong as in Europe or North

America.

Page 38: Health Care Sector Company Presentation

Valuation

Valuation Method Target Per Share Amount Target Multiple Target Price

P/Forward E 3.35 17 56.95

P/Sale 15.23 4 60.94

P/CF 3.61 16 57.76

P/Book 19.91 3.5 69.67

DCF 63.01

Target Price (75%-DCF, 25%-Multiple) $62.59

Current Price $51.51

Dividend Yield 1.00%

Upside 22.5%

Page 39: Health Care Sector Company Presentation

Summary

Recommended Action:

Company UpsideActio

n

Current

Weight

Target Weight

Change

Cardinal Health 18.68% Hold 2.51% 2.51% 0.00%

Johnson&Johnson

27.41% Hold 4.01% 4.01% 0.00%

Eli Lilly 16.79% Sell 2.39% 0.00% - 2.39%

Wellpoint 15.30% Sell 3.43% 2.00% - 1.43%

Gilead Science 35.01% Buy 0.96% 2.50% + 1.54%

TEVA 20.91% Buy 0.00% 2.71% + 2.71%

SECTOR TOTAL

13.30%

13.73% + 0.43%

Page 40: Health Care Sector Company Presentation

QUESTIONS?


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