paul lountzis - ivey business school · january 2013 3 presentation outline • investment thesis...
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January 8-9, 2013
Online, global, livewww.valueconferences.com
Paul LountzisPresident, Lountzis Asset Management
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JANUARY 2013 2
BEST IDEAS CONFERENCE 2013
UNITEDHEALTH GROUP
60 Commerce Drive
Wyomissing, PA 19610
www.lountzis.com
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JANUARY 2013 3
PRESENTATION OUTLINE
• INVESTMENT THESIS
• COMPANY BACKGROUND
• BUSINESSSES– UNITEDHEALTHCARE
• EMPLOYER AND INDIVIDUAL
• COMMUNITY AND STATE
• MEDICARE AND RETIREMENT
– OPTUM• HEALTH
• INSIGHT
• RX
• INDUSTRY DYNAMICS
• HEALTHCARE REFORM
• FINANCIALS
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JANUARY 2013 4
UNITEDHEALTH GROUP
INVESTMENT THESIS-BUSINESSES
• BROADLY DIVERSIFIED HEALTHCARE PROVIDER
– GEOGRAPHICALLY
• 50 STATES AND 17 COUNTRIES
– BUSINESS SEGMENTS
• #1 MEDICARE ADVANTAGE
• #1 MEDICARE SUPPLEMENT
• #1 MEDICAID
• #2 COMMERCIAL
• OPTUM REPRESENTS A HIDDEN GEM
– HEALTH
– INSIGHT
– RX
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JANUARY 2013 5
UNITEDHEALTH GROUP
INVESTMENT THESIS-MANAGEMENT
• BEST CORPORTE LEADERSHIP– OPERATIONALLY
– CAPITAL ALLOCATION
• MOST INNOVATIVE AND ADAPTABLE COMPANY IN THE HEALTHCARE INDUSTRY– HISTORICAL INDUSTRY LEADER
• PRODUCTS
• SERVICES
• TECHNOLOGY AND DATA DRIVEN CULTURE – OPERATIONAL EFFICIENCIES
• REDUCE COSTS
– OUTCOMES BASED FUTURE
• BEST SUITED TO DEAL WITH KEY INDUSTRY ISSUES– ACCESS
– COST
– QUALITY
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JANUARY 2013 6
UNITEDHEALTH GROUP
INVESTMENT THESIS-VALUATION
• STOCK PRICE $52 MARKET CAPITALIZATION $53B
• SELLING AT LOW MULTIPLE DUE TO– UNCERTAINTY OVER HEALTHCARE REFORM
• RISING COSTS OFFSETTING INCREASE IN CUSTOMERS
• LOWER REIMBURSEMENTS
• TRADING AT – 9.8 X 2012 EPS
– 9 X 2013 PROJECTED EPS
– 8.5 X 2013 PROJECTED FCF
• NEXT FEW YEARS– REVENUE GROWTH OF 6-9%
– EPS GROWTH OF 12-14%
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JANUARY 2013 7
UNITEDHEALTH GROUP
INVESTMENT THESIS-VALUATION
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JANUARY 2013 8
UNITEDHEALTH GROUP
INVESTMENT THESIS-VALUATION
• OPTUM
– DOUBLING PROFITS BY 2015 TO $2.5B
– HIGHEST MARGINS
– LEAST REGULATED
– ENHANCES VALUATION
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JANUARY 2013 9
UNITEDHEALTH GROUP
INVESTMENT THESIS
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JANUARY 2013 10
UNITED HEALTH GROUP
BACKGROUND
• FOUNDED IN 1977
• PUBLIC IN 1984
• LEADING DIVERSIFIED HEALTHCARE COMPANY
– SERVING 75 MILLION INDIVIDUALS
– ESTIMATED 2012 FINANCIALS
• REVENUES $110B
• OPERATING EARNINGS $9.2B
• NET EARNINGS $5.5B
• MARKET CAPITALIZATION $54B
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JANUARY 2013 11
UNITEDHEALTH GROUP
COMPETITIVE STRENGTHS
• UNIQUE CORPORATE CULTURE IDENTIFIES HEALTHCARE
NEEDS AND BUILDS BUSINESSES AROUND THEM
– FLEXIBLE AND ADAPTIVE
• VISIONARY LEADERS
• OUTSTANDING OPERATORS
• INNOVATIVE CREATORS OF A BROAD ARRAY OF PRODUCTS
AND SERVICES
• TECHNOLOGY AND DATA FOCUSED
– ACCESS
– COST
– QUALITY
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JANUARY 2013 12
UNITEDHEALTH GROUP
COMPETITIVE STRENGTHS
• DIVERSIFIED GEOGRAPHICALLY AND BY BUSINESS
SEGMENTS WITH LEADING MARKET SHARES
– #1 MEDICARE ADVANTAGE
– #1 MEDICAID
– #1 MEDICARE SUPPLEMENT
– #2 COMMERCIAL
• OPTUM BUSINESSES OFFER ADDITIONAL DIVERSITY,
EXCELLENT GROWTH OPPORTUNITIES AND HIGHEST
MARGINS
• ABILITY TO LEVERAGE COSTS WITH SUPERIOR
TECHNOLOGY, INFORMATION AND SCALE
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JANUARY 2013 13
UNITEDHEALTH GROUP
BUSINESSES
• UNITEDHEALTHCARE (HEALTH BENEFITS)
– EMPLOYER AND INDIVIDUAL
– COMMUNITY AND STATE
– MEDICARE AND RETIREMENT
– MILITARY AND VETERANS
• OPTUM (HEALTH SERVICES)
– OPTUMHEALTH
– OPTUMINSIGHT
– OPTUMRX
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JANUARY 2013 14
UNITEDHEALTH GROUP
UNITEDHEALTHCARE BUSINESSES
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JANUARY 2013 15
UNITEDHEALTHCARE
EMPLOYER AND INDIVIDUAL
• COMPREHENSIVE OFFERING OF HEALTH BENEFITS AND SERVICES FOR
– LARGE NATIONAL EMPLOYERS
– MID-SIZEDEMPLOYERS AND SMALL BUSINESSES
– PUBLIC SECTOR EMPLOYEES
– INDIVIDUALS
• SERVE 27 MILLION AMERICANS THROUGH FULLY INSURED AND SELF-FUNDED PLANS
• MARKET SIZE
– 172 MILLION PEOPLE
– $890 BILLION IN EXPENDITURES
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JANUARY 2013 16
UNITEDHEALTHCARE
COMMUNITY AND STATE
• LARGEST HEALTH BENEFITS PROVIDER TO STATES SERVING
– THE ECONOMICALLY DISADVANTAGED
– MEDICALLY UNDERSERVED
– INDIVIDUALS LACKING EMPLOYER FUNDED HEALTHCARE
• OPERATING IN 25 STATES
– 3.9 MILLION BENEFICIARIES
• STATE AND PUBLIC PROGRAMS
– COVER MORE THAN 60 MILLION PEOPLE
– ANNUAL EXPENDITURES EXCEED $450 BILLION
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JANUARY 2013 17
UNITEDHEALTHCARE
MEDICARE AND RETIREMENT
• LARGEST HEALTHCARE PROVIDER SERVING THOSE OVER
THE AGE OF 50– COVERING OVER 9 MILLION BENEFICIARIES
• MARKET LEADER– MEDICARE ADVANTAGE
– 2.5 MILLION BENEFICIARIES
• LARGEST MEDICARE SUPPLEMENT BUSINESS – 3.9 MILLION CUSTOMERS
• LARGEST MEDICARE PART D PROVIDER– 4.2 MILLION STAND ALONE CUSTOMERS
• 2013 MEDICARE EXPENDITURES– ESTIMATED AT $600 BILLION
– 3.3 MILLION BECOME ELIGIBLE ANNUALLY
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JANUARY 2013 18
UNITEDHEALTHCARE
MILITARY AND VETERANS
• SERVING 2.7 MILLION MEMBERS OF THE MILITARY
AND THEIR FAMILIES IN 21 WESTERN STATES
– 29% MARKET SHARE
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JANUARY 2013 19
UNITEDHEALTH GROUP
OPTUM
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JANUARY 2013 20
OPTUM
OPTUMHEALTH
• SERVES THE PHYSICAL, EMOTIONAL AND FINANCIAL NEEDS OF 60 MILLION INDIVIDUALS
• SOLUTION PROVIDER
– REDUCE COSTS FOR CUSTOMERS
– IMPROVES WORKFORCE PRODUCTIVITY
– ENHANCES PATIENT HEALTH
• 2012 REVENUES
– $8.1 BILLION
– OPERATING EARNINGS $550 MILLION
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JANUARY 2013 21
OPTUM
OPTUMINSIGHT
• HEALTH INFORMATION, TECHNOLOGY, SERVICES AND
CONSULTING COMPANY
• SERVES A BROAD RANGE OF PROVIDERS INCLUDING
– PHYSICIANS
– HOSPITALS
– INTEGRATED DELIVERY NETWORKS
– COMMERCIAL HEALTH PLANS
– GOVERNMENT AGENCIES
– LIFE SCIENCE COMPANIES
• 2012 REVENUES
– $2.9 BILLION
– OPERATING EARNINGS $480 MILLION
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JANUARY 2013 22
OPTUM
OPTUMRX
• PHARMACY BENEFIT SERVICES
– 4 MILLION CUSTOMERS
– 67,00 RETAIL PHARMACIES
– 2 MAIL ORDER FACILITIES
• PROCESS OVER 350 MILLION ADJUSTED RETAIL, MAIL
AND SPECIALTY DRUG PRESCRIPTIONS
• INTEGRATING THE MEDCO BUSINESS
• 2012 REVENUES
– $18.4 BILLION
– OPERATING EARNINGS $380 MILLION
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JANUARY 2013 23
UNITEDHEALTH GROUP
OPTUM
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JANUARY 2013 24
INDUSTRY MARKET SEGMENTS
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JANUARY 2013 25
UNITED HEALTHGROUP
MARKET SHARES
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JANUARY 2013 26
UNITEDHEALTH GROUP
MARKET DYNAMICS
• ACCESS
– EXPAND COVERAGE TO 40-45 MILLION UNINSURED
– BROADEN COVERAGES
• COST
– REDUCE OPERATING COSTS THROUGHOUT SYSTEM
– INTEGRATED DELIVERY NETWORKS
• QUALITY
– PATIENT OUTCOMES DRIVEN PAYMENT MODEL
– IMPROVE PATIENT HEALTHCARE
• REDUCE COSTS
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JANUARY 2013 27
UNITEDHEALTH GROUP
MARKET DYNAMICS
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JANUARY 2013 28
UNITEDHEALTH GROUP
MARKET DYNAMICS
• INDUSTRY CONSOLIDATION OF PROVIDERS
– HOSPITALS
– PHYSICIANS
– PAYORS
• INTEGRATED DELIVERY NETWORK MODEL
– DRIVE SCALE
– CREATE EFFICIENCIES
– IMPROVE PRODUCTIVITY
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JANUARY 2013 29
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 30
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 31
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 32
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 33
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 34
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 35
UNITEDHEALTH GROUP
HEALTHCARE REFORM
• MEDICARE
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JANUARY 2013 36
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 37
UNITEDHEALTH GROUP
HEALTHCARE REFORM
MEDICAID
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JANUARY 2013 38
UNITEDHEALTH GROUP
HEALTHCARE REFORM
• MEDICAID
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JANUARY 2013 39
UNITEDHEALTH GROUP
HEALTHCARE REFORM
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JANUARY 2013 40
UNITEDHEALTH GROUP
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JANUARY 2013 41
UNITEDHEALTH GROUP
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JANUARY 2013 42
UNITEDHEALTH GROUP
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JANUARY 2013 43
UNITEDHEALTH GROUP
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JANUARY 2013 44
UNITEDHEALTH GROUP
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JANUARY 2013 45
UNITEDHEALTH GROUP
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JANUARY 2013 46
UNITEDHEALTH GROUP
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JANUARY 2013 47
UNITEDHEALTH GROUP
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JANUARY 2013 48
UNITEDHEALTH GROUP
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JANUARY 2013 49
UNITEDHEALTH GROUP
2009-2012 FINANCIALS
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JANUARY 2013 50
UNITEDHEALTH GROUP
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JANUARY 2013 51
UNITEDHEALTH GROUP
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JANUARY 2013 52
UNITEDHEALTH GROUP
2009-2013 ENROLLMENT & MARKET SHARE
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JANUARY 2013 53
UNITEDHEALTH GROUP
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JANUARY 2013 54
UNITEDHEALTH GROUP
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JANUARY 2013 55
UNITEDHEALTH GROUP
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AMIL ACQUISITION
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