对2020年底医疗技术和分销思考【优秀范文】
下面是小编为大家整理的对2020年底医疗技术和分销思考【优秀范文】,供大家参考。
North America Equity Research September 2020
Healthcare Technology & Distribution Thoughts Across Healthcare Technology & Distribution into Year End 2020
Sector Lisa C. Gill AC
(212) 622-6466 lisa.c.gill@jpmorgan.com Bloomberg JPMA GILL<GO> J.P. Morgan Securities LLC
Michael R. Minchak AC
(212) 622-6506 michael.minchak@jpmorgan.com J.P. Morgan Securities LLC
Anne E. Samuel AC
(212) 622-4163 anne.e.samuel@jpmorgan.com J.P. Morgan Securities LLC
See the end pages of this presentation for analyst certification and important disclosures, including non-US analyst disclosures. J.P. Morgan does and seeks to do business with companies covered in its research reports. As a result, investors should be aware that the firm may have a conflict of interest that could affect the objectivity of this report. Investors should consider this report as only a single factor in making their investment decision.
J.P.
M
organ
Healthcare
Technology
&
Di
stribution
Coverage
Universe
Company
Ticker
JPM Rating
Distributors
AmerisourceBergen
ABC
OW
Cardinal
Health
CAH
N
McKesson
MCK
OW
Ow
ens
&
Minor
OMI
UW
Price
52-Week
Range
%
Change
Market
Cap
Price/Earnings
Ratio
Enterprise
Value
/EBITDA
Dividend
Target
High
Low
YTD
(billions)
2020E
2021E
2020E
2021E
Yield
Price
$94.08
$106.45
$72.06
10.7%
$19.3
11.7
11.1
8.0
7.7
1.8%
$114.00
$48.38
$60.69
$39.05
-4.3%
$14.2
9.5
8.3
6.9
6.3
4.0%
$58.00
$150.37
$172.18
$112.60
8.7%
$24.6
10.2
9.0
7.8
7.1
1.1%
$198.00
$15.70
$17.66
$3.63
203.7%
$1.0
15.0
12.0
10.4
9.4
0.1%
$12.00
Pharma
Distributors
ave
rage
5.0%
10.4
9.5
7.6
7.1
Dental
Distributors
(covered
by
M
.
M
inchak)
Henry
Schein
HSIC
N
$64.37
$73.99
$41.85
-3.5%
$9.2
25.6
17.5
16.1
12.3
N/A
$66.00
Patterson
Cos
PDCO
N
$23.92
$30.38
$12.93
16.8%
$2.3
16.0
15.0
10.9
10.8
4.3%
$23.00
Dental
Distributor
average
6.6%
20.8
16.3
13.5
11.5
All
Distributors
average
32.6%
15.6
12.6
10.9
9.4
Retail
Pharmacy
CVS
Health
CVS
OW
$57.40
$77.03
$52.04
-22.7%
$75.4
8.0
7.8
7.9
7.7
3.5%
$102.00
Rite
Aid
RAD
N
$11.79
$23.88
$6.59
-23.8%
$0.6
N/A
N/A
7.3
7.2
N/A
$17.00
Walgreens
Boots
Alliance
WBA
N
$34.70
$64.50
$33.88
-41.1%
$30.4
8.1
6.6
7.3
6.3
5.4%
$43.00
Retail
Pharm
acy
average
-29.2%
8.0
7.2
7.5
7.1
CVS
and
WBA
ave
rage
-31.9%
8.0
7.2
7.6
7.0
Clinical
Laboratories
LabCorp
LH
OW
$181.47
$206.74
$98.02
7.3%
$17.9
14.8
12.0
12.2
10.2
N/A
$227.00
Quest
Diagnostics
DGX
N
$110.33
$131.81
$73.02
3.3%
$15.3
13.1
10.4
10.0
8.4
2.0%
$159.00
Clinical
Laboratory
average
5.3%
13.9
11.2
11.1
9.3
Other
Cerner
CERN
N
$70.95
$80.90
$53.08
-3.3%
$22.3
25.0
22.9
12.9
12.2
1.0%
$74.00
Change
Healthcare
CHNG
OW
$14.32
$17.57
$6.18
-12.6%
$4.6
12.0
499.7
10.2
9.7
N/A
$17.00
One
Medical
ONEM
OW
$27.57
$44.87
$15.00
96.9%
$4.3
N/A
N/A
N/A
N/A
N/A
$40.00
Premier
PINC
N
$31.11
$39.70
$27.11
-17.9%
$3.8
12.2
12.5
7.3
7.4
N/A
$33.00
Teladoc
TDOC
OW
$189.91
$253.00
$60.05
126.8%
$17.2
N/A
N/A
N/A
N/A
N/A
$266.00
Healthcare
IT
(covered
by
A.
Samuel)
Allscripts
MDRX
N
$8.67
$11.82
$4.56
-11.7%
$0.2
13.1
12.8
4.0
3.7
N/A
$9.00
Evolent
Health
EVH
N
$12.87
$14.50
$3.50
42.2%
$1.1
N/A
N/A
N/A
N/A
N/A
$12.00
Health
Catalyst
HCAT
OW
$34.50
$41.26
$17.48
-0.6%
$1.4
N/A
N/A
N/A
N/A
N/A
$42.00
HealthEquity
HQY
OW
$51.56
$88.78
$34.40
-30.4%
$4.0
35.5
30.0
23.5
19.9
N/A
$61.00
Livongo
LVGO
OW
$121.72
$150.00
$15.12
385.7%
$12.2
N/A
N/A
N/A
N/A
N/A
$88.00
NextGen
NXGN
UW
$13.38
$18.49
$5.10
-16.7%
$0.9
17.3
17.1
8.8
8.7
N/A
$12.00
Phreesia
PHR
OW
$28.15
$34.85
$16.01
5.7%
$1.1
N/A
N/A
N/A
N/A
N/A
$35.00
Progyny
PGNY
OW
$25.86
$36.50
$13.29
-5.8%
$2.2
N/A
N/A
N/A
N/A
N/A
$35.00
Healthcare
IT
average
(including
CERN,
PINC)
43.4%
20.6
19.1
11.3
10.4
S&P
500
SPX
3,340.97
3,588.11
2,191.86
3.4%
25.5x
20.1x
So urce: B lo omberg and J.P . M organ estimates. * Target Prices for RAD, CHNG, P IN C, M DRX, HQY and P GNY are based on an EV/EB ITDA multiple; ONEM , TDOC, EVH, HC AT, LVGO and PHR based o n EV/sales multiple; all others based o n a P/E multiple. Note: J.P . M organ ratings: OW = Overweight; N = Neutral; and UW = Underweight; NR = No t Rated. Source:
Bloomberg.
Pricing
as
of
9/11/2020
2
3
Source:
J.P.
Morgan.
Value-Based Care
• Ongoing
interest
in
value-based
models that
tie
reimbursement
to
health
outcomes
• Companies
that
are
part
of
the
cost solution
stand
to
benefit
the
most
from
this trend
Specialty
• Specialty
remains
the
fastest
growing
area of
drug
spend
• With
payors
looking
for
ways
to
address rising
specialty
costs,
companies
that
help manage
specialty
spend
likely
to
benefit
Political/Regulatory
• The
potential
for
regulatory
changes
has led
to
a
broader
overhang
on
the
sector
• However,
for
substantial
reform
to
pass, would
need
a
bipartisan
solution,
alignment of
Congress/White
House,
with
>60
votes in
the
Senate
Capital Deployment
• We
favor
companies
with
strong
balance sheets
and
good
cash
flow
• Recent
transformative
deals
and
the potential
for
disruptive
entrants
could
lead to
a
more
active
pursuit
of
M&A
and/or
joint ventures
in
the
near
term
The Consumer – The Single Biggest Disrupter in Healthcare
• Patients
(consumers)
are
getting
more
educated
and
involved
in
their
healthcare
and
making decisions
on
how
to
allocate
their
healthcare
dollars
• The
opportunity
to
engage
the
patient
at
their
preferred
point
of
service
should
be
an
important differentiator
• Convenience,
quality
and
cost
will
be
key
Key Themes Across the Sector
The
S&P
500
is
up
+3.4%
YTD
in
2020
and
the
S&P
500
Health
Care
Sector
Index
is
up
+2.3% YTD.
Our
covered
companies
are
up
+28.6%,
on
average,
YTD
in
2020,
although
excluding TDOC,
LVGO
and
OMI,
our
companies
are
down
-4.4%
YTD
on
average.
Pharmaceutical
Distributors
are
up
+5.0%
YTD
in
2020,
on
average,
with
both
ABC
and
MCK outperforming
CAH
(ABC
is
up
+10.7%
and
MCK
is
up
+8.7%
while
CAH
is
down
-4.3%).
Drug
Retailers
are
down
-29.2%
on
average
YTD
in
2020,
and
the
worst
performing
subsector. CVS
is
down
-22.7%
YTD
in
2020,
outperforming
WBA
(down
-41.1%
YTD,
and
the
worst performing
stock
in
our
coverage
universe),
while
RAD
is
down
-23.8%
YTD.
Clinical
Labs
are
up
+5.3%
YTD
in
2020,
with
LH
up
+7.3%
YTD
and
DGX
up
+3.3%
YTD.
Dental
Distributors
are
up
+6.6%
on
average
YTD
in
2020,
with
HSIC
down
-3.5%
YTD,
while PDCO
is
up
16.8%
after
underperforming
in
prior
years.
Healthcare
IT
is
up
+40.6%
YTD
on
average
in
2020,
driven
by
the
sharp
increase
in
LVGO (which
is
up
386%
YTD
and
is
the
best
performing
stock
in
our
coverage
universe).
Excluding LVGO,
Healthcare
IT
is
down
-2.6%
YTD
with
EVH
up
+42.2%,
while
HQY
is
down
-30.4%
and NXGN
is
down
-16.7%.
Among
stocks
not
included
within
the
five
subsectors
discussed
above,
TDOC
(a
Telehealth provider)
is
up
+126.8%
YTD
in
2020
(the
third
best
performing
stock
in
our
coverage
universe) as
COVID-19
has
driven
increased
awareness
and
utilization,
while
ONEM
(a
tech-enabled primary
care
provider )
is
up
96.9%
since
its
IPO
on
1/30/2020,
while
OMI
(a
Medical
Supply Distributor )
in
up
203.7%
YTD
in
2020
(the
second
best
performing
stock)
driven
by
demand
for PPE).
Finally,
PINC
(a
GPO
and
Technology
Services
provider)
is
down
-17.9%
YTD.
HCAT, -0.6% CERN, -3.3% HSIC, -3.5% CAH, -4.3% PGNY, -5.8% MDRX, -11.7% NXGN, -16.7% PINC, -17.9% CVS, -22.7% RAD, -23.8% HQY, -30.4% WBA, -41.1%
EVH, 42.2% PDCO, 16.8% ABC, 10.7% MCK, 8.7% LH, 7.3% PHR, 5.7% DGX, 3.3%
OMI, 203.7% TDOC, 126.8% LVGO, 385.7% Stock Performance YTD in 2020 by Company
30%
20%
10%
0%
-10%
-20%
-30%
-40%
-50%
Drug
Distributor
Drug
Retail
Labs
Dental
Dist
Healthcare
IT
ex
LVGO
S&P
500
Sector Return
Healthcare IT 40.6% Dental Dist 6.6% Labs 5.3% Drug Distributor 5.0% S&P 500 3.4% Healthcare IT ex LVGO -2.6%
Drug Retail -29.2%
Stock Performance YTD in 2020 by Sector
Implied
Upside
CVS Health Ticker:
CVS Rating:
Overweight
Dec-21
Price
Target:
$102
Rationale: Play on key theme, with path to accelerating growth and attractive valuation • We believe CVS is one of the best positioned companies across our coverage universe over the longer term • Integrated model and broad suite of services position CVS well in an evolving marketplace characterized by the ongoing “retailization” of healthcare and shift to new reimbursement models (value-based care) • CVS brings a unique integrated model to marketplace.
Combined entity to drive lower overall health costs through data/analytics, more effective patient engagement and shifting care to lower cost sites • CVS previously provided a favorable outlook for next several years, with a return to double-digit EPS growth in 2022 driven by integration synergies, enterprise modernization and transformation initiatives.
78%
Top Pick
We
believe
recent
underperformance
has
been
driven
by
two
key
factors
Investor
feedback:
Why
own
it
today
when
we
can
have
clarity
on
both
issues
in November
(CVS
is
currently
scheduled
to
report
3Q20
results
on
November
6)?
Uncertainty
around
the
2021
Outlook
What
is
the
appropriate
jumping
off
point
for
2021
adjusted
EPS
given
some
of
the non-rec...
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