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JP 摩根-美股-医疗科技行业-美国医疗科技与渠道:吉尔的摩根大通医疗会议指南-14-63页.pdf
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JP 摩根-美股-医疗科技行业-美国医疗科技与渠道:吉尔的摩根大通医疗会议指南-14-63页.pdf
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www.jpmorganmarkets.com
North America Equity Research
04 January 2019
Equity Ratings and Price Targets
Mkt Cap
Rating
Price Target
Company
Ticker
($ mn)
Price ($)
Cur
Prev
Cur
End
Date
Prev
End
Date
AmerisourceBergen
ABC US
15,957.39
73.37
N
n/c
89.00
Dec
-
19
n/c
n/c
Cardinal Health
CAH US
13,512.96
44.16
N
n/c
59.00
Dec
-
19
n/c
n/c
McKesson Corporation
MCK US
22,429.88
112.94
OW
n/c
160.00
Dec
-
19
n/c
n/c
Owens & Minor, Inc.
OMI
US
387.31
6.47
UW
n/c
10.00
Dec
-
19
n/c
n/c
CVS Health
CVS US
66,665.06
65.23
OW
n/c
106.00
Dec
-
19
n/c
n/c
Walgreens Boots Alliance Inc
WBA US
64,057.76
67.33
OW
n/c
91.00
Dec
-
19
n/c
n/c
Rite Aid
RAD US
792.05
0.75
N
n/c
— —
n/c
n/c
Diplomat
Pharmacy, Inc.
DPLO US
998.55
13.36
OW
n/c
21.00
Dec
-
19
n/c
n/c
LabCorp
LH US
12,827.69
123.70
OW
n/c
185.00
Dec
-
19
n/c
n/c
Quest Diagnostics
DGX US
11,295.20
80.68
N
n/c
100.00
Dec
-
19
n/c
n/c
Henry Schein Inc
HSIC US
11,332.10
73.77
N
n/c
85.00
Dec
-
19
n/c
n/c
Patterson Companies
PDCO US
1,857.38
19.91
UW
n/c
22.00
Dec
-
19
n/c
n/c
Cerner
CERN US
17,176.15
50.70
N
n/c
60.00
Dec
-
19
n/c
n/c
Premier, Inc.
PINC US
5,154.93
36.65
N
n/c
45.00
Dec
-
19
n/c
n/c
Teladoc Health Inc
TDOC US
3,155.09
46.23
OW
n/c
80.00
Dec
-
19
n/c
n/c
Allscripts
MDRX US
1,760.80
9.58
N
n/c
12.00
Dec
-
19
n/c
n/c
Evolent Health
EVH US
1,315.39
19.30
N
n/c
25.00
Dec
-
19
n/c
n/c
HealthEquity
HQY US
3,390.90
54.90
OW
n/c
102.00
Dec
-
19
n/c
n/c
NextGen Healthcare,
Inc.
NXGN US
944.57
15.15
UW
n/c
17.00
Dec
-
19
n/c
n/c
Source: Company data, Bloomberg, J.P. Morgan estimates. n/c = no change. All prices as of 03 Jan 19.
Healthcare Technology &
Distribution
Gill's Guide to the 2019 J.P. Morgan Healthcare
Conference
Healthcare Technology &
Distribution
Lisa C. Gill
AC
(1-212) 622-6466
lisa.c.gill@jpmorgan.com
Bloomberg JPMA GILL <GO>
Anne E. Samuel
AC
(1-212) 622-4163
anne.e.samuel@jpmorgan.com
Michael Minchak, CFA
AC
(1-212) 622-6506
michael.minchak@jpmorgan.com
J.P. Morgan Securities LLC
See
page 60 for analyst certification and important disclosures.
J.P. Morgan does and seeks to do business with companies covered in its research reports. As a result, investors should be aw
are that
the firm may have a conflict of interest that could affect th
e objectivity of this report. Investors should consider this report as only a single
factor in making their investment decision.
Happy New Year! Ahead of the 2019 J.P. Morgan Healthcare Conference next week, we
thought it might be helpful to highlight key themes across the various sub-sectors as well as
key company-specific topics we expect to be discussed at the conference. This report is
broken down by sector: Pharmaceutical and Medical/Surgical Distribution, Retail
Pharmacy, PBM/Specialty Pharmacy, Clinical Labs, Dental Distribution and HCIT. We
also include a financial snapshot for each company.
All of our covered companies are attending the conference. And we once again have
100% CEO participation among the presenting companies.
2017 and 2018 were both somewhat quieter years after a very busy 2016 conference
with respect to news flow in our space, and at this point, we are not anticipating
major announcements from companies in our space. Within our coverage universe,
all of the Rx channel names have provided FY19 guidance with the exception of CVS
(which plans to provide initial 2019 guidance with 4Q earnings on February 20), and
DPLO (which has made announcements regarding guidance around the conference in
each of the past two years and has previously indicated plans to provide guidance in
early in 2019). For the clinical labs, we expect LH and DGX to wait to issue formal 2019
guidance on their Q4 earnings calls, noting 2018 guidance for both companies was
recently reduced. While TDOC has previously discussed providing initial 2019 guidance
with 4Q18 earnings, as in previous years, we believe the company could provide
preliminary 2018 results and preliminary 2019 metrics at the conference.
We expect consumerism to be a key theme at the conference, as we believe the
consumer will be the biggest disruptor in healthcare. With healthcare rising as a
percentage of household expenditures, patients are becoming more involved in making
decisions on how to allocate their healthcare dollars, and are becoming increasingly
selective in the services they use with cost, quality, and convenience being key deciding
factors. Engaging the patient at their preferred point of service in a low cost way will
likely differentiate those with a strong reputation and a trusted brand.
2
North America
Equity Research
04 January 2019
Lisa C. Gill
(1-212) 622-6466
lisa.c.gill@jpmorgan.com
We look for color on broader strategic views in an evolving marketplace. Given
ongoing news flow, we look for insights across a range of topics, including: vertically
integrated models, the "retailization" of healthcare, opportunities to better engage
consumers and thoughts on the potential threat from disruptive entrants.
We expect Specialty to remain a key focus for investors. Specialty drugs continue to
represent the fastest-growing component of pharmaceutical spend, helping to drive top-
line growth across the channel. PBMs are the leading players in specialty pharmacy
dispensing and we believe they also benefit from utilization management tools, such as
narrow networks, step therapy and exclusionary formularies.
We also look for color on how companies are positioned for the shift to value-
based care over the next few years. Payors are gradually shifting away from the
traditional fee-for-service system to new value-based reimbursement models where
providers assume risk and are incentivized to control costs. We believe companies that
are part of the cost solution stand to benefit most from this transition.
Finally, we look for incremental commentary on various other factors that could
impact earnings growth across the sector. These include utilization trends on both the
pharma and medical sides, branded price inflation/generic deflation, the outlook for
new generic launches/generic sourcing, the pharmacy reimbursement environment, and
insight into capital deployment, given strong cash flow generation and financial
flexibility across nearly all of the companies in our coverage universe.
3
North America
Equity Research
04 January
2019
Lisa C. Gill
(1-212) 622-6466
lisa.c.gill@jpmorgan.com
Table of Contents
Introduction ..............................................................................4
Potential Newsflow at the JPM Healthcare Conference ............................................4
Historical JPM Healthcare Conference Stock Performance.......................................5
Conference Schedule...............................................................................................6
Valuation and Price Targets.....................................................................................7
Pharmaceutical and Med/Surg Distribution ...........................9
AmerisourceBergen ...............................................................11
Cardinal Health .......................................................................13
McKesson Corporation ..........................................................15
Owens & Minor, Inc. ...............................................................17
Retail Pharmacy......................................................................19
CVS Health ..............................................................................21
Walgreens Boots Alliance Inc ...............................................23
Rite Aid....................................................................................25
Pharmacy Benefit Management and Specialty Pharmacy ..27
Diplomat Pharmacy, Inc.........................................................29
Clinical Labs ...........................................................................31
LabCorp...................................................................................33
Quest Diagnostics..................................................................35
Dental Distributors .................................................................37
Henry Schein Inc ....................................................................39
Patterson Companies.............................................................41
HCIT .........................................................................................43
Cerner......................................................................................45
Premier, Inc. ............................................................................47
Teladoc Health Inc..................................................................49
Allscripts .................................................................................51
Evolent Health.........................................................................53
HealthEquity ...........................................................................55
NextGen Healthcare, Inc. .......................................................57
4
North America
Equity Research
04 January 2019
Lisa C. Gill
(1-212) 622-6466
lisa.c.gill@jpmorgan.com
Introduction
In the note below we highlight key topics for each subsector and company within our
coverage universe as we head into the 2019 J.P. Morgan Healthcare Conference. The
topics highlighted represent the top issues for each company as we think about both
the year ahead and longer-term growth prospects.
Potential News flow at the JPM Healthcare Conference
While we appreciate the access to management and the color we get on broader
market conditions and company specific initiatives, we typically don't get a
significant amount of material incremental news flow (i.e., guidance updates, M&A,
etc.) within our space at the J.P. Morgan Healthcare Conference. We note that within
our coverage universe, 11 companies have not yet provided initial FY19 guidance:
CVS, LH, DGX, CERN, TDOC, DPLO, OMI, HSIC, HQY, EVH, and MDRX.
Among those 11 companies, we believe TDOC and DPLO could potentially provide
guidance or preliminary metrics for 2019 at the conference this year.
Teladoc (TDOC/OW). In prior years, Teladoc has provided preliminary results
for 4Q and the current fiscal year, as well as forward guidance at the conference.
While the company had indicated at its Analyst Day that it plans to provide full
initial FY19 guidance on the 4Q earnings call in February, we believe the
company could provide preliminary 2018 results and some preliminary metrics
for 2019, such as lives and/or visits, at the conference this year.
Diplomat Pharmacy (DPLO/OW). In prior years, Diplomat has made
announcements at or around the J.P. Morgan Healthcare Conference. In 2017,
the company lowered the outlook for the current and upcoming year at the
conference, and in 2018, the company provided preliminary guidance for the year
ahead on the Friday prior to the week of the conference. We note that on the
3Q18 earnings call in November, DPLO had indicated that it expects to provide
2019 guidance “early next year.”
CVS and LH have both indicated they plan to provide FY19 guidance with 4Q18
earnings. DGX and CERN both also historically provide guidance for the upcoming
year with the 4Q earnings release. OMI noted in the 3Q18 earnings release that it
anticipates issuing guidance for 2019 “in the first quarter of next year.” Finally,
HSIC noted on its 3Q18 earnings call that “due to the complexities and timing of the
planned Animal Health spin-off,” the company plans to provide 2019 guidance “at a
later date as some of those uncertainties become clearer.”
In terms of other material news flow, while we note that McKesson (MCK/OW) had
lowered guidance and provided a preliminary outlook for the year ahead at the J.P.
Morgan Healthcare Conference in January 2016, we view that as a one-off, and are
not anticipating a guidance update this year. Similarly, AmerisourceBergen
(ABC/N) had announced the acquisition of MWI Veterinary Supply at the
conference in January 2015, although the company has historically has not
announced other large M&A transactions at the conference. In Healthcare IT, last
year we saw initial guideposts from HQY, which provided preliminary guidance on
year end assets and HSA accounts, and from EVH, which provided preliminary 2018
top line growth, with MDRX and NXGN affirming existing guidance.
5
North America
Equity Research
04 January
2019
Lisa C. Gill
(1-212) 622-6466
lisa.c.gill@jpmorgan.com
Historical JPM Healthcare Conference Stock Performance
We looked at the performance during the conference for our covered companies that
presented at the conference in each of the past five years. Overall, as shown in Table
1 and Figure 1 below, the companies within our coverage universe that presented at
the conference, on average, outperformed the S&P 500 in three of the past five years,
including solid outperformance in each of the past two years after underperforming
in 2016.
Table 1: Average Stock Price Performance for Healthcare Technology & Distribution Covered
Companies during the Conference vs. the S&P 500 and the S&P 500 Health Care Index
Healthcare Technology &
Distribution
Coverage Universe
S&P 500
Relative
Performance
(bps)
S&P 500
Health Care
Index
Relative
Performance
(bps)
2014
0.2%
0.2%
6
0.6%
-
31
2015
-
2.6%
-
2.5%
0
-
1.7%
-
84
2016
-
3.9%
0.0%
-
387
-
0.3%
-
353
2017
3.7%
-
0.3%
403
-
0.2%
394
2018
3.4%
0.9%
250
1.0%
241
Source: Bloomberg, J.P. Morgan.
Figure 1: Average Stock Price Performance of Healthcare Technology & Distribution Covered
Companies during the Conference vs. the S&P 500 and the S&P 500 Health Care Index
Source: Bloomberg, J.P. Morgan.
In Figure 2 below, we show the 5 best and worst performers among the companies in
our coverage universe that presented at the conference in each of the past five
conferences.
Figure 2: Performance of Healthcare Technology & Distribution Covered Companies vs. S&P 500 and S&P 500 Health Care Index
Source: Bloomberg, J.P. Morgan.
-5.0%
-2.5%
0.0%
2.5%
5.0%
2014 2015 2016 2017 2018
Healthcare Technology & Distribution
Coverage Universe
S&P 500 S&P 500 Health Care Index
2014 2015 2016 2017 2018
Best Worst Best Worst Best Worst Best Worst Best Worst
MDRX 7.9% NXGN -7.3% IMPR 6.0% DPLO -13.2% MDRX 4.6% CNXR -26.4% HQY 18.5% PDCO -5.0% RAD 15.3% TDOC -11.5%
MDAS 7.6% MCK -3.9% HQY 3.9% VCRA -8.8% CVS 2.1% MCK -9.7% ABCO 15.5% MCK -1.5% EVH 12.7% PDCO -2.7%
VCRA 4.7% CAH -2.0% ESRX -0.7% CNXR -6.7% ABCO 1.0% ESRX -9.6% EVH 10.7% CAH -1.5% CAH 9.3% ATHN -1.0%
ATHN 2.1% CVS -2.0% CVS -0.8% RAD -6.3% WBA 1.0% TDOC -7.5% MDRX 9.1% ABC -1.1% DPLO 8.9% HSIC 0.0%
DGX 1.4% ABC -1.2% LH -0.9% MDAS -5.7% HQY 1.0% EVH -6.0% TDOC 8.2% OMI -0.6% ESRX 5.4% CVS 0.7%
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