Jim Jubak

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Posted 4/27/2005

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Jubak's Journal

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 Jubak's Journal
5 health care havens

A turbulent market often causes investors to turn to drug stocks. But they have problems. Another piece of the health care sector can help.

By Jim Jubak

Down 191. Up 56. Down 115. Up 206. Down 60.

The volatility of the Dow Jones Industrial Average and the stock market as a whole in the last 10 trading days is enough to make an investor's head spin. It's not just hard to figure out where stocks are headed when each day sends a different message, but the big day-to-day changes raise the cost of being on the wrong side of a move. It's one thing to buy when the indexes are down 10 points and something else entirely when they tumble 190 points.

At times like these, investors usually seek the safety of big drug stocks because their earnings are safe and predictable and the stocks deliver on their promises even if the economy is about to turn sour. But that sector has its own troubles these days, ranging from massive lawsuits against Merck (MRK, news, msgs) from consumers claiming they've been harmed by Vioxx to the dangers of falling revenue thanks to patent expirations at Pfizer (PFE, news, msgs). You know the sector has hit a rough patch when even Johnson & Johnson (JNJ, news, msgs) gets hit with bad news and starts to feel risky. On Monday the Food and Drug Administration required J&J to add more information about the risk of death from taking its heart drug Natrecor.

The other part of health care
So where is the "safe money" going these days? To other parts of health care, including managed-care companies, hospital management companies and medical device makers.
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Some strong trends, which had been blowing against the sector in recent years, have reversed direction and are now powering the stocks. Acquisitions, a result of consolidation in the sector as weak players were forced out, are starting to pay off for the survivors. Costs are still rising, but at a lower rate thanks to trends in the health care market such as increased co-payments and deductibles that make consumers more aware of their health care spending, and thanks to better cost-control technology at the companies themselves. And after years of grueling price competition, companies are discovering that they can raise prices and premiums and see the increases stick without losing market share.

My three picks for my appearance Wednesday on CNBC's "Morning Call" were:

Big savings
  • UnitedHealth Group (UNH, news, msgs) is a good example of the trends that are driving health care stocks. Strong cost controls thanks to new technology that allows the company to better calculate the costs and revenue of a contract before taking on a new customer and the continuing integration of acquisitions will result in cost savings of $300 million to $350 million this year and next.

    At the same time, operating revenue is projected to grow by 20% in 2005. The growth is coming from acquisitions, increased enrollment and increases in the net premium yield of 8% to 9% after years of price competition. Thanks to that earnings growth, the stock's price-to-earnings ratio of 21.5 on trailing 12-month earnings drops to 18.4 on projected 2005 earnings. Our StockScouter rated the stock a 9 out of a possible 10 on April 28.

    A down payment
  • Community Health Systems (CYH, news, msgs) reports first-quarter earnings after the close Wednesday, and I expect to see the first down payment on earnings growth projected by analysts at 17% for 2005. Revenues should grow by about 11% this year, with about four percentage points of that coming from acquisitions and the rest from organic growth. The company's operating margin will also, almost certainly, get a boost from the payment formula just published by the federal government. Rural hospitals, the kind that Community Health Systems operates, will get a bigger increase in reimbursement from Medicare and Medicaid than urban hospitals this year under prospective rules just published by the Center for Medicare & Medicaid Services.

    Continued cost savings from operations of scale as the company expands the number of hospitals it operates have pushed operating margins to 36% in 2004 from 35.9% in 2003. The stock trades at a P/E ratio of 22.6 on trailing 12-month earnings and at 18.3 on projected 2005 earnings. Our StockScouter rated the stock an 8 on April 27.

    Solid organic growth
  • Humana (HUM, news, msgs) recently acquired CarePlus Health Plans, a provider of Medicare HMO plans with 50,000 members. Humana expects that deal to add 15 to 18 cents to earnings in the first year. Add in solid organic growth in its existing Medicare business and geographic expansion, and it's easy to see how analysts get to 26% earnings growth for 2005.

    But getting that kind of earnings growth out of what is a projected 8% increase in revenue requires solid savings on the cost end. Humana is getting that by using technology to control costs and from changes in the Medicare Modernization Act. The stock's P/E ratio of 18.4 on trailing 12-month earnings drops to 14.9 on projected 2005 earnings. Our StockScouter rated the stock a 5 on April 27.

    And, of course as always I have two more exclusive picks for CNBC.com on MSN.

    Exclusive picks
  • Cooper Companies (COO, news, msgs) acquired Ocular Sciences, a global maker of soft contact lenses, in January. The deal rounded out Cooper's lens business because Ocular has a big presence in the market for disposable lenses while Cooper primarily offers specialty contacts, such as cosmetic and multi-focal lenses. The deal is even complementary on the marketing side as Ocular sold through large chain stores and Cooper distributes through independent optometrists.

    Those synergies, plus the usual cost-savings as the companies combine their operations, have led analysts to project earnings growth of 21% in the fiscal year that ends in October, and 30.3% in fiscal 2006, when the company will get the full benefit of the acquisition. The shares trade at a P/E ratio of 27.4 on trailing 12-month earnings and a forward P/E ratio of 21.9 on projected fiscal 2005 earnings. Our StockScouter rated the stock a 7 on April 27.

  • HCA (HCA, news, msgs) did a massive 13% buy-back of its stock last year using borrowed money. The move increased the company's leverage so that HCA now sports a debt-to-equity ratio of 2.28. That would be a problem except that the company is projected to generate $5.70 a share of cash flow a share this year and $6 a share in 2006, giving it ample room to pay down debt. Shareholders should get a bump from the company's debt reduction and from 4% growth in operating revenue in 2005 after 8% growth last year.

    In late March HCA raised its earnings guidance on improving patient volumes, lower patient bad debt, and cost savings. Analysts have raised their 2005 earnings estimates for HCA to $3.16 from $2.83 in the last 90 days. The shares trade at a P/E ratio of 21.2 times trailing 12-month earnings and 17.3 times projected 2005 earnings. Our StockScouter rated the stock an 8 on April 27.


    Editor's Note: A new Jubaks Journal is posted every Tuesday and Friday.

    E-mail Jim Jubak at jjmail@microsoft.com.

    At the time of publication, Jim Jubak didn't own or control shares in any of the equities mentioned in this column. He does not own short positions in any stock mentioned in this column.

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