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CVS$Health$Corporation
Jake$Gutwein,$Wilson$Judy,$Devin$Keane,$Shaan$Phagura,$Max$Sak,$Eric$Yi
1
Table$of$Contents
I. Investment$Thesis
II. Industry$Outlook
III. Company$Overview
IV. Valuation
V. Conclusion
2
Investment
Thesis
Industry
Outlook
Company
Overview
Valuation Conclusion
3
I.$Introduction$&$Investment$Thesis
Introduction:$CVS
• Originally$founded$as$Melville$Corporation$in$1922$
• Later$on$became$CVS$Corporation,$then$CVS$Caremark$Corporation,$and$
now$is$CVS$Health
• Operates$in$the$Health$Care$Plans$Industry
• Most$companies$in$this$industry$act$as$Pharmacy$Benefit$Managers$(PBM)
• CVS$Health$is$split$up$into$4$operating$segments
• CVS/pharmacy
• CVS/minute$clinic
• CVS/caremark
• CVS/specialty$
4
Investment
Thesis
Industry
Outlook
Company
Overview
Valuation Conclusion
CVS$Health$Corp.$(NYSE:CVS)
Share$Price:$$103.95
Market$Cap: $115.8$billion
P/E:$24.89
P/S:$.8
P/B:$3.14
Beta:$.91
52wk:$81.37113.65
Div/Yield:$1.40/1.35%
5
Industry
Outlook
Company
Overview
Valuation Conclusion
Investment
Thesis
CVS$Health$Corp.$(NYSE:CVS)
6
Industry
Outlook
Company
Overview
Valuation Conclusion
Investment
Thesis
Trailing$5$Year$Performance$vs$Peers
7
Industry
Outlook
Company
Overview
Valuation Conclusion
Investment
Thesis
CVS,$Peers,$and$SPY$Trailing$5$Year
8
Industry
Outlook
Company
Overview
Valuation Conclusion
Investment
Thesis
Investment$Thesis
Current'Share'Price:'$103.95 |''''''''''''''''''''Implied'Share'Price:'$147.19
Thesis:'CVS'offers'unique'upside'opportunity'as'a'historically'well'positioned'player'in'one'of'the'most'
rapidly'expanding'markets'in'the'United'States,'with'a'corporate'structure'leveraged'to'produce'
outsized'returns'on'growth'in'the'complexity'and'expenditure'of'healthcare'provision.
Catalysts:
• Industry'growth
• CVS'→'CVS'Health
• CVS'Specialty'Connect
Risks:
• Markets
• Tobacco
• U.S.'Healthcare'Policy
9
Industry
Outlook
Company
Overview
Valuation Conclusion
Investment
Thesis
10
II.$Industry$Outlook
Competitive$Landscape:$Current$State
• Industry$made$up$of$PBMs$(Pharmacy$Benefit$Managers)
• PBMs:$the$intermediary$between$the$payor and$everyone$else$in$the$healthcare$system
• Form$prescriptions$plans
• Medicare$Part$D$services
• Formulary$management
• Increase$in$preventative$cares$services
• Flu$vaccinations,$immunizations,$and$health$screenings
• Affordable$Care$Act
• More$individuals$can$afford$to$visit$doctors
• Aging$baby$boomers
• Will$require$medications$to$address$their$ailments
• An$estimated$89.7%$of$those$65+$currently$use$a$prescription
• 76.7%$of$total$industry$revenue$is$expected$to$be$from$prescription$sales
Investment
Thesis
Industry
Outlook
Company
Overview
Valuation Conclusion
12
Current$State$(cont.)
● The$products$supplied$in$the$
PBM$industry$are$mainly$
medications
● CVS$Health$ ~71m$members,
with$~25%$share$of$PBM$market
Investment
Thesis
Company
Overview
Valuation Conclusion
Industry
Outlook
Future$Outlook
• Pharmacies$will$be$essential$as$baby$boomers$start$to$transition$into$the$65+$
category$over$the$next$5$years
• Healthcare$reform$has$increased$the$number$of$those$insured
• Americans$will$pay$lower$outofpocket$costs$for$prescriptions
• Brandname$drugs$soon$to$lose$their$patents
• Will$cause$new$generics$to$enter$the$market
• CVS$will$benefit$from$these$trends
• Customer$base$will$grow
• Will$supply$more$generics$as$patents$expire
• Prescriptions$will$become$cheaper$for$consumers
13
Investment
Thesis
Company
Overview
Valuation Conclusion
Industry
Outlook
Market$Positioning$and$CVS
• CVS$has$acquired$Target$and$Omnicare
• Acquisition$of$Target’s$pharmacy$and$clinic$business$is$estimated$to$
increase$CVS’s$market$share
• $1.9$billion$deal
• Omnicare$is$a$drug$manufacturer$that$produces$drugs$for$seniors
• CVS$can$now$offer$lower$prices$on$these$drugs
• Revenue$expected$to$grow$by$9.8%$annually$to$$152.9$billion
14
Investment
Thesis
Company
Overview
Valuation Conclusion
Industry
Outlook
15
III.$Company$Overview$&$Segment$Analysis
What$is$a$PBM?
Pharmacy$Benefit$Manager
Responsible$for:
• Processing$and$paying$prescription$drug$claims
• Developing$and$maintaining$the$formulary
• Contracting$with$pharmacies
• Negotiating$discounts$and$rebates$with$drug$manufacturers$
16
Investment
Thesis
Industry
Outlook
Company
Overview
Valuation Conclusion
CVS/pharmacy
• Consists$of$756.0$million$retail$
prescriptions
• Prescriptions$70.7%$of$total$
revenue
• General$merchandise$13.6%
• Overthecounter$and$personal$care$
products$11.0%
• Beauty$and$cosmetics$4.7%
• Starting$to$add$a$services$component
• Flu$vaccinations
• Facetoface$counseling
• Rebranding$effort
17
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
CVS/minuteclinic
• MinuteClinicwalkin$medical$clinics$are$staffed$by$nurse$practitioners$who$
specialize$in$family$health$care$
• CVS$is$a$market$leader$for$lowcost$clinics$ 56%$of$the$national$clinic$market$
share
• Of$the$14$million$new$health$care$customers,$7$million$are$expected$to$face$
physician$shortages,$creating$a$demand$for$comparable$services$at$low$
costs.$
• CVS$currently$owns$900$Minuteclinics,$with$plans$to$expand$to$1,500$locations$
by$2017.$(Walgreen$has$400$location)
• The$increasing$shortage$of$primary$care$physicians$is$expected$to$benefit$
MinuteClinic,$in$the$future
18
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
CVS/minuteclinic
19
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
CVS/caremark
• PBM$for$CVS$(thirdparty)
• Specialty$Connect$Program
• Dropping$Drugs
• Biosimilars
• Medicare$Part$D
20
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
CVS/specialty
• Dedicated$to$providing$specialized$services$for$a$wide$range$of$more$specific$and$
complicated$medical$conditions$ranging$from$cancer$and$HIV$to$infertility$and$
cystic$fibrosis
• CVS$has$over$35$years$of$operational$experience$in$the$specialty$space$and$is$the$
current$market$leader
• Through$its$SpecialtyConnect,$customers$ailing
from$such$conditions$can$receive$the$same
services$across$the$entire$range$of$CVS$locations
ranging$from$clinical$support$to$insurance
advisory$after$their$prescriptions$are$filled
21
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
Management$Team
• Larry$J.$Merlo$– CEO$– 59$years$old
• Previously$employed$as$Vice$President$of$stores$by$CVS
• Also$was$Chairman$by$National$Association$of$Chain$Drug$Stores
•Troyen$A.$Brennan$– Chief$Medical$Officer
• Previously$employed$by$Aetna$as$CMO$and$Vice$President
• CEO$of$Brigham$and$Women’s$Physicians$Organizations.Inc$
• Professor$of$Law$and$Public$Health$by$Harvard$School$of$Public$Health
• Professor$of$Medicine$by$Harvard$Medical$School
• David$M.$Denton$– CFO
• Also$Independent$Director$at$Coach.Inc
• Previously$employed$by$PharmaCare$Management$Services.Inc
22
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
Mergers$and$Acquisitions
• Acquired$Omnicare$for$~$12.9$billion$in$August
• Will significantly expand its ability to dispense prescriptions in assisted
living and long term care facilities that serve the senior patient population
• Help establish CVS in another important business segment
• Captures America’s aging population
• Acquired Target’s 1,660 pharmacies over 47 states
• Will be rebranded as MinuteClinic and CVS Health
• As Target expands so does CVS
• Significant purchasing and revenue synergies
23
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
Mergers$and$Acquisitions
24
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
Catalysts
• ‘CVS$Health’$rebranding
• CVS$‘Specialty$Connect’$program
• U.S.$Healthcare$Spending$jumped$to$5.5%$in$2014
25
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
Risks
• Tobacco
• Market$Conditions
• Competitive$Environment
• Regulatory$Compliance
• Declining$Discounts
26
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
Financial$Performance
27
Investment
Thesis
Industry
Outlook
Valuation Conclusion
Company
Overview
28
IV.$Valuation
Comparable$Companies$Analysis
29
Investment
Thesis
Industry
Outlook
Company
Overview
Valuation Conclusion
Comparable$Companies$Analysis
30
Investment
Thesis
Industry
Outlook
Company
Overview
ConclusionValuation
Comparable$Companies$Analysis
31
Investment
Thesis
Industry
Outlook
Company
Overview
ConclusionValuation
Discounted$Cash$Flow$Analysis
Implied$Share$Price:$ $147.19
WACC:$ 10.83%
Implied$EV:$ $121.149.87
Perpetuity$Growth$Rate: 4.50%
PRAT$Growth$Model$– DuPont$Analysis
32
Investment
Thesis
Industry
Outlook
Company
Overview
ConclusionValuation
33
V.$Conclusion$and$Appendices
Summary:$Positioning$for$Today,$Preparing$for$Tomorrow
CVS$has$made$the$right$moves:
• Positioned$as$a$safe$play$within$a$growing$market,$PBM$play$
without$significant$unrealized$risks
• Offers$investors$balance$between$stability$and$exposure$to$industry
wide$trends$in$healthcare
• The$new$acquisitions$for$CVS$will$prevent$costs$from$going$up$in$a$
continually$highly$regulated$industry.$
• Favorable$industry$trends$are$currently$coming$to$fruition$for$CVS
34
Investment
Thesis
Industry
Outlook
Company
Overview
Valuation Conclusion
Final$Recommendation/Trade$Details
Final$Recommendation:$BUY
Target$price:$$119.00
Stop$loss:$$93.55
Holdingperiod$expectation:$1218$months
35
Investment
Thesis
Industry
Outlook
Company
Overview
Valuation Conclusion
Appendix$1
36
Appendix$2
37
Appendix$3
38

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