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1 Company Description McKesson Corporation, ranked 11th on the Fortune 500 companies, provides pharmaceuticals, medical supplies, and healthcare information technology that make healthcare safer while reducing costs. The Company operates in two segments, McKesson Distribution Solutions, and McKesson Technology Solutions. Its Revenue is $179 billion in FY2015 that is the 11th highest revenue generating company in the United States. Investment Thesis: I recommend a "BUY” with a target price of $248.87. The company is a leader in the healthcare sector, which has the better market scale and efficient service to deliver better pricing and convenience to its customers. It also has robust and stable cash flows with approximately 8-10%FCF yields. The company's revenue growth, impressive ROE, good cash flow generated from operations, notable EPS growth and growth in net income. It is a big player in one of the most defensive industries in the market. The Technology Solutions division will contribute more to its revenues in coming years. Besides, The Department of Health and Human Services has authorized a budget for the fiscal year 2015 of $1.020 trillion and past five years budget is in an increasing trend. The government policy is a big positive factor for the healthcare sector especially the Patient Protection and Affordable Care Act (PPACA) Also, McKesson opens the market outside the U.S in recent years, and there is an obvious revenue boost from the international market. Risks: Reform and regulation in health care industry Increasing Competition Proprietary protections Customer defection Foreign currency fluctuations Opportunities Aging Baby Boomers International market Government policy: Affordable Care Act Strategic M&A SIM Equity Research Report Analyst: Simon Wu November 8, 2015 6144461480 [email protected] McKesson Corp (NYSE: MCK) SectorHealthcare Recommendation: Buy Current Price: $183.75 Target Price: $248.87 Upside Potential: 32.5% Key Statistics Market Cap: 42.28 B Shares Outstanding: 230.11 M Dividend Yield: 0.57% 52 week range: $160.10 $243.61 Beta: 0.84 P/E: 24.04 P/S: 0.23 P/B: 4.87 EV/EBITDA: 10.99

OSU SIM Equity Research Report (McKesson)

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Page 1: OSU SIM Equity Research Report (McKesson)

                                                                                                                       

   1    

Company Description  

McKesson Corporation, ranked 11th on the Fortune 500 companies, provides pharmaceuticals, medical supplies, and healthcare information technology that make healthcare safer while reducing costs. The Company operates in two segments, McKesson Distribution Solutions, and McKesson Technology Solutions. Its Revenue is $179 billion in FY2015 that is the 11th highest revenue generating company in the United States.

Investment Thesis:

I recommend a "BUY” with a target price of $248.87. The company is a leader in the healthcare sector, which has the better market scale and efficient service to deliver better pricing and convenience to its customers. It also has robust and stable cash flows with approximately 8-10%FCF yields. The company's revenue growth, impressive ROE, good cash flow generated from operations, notable EPS growth and growth in net income. It is a big player in one of the most defensive industries in the market. The Technology Solutions division will contribute more to its revenues in coming years. Besides, The Department of Health and Human Services has authorized a budget for the fiscal year 2015 of $1.020 trillion and past five years budget is in an increasing trend. The government policy is a big positive factor for the healthcare sector especially the Patient Protection and Affordable Care Act (PPACA) Also, McKesson opens the market outside the U.S in recent years, and there is an obvious revenue boost from the international market.

Risks:  

• Reform and regulation in health care industry • Increasing Competition • Proprietary protections • Customer defection • Foreign currency fluctuations

Opportunities  • Aging Baby Boomers • International market • Government policy: Affordable Care Act • Strategic M&A

SIM  Equity  Research  Report    

Analyst:  Simon  Wu        November  8,  2015  

614-­‐4461480  

[email protected]  

McKesson  Corp  (NYSE:  MCK)  

Sector:  Healthcare  

Recommendation:  Buy  Current  Price:  $183.75  

Target  Price:  $248.87  

Upside  Potential:  32.5%    

Key  Statistics  

Market  Cap:  42.28  B  

Shares  Outstanding:    230.11  M  

Dividend  Yield:  0.57%  

52  week  range:  $160.10  -­‐  $243.61  

Beta:  0.84  

P/E:  24.04  

P/S:  0.23  

P/B:  4.87  

EV/EBITDA:  10.99  

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   2    

Table  of  contents  Company  Overview……………………………………………………………………………………………………3  

   Business  segments…………………………………………………………………………………………………..………3  

   Market  outlook………………………………………………………………………………………………………………..4  

   Competitive  analysis………………………………………………………………………………………………………..5  

   Recent  news…………………………………………………………………………………………………………………….6  

Investment  thesis………………………………………………………………………………………………………7  

   Economic  analysis……………………………………………………………………………………………………………7  

   Financial  analysis…………………………………………………………………………………………………………….  8  

         2nd  fiscal  quarter  analysis…………………………………………………………………………….……………….9  

   Valuation………………………………………………………………………………………………………………………….10  

       Multiple  Valuation………………………………………………………………………………………………………….10  

               Peer…………………………………………………………………………………………………………………………….10  

               Company…………………………………………………………………………………………………………………..…11  

               Sector…………………………………………………………………………………………………………………………  11  

DCF……………………………………………………………………………………………………………………………….  11  

Target  Price…………………………………………………………………………………………………………………...12  

   Risks  …………………………………………………………………………………………………………………………………12  

Conclusion………………………………………………………………………………………………………………..  14  

Appendix  1……………………………..………………………………………………………………………………………….15  

Appendix  2………………………………………………………………………………………………………………………….16  

Citation……………………………………………………………………………………………………………………………….17  

 

 

 

 

 

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   3    

Company  Overview  McKesson Corporation is an American industry- leading company distributing pharmaceuticals at a retail sale level and providing medical supplies, healthcare information technologies and care management tool to the healthcare industry in the United States and internationally. McKesson currently headquartered in San Francisco, CA and has 76,000+ employees. McKesson founded in 1833 and went public in 1994 with sticker "MCK" traded in NYSE and now become NASDAQ-100 index and S&P500 index component.

Business  segments    

The company operates in two main segments, McKesson Distribution Solutions, and McKesson Technology Solutions in US and Internationally.

 

Distribution  Solutions  Segment:    

Distribution solution segment is a major part of McKesson that consists of the businesses including North America pharmaceutical distribution and services, International pharmaceutical distribution and services and Medical-Surgical distribution and services.

The distribution solution generates 98.3% of total revenue in Figure A above that is the overwhelming major revenue of McKesson. This business segment supplies pharmaceuticals and other medical products to following primary customer channels:

• National retail pharmacies • Independent retail pharmacies • Institutional healthcare providers such as hospitals, clinics, and alternate site

organizations

Also, Medical-Surgical distribution and services is another significant segment of McKesson because it generates about more than double of the margins that traditional distribution services. The Medical-Surgical Solutions segment supplies equipment, logistics, and other services to healthcare providers includes physicians' offices, surgery centers, clinics, and long-term care facilities.

Technology  Solutions  Segment:  

0  

50  

100  

150  

2011   2012   2013   2014   2015  

Billion

Figure  A:Revenue  segment  by  Geography  

US   Internadonal  

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   4    

Technology Solutions segment provides a wide range of software and IT services for healthcare organizations including hospitals, physician offices, homecare providers, and pharmacies to improve quality and patient safety, reduce the cost and manage resources and revenue stream.

Market  outlook  

Leading positions in health care distribution and technology [1] • No. 1 in pharmaceutical distribution in U.S. and Canada • No. 1 in medical-surgical distribution to alternate care sites • No. 1 in generics pharmaceutical distribution • No. 1 in hospital automation • No. 1 in medical-management software and services to payers • No. 2 in specialty pharmaceutical distribution and services • 52% of U.S. hospitals use our technology and services • 20% of physicians use our technology and services • 1/3 of all pharmaceuticals used each day in North America delivered by McKesson • 4th largest pharmacy network: 2,900 Health Mart® retail pharmacy franchisees Market  share:  (source:  Bloomberg)  

                           

Cardinal  Health  24%  

AmerisourceBergen  31%  

McKesson  45%  

FIGURE1:  MARKET  SHARE  OF  PHARMACEUTICAL  DISTIBUTION  

CardinalHealth  30%  

 Henry  Schein  26%  

McKesson  15%  

PaUern  Cos  4%  

Owens&Minor  25%  

FIGURE2:MARKET  SHARE  OF  MEDICAL  DISTIBUTION  

 

UnitedHealth-­‐  OptumInsight  

55%    McKesson  

32%  

Tenet  Healthcare  -­‐Conifer  13%  

FIGURE3:  MARKET  SHARE  OF  IT  BUSINESS    

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   5    

Competitive  analysis  

McKesson's competitive advantage largely relies on the fact that it, along with Cardinal Health and AmerisourceBergen, oligopolies the wholesale pharmaceutical distribution market, which creates a high barrier for new competitors to enter the market.

Also, McKesson may gain positive impacts from recent health-care reform. For example, as the number of newly insured patients rises, McKesson will have more potential customers for its generic drugs, which tend to produce higher profit margins than brand-name drugs produced by Pfizer and Merck [2].

Information technology not only affects how individual activities are performed but, through new information flows, it is also greatly enhancing a company's ability to exploit linkages between activities, both within and outside the company. The technology is creating new linkages between activities, and companies can now coordinate their actions more closely with those of their buyers and suppliers. For example, McKesson, the nation's largest drug distributor, provides its drugstore customers with terminals. The company makes it so easy for clients to order, receive, and prepare invoices that the customers, in return, are willing to place larger orders. At the same time, McKesson has streamlined its order processing [3]. Also, information technology segment has a highly expected growth rate.

• Competitors:  

The two major competitors are AmerisourceBergen and Cardinal Health. AmerisourceBergen is focused on pharmaceutical distribution as its major business. However, AmerisourceBergen is not involved in the healthcare IT business, which might give McKesson an advantage as the healthcare IT market grows and possibly becomes more consolidated. AmerisourceBergen is more considered as a "pure" distribution player in the market, which has a minimal diversification in the industry.  

While McKesson and Cardinal Health compete with each other in medical and surgical manufacturing, and other segments mainly competitors in Healthcare Information Technologies include: Owens & Minor (OMI) and Henry Schein (HSIC) in the manufacturing segment and Cerner (CERN), Eclipsys (ECLP), Allscripts Healthcare Solutions (MDRX), and Computer Programs and Systems (CPSI) [4].  

Strategic  M&A  McKesson’s strategically thinking help itself better stand among the industry. McKesson has many successful acquisitions in the U.S and globally which gain more market than main competitor domestically and internationally.

• McKesson integrates European pharmaceutical wholesaler and retail Celesio with $29 billion annual sales

• McKesson Announces Agreement to Purchase the Pharmaceutical Distribution Division of UDG Healthcare PLC September 18, 2015 McKesson acquires the pharmaceutical distribution division of UDG Healthcare plc for €408 million in cash. The acquisition will add a leader in pharmaceutical

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   6    

distribution across the Republic of Ireland and Northern Ireland to McKesson's European business. [5]

Stocks  repurchase  

MCK buy back $340 million of its common stock last fiscal year, and announce another $500 million common stock. The company repurchase a large amount of shares might mean the price is undervalued.

Recent  news  

1. Nearly 500 Organizations License InterQual in Six-Month Period November 04, 2015

370 providers and 98 managed care organizations chose InterQual for evidence-based clinical criteria and medical review automation in first six months of 2015.

Also, the strong demand for InterQual® Criteria reflects the market’s growing need for technology that supports value-based care initiatives. [6]

2. McKesson Launches Chronic Care Management Services November 04, 2015

McKesson Business Performance Services (McKesson) has contracted with Sanctus Healthcare, a California practice management firm supporting independent private practice physicians with the delivery of chronic care management services. The initiative is designed to strengthen the continuity of care for chronically ill patients while providing a low-risk bridge for physicians seeking to transition from fee-for-service to value-based reimbursement. [7]

3. McKesson to Expand Distribution Agreement with Albertsons September 15, 2015 Expanded relationship to ensure highest levels of service for Albertsons' pharmacy customers • McKesson to assume responsibility for the sourcing and distribution of generic and

brand pharmaceuticals for nearly 1,700 pharmacies across the Albertsons' 33-state operating area

• Albertsons to benefit from the scale and strength of McKesson's proprietary OneStop® generics program and efficiency of McKesson's daily direct-to-store service model for pharmaceutical products

• Distribution agreement extends through April 2021 [8]

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   7    

Investment  thesis  

Economic  analysis  

• Demographic  trends    

One  of  the  most  influential  macroeconomic  indicators  for  Healthcare  sector  is  the  aging  population.  This  group  of  the  population  provides  the  largest  demand  for  pharmaceutics  and  medical  products.  Through  Figure  4,  the  trend  of  65+  is  increasing  and  will  continuously  grow  by  national  projection.  The  population  of  age  65  and  older  is  more  than  any  other  time  throughout  the  U.S.  history.  

Also,  according  to  2014  National  Projection  of  U.S  Census  Bureau,  the  population  of  65  and  older  (currently  46  million)  will  increase  to  88  million  by2060,  which  means  the  demand  for  healthcare  product  will  keep  the  increase  in  next  several  decades.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  

• Public  Policy:  As a player in the healthcare industry, McKesson is highly influenced by government’s healthcare policy. The enactment of Medicaid and Medicare influence the drug’s price, and quantity demanded of medical and healthcare related products and services which have a significant effect on McKesson's pharmaceutical distribution business because it covers approximately 20% of the US population. Uninsured rate decreases from 13.3% in 2013 10.4% of people were without health insurance during 2014 by The U.S. Census Bureau.

• Spending  Trends:    Health spending is expected to grow but at a relatively low rate. Factors contributing to the growth include expanded health care coverage, increased insurance costs, and prescription drug spending.  

1. Health spending as % of GDP increase: Healthcare spending in June 2015 was 18.1% of the GDP, up from 17.7% in July 2014. 2. Spending on hospital care: Spending on hospital care increased from 5.5% in July 2014 to 6.2% in July 2015, representing $1.05 trillion in total health expenditure. 3. Prescription drug spending: Prescription drug spending grew from 9.3% in May 2015 to 9.7%, or $337 billion, of total health spending in July 2015. [9] 4. The 2016 budget of Department of Health and Human Services increased.  

 

12.00%  

13.00%  

14.00%  

15.00%  

36  

38  

40  

42  

44  

46  

2010   2011   2012   2013   2014  

百万

Figure  4:  US  65+  Populadon  Trends  

US  Populadon    Age  65+  

Percentage  of  65+  populadon  

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   8    

Financial  analysis  

Income  Statement  Analysis  

Figure 5 of Consensus Revenue and Earnings Estimates

According to Appendix 1 and Figure 5 above, MCK has a tremendous revenue increase from $137.4 billion to $179 billion in FY 2015, mostly due to the sales of the international market. The projected sales growth rate for the next three years are 5%, 8%, and 7% respectively, which is similar to the consensus estimates. The projected estimated Earnings per Share are $7, $8, and $9 for the next three years, which are slightly lower than the consensus. The Revenue Growth trend is below the levels of the pharmaceutical industry but above the sector. The growth of the McKesson’s International segment is key for the company. The revenue of international segment contributed more and boosted in last fiscal year. So in the next three years, the project revenue growth rate of the international pharmaceutical distribution segments could slightly higher growth rate than consensus estimates due to improved global economy and business expansion in Europe and Asian soon. Tax rate is relative high among industry but it is on a downside because foreign countries that contribute lower income tax rates than US market.

Profitability  Analysis Figure 6 (source: http://csimarket.com) Fiscal Year 2011 2012 2013 2014 2015 ROA 3.89% 4.24% 3.85% 2.43% 2.86% ROE 16.65% 20.54% 18.93% 14.76% 19.29% Gross Margin 5.33% 5.35% 5.70% 6.04% 6.37% EBITDA Margin 2.1% 2.22% 2.25% 2.25% 2.26% Operating Margin 1.62% 1.75% 1.89% 1.72% 1.66%

Both Return on Asset and Return on Equity in 2015 fiscal year improved compare to the previous year, due to annual net income growth. ROA is relatively lower than industry. However, ROE remains on high level among industry, healthcare sector and whole market. Gross Profit and EBITDA margin beat the history due to McKesson’s Revenue increased to 179,045 $ millions by 30.11 %.

Year   FY2015   FY  2016  forward  estimate  

FY  2017  forward  estimate  

FY  2018forward  estimate  

Revenue   179.05  B   181.00  B   195.86  B   212.21  B  %  Growth  YOY   30%   4%   8.2%   8.3%  Shares  Outstanding  

232.4  M        

EPS   7.4   9.3   12.1   14.28  EPS  growth  YOY   38%   26%   30%   18%  

MCK  Industry  

Sector  S&P500  

0%  

50%  

ROA   ROE   Gross  Margin  

Figure  7:  2016  FY  2Q  Probability  Comparison  

MCK   Industry   Sector   S&P500  

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   9    

                                                                                                                                                                                                                                               Efficiency  Analysis According to Figure 8, MCK’S inventory turnover slightly below its industry but higher than sector and market. Asset turnover and Receivable turnover are above the benchmarks.

Liquidity  Analysis  McKesson Corp's quick ratio improved from 2013 to 2015 and current ratio improved from 2013 to 2014 but then slightly deteriorated from 2014 to 2015. However, both of them stay on the average level and stable.

         

 

Fiscal  2016  2nd  Quarter  Result  [10]  

McKesson delivered solid results during the first two quarters of 2016 fiscal year. In addition to the strong operating performance across our businesses in the second quarter, the company repurchased approximately 2.5 million shares totaling nearly $500 million, acquired the UK pharmacy operations of Sainsbury’s and the pharmaceutical distribution business of United Drug Group in Ireland.

Highlights • The revenue up 10% to 48.8 million. • Second-quarter Adjusted Earnings per diluted share of $3.31, up 19%. • Consolidated results include a pre-tax gain of $51 million • Board of Directors authorized a new $2 billion share repurchase program • Fiscal 2016 Outlook: Adjusted Earnings per diluted share of $12.50 to $13.00

0.68  

0.61  

0.58  

0.62  

0.63  

1.19  

1.09  

1.08  

1.1  

1.09  

2011   2012   2013   2014   2015  

FIGURE  9:LIQUIDITY  RATIO  COMPARISON  SOURCE:  CSIMARKET.COM  

Quick  Rado   Current  Rado  

MCK  Industry  

Sector  S&P500  

0  

5  

10  

15  

20  

25  

Inventory  Turnover  

Asset  Turnover  

A/R  Turnover  

Figure  8:  Efficiency  Rado  Comparison  

MCK   Industry   Sector   S&P500  

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   10    

Segment results

• Distribution Solutions revenues were $48 billion for the quarter, up 11% on a reported basis and up 14% on a constant currency basis. North America pharmaceutical distribution and services revenues were $40.6 billion for the quarter, up 16% on a reported basis and 17% on a constant currency basis. North America revenue growth primarily reflects market growth and our mix of business. International pharmaceutical distribution and services revenues were $5.9 billion for the quarter, down 13% on a reported basis and up 2% on a constant currency basis. Medical-Surgical distribution and services second-quarter revenues were up 3% for the quarter, driven by market growth.

• Technology Solutions second-quarter revenues were $721 million, down 6% compared to the prior year, primarily driven by the completed sale of our nurse triage business in our first quarter and by the anticipated year-over-year decline in our hospital software business, partially offset by growth in our other technology businesses.

 

 

Valuation  

Peer  comparison  

 

Figure  10:  Industry  multiples  comparison  (Yahoo  Finance)  

 

 

 

Valuation  Measures

MCK   CAH   ABC   Industry  Average  

Market Cap: 42.33B 28.94B 21.00B 28.40B

Qtrly Rev Growth (yoy)

10% 17% 12% 7%

Revenue (ttm)

187.72B 106.52B 135.96B 135.96B

EBITDA (ttm)

4.21B 2.84B 1.61B 2.84B

Net Income (ttm)

2.09B 1.33B -134.89M

EPS (ttm) 7.64 3.99 -0.62 3.99

P/E (ttm) 20.74 20.36 N/A 23.8 P/S (ttm) 0.24 0.26 0.17 5.52

P/B (ttm) 5.05 4.22 13.6 5.77 P/CF (ttm) 13.22 4.22 6.48 18.93

EV/EBITDA (ttm)

12.13 10.43 71.39 27.71

MCK=  McKesson    

CAH=  Cardinal  Health,  Inc.  

ABC=  AmerisourceBergen    

Industry=  Drugs  Wholesale    

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   11    

Multiples  Valuation      

Figure  11:  MCK’s  historical  multiples  comparison  (Bloomberg)  

 

 Company  Valuation:  The company traded slightly higher than historical median however, it is reasonable because healthcare has the high-expected growth and the potential to grow. Industry comparison: McKesson’s market cap and revenues are highly above all the main competitors and industry average which means the company is able to gain the major market share. Also, McKesson keeps a good growth rate of revenue and net income, which higher than industry average. According to figure x, McKesson trades below the industry average multiples includes P/E, P/B, P/S, and P/EBITDA, which indicates MCK is likely to be undervalued.

Sector  valuation:Based on figure 12 and 13 below,current health care Sector multiples are trading slightly above its historical median but they are still in understandable range, however, it is the whole sector is outperformed and “hot” which means it is fairly valued.

Figure  12:  Sector  historical  multiples  (Bloomberg)  

Figure  13  Sector  relative  toS&P500  (Bloomberg)  

DCF  Model:  Appendix 2 illustrates the DCF valuation for McKesson Corp that provide implied value per share of MCK is $269.74 with an upside of 46.8%, which slightly higher than the multiple valuation estimation. The forecasted terminal FCF growth rate is 6% and the terminal discount rate is 9.75% that reflects McKesson’s mature market dominance and optimistic international market expansion. The government policy and demographic condition will give healthcare opportunity for growth. The forecast estimates Capex as 0.3%

Absolute  basis   High   Low   Median   Current  P/E   28.94   7.63   17.09   20.74  P/B   6.98   2.25   3.28   5.05  P/S   0.32   0.09   0.18   0.24  P/EBITDA   13.88   5.1   9.25   10.75  

Sector   High   Low   Median   Current  P/E   23.95   9.94   15.5   21.32  P/B   3.97   1.91   2.97   3.57  P/S   1.92   0.97   1.45   1.70  P/EBITDA   14.21   6.48   9.62   12.72  

Relative  to  S&P500   High   Low   Median   Current  P/E   1.33   0.50   0.99   1.76  P/B   1.59   1.06   1.31   1.42  P/S   1.71   0.89   1.10   1.01  P/EBITDA   1.75   0.744   1.76   1.35  

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   12    

and Operating margin as 1%, which based on company’s historical statistics. But the forecasted Tax Rate is lower due to its significant increasing revenue in International market.

Sensitivity  analysis:    

Discount  Rate  

FCF  Grow

th  

Rate  

  9.25%   9.5%   9.75%   10%   10.25%  5%   256.01   242.02   229.50   218.22   208.02  5.5%   279.44   262.34   247.25   233.83   221.81  6%   310.08   288.47   269.74     253.33   238.85  6.5%   351.86   323.31   299.14   278.41   260.44  7%   412.21   372.09   339.24   311.85   288.66  

Figure  14:  Sensitivity  Table  

Multiple Valuation of McKesson’s Target Price

Figure 15: Target Price

Target  Price:

Final Target price is weighting 75% of implied value from DCF model and 25% from average of multiple target prices.

75% * $269.74 +25% * $186.26 = $ 248.87

Risks:  

Reform and regulation in health care industry: Many of our products and services are intended to function within the structure of the healthcare financing and reimbursement system currently being used in the United States. In recent years, the healthcare industry in the United States has changed significantly in an effort to reduce costs. These changes have included cuts in Medicare and Medicaid reimbursement levels, increases in the use of managed care, consolidation of pharmaceutical and medical-surgical supply distributors and the development of large, sophisticated purchasing groups. We expect the healthcare industry in the United States to continue to change and for healthcare delivery models to evolve in the future.

Increasing Competition: Distribution Solutions segment faces strong competition, both in price and service, from international, national, regional and local full-line, short-line and specialty wholesalers, service merchandisers, self-warehousing chains, manufacturers

Absolute  Valuation  

Current   Target  Multiple  

Target/Current   Expected  EPS   Target  Price  

P/E   20.74   15.15   0.73   12.72   192.7  P/B   5.05   4.03   0.80     155.6  P/S   0.24   0.23   0.95     184.76  P/EBITADA   10.75   11.68   1.09     211.99  Average           186.26  DCF           269.74  

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   13    

engaged in direct distribution, third-party logistics companies and large payer organizations. In addition, this segment faces competition from various other service providers and from pharmaceutical and other healthcare manufacturers as well as other potential customers of the segment, which may from time-to-time decide to develop, for their own internal needs, supply management capabilities that would otherwise be provided by the segment. Price, quality of service, and convenience to the customer are generally the principal competitive elements in this segment. Technology Solutions segment experiences substantial competition from many firms, including other software services firms, consulting firms, shared service vendors, certain hospitals and hospital groups, payers, care management organizations, hardware vendors and internet-based companies with technology applicable to the healthcare industry. Competition varies in size from small to large companies, in geographical coverage and in scope and breadth of products and services offered. These competitive pressures could have a material adverse impact on our results of operations.

Volatility of global capital markets: Volatility and disruption in the global capital and credit markets, including the bankruptcy or restructuring of certain financial institutions, reduced lending activity by other financial institutions, decreased liquidity and increased costs in the commercial paper market and the reduced market for securitizations, may adversely affect the availability and cost of credit already arranged and the availability, terms and cost of credit in the future, including any arrangements to renew or replace our current credit or financing arrangements. This risk may increase company’s costs of borrowing.

Proprietary protections: We rely on a combination of trade secret, patent, copyright and trademark laws, nondisclosure and other contractual provisions and technical measures to protect our proprietary rights in our products and solutions. There can be no assurance that these protections will be adequate or that our competitors will not independently develop products or solutions that are equivalent or superior to ours. These litigation expenses, damage payments or costs of developing replacement products or technology could have a material adverse impact on our results of operations.

Customer defection: Future advances in the healthcare information systems industry could lead to new technologies, products or services that are competitive with the technology products and services offered by our various businesses. To remain competitive in the evolving healthcare information systems marketplace, our technology businesses must also develop new products on a timely basis. The failure to develop competitive products and to introduce new products on a timely basis could curtail the ability of our technology businesses to attract and retain customers, and thereby could have a material adverse impact on our results of operations.

Foreign currency fluctuations: As increasing revenues are generated outside of the United States, for example,the Company’s acquisition of Celesio significantly increases our exposure to foreign currency fluctuation risks. These risks include uncertainty regarding the Brazilian real, the British pound sterling, the Canadian dollar, the Euro, and the Norwegian krone that could adversely impact our results of operations and capital ratios based on the movements of the applicable foreign currency exchange rates in relation to the U.S. dollar. Fluctuating exchange rates cause the value of items on both the assets and liabilities side of

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   14    

the balance sheet to change, which could also negatively impact our results of operations. A depreciation of non-U.S. dollar currencies relative to the U.S. dollar could have a material adverse impact on our results of operations. [11]

Conclusion  With the projected target price of $248.87 and 32.5% upside potential, I recommend a “BUY” in McKesson Corp (MCK). The share price currently remains undervalued at $183.75. First, robust financial statement and reasonable valuation indicate that MCK has further potentials. Revenues grows strongly recently both in North America and European market. Government’s policy and macroeconomic indicator such as increasing US aging population both have positive effect to healthcare, which helps McKesson stand a good chance in whole market. The strong earnings report of 2015 fiscal year also gives confidence to buy and hold McKesson until the price moves to expected level.

McKesson (MCK) Current Price: $183.75 Recommendation: Buy Target Price: $248.87

Upside Potential: 32.5%  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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   15    

Appendix  1  Income  Statement  

 

MCKFY FY FY FY FY FY FY FY

Millions 2018E 2017E 2016E 2015 2014 2013 2012 2011Revenues 217,249.62$       203,037.03$       187,997.25$       179,045.00$       137,392.00$       122,196.00$       122,734.00$       112,084.00$      Consensus 212,214.51$       195,986.80$       181,000.00$       174,000.00$      Cost  of  Sales (203,530.32)$   (190,130.82)$   (175,867.36)$   (167,634.00)$   (129,040.00)$   (115,315.00)$   (116,167.00)$   (106,114.00)$        Gross  margin 13,719.30$           12,906.21$           12,129.89$           11,411.00$           8,352.00$               6,881.00$               6,567.00$               5,970.00$              Operating  expensesSelling,  distribution  and  administrative  expenses (10,427.98)$       (9,745.78)$           (9,023.87)$           (7,901.00)$           (5,388.00)$           (4,110.00)$           (3,829.00)$           (3,529.00)$          Research  and  development (434.50)$                 (406.07)$                 (375.99)$                 (392.00)$                 (457.00)$                 (433.00)$                 (440.00)$                 (407.00)$                Claim  and  litigation  charges (1,485.50)$           (1,371.91)$           (1,267.00)$           (150.00)$                 (68.00)$                     (72.00)$                     (149.00)$                 (213.00)$                Gain  on  business  combination -­‐$                               -­‐$                               -­‐$                               -­‐$                               -­‐$                               81.00$                         -­‐$                               -­‐$                                        Total  Operating  Expenses -­‐$                               (11,523.76)$       (10,666.86)$       (8,443.00)$           (5,913.00)$           (4,534.00)$           (4,418.00)$           (4,149.00)$          Operating  Income 13,719.30$           1,382.45$               1,463.03$               2,968.00$               2,439.00$               2,347.00$               2,149.00$               1,821.00$              Other  Income,  Net 63.06$                         63.04$                         63.02$                         63.00$                         32.00$                         34.00$                         21.00$                         36.00$                        Impairment  of  an  Equity  Investment -­‐$                               -­‐$                               -­‐$                               -­‐$                               -­‐$                               (191.00)$                 -­‐$                               -­‐$                              Interest  Expense (371.76)$                 (372.51)$                 (373.25)$                 (374.00)$                 (300.00)$                 (240.00)$                 (251.00)$                 (222.00)$                        Income  from  Continuing  Operations  Before  Income  Taxes 2,782.48$               2,740.01$               2,698.18$               2,657.00$               2,171.00$               1,950.00$               1,919.00$               1,635.00$              Income  Tax  Expense (862.57)$                 (876.80)$                 (809.46)$                 (815.00)$                 (757.00)$                 (587.00)$                 (516.00)$                 (505.00)$                      Income  from  Continuing  Operations 1,919.91$               1,863.20$               1,888.73$               1,842.00$               1,414.00$               1,363.00$               1,403.00$               1,130.00$              Loss  from  Discontinued  Operations,  Net  of  Tax (299.00)$                 (156.00)$                 (25.00)$                     -­‐$                               -­‐$                              Discontinued  Operation  –  gain  on  sale,  net  of  tax -­‐$                               -­‐$                               -­‐$                               -­‐$                               72.00$                        Net  Income 1,589.75$               1,574.01$               1,558.43$               1,543.00$               1,258.00$               1,338.00$               1,403.00$               1,202.00$              Net  Loss  (Income)  Attributable  to  Noncontrolling  Interests -­‐$                               -­‐$                               -­‐$                               (67.00)$                     5.00$                             -­‐$                               -­‐$                               -­‐$                              Net  Income  Attributable  to  McKesson  Corporation 1,589.75$               1,574.01$               1,558.43$               1,476.00$               1,263.00$               1,338.00$               1,403.00$               1,202.00$              

Earnings  (Loss)  Per  Common  ShareDiluted      Continuing  Operations 7.54$                             6.08$                             5.69$                             5.59$                             4.29$                                  Discontinued  Operations (1.27)$                         (0.67)$                         (0.10)$                         -­‐$                               0.28$                                                    Total 6.51$                             6.45$                             6.38$                             6.27$                             5.41$                             5.59$                             5.59$                             4.57$                            Consensus 16.30$                         14.51$                         12.63$                        Basic      Continuing  Operations 7.66$                             6.19$                             5.81$                             5.70$                             4.37$                                  Discontinued  Operations (1.29)$                         (0.68)$                         0.10$                             -­‐$                               0.28$                                                    Total 6.37$                             5.51$                             5.91$                             5.70$                             4.65$                            Weighted  Average  Common  Shares        Diluted   244 244 244 235 233 239 251 263          Basic 240 240 240 232 229 235 246 258

Tax  Rate 31% 32% 30% 31% 35% 30% 27% 31%

D&A 920.00$                     945.00$                     962.00$                     1,017.00$               735.00$                     581.00$                     551.00$                     496.00$                    D&A % of Sales 0.42% 0.47% 0.51% 0.57% 0.53% 0.48% 0.45% 0.44%

CapEx -­‐595 -­‐580 -­‐560 -­‐545 -­‐419 -­‐400 -­‐403 -­‐388% of Sales -­‐0.27% -­‐0.29% -­‐0.30% -­‐0.30% -­‐0.30% -­‐0.33% -­‐0.33% -­‐0.35%

Receivables (1,368.67)$           (1,319.74)$           (1,278.38)$           (2,821.00)$           (868.00)$                 318.00$                     (770.00)$                 (673.00)$                % of Sales -­‐0.63% -­‐0.65% -­‐0.68% -­‐1.58% -­‐0.63% 0.26% -­‐0.63% -­‐0.60%Inventory (1,738.00)$           (1,583.69)$           (1,597.98)$           (2,144.00)$           (1,182.00)$           (60.00)$                     (878.00)$                 367.00$                    % of Sales -­‐0.80% -­‐0.78% -­‐0.85% -­‐1.20% -­‐0.86% -­‐0.05% -­‐0.72% 0.33%Payables 3,823.59$               3,451.63$               3,383.95$               4,718.00$               2,412.00$               (125.00)$                 2,027.00$               533.00$                    % of Sales 1.76% 1.70% 1.80% 2.64% 1.76% -­‐0.10% 1.65% 0.48%Change in WC 575.20$                     94.75$                         (3,422.69)$           5,221.00$               4,845.00$               (4,058.00)$           2,836.00$              

Revenue  Growth%  YoY 7% 8% 5% 30.32% 12.44% -­‐0.44% 9.50%Growth  Profit% 6.30% 6.40% 6.30%Operating  Expenses  as  %  of  SalesSelling,  distribution  and  administrative  expenses -­‐5% -­‐5% -­‐5% -­‐4.41% -­‐3.92% -­‐3.36% -­‐3.12%Research  and  development -­‐0.20% -­‐0.20% -­‐0.20% -­‐0.22% -­‐0.33% -­‐0.35% -­‐0.36%Claim  and  litigation  charges -­‐0.70% -­‐0.70% -­‐0.70% -­‐0.08% -­‐0.05% -­‐0.06% -­‐0.12%Gain  on  business  combination 0% 0% 0% 0.00% 0.00% 0.07% 0.00%Operating  Income 1.76% 1.76% 1.76% 1.66% 1.78% 1.92% 1.75%Other  Income,  Net 0.03% 0.03% 0.03% 0.04% 0.02% 0.03% 0.02%Impairment  of  an  Equity  Investment 0% 0% 0% 0.00% 0.00% -­‐0.16% 0.00%Interest  Expense -­‐0.20% -­‐0.20% -­‐0.20% -­‐0.21% -­‐0.22% -­‐0.20% -­‐0.20%        Income  from  Continuing  Operations  Before  Income  Taxes 1.55% 1.55% 1.55% 1.48% 1.58% 1.60% 1.56%Net  Income  %  as  Sales 1% 1% 1% 0.86% 0.92% 1.09% 1.14%

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Appendix  2  DCF  model  

 

Analyst: Simon Wu 9.75%11/8/2015 6.0%(Millions)Year 2016E 2017E 2018E 2019E 2020E 2021E 2022E 2023E 2024E 2025E 2026E

Revenue 187,997 203,037 217,250 230,285 244,102 256,307 269,122 279,887 291,082 299,815 308,809 % Grow th 8.0% 7.0% 6.0% 6.0% 5.0% 5.0% 4.0% 4.0% 3.0% 3.0%

Operating Income 1,463 1,382 13,719 2,303 2,441 2,563 2,691 2,799 2,911 2,998 3,088 Operating Margin 0.8% 0.7% 6.3% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0% 1.0%

Interest Income (309) (309) (310) (329) (349) (366) (384) (400) (416) (428) (441) Interest % of Sales -0.2% -0.2% -0.1% -0.1% -0.1% -0.1% -0.1% -0.1% -0.1% -0.1% -0.1%

Taxes 863 877 809 816 865 908 953 992 1,031 1,062 1,094 Tax Rate 30.0% 32.0% 31.0% 31.0% 31.0% 31.0% 31.0% 31.0% 31.0% 31.0% 31.0%

Net Income 1,558 1,574 1,590 1,816 1,925 2,021 2,122 2,207 2,295 2,364 2,435 % Grow th 1.0% 1.0% 14.2% 6.0% 5.0% 5.0% 4.0% 4.0% 3.0% 3.0%

Add Depreciation/Amort 962 945 920 691 732 769 807 840 873 899 926 % of Sales 0.5% 0.5% 0.4% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3%

Plus/(minus) Changes WC 746 922 1,132 1,199 1,271 1,335 1,402 1,458 1,516 1,562 1,608 % of Sales 0.4% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5% 0.5%

Subtract Cap Ex 595 580 560 691 732 769 807 840 873 899 926 Capex % of sales 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3% 0.3%

Free Cash Flow 2,671 2,861 3,081 3,015 3,196 3,356 3,524 3,665 3,811 3,926 4,044 % Grow th 7.1% 7.7% -2.1% 6.0% 5.0% 5.0% 4.0% 4.0% 3.0% 3.0%

NPV of Cash Flows 20,789 32%NPV of terminal value 45,080 68% 114,296 Projected Equity Value 65,869 100%Free Cash Flow Yield 5.95% 3.54%

Current P/E 28.8 28.5 28.2 46.9 Projected P/E 42.3 41.8 41.4 Current EV/EBITDA 20.2 21.1 3.3 Terminal EV/EBITDA 29.5 Projected EV/EBITDA 28.9 30.1 4.8

Shares Outstanding 244

Current Price 183.75$ Implied equity value/share 269.74$ Upside/(Downside) to DCF 46.8%

Debt 9,800.00$ Cash 5,640.00$ Cash/share 23.10$

Terminal P/E

McKesson Corp (MCK)

Terminal Discount Rate =Terminal FCF Growth =

Terminal Value

Free Cash Yield

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Citation  

[1]  www.mckesson.com/about-­‐mckesson/key-­‐facts/  

[2]  http://www.fool.com/investing/general/2011/12/12/how-does-mckesson-boost-its-ret  

[3]  https://hbr.org/1985/07/how-information-gives-you-competitive-advantage  

[4]  http://www.wikinvest.com/stock/McKesson_(MCK)  

[5]  http://www.mckesson.com/about-mckesson/newsroom/press-releases/2015/mckesson-announces-agreement-to-purchase-the-pharmaceutical-distribution-division-of-udg-healthcare-plc/

[6]  http://www.mckesson.com/about-mckesson/newsroom/press-releases/2015/nearly-500-organizations-license-interqual-in-six-month-period/?WT.rss_ev=a  

[7]  http://www.mckesson.com/about-mckesson/newsroom/press-releases/2015/mckesson-launches-chronic-care-management-services/

[8]  http://www.businesswire.com/news/home/20150915006894/en/McKesson-Expand-Distribution-Agreement-Albertsons

[9]  http://betterbusinesshealth.mckesson.com/market-insights  

[10]  www.mckesson.com  

[11]  10-K of FY2015