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NOVARTIS
SM
SCHOOL
OF BUSINESS
PAGE 1
ANN RIFE COX ENDOWMENT FUND
BUSINESS MODEL 6) HMOs dump Medicare & Medicaid investments while the
cost of senior care balloons
The Major Drug Manufacturing and Pharmaceuticals sub-sector 7) Utilization Review (seeking effective means of cost control)
of the health care sector is marked by high margins despite large 8) Use of minimally invasive surgery (loss of business in
research and development costs. The largest driver of earnings for operating rooms)
any given company in this sector is its ability to remain innovative 9) Alternate site care (Home health care)
and revolutionary. As a result these companies must always be 10) Advanced imaging techniques
forward looking. The companies in this sector often carry a very 11) Biotech and advanced pharmaceuticals use grows while
large amount of cash. They generate very large amounts of cash costs soar
flow, and with an aging population they seem to only be growing. 12) Advanced information technology and medical records
13) The Internet (a shift of access of knowledge from the
physician to patient)
OVERALL MARKET PERSPECTIVE 14) M&A of health care companies – rise in consolidation
15) New Medicare Rx legislation – $400 billion budget over 10-
year period to cover elderly; boost pharmaceutical sales
Gradually, medical progress has been expensive, and healthcare
16) Loss of patent protection in the next four years
still represents the largest sector of the U.S. economy. In 1940,
17) Rx to OTC drug conversion to boost non-prescription sales
the United States spent $4 billion on health care. In 1998, health
care costs have skyrocketed to $1.1 trillion, almost $4,094 per
Additionally, the drug market is one of the world’s most profitable
person. Further, this health care cost accounted for approximately
markets in terms of profit margin. For instance, “lifestyle drugs”
13.5% of the gross domestic product (GDP) or one-seventh of
alone economically and socially have been transforming the $98
the U.S. total output. Total U.S. health care costs are projected
billion U.S. pharmaceutical market. With the forefront of the
to increase from $1.31 trillion in 2000 to $2.17 trillion in 2008,
biotech era, biotechnology is expected to produce up to ½ of all
averaging a 6.8% increase per year. Health care spending in terms
new drugs in the future. The outlook for technology will mostly
of GDP is expected to increase from 14% in 2000 to 16.2% in
encompass regenerative medicine, transgenics (use of organ and
2008. According to Plunkett Research, rising drugs costs amply
tissues grown in lab animals for human transplant), neo-organs,
contribute to the soaring health care costs. Since 1995, the price
the human genome project, enhanced gene therapy, new drug
of drugs has been increasing more than 10% annually and has
delivery methods, new technology in hospital systems, support
surpassed $110 billion annually.
and services, nanotechnology and advanced in cancer research,
diagnostic imaging and monitoring, laboratory testing, and
Most importantly, a large percentage of the U.S. population
will also be aging. Baby boomers of 1946 to 1964 will reach surgery.
retirement age and this retiring population will increase sharply.
Intuitively, the percentage of the working population will fall.
Consequently, demand for medical care, long-term care facilities, VALUATION
drugs, improved technology, and other medical services will
eventually skyrocket. As a benefit, these services will increase We calculated an intrinsic value based on an average, revenue
life expectancy age, but prolonging age will add to health care growth of 8% a year — in-line with market consensus estimates.
costs. In addition to health care spending, the number of people In our discounted free cash flow (DFCF) model, we assumed that
drawing Social Security benefits will rise sharply. Intense pressure their profit margin would remain constant as well as their other
will be tightly placed on government budgets. Increases in taxes major cost drivers, such as Research and Development. We also
will result unless the government cuts the level of these services. assumed that their line item percentages in their income statement
Nothing about health care expenditures indicates that any decrease for 2003 would remain the same throughout forecasted years (see
will occur anytime soon. Exhibit 2). Based on our analysis of Novartis, we determined that
it is a good company, but slightly overvalued. With a Weighted
According to Plunkett Research, the state of the health care Average Cost of Capital (WACC) of 7.35% and a Terminal
industry will have recurring themes during the first half of the 21st Growth percentage of 4%, we feel Novartis is fairly valued at
century: $42.35. Exhibit 4 depicts a sensitivity analysis of the possible
intrinsic values of the firm depending on the variability in WACC
1) Increase in ineffective utilization of Managed Care and Terminal Growth numbers. On a positive side, we do not
enterprises (HMOs, PPOs, etc.) necessarily see serious detrimental behaviors that could adversely
2) Loss of autonomy for both physicians & patients affect their financial condition because it has a lot of room on
3) Backlash against HMOs (“Patients Rights”) the upside. However, we feel that Novartis will not be able to
4) The rise and fall of various types of physicians’ organizations achieve the returns consistent with the expectations of the Ann
5) Vast number of uninsured and underinsured Americans – Rife Cox portfolio for 2004. Growth in the firm will remain either
15.5% of Americans have no health coverage (42.6 relatively constant or will slowly grow over time (see Chart A).
million adults & 14 million children) Consequently, we recommend a sell of our position in Novartis.
SMU : COX SCHOOL OF BUSINESS ANN RIFE COX ENDOWMENT FUND
SOUTHERN METHODIST UNIVERSITY NVS | PAGE 3
We made several assumptions that will serve as inputs into our Sales and Net Income
DFCF model for simplicity purposes. Novartis ranks 3rd in sales and net income among our
choice of comparable companies (see Chart B and C for Novartis’
Capital Expenditures-to-Depreciation ratio sales breakdown). While Novartis have sustained their position,
Using Novartis’ 2003 financial figures, we arrived at a ra- other drug manufacturers have shown much better growth pros-
tio of .9589 and assumed this ratio remained constant for purposes pects and increased competitiveness.
of growing capital expenditures throughout forecasted years.
Earnings per Share (EPS)
Revenue growth % Once again, Novartis ranks 3rd in EPS among our choice
Market consensus estimates revenue growth of 8%; how- of comparable companies. Next Fiscal Year (NFY) prospects
ever, we forecasted 10% revenue growth for the years 2005, 2006, shows attractive growth for all comparables. Eli Lilly seems to
and 2007 because Novartis will be able to recognize returns on show the greatest prospect in EPS growth of 17.7%.
investments (ROI) from their new drugs that will be coming out of
Phase II and final Phase III clinical trials. We then conservatively Financial Ratios
reduced revenue growth for the remaining years. Further, Chart B Pfizer steps into the 1st position with the highest Last Fis-
and C indicate breakdowns and distributions in sales earnings. cal Year (LFY) gross margin of 87.5% while Novartis achieves a
gross margin of 76.5%. However, Novartis maintained an EBIT-
Depreciation DA gross margin of 27%, shy under Pfizer’s EBITDA gross mar-
Using Novartis’ 2003 financial figures, we arrived at gin of 36.4%. Return on Equity (ROE) is mediocre at 16.2% while
5.65% (see Exhibit 2 - Key Percentages) and assumed this per- Eli Lilly has a well-above average ROE of 26.1%. According to
centage remained constant for purposes of growing depreciation Yahoo!, the Industry indicates a trailing twelve months (TTM)
throughout forecasted years. We also derived depreciation-to- ROE of 20.01%. Return on Assets (ROA) is moderate at 12.5%
book assets of 4.4%. in terms of measuring profitability. TTM ROA for the Industry is
determined to be at 9.01%. Asset Turnover (in terms of how well
Debt Interest Rate % assets are used to produce revenues) for Novartis does not look
We calculated the debt interest rate to be based on a impressive at 0.46 when compared against other drug manufactur-
spread from a AAA bond rating. An interest rate of 4.1% seems ers. Current ratio is very high at 2.46, indicating that Novartis is
to be consistent with interest expense (as a % of revenue) in 2003. very liquid.
We also used this figure to calculate interest expense in forecasted
years. Growth
Historical 3-year growth rate seems to look unattractive
Tax rate at -0.05% while other drug manufacturers have achieved positive
We used a fair tax rate of 20% for 2003. We kept this growth. Projected ROE NFY for Novartis at 16% is extremely low
figure constant throughout forecasted years. among others. Yet, Novartis’ projected growth in EPS in 5 years is
expected to be at a modest 13.1%.
Key Percentages for 2003
Percentages for each line item indicate as percentage of Risk
revenue. These percentages were used to forecast line items in Debt does not seem to be a risk factor for Novartis con-
forecasted years (see Exhibit 2). sidering they carry a hefty load of cash at $13,967.8 million.
Beta Valuation
We arrived at a beta equity of the firm of 0.84 from Val- Current Fiscal Year (CFY) Price-to-Earnings (P/E) is
ueline (see Exhibit 3). fairly high at 18.6 while NFY P/E also remains high at 16.7. Also,
Relative P/E is high at 1.15. Additionally, Novartis’ PEG ratio
Weighted Average Cost of Capital (WACC) is high at 1.54 when compared to the Industry’s 1.24 PEG ratio.
With our inputs, we calculated the WACC to be 7.35% for In summary, Novartis is expensive, and because the P/E ratio is
the levered firm (see Exhibit 3). high, the market seems to be more willing to pay for each dollar
of annual earnings. Further, Novartis’ P/E is slightly higher than
Terminal Growth % the aggregate P/E ratios, indicating that the Company is a slightly
We used 4% as a terminal growth input to determine the more expensive than the norm.
intrinsic value of the company (see Exhibit 4).