ResMed (RMD) 4Q19 earnings results

Key Takeaways:

Current price: $129 Price target: $138 NEW ($112 OLD)

Position size: 2.87% 1-year performance: +14%

ResMed released its 4Q19 earnings with sales up %. Gross margins expanded 120bps thanks to its recent SaaS acquisition consolidation, and better manufacturing and procurement efficiencies. Sales were supported by its SaaS business (+15% growth). Masks keep gaining shares globally: +16% in the US (better adherence and resupply program), +12% outside the US (new product launch). Devices grew 7% in the Americas and were flat outside due to tough comparisons y/y. Going forward we see multiple growth drivers:

· The new “Digital Care Act” passed in Germany should encourage a shift to electronic patient records and broader adoption of digital solutions, favoring ResMed’s product adoption

· A pilot program with Walgreen’s that could bring 5M app users onto RMD’s Propeller offering for monitoring asthma and COPD

The company suffered a large litigation charge ($41M) related to a civil investigation from the US Justice Dept, which other competitors suffered as well and should remain a one-time item. We are raising our price target to $138 after updating our model.

FY20 guidance:

Gross margin consistent with 4Q19 (59.3%)

SG&A 23-25% of revenue

R&D 7-8% of revenue

Thesis on RMD:

  • Leading position in the underpenetrated sleep apnea space
  • Duopoly market
  • New product cycle
  • Returns of capital to increase: ~1% share buyback/year (back in FY18), dividend yield of 2%

$RMD.US

[tag RMD]

Julie S. Praline

Director, Equity Analyst

Direct: 617.226.0025

Fax: 617.523.8118

Crestwood Advisors

One Liberty Square

Suite 500

Boston, MA 02109

www.crestwoodadvisors.com

DoJ Big Tech Review

Multiple news sources reporting that the Justice Department is “opening a broad antitrust review into whether dominant technology firms are unlawfully stifling competition.” This review broadly targets firms like Apple, Amazon, Facebook and Alphabet, but is not the company specific review that has been recently rumored. A specific investigation into any of these companies could also be announced. According to the WSJ quoting DoJ officials, “there is no defined end-goal yet for the Big Tech review other than to understand whether there are antitrust problems that need addressing, but a broad range of options are on the table…the department’s inquiry could eventually lead to more focused investigations of specific company conduct.”

Sarah Kanwal

Equity Analyst, Director

Direct: 617.226.0022

Fax: 617.523.8118

Crestwood Advisors

One Liberty Square, Suite 500

Boston, MA 02109

www.crestwoodadvisors.com

$GOOGL.US

$AAPL.US

[tag GOOGL]

[tag AAPL]

selling Exxon

Good morning,

After review, we decided to sell Exxon out of the Focused Equity portfolio (and putting the proceeds in IVV for now). We believe the investment thesis is broken. Please look at the presentation for additional details.

Initial investment thesis is broken:

Quality of returns put at risk by capital allocation decisions

No longer the industry leader

Defensive characteristics now uncertain

More broadly we see the traditional oil industry more at risks now vs. prior cycles due to a changing landscape:

Increase of electric vehicle penetration

Renewable energy becoming a better competitor to natural gas

States mandating a % of energy coming from renewable sources

[tag XOM]

Julie S. Praline

Director, Equity Analyst

Direct: 617.226.0025

Fax: 617.523.8118

Crestwood Advisors

One Liberty Square

Suite 500

Boston, MA 02109

www.crestwoodadvisors.com

XOM sell thesis FINAL.pptx

CVS Analyst Day Summary

CVS held its Analyst Day yesterday. Overall the event was a mostly positive, as the management team provided greater details on their Aetna integration and long-term strategic vision. The main points of the day are highlighted below:

· Retail/HealthHub concept:

During the presentation, CVS focused on their HealthHub initiative. After testing 3 pilot stores in Texas, CVS concluded the concept is viable and will enter 4 new markets by the end of 2019, and ultimately open 1,500 Hubs by the end of 2021. The rapid expansion of the Hubs within its retail stores will allow CVS to incorporate this offering with the benefits design for healthcare plans nationally. Areas of opportunities are chronic care management, home hemodialysis, and analytics. These initiatives should drive $850M in operating income by 2022, and $2.5B longer term.

· PBM:

This part of the business continues to see some pressure, with net new business for FY20 currently at -$8.7bn. While it is not surprising to see some downward pressure following the merger with Aetna, we hope CVS’s guidance for a return to growth longer term will materialize sooner rather than later. There are a number of overhangs in this business that will continue to weigh on sentiment including the pending rebate rule. This should be partially mitigated by continued growth in specialty pharmacy and its new guaranteed rebate net cost model.

· Healthcare Benefits:

There is an opportunity to cross-sell SilverScript’s PDP members onto Aetna Medicare platform. On the Commercial side, management sees a low-single-digit revenue growth and high-single-digit operating profit growth in the near term, as the business remains competitive.

· Guidance:

The 2020 preliminary guidance is in line with expectations:

organic growth in the Health Care Benefits and Retail/LTC segments is partially offset by continued pressure in Pharmacy Services

at least $7.00 in 2020 EPS, representing a 2%+ growth vs 2019 estimated numbers, and EPS will be helped by debt pay down of $7.5bn through the end of 2019

CVS’s 2020-22 EPS growth targets relies on three cost-savings-oriented initiatives that are expected to drive $3.5 billion in earnings improvement by 2022:

1. Enterprise Modernization of $1.5-2.0 billion;

2. Aetna integration synergies of $900 million (vs. $750M previously announced); with $300-350 million in 2019, $800 million in 2020, and $900 million in 2021 and beyond

3. Transformation initiatives of $850 million.

· The enterprise modernization initiative and integration synergies:

CVS has set initiatives to reduce costs and improve productivity, which is expected to generate run-rate savings of $1.5-2.0 billion in 2022, which is separate is from the $900 million of integration synergies.

· Capital Allocation:

Management again pointed to a priority of using cash to pay down debt.

Management expects to generate $10-12 billion of cash to enhance shareholder value in the long term. Once leverage returns to the leverage target, capital allocation will shift to dividend growth, M&A and share repurchase.

[tag CVS]

Julie S. Praline

Director, Equity Analyst

Direct: 617.226.0025

Fax: 617.523.8118

Crestwood Advisors

One Liberty Square

Suite 500

Boston, MA 02109

www.crestwoodadvisors.com

Mexico tariffs impacts on stocks

Last night Trump tweeted that on June 10th the US will impose a 5% tariff on all goods coming into the US from Mexico until the border crisis stops.

Tariffs are scheduled as follow until Mexico acts on the border crisis:

· tariffs will rise from 5% to 10% on July 1st

· 15% on August 1st

· 25% on October 1st where they will remain permanently “until Mexico substantially stops the illegal inflow of aliens coming through its territory

The biggest impact will be felt by STZ that produces its beer in Mexico. 73% of revenue comes from Mexican imports. On the other hand, 40% of COGS are denominated in Pesos, and a likely depreciation of the currency could actually offset some of the tariffs impact on STZ’s EPS. JP Morgan’s analyst sees a high-single-digit/low-double-digit negative impact on STZ’s EPS for the year.

STZ is trading down 5% on last night’s news.

Other names impacted are:

Union Pacific (UNP)- $2B+ of revenue to and from Mexico. Stock down 3% pre-market

Colgate: 10% sales from Mexico. No move pre-market

Pepsi: ~6% sales from Mexico. No move pre-market

[tag UNP] [tag STZ] [tag CL] [tag PEP]

Julie S. Praline

Director, Equity Analyst

Direct: 617.226.0025

Fax: 617.523.8118

Crestwood Advisors

One Liberty Square

Suite 500

Boston, MA 02109

www.crestwoodadvisors.com

JNJ opioids litigations impacting the stock today

It is hard to predict what will happen in the coming years for JNJ regarding the opioids lawsuits… but below are some information that hopefully will help understand the situation:

JNJ had a 10% market share in the branded opioid market, with a settlement liability estimated between $500M and $5B (per Bloomberg). This analysis is based on prior tobacco settlements and costs. Recently competitor Teva (5% market share) settled in Oklahoma for $85M (Bloomberg sees a $250M-$2.5B settlement risk nationwide for Teva). Based on JNJ financials, the settlement amount would not cause bankruptcies risks (only minor impact on EPS based on Bloomberg’s dollar settlement assumptions), but it is hard to assess reputation risks for JNJ going forward.

The company have this information on their website:

https://www.jnj.com/addressing-flawed-reporting-on-opiod-supply

"Addressing Flawed Reporting on Opioid Supply You may have seen media coverage on ongoing litigation related to opioid-based prescription pain medicines. Plaintiffs’ attorneys are distorting the facts on the way heavily regulated raw materials and Active Pharmaceutical Ingredients (APIs) were supplied by former subsidiaries of Johnson & Johnson for use in other manufacturers’ opioid-based pain medications.

We want to be clear – these allegations are false. The facts are:

1. At every step of the process, we adhered to all laws and regulations on the manufacturing, sale, and distribution of APIs and the raw materials used in their manufacture, and we produced APIs and raw materials in accordance with quotas established by the U.S. Drug Enforcement Agency (DEA).

Johnson & Johnson previously owned two subsidiaries, Noramco and Tasmanian Alkaloids, involved in the production of controlled raw materials and APIs used to manufacture prescription pain medications. This manufacturing process is strictly regulated, limited and monitored by the DEA and global authorities. They enforce regulations and set distribution quotas based on their assessment of the need for medicines containing these substances, and our businesses always complied with these rules.

Critically, as a supplier, we did not have any role in the manufacturing, sales, or marketing of the finished products of other manufacturers.

2. We no longer own these subsidiaries, and we do not promote any opioid pain medications in the U.S.

Johnson & Johnson divested Noramco and Tasmanian Alkaloids in July 2016 to focus our attention on other areas of significant unmet medical need.

While we continue to work with stakeholders to support the safe and appropriate use of prescription pain medications, we do not actively promote these medications in the U.S.

3. Although we do not promote prescription medicines containing opioids in the U.S., we believe they play an important role in appropriate pain treatment for some patients, many of whom have no viable alternatives.

Opioid pain medicines give patients and physicians valuable options to help manage the debilitating effects of serious pain. We support the tight control of these medications and their related ingredients. Opioid abuse is a serious problem, and there is consensus among the global healthcare community that we must strike the right balance between offering legitimate pain relief and preventing abuse.

Our priority is to always provide accurate information on our medicines to physicians, so they can make the best and safest choices in partnership with their patients. We acted responsibly in the marketing and promotion of our products and will continue to defend Johnson & Johnson against baseless and unsubstantiated allegations.

Although these issues remain incredibly complex and challenging, we’re committed to being part of the conversation and part of the solution."

[tag JNJ]

Julie S. Praline

Director, Equity Analyst

Direct: 617.226.0025

Fax: 617.523.8118

Crestwood Advisors

One Liberty Square

Suite 500

Boston, MA 02109

www.crestwoodadvisors.com

Buying Disney, Selling Sanofi in Focus Equity #researchtrades

We are recommending buying Disney to 2% and selling Sanofi to fund the purchase, remainder from IVV.

Disney Investment Thesis:

  1. Disney is a global media and entertainment company that owns a massive library of intellectual property.
  2. Their competitive advantage is their evergreen brands and synergistic business model. Disney can create content that builds off existing franchises and can be monetized across all their business, giving them the ability to create higher budget, quality content and an ever growing library of IP.
  3. New direct-to-consumer (DTC) initiativewill strengthen synergies between businesses and lead to structurally higher margins and higher multiple on recurring revenue business.
  4. Recent Fox acquisition improves their content positioning and global growth opportunities.
  5. High quality company with solid balance sheet, strong FCF generation and ROIC.

Rationale for selling Sanofi:

· Our portfolio is overweight in Healthcare which prompted our review of names we own in this sector:

· Top line growth is below other healthcare names we own

o Their biggest drug (Lantus) has seen big decline in sales in the past 5 years, as have other Pharma names, but other drugs developed by SNY have not offset the decline in $

o Although Genzyme has been a successful acquisition story, it took Sanofi 7 years to execute on another major acquisition (Bioverativ) that could bring back some top line growth (which hasn’t materialized yet)

· Their Vaccine segment saw some headwind from its Deng vaccine program in the Philippines, possibly resulting in 100 children deaths.

· While its dividend is attractive (4.2% yield), the stock has not delivered on expectations

$DIS.US

$SNY.US

[tag DIS]

[tag SNY]

Sarah Kanwal

Equity Analyst, Director

Direct: 617.226.0022

Fax: 617.523.8118

Crestwood Advisors

One Liberty Square, Suite 500

Boston, MA 02109

www.crestwoodadvisors.com

Danaher 1Q19 earnings results

Danaher reported 1Q19 earnings results this morning. Core revenue growth of 5.5% is solid, and core operating margins expanded 90bps (ex-FX). Results were good across each segments. During the call, management reassured that sales in China remained healthy, with no signs of destocking as peers have experienced in Q1. The risk around generics and pricing in healthcare does not directly impact them (they see themselves as 2nd or 3rd derivative from this issue). The 2019 EPS guidance has been adjusted for the equity dilution (related to the GE Biopharma acquisition), although that was partially offset by the higher than expected Q1: the EPS range moved from $4.75-4.85 to $4.72-4.80. DHR expects 4-5% core revenue growth in FY19. Recently this week, the healthcare group suffered a sell-off driven by fears of “Medicare for All”, which pushed Danaher lower as well. While it pared some of the GE Biopharma advance the stock gained following the announcement, we think Danaher continues to offer an attractive defensive business with high recurring revenue mix (something that we liked about Fortive!), potential for more synergies tied to the deal, and a margin expansion story. Continue reading “Danaher 1Q19 earnings results”