Saturday, March 31, 2012

US Big Other Health Care Corps Annual 2011 Earnings Growth Modest and Decelerating

I made separate earlier posts on the Health Insurance Corps, the Drug Corps, and the Hospital and Health Care Services Corps.

In addition, there are 66 US Big Health Care Corps in other Health Care Sectors, which filed with the SEC, and which generated Pretax Income or Loss of more than $100 mil in any of the most recent three years.

These 66 US Health Care Corps generated Total Pretax Income in 2011 of $56.5 bil, up only 5% from 2010.  And this earnings growth was only half of the 10% earnings growth in 2010 over 2009.

When you review the list of these 66 Health Care Corps, you have to be impressed with the whole-scale exceptionally high quality.

There is something seriously wrong with the US economy when the Total Pretax Income growth in the most recent two years of the 80 largest US Big Oil Corps of 112% just crushes the 15% earnings growth of these fine 66 US Health Care Corps.  And by far the main driver of this 112% earnings growth of these US Big Oil Corps was simply substantially higher oil prices in the market, unfortunately driven in part by oil speculation. 

This modest earnings growth in 2011 was driven by most of the largest health care corps, as you can see in the below chart of earnings.

In deriving Pretax Income, I start with Pretax Income under Generally Accepted Accounting Principles (GAAP), and then exclude several clearly unusual very large items relative to Pretax Income, such as Special Legal Charges and Credits, Asset Impairments, Gains/Losses on Debt Retirements, and Gains/Losses on Asset Sales.

Just like the Health Insurance Corps, the Drug Corps, and the Hospitals and Healthcare Service Corps, these other Health Care Corps in Other Health Care sectors below will also be receiving huge economic benefits down the road in 2014 when the Affordable Healthcare Act totally kicks in, and their number of patients/customers served increase substantially.


Below here is the Pretax Income (PTI) of these 66 US Big Health Care Corps in Other Health Care sectors for each of the most recent three years.






PTI PTI




% %

Change Change

PTI PTI PTI 2011 2010

2011 2010 2009 vs vs
mils $s mils $s mils $s 2010 2009
Other Health Care




Retail Drug and Proprietary Stores




CVS Caremark 5,746 5,601 5,900 3% -5%
Walgreens 3,860 3,373 3,164 14% 7%
MedcoHealthSolutions 2,376 2,334 2,103 2% 11%
Express Scripts 2,024 1,909 1,308 6% 46%
Omnicare 273 34 332 703% -90%
Rite Aid (546) (480) (773) -14% 38%





Biological Products



Amgen 4,936 5,317 5,204 -7% 2%
Gilead Sciences 3,651 3,914 3,502 -7% 12%
Biogen IDEC 1,711 1,475 1,333 16% 11%
Life Technologies 479 442 195 8% 127%
Techne 307 261 280 18% -7%
Myriad Genetics 180 37 (64) 386% 158%
PDL Biopharma 165 156 155 6% 1%
Momenta Pharm 160 141 136 13% 4%





Surgical&Medical Instruments



Baxter 2,809 2,590 2,734 8% -5%
Stryker 2,216 1,926 1,807 15% 7%
Becton Dickinson 1,716 1,661 1,579 3% 5%
CR Bard 1,686 1,729 1,624 -2% 6%
Boston Scientifc 758 718 672 6% 7%
Covidien Ltd 630 465 714 35% -35%
CareFusion 415 341 338 22% 1%
ResMed 304 261 202 16% 29%
Hill-Rom Holdings 207 162 94 28% 72%
Teleflex 164 155 164 6% -5%
Haemonetics 145 147 140 -1% 5%
Gen Probe 110 97 85 13% 14%





ElectroMedical Apparatus



Medtronic 3,723 3,969 3,061 -6% 30%
St Jude Medical 1,019 1,209 1,057 -16% 14%
Varian Med Sys 589 533 475 11% 12%
Hologic 172 165 190 4% -13%
Thoratec 112 93 43 20% 116%





Drug Wholesalers



McKesson 1,848 1,864 1,557 -1% 20%
Cardinal Health 1,518 1,212 1,160 25% 4%
AmerSourceBergen 1,131 1,028 824 10% 25%
Herbalife Ltd 560 380 291 47% 31%
Nu Skin Enterprises 227 208 141 9% 48%






Orthopedic Prosthetic Appliances



Zimmer Holdings 1,141 1,154 1,099 -1% 5%
Intuitive Surgical 710 572 396 24% 44%
EdwardsLifeSciences 284 268 217 6% 24%
Biomet 204 192 166 6% 16%
Steris 105 57 65 84% -12%
MineSafetyApplcs 90 102 36 -12% 183%
Align Technology (124) (142) (369) 13% 62%





Medical Research



Quest Diagnostics 1,092 1,184 1,228 -8% -4%
LabCorpAmerica 866 916 885 -5% 4%
Covance 177 163 228 9% -29%
CharlesRiverLabs 133 92 152 45% -39%
Exelixis 77 (92) (141) 184% 35%





Lab Analytical Instruments



Waters Corp 509 438 387 16% 13%
FEI Co 349 308 225 13% 37%
Bruker 236 220 186 7% 18%
PerkinElmer 213 176 125 21% 41%
Bio Rad Labs 146 150 129 -3% 16%
Mettler Toledo 124 58 17 114% 241%
Illumina 123 52 28 137% 86%
Coherent 64 166 100 -61% 66%





Misc Medical Equip&Supplies



Henry Schein 569 502 453 13% 11%
Dentsply 356 339 320 5% 6%
Patterson 256 358 363 -28% -1%
Owens & Minor 209 124 115 69% 8%
PSS World Medical 190 182 188 4% -3%
II-VI Inc 119 110 84 8% 31%
Cooper Cos 102 51 46 100% 11%





Misc Health Care



Weight Watchers 483 313 290 54% 8%
Idexx Lab 234 202 175 16% 15%
AllscriptsHCSols 117 104 44 13% 136%





Total all 66 56,535 53,746 48,964 5% 10%