Tuesday, December 4, 2012

US Fiscal Cliff Trade-Off #17: Limit Tax Benefit Rate on Health Care Corp Stock and Stock Option Awards to 20%

Let me give you one example of just why the country's health care costs are totally out of control.

John Hammergren is the CEO of McKesson, a large drug wholesaler, based in California.  McKesson is a very profitable company, but certainly nowhere nearly as profitable as some of the largest US Corps.

From McKesson's Proxy Statement, filed with the SEC, here is Hammergren's Compensation disclosure.





Three Year Total

2012 2011 2010 2010-2012

thousands of $s thousands of $s thousands of $s thousands of $s





Base Salary 1,680 1,665 1,580 4,925
Stock Awards 8,602 12,186 11,049 31,837
Option Awards 6,133 7,371 7,648 21,152
Non-equity Incentive Compensation 12,828 9,860 12,828 35,516
Increase in Pension Value 10,075 14,073 20,672 44,820
All Other Compensation 363 512 566 1,441





Total Compensation 39,681 45,667 54,343 139,691

So when you combine his Stock Awards and Stock Option Awards they total a massive $53 mil for the most recent three years.  And yes, the Value of his Pension also increased by another $45 mil in the most recent three years.  You add just those two items and you get $98 mil of Compensation.

And yeah, the Stock and Stock Option Awards are a massive 10.8 times the base salary in the most recent three years.

When you ponder the above numbers, there is clearly a very extravagant situation here.

And when you analyze the details of the above All Other Compensation Category, included in the three year total of $1,441,000 are the company match to the 401(k) Retirement Plan of $34,000.....that seems very fair.....but also, two other items that seem extremely extravagant....another company match related to Other Retirement Plans totaling $800,201 and Security Costs totaling $533,196.

Clearly, the country's health care costs would be a lot better off if these extravagant costs were removed, and if McKesson lowered the drug prices that it charges by a like amount.

But another thing that bothers me here is why in the world should the US Government, and thus US taxpayers, be funding a good chunk of these extravagant costs?  Specifically, McKesson is getting a 35% US Federal Income Tax Benefit for the tax writeoffs it receives eventually for the stock awards and for the stock option awards, upon exercise. 

Thus, my recommendation here is for all Health Care Corps to have their US Federal Income Tax Benefit for all Stock Awards and Stock Option Awards be limited to a maximum 20% Tax Rate for all highly-paid employees with Total Compensation of more than $200,000 earned in the applicable year.  And the money raised here by the US Government should be used as a downpayment on the country's huge health care cost problem.

Below here are the Salary and Stock Awards and Stock Option Awards Compensation Disclosures in the most recent Proxy Statements for mainly just the CEOs of the larger Health Care Corps.





Ratio of Stock and

2011 2011 Stock Option 

Base Stock and Stock Awards
CEO Corp Salary Option Awards to Base Salary


thousands of $s thousands of $s
Health Insurance Corps



Hemsley UnitedHealth 1,300 7,000 5.4
Braley WellPoint 1,144 10,000 8.7
Bertolini Aetna 1,000 7,300 7.3
Cordani Cigna 1,000 8,473 8.5
Broussard (President) Humana 41 7,000 170.7
Total Health Insurance Corps
4,485 39,773 8.9



Hospitals and Health Services

Bracken CEO (2010 Amounts)* HCA 1,325 24,985 18.9
Johnson President (2010 Amounts)* HCA 850 16,502 19.4
Hazen President (2010 Amounts)* HCA 789 11,809 15.0
Thiry DaVita 1,050 12,057 11.5
Miller Universal Health Services 1,400 6,849 4.9
Smith Community Health Services 1,400 8,072 5.8
Total Hospitals and Health Services
6,814 80,274 11.8



Big Pharma

Read Pfizer 1,700 12,601 7.4
Weldon Johnson & Johnson 1,907 6,798 3.6
Clark (Chairman) Merck 1,375 8,712 6.3
Frazier Merck 1,500 6,108 4.1
White Abbott Labs 1,900 11,596 6.1
Andreotti Bristol Myers Squibb 1,510 7,352 4.9
Lechleiter Eli Lilly 1,500 5,625 3.8
Total Big Pharma
11,392 58,792 5.2





Other Health Care



Scangos Biogen IDEC 1,242 7,235 5.8
Pyott Allergan 1,300 8,909 6.9
Ludwig Becten Dickinson 1,093 6,363 5.8
Solomon Forest Labs 1,350 6,038 4.5
MacMillan Stryker 1,250 6,708 5.4
Wasson Walgreens 1,296 8,919 6.9
Starks St Jude Medical 1,025 4,482 4.4
Merlo CVS Caremark 1,208 6,750 5.6
Paz Express Scripts 1,116 7,200 6.5
Martin Gilead Sciences 1,423 11,399 8.0
Sharer Amgen 1,791 11,376 6.4
Parkinson Baxter 1,409 8,486 6.0
Ishrak Medtronic  1,168 21,221 18.2
Hammergren McKesson 1,680 14,735 8.8
Barrett Cardinal Health 1,277 8,000 6.3
Johnson Herbalife Ltd 1,230 19,550 15.9
Dvorak Zimmer Holdings 866 6,278 7.2
Total Other Health Care
21,724 163,649 7.5





Total all Health Care Corps
44,415 342,488 7.7

* HCA's Stock and Stock Option Awards include the cash distributions on vested stock options and the amounts payable on unvested stock options.

Just focusing on the Big Health Insurance Corps above, when the total Compensation from Stock and Stock Option Awards is a massive 8.9 times the Total Base Salary, not only is this extremely extravagant, but it also drives the massive stock buyback programs that WellPoint, Aetna and UnitedHealth have.

By buying back so much of their stock, these companies' EPS is enhanced.  Further, when they increase their number of shares bought back each year, their EPS growth is enhanced.  And both EPS and EPS growth drive stock prices, which further enhances the wealth of the executives of these companies.

Presently, there is nothing that prevents these Health Insurance Corps from buying back as many shares as they want.  I think there needs to be US Government legislation that prevents excessive stock buybacks.

Anyway, the total money raised by the US Government from the above recommendation should be used to reduce the US Debt.  This is a far better way to solve the US health care cost problem than to substantially reduce Medicare and Medicaid Benefits.