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Wednesday, December 4, 2019

Analysts Like HealthEquity’s Post-Q3 Story

HealthEquity Inc HQY 3.4% outperformed third-quarter expectations with a 47-cent bottom-line more than double analyst forecasts. Revenue of $157.1 million also beat consensus estimates of $152.4 million, while EBITDA closed the quarter at $56 million against $43 million forecasts.
HealthyEquity’s stock traded higher by 14% to $69.92 per share at time of writing.

First Takes

The Street liked HealthEquity’s metrics but was more enthused about the big-picture HealthEquity story.
“More importantly, the company provided favorable commentary on two key parts of the growth story: 1) end market demand for health savings account (HSAs); and 2) the performance of WAGE,” Bank of America analysts led by Allen Lutz emphasized in a report. “In our view, strong account growth in the quarter and a positive qualitative outlook for HSA demand is meaningful given the company’s historically conservative approach.”
HSA grew membership 21% and assets 24% to yield about 21% revenue growth.
“Higher cash yields on custodial assets helped,” KeyBanc analysts Donald Hooker and John Kim wrote. “However, management took a much more cautious tone on potential custodial cash yields next year due to recent declines in short-term rates. The favorable new IRS regulations released in July 2019 are noteworthy; however, management commented that these positive regulations will likely not impact HSA adoption in the near term.”
Meanwhile, HealthEquity also reported $15 million of run-rate acquisition cost synergies from its WageWorks purchase. It expects to achieve $50 million by the end of 2022.
“Regarding WAGE, revenue was at the top end of the guidance range and the synergy timeline has been accelerated, indicating that attrition levels are under control and the company is executing against its accretion targets,” Lutz wrote.
KeyBanc offered a more cynical take on WageWorks.
“Revenues at the acquired WageWorks businesses were down by ~6% y/y due to ongoing attrition associated with the FSA and COBRA business that was acquired by WageWorks in 2016 from Automatic Data Processing (ADP),” Hooker and Kim wrote. “There will likely be more revenue run-off here in the near term.”

Earnings Breakdown

Wells Fargo said WageWorks contributed most of the quarter’s revenue and EBITDA upside as lower HSA yields offset account growth in the core HealthEquity segment. However, KeyBanc suggested that a 4.4% year-over-year increase in consolidated revenues reflects high growth in legacy HealthEquity segments and decline in WageWorks segments.
“We estimate that pro forma combined EBITDA margins were down 30 [basis points year-over-year], reflecting the negative economies of scale on the lower revenues at legacy WageWorks, offset by acquisition cost synergies,” Hooker and Kim wrote.

Expert Focus

Bank of America expects strong account growth and WAGE performance to drive $527.4 million in 2020 revenue. However, it’s watching industry growth rates for health savings plans as PPO plans surge and the Fed cuts interest rates. Wells Fargo suggested it’s less concerned about interest rates.
“We would note that the percent of revenue that is interest rate sensitive has fallen from 55% prior to the WageWorks acquisition to 25% after,” analyst Jamie Stockton wrote.

The Ratings

  • Bank of America maintained a Buy rating and $75 price target;
  • KeyBanc Capital Markets maintained an Overweight rating but raised its target from $70 to $77;
  • Wells Fargo maintained an Outperform rating and $76 target.
“HQY seems to be executing fairly well on the things it can control (new account additions and acquisition integration),” Stockton wrote. “While management’s commentary about cash yields in FY21 may temper some of the positive reaction around Q3 results, we suspect a better fundamental picture (albeit still declining) at WageWorks will be well received.”

Analysts Offer Positive Prognosis for UnitedHealth After Investor Day

UnitedHealth Group Inc (NYSE: UNH) plummeted ahead of Tuesday’s investor day and failed to recover throughout the session. However, analysts walked away from the presentation more bullish on the stock.
“The investor day reinforced our thesis that we believe EPS visibility is high for UNH given the underlying market growth, the diversification of the company’s revenue, exposure to the high-growth Optum business and sound capital deployment,” Mizuho Managing Director Ann Hayes wrote in a report.

Biggest Takeaways

UnitedHealth’s guidance mostly aligned with analyst expectations, but big-picture details caused a stir. Mizuho was particularly enthused about Medicaid and Medicare Advantage growth. Medical membership growth is expected to be driven by government rather than commercial accounts in 2020.
Bank of America Merrill Lynch noted that the company is well positioned to seize synergies across its health plan, pharmacy benefit management, technology capabilities and physician network.
“Although it doesn’t happen everywhere, the opportunity is clear and should allow UNH to continue to grow EPS 13-16% over the next few years (at least) as they differentiate themselves in an increasingly competitive market,” analysts Kevin Fischbeck, Joanna Gajuk, Adam Ron and Courtney Fondufe wrote.
They expect developments in OptumRx and OptumInsight to drive further momentum.
“The most bullish part of the story is OptumHealth (the company expects rev growth up to 30% in 2020) due the ability to expand services and deepen penetration into existing markets,” Bank of America wrote.

Earnings Implications

Bank of America Merrill Lynch forecasts double-digit growth, and UBS agrees.
“We sensed a renewed focus on unit cost management moving forward likely as a result of normalizing utilization trends,” UBS analyst Whit Mayo wrote. “We expect that UNH should be able to sustain its 13-16% long-term EPS growth with heightened focus on driving at-unit costs vs. prior years.”
UnitedHealth attributed unit-cost management to its adoption of value-based contracting and out-of-network reference-based pricing, but UBS suggested that success depends on employer and physician engagement to direct enrollees toward the lowest-cost care setting. “Ultimately the cost trend impact from these efforts is highly dependent on networks and physician behavior,” Mayo wrote.
Notably, management raised its outlook for its medical loss ratio (MLR) attributable to a higher mix of new Medicaid patients, but Bank of America dismissed the concern as immaterial to earnings.

The Ratings

  • Bank of America Merrill Lynch maintained a Buy rating and a $305 price target;
  • Mizuho Securities maintained a Buy rating and $300 target; and
  • UBS maintained a Neutral rating but raised its target from $257 to $279.
“UNH’s ability to leverage Optum to control costs and coordinate care drives unique differentiation vs. peers,” Mayo wrote.
“We think UNH’s technology and digital capabilities are key competitive differentiators,” Hayes wrote. “Other areas of intense focus were site of care and OptumCare. We expect OptumCare to be a key focus for M&A going forward, especially expanding in primary care, specialty pharmacy, infusion services, behavioral services and home services.”

Invitae down 5% on bearish Hedgeye call

Genetic testing services provider Invitae (NVTA -4.8%) slips on below-average volume in apparent response to a new (but not yet posted) report from independent research shop Hedgeye that sees a 30 – 50% downside in shares.
The stock is currently exchanging hands at $18.14, down 37% from the all-time high of $28.75 on August 7.
Q3 revenue was up 51% to $56.5M, $1.7M above consensus.
Q4 views expect a loss/share of ($0.67) on revenue of $69.2M.

Allakos soars on sale chatter

Following a volatility halt, Allakos (NASDAQ:ALLK) is now up 38% on chatter about a possible sale.
Update: Bloomberg reports that informed sources have confirmed that the company is exploring strategic alternatives and has engaged a financial advisor to assist. Shares are up 42% nearing the close on an 8x surge in volume.

Progyny EPS beats by $0.01, beats on revenue

Progyny (NASDAQ:PGNY): Q3 Non-GAAP EPS of $0.03 beats by $0.01; GAAP EPS of -$1.10 misses by $1.11.
Revenue of $61.2M (+120.1% Y/Y) beats by $0.37M.
Shares +0.27%.

Aurinia’s voclosporin successful in late-stage lupus nephritis study

A 357-subject Phase 3 clinical trial evaluating Aurinia Pharmaceuticals’ (NASDAQ:AUPH) lead drug voclosporin, combined with mycophenolate and low-dose corticosteroids, in lupus nephritis patients met the primary and key secondary endpoints.
Specifically, 48% of treated participants achieved renal response at week 52 (the primary endpoint) compared to 22.5% for placebo (p<0.001).
Statistically significant results were also observed in the proportion of renal responders at week 24 (32.4% vs. 19.7%), partial responders at weeks 24 and 52 and time to achieve a urinary protein-to-creatinine ratio (UCPR) of 0.5 or less.
No new safety signals were observed.
Additional data will be submitted for presentation at a future medical conference.
The company plans to file a U.S. marketing application in H1 2020 under Fast Track status.
Management will host a conference call tomorrow, December 5, at 8:30 am ET to discuss the results.
Shares, currently halted, will resume trading at 4:35 pm ET.
Update: Shares up 115% after hours.

FDA OKs Roche’s Tecentriq for first-line lung cancer

The FDA approves Roche (OTCQX:RHHBY) unit Genentech’s Tecentriq (atezolizumab), combined with chemo [Celgene’s Abraxane (paclitaxel protein-bound; nab-paclitaxel) and carboplatin], for the first-line treatment of adults with metastatic non-squamous non-small cell lung cancer with no EGFR or ALK mutations.