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Superior Cost Management: (AMIL3)
Superior Cost Management: (AMIL3)
Superior Cost Management: (AMIL3)
Americas / Brazil
Managed Care
Amil (AMIL3)
Rating OUTPERFORM*
Price (18 Mar 11, R$) 17.80
Target price (R$)
52-week price range
26.00¹
18.65 - 12.28
Superior cost management
Market cap. (R$ m) 6,419.75
Enterprise value (R$ m) 6,034.99 ■ Event: We are initiating coverage on Amil with an OUTPERFORM rating
*Stock ratings are relative to the relevant country benchmark. and a target price of R$26, yielding 46% upside potential. In our view Amil is
¹Target price is for 12 months.
well positioned in its markets and operationally prepared to grow
Research Analysts considerably through organic expansion, acquisitions, and new partnerships.
Natalia Lacava
55 11 3841 6324 ■ Investment case: Amil’s investment case is supported by its expertise when
natalia.lacava@credit-suisse.com it comes to managing costs, its ability to identify good market opportunities
Luiz Otavio Campos, CFA on the M&A front and for organic expansion, and management’s extensive
55 11 3841 6312 knowledge of the sector. We are confident that this company will lead the
luizotavio.campos@credit-suisse.com
sector’s growth in the next few years and that its scale will provide the tools
for offering the product with the highest cost-benefit.
■ Catalysts: The turnaround in Medial’s operations has been a concern for
investors for a while, but throughout 2010 the company has demonstrated its
ability to integrate such a large company by quickly improving Medial’s
margins. We are still not at the optimum level and thus expect further
improvements to continue in 2011. However, now we believe eyes should
also be on the company’s growth. In our view, after channeling all efforts into
integration, now Amil should resume its focus on top-line growth. The closer
relationship with DASA better equips the company to keep costs under
control, and we would expect Amil to replicate the type of partnership it has
in Sao Paulo in other regions in which it currently operates. G&A dilution
should come as a natural consequence of company expansion, leveraging
margins even further.
■ Valuation: We see the stock trading at 16.7x P/E 2011, an interesting level
considering the sector’s potential growth and the fact that we are not
factoring in any acquisitions. There has been not much talk about how new
partnerships with Dasa could be accretive for Amil, but further costs savings
are likely and should help Amil reduce its MLR over the next years.
Financial and valuation metrics
Year 12/10A 12/11E 12/12E 12/13E
Revenue (R$ m) 7,616.0 8,629.9 9,431.0 10,361.3
EBITDA (R$ m) 500.4 656.7 812.7 925.5
EBIT (R$ m) 286.3 434.7 576.4 684.5
Net income (R$ m) 185.7 383.9 507.1 594.7
EPS (CS adj.) (R$) 0.51 1.06 1.41 1.65
Dividend yield (%) — 2.7 5.5 8.6
P/E (x) 34.6 16.7 12.7 10.8
On 03/18/11 the Sao Paulo SE - Bovespa index closed at
EV/EBITDA 12.8 9.2 7.2 6.2
66879.89
P/B (x) 4.4 3.6 3.4 3.4
ROE stated - return on equity 12.9 21.5 26.7 31.3
ROIC (%) 14.38 23.31 32.51 41.53
Quarterly EPS Q1 Q2 Q3 Q4
Net debt (R$ m) -38 -385 -572 -665
2010A 0.13 0.13 0.13 0.13
Net debt/equity (12/11E, %) -2.6 -21.6 -30.1 -35.0
2011E 0.16 0.16 0.16 0.16
Capex (R$ m) 260 230 150 140
0.19 0.19 0.19 0.19
Source: Company data, Credit Suisse estimates.
Brazilian Healthcare 7
21 March 2011
Brazilian Healthcare 8
21 March 2011
FINANCIAL METRICS (R$ mn) 2008A 2009E 2010E 2011E 2012E 2013E OPERATING METRICS 2008A 2009E 2010E 2011E 2012E 2013E
Revenues 4,320 4,699 7,616 8,630 9,431 10,361 Plan members 3,185 5,134 5,235 5,608 5,953 6,293
COGS (3,071) (3,426) (5,651) (6,348) (6,893) (7,575) Adj. MLR 70.0% 71.2% 72.5% 71.8% 71.3% 71.3%
SG&A (1,052) (1,158) (1,678) (1,847) (1,962) (2,102) Average ticket (R$/month) 116.26 92.62 119.16 128.13 131.43 136.32
EBIT 197 116 286 435 576 685
EBIT margin 5% 2% 4% 5% 6% 7%
EBITDA 357 321 500 657 813 926
EBITDA margin 8% 7% 7% 8% 9% 9%
Adj. EBITDA 357 321 500 657 813 926
Net financial expenses 78 49 (29) 20 51 52 LEVERAGE 2008A 2009E 2010E 2011E 2012E 2013E
Taxes (41) (20) (70) (114) (157) (184) Net debt/ Adj. EBITDA (3.0) (1.8) (0.1) (0.6) (0.7) (0.7)
Adj. Net income 249 170 186 384 507 595 Net debt / Equity -90% -47% -3% -22% -30% -35%
Net margin 6% 4% 2% 4% 5% 6%
# shares ('000) 361 361 361 361 361 361 Capex / Operat.Cash Flow (1.2) (0.4) (0.4) (0.4) (0.2) (0.2)
EPS (R$) 0.69 0.47 0.51 1.06 1.41 1.65 EBITDA/Net Interest Exp. 4.6 6.6 (17.1) 33.3 15.9 17.6
NOPAT 158 102 202 326 432 513
Depreciation 69 31 109 131 147 146 RETURN / YIELD 2008A 2009E 2010E 2011E 2012E 2013E
Capex (230) (250) (260) (230) (150) (140) ROIC 20.1% 5.3% 8.5% 13.3% 17.8% 21.4%
FCFE - 480 281 347 540 646
Dividends/ IOE - 0 42 170 353 553 Cost of Equity (ke) 11.9% 11.9% 11.9% 11.9% 11.9% 11.9%
Total assets 2,470 3,529 4,262 4,821 5,084 5,256 ROE 18% 11% 12% 19% 25% 29%
Cash 1,150 975 922 1,269 1,456 1,549 FCF Yield - 7.5% 4.4% 5.4% 8.4% 10.1%
OCF 198 699 608 585 675 772 Div. Yield - 0% 1% 3% 5% 9%
Change in working capital (118) 397 178 42 19 31
Net debt (1,078) (592) (38) (385) (572) (665) VALUATION 2008A 2009E 2010E 2011E 2012E 2013E
Book value 1,193 1,261 1,443 1,784 1,901 1,901 EV / Adj. EBITDA 14.9 18.1 12.8 9.2 7.2 6.2
Market cap. 6,420 6,420 6,420 6,420 6,420 6,420 EV / IC 6.8 3.0 2.7 2.5 2.4 2.4
EV 5,342 5,828 6,382 6,035 5,848 5,755 P/E 25.8 37.7 34.6 16.7 12.7 10.8
Invested capital 789 1,919 2,389 2,447 2,431 2,394 P/B 5.4 5.1 4.4 3.6 3.4 3.4
Source: Company data, Credit Suisse estimates
Brazilian Healthcare 9