Tag Archives: united healthcare

Discovering United Health Group (UNH), a Novel Portfolio Holding.

Feb 9, 2024.  In 2022, risk-on stocks in the US markets fell.  My portfolio holdings at the time, Microsoft (MSFT), Adobe (ADBE) and Visa (V), all growth stocks, participated to varying degrees.  They all have persistently high gross and net margins, and consistently high returns on invested capital. These are key signs of the presence of a durable competitive advantage of their business, and these are traits I screen for in routine searches for investments.  In spite of their outstanding financial accounting features, all were falling in 2022. MSFT and ADBE especially had price earnings multiples which had been climbing for years, based on expectations of continued earnings growth. They were therefore vulnerable to a downward revision of earnings expectation.

But not all stocks in the market were falling.  I wondered, was it possible that there were companies with strong business qualities, but which I had previously failed to identify as investment candidates, because their financial statements had features which differed from those of my customary investments?  I reasoned that furthermore, such undiscovered businesses would likely have historical returns which did not necessarily correlate with those of my current portfolio holdings. 

Somehow, sometime in late 2022 I discovered, or was affronted by, the somewhat outrageous but undeniable fact that the largest public health insurance company, United Health Group (UNH), had an average annual return since its IPO, higher than that of the mighty MSFT. As of Jan 31, 2023, using a free online stock total return and dividend calculator, I found the average annual return of UNH since IPO on Oct 16, 1984, was 26.14%.  This beating MSFT, which since its IPO March 16, 1986 had a average annual return of 25.14%.

How could this be?  In order to find some basis for the first-class total stock return of United Health Group over its history as a public company, I naturally needed to check out its financial statements and relevant ratios. One pretty good source of this information that I use is stockanalysis.com.  There, I found that in the past 10 years, UNH gross margin was never as high as 30%, and net profit margin barely reached 6% in 2022. These poor margins were the reason UNH had been rejected in my occasional screens for good investments up until now. 

Brief research into UNH history told a story of a company which grew through mergers and acquisitions as well as organically, to become the dominant public diversified health insurer.

Upon further review of UNH  financial statements and ratios, we do see some inviting accomplishments over the past 10 years. Notwithstanding relatively low profit margins, revenue has grown consistently. Annual earnings growth has outpaced revenue growth, suggesting economic value added. Return on invested capital (ROIC) has been in mid-teens. Return on equity (ROE) has been over 20% for most of the past decade.  Return on assets (ROA) has been almost always lower than 8%; balance sheet assets, including goodwill, have grown along with revenue. This is likely because UNH has grown through acquisitions. Liabilities have kept pace and in fact grown a bit faster than equity, However, the  debt/ equity ratio has usually ranged between approximately 50% and 75%. Indebtedness has grown somewhat but interest coverage is still about 10x currently.

We see evidence of consistent consideration for shareholders. The company paid dividends annually since 1990, and increased the dividend annually since 2010. Consistent growth in free cash flow, accompanied by reduction in number of shares outstanding.

The combination of sound financial statements and the world class shareholder return since IPO in the 1980s, suggests the existence of a durable competitive advantage, interestingly, in spite of the narrow gross and net profit margins. The longevity of the company implied it had successfully adapted to maintain its competitiveness in the evolving healthcare market.   Durable competitive advantage, and the ability to continue adapting its product in a profitable way, to the market as it evolves, in order to perpetuate the company’s market dominance, are the seminal qualities of my favored type of long equity investment, which I term the “eternal company”.

How could a company continue to grow its earnings over 5 decades, surviving 6 recessions, while earning a net profit margin of less than 6% ? I endeavored to discover the history and basis for UNH competitive advantage, which I will describe in a subsequent article.

Amateur Investor Beats S&P performance at 1y, 5y and 10y at end of 2023

 1y(%)3y (%)5y (%)10y (%)
Amateur Investor43.2821.220.1
VOO26.339.9715.6612
Brk-b15.4615.4312.7611.64
VBIAX17.583.739.617.73
Performance of Amateur Investor portfolio compared with Vanguard S&P500 index ETF VOO, Berkshire Hathaway Brk-b, Vanguard Balanced Index Fund VBIAX.

January 4, 2024. Annualized Performance of Amateur Investor portfolio at 1y, 3y, 5y and 10y (%), as of the last trading day of 2023, December 29.  Performance is compared with those of various securities of interest.  The S&P500 broad US market index is represented by the Vanguard S&P 500 ETF (VOO).  Brkb-b is the affordable Class B share of Berkshire Hathaway Inc. (Warren Buffet, Chairman, CEO and President).  The conservative, traditional 60/40 stock/bond allocation strategy is represented by the Vanguard Balanced Index Fund (VBIAX).

1-3-2024. 2023 was an eventful year, including predictions of recession; the failure of China growth to happen after the Communist regime decided to loosen up on draconian covid related lock downs; a liquidity scare in the US related to devaluation of bank assets caused by rapid rise in treasury bond rates.  Portfolio performance was poor in the first quarter. In response, I found a new investment in a sector I had hitherto avoided, but decided to reallocate some funds into United Healthcare Group (UNH). While the reallocation, as it turned out, was poorly timed in the sense that the current holdings of V, MSFT ADBE subsequently recovered wonderfully. However, UNH has a strong competitive advantage and management culture has proven itself over time, generating a top flight total shareholder return since IPO in 1984.  I will describe my approach to UNH in a separate article. This involved an innovation of the eternal company criteria.

MSFT:41%
UNH21.5%
V20%
ADBE16.28%
MELI1.17%
Cash0.02%
Amateur Investor portfolio holdings, by proportion %

Microsoft continues to grow its Azure cloud revenue and usage and gradually take market share from Amazon;s AWS.  It has become a leader in AI application for developers, and in workflows for information workers, using AI presented as a “copilot”.  These are reportedly increasing worker productivity significantly.  The addition of AI capabilities into the repertoire of Microsoft productivity products could produce a hockey stick increase in revenue.

Adobe is integrating generative AI capabilities (Adobe Firefly) into its flagship Creative Cloud, Document Cloud and Experience Cloud applications and has created an AI-first online suite of applications in Adobe Express.  AI integration in Experience Cloud makes personalized and real time marketing more facile and efficient, exposing more, non-professional users to creativity and sophisticated digital marketing. The freemium Adobe Express suite too, introducers a greater number of non-professional creatives to digital creative applications. As the market of potential Adobe application users expands, Adobe management plans over time, to leverage use of generative AI into price increases according to the value added. As a leading digital marketing software provider for enterprises, Adobe enables companies to build custom AI large language models in which no alien copyrighted material is used, and the company branded content is for their exclusive use.  

Visa continues to expand its network into novel areas such as B2B payments (Visa Direct), cross border payments. Where potentially competing networks are used, such as RTP (such as Zelle), Visa is still required to provide services needed to bring the payment service up to expectations regarding security and other features.  Visa continues to partner with leading novel fintech companies to give them access to global markets in payments.

UNH continues to acquire relevant healthcare services companies and develop its value based care coverage and provider network, as it evolves as a diversified healthcare company, providing healthcare insurance,  healthcare services,  ancillary services, pharmacy benefits and digital information applications. UNH products are indispensable and must be paid for, whether by individuals, or more likely by third parties such as employers, unions, government. The diversified array of healthcare services combined with market dominating insurance creates network effects and cost advantages.

Mercado Libre continues to build its ecommerce ecosystem, with ecommerce, Mercado Libre; fintech: digital payment, Mercado Pago, credit, Mercado Credito; logistics, Mercado Envios; and advertising, Mercado Ads. The logistics network reaches from distribution centers to neighborhood stores that serve as service centers for delivery and returns, as well as for local SMB sellers supplying into the ecosystem. As delivery efficiency has resulted in speed and reliability greater than normally available otherwise, this is an important pillar of MELI competitive advantage, bringing sellers and buyers into the ecosystem, where each component is advantaged by combination with the other.

While we continue to pray for the world’s people in their difficulties, I feel these companies will continue to adapt and thrive, while enabling people to accomplish more.