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Investing in Pharma Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 1
Valeant Pharmaceuticals Intl. Inc.
(VRX)
Investing in Pharma Sector:
Canadian Case Study:
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 2
Why Study Investments
and Financial Markets?
1. Financial markets channel funds from
investors to companies including healthcare
ones thereby promoting economic efficiency
2. Financial markets are a key factor in
producing growth of private healthcare
sector and reducing its borrowing costs
3. Financial markets affect funding options and
behavior of pharmaceutical firms
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 3
The Bond Market & Interest Rates
 A bond is a debt instrument that
promises periodic payments for a
specified time
 An interest rate is the cost of borrowing
or the price paid on the rental of funds
when a borrower issues bonds
 Corporate or government bonds are
fixed-income instruments
Investing in Healthcare Sector: Canadian Case Study, by
Dr Almaz Tolymbek, Canada
4
The Bond Market & Interest Rates
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 5
The Stock Market
 A stock represents a share of ownership
in a company (corporation)
 A stock is an investment instrument that
is a claim on the earnings and assets of
that company (corporation)
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 6
Stock Market
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 7
Financial Institutions
and Banking
 Financial Intermediaries - institutions that
borrow funds from people who have saved
and make loans to other people
 Banks - institutions that accept deposits and
make loans
 Other Financial Institutions - insurance
companies, finance companies, pension
funds, mutual funds and investment banks
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 8
Money and Business Cycles
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 9
Money and the Price Level
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 10
Money Growth and Inflation
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 11
Money Growth
and Interest Rates
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 12
How Investors Think and Operate
 Return-Risk Trade-off
 Portfolio Investment framework
 Basic supply and demand analysis to
understand behavior in financial markets
 Profit maximization
 Transaction costs and asymmetric
information approach to financial structure
Canadian Pharma Company:
Valeant Pharmaceuticals Intl.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 13
Valeant Pharmaceuticals
International (VRX)
 VRX is a multinational specialty pharmaceutical
company based in Laval, Quebec, Canada.
 CEO: Joseph C. Papa (May 2016–)
 Headquarters: Bridgewater Township, US
 Revenue: 9.674 billion USD (2016)
 Number of employees: 21,500 (2016)
 Founded: 1960
 Total assets: 43.53 billion USD (2016)
 Subsidiaries: Bausch + Lomb, Salix
Pharmaceuticals, et al.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 14
VRX: Product Range
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 15
• Valeant develops, manufactures and markets a broad
range of pharmaceutical products primarily in the
areas of dermatology, gastrointestinal disorders, eye
health, neurology and branded generics.
• Valeant owns Bausch & Lomb, one of the largest
manufacturers of contact lenses.
VRX: Medication Line
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 16
Xifaxan
Uceris
Arestin
Jublia
Solodyn
Ziana
Acanya
Atralin
Retin-A Micro
Microsphere
Onexton
Elidel
Glumetza
Wellbutrin XL
Isuprel
Xenazine
Nitropress
Cuprimine
Targretin
Zovirax
Syprine
VRX: Business Model
 The nature of Valeant’s business model:
the company would borrow heavily
(mostly as bank loans) to acquire assets
(many with limited lifespans) and raise
prices before generics ate away at market
share
 Reliance more on skilled capital allocation
and execution than other businesses
relevant to pharma sector
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 17
M&A Strategy by VRX
CEO Mike Pearson
 Valeant’s private-equity-like approach of
continually acquiring other pharma companies
and then slashing staff and other costs created
a 96 percent gain for its own shareholders in
2013
 “Valeant believes that there is a tremendous
opportunity to increase efficiency, reduce
overspending, and generate long-term
shareholder value in the pharmaceutical
industry by consolidating complementary
operations” (thru M&A strategy)
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 18
VRX: Business Growth
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 19
• Valeant grew quickly with a series of mergers
and acquisitions under the leadership
of Michael Pearson and for a short period of
time in 2015 was the most valuable company
in Canada.
• Valeant was described as a platform
company that grows by systematically
acquiring other companies.
• For instance, Valeant acquired Salix
Pharmaceuticals for $14.5 billion in 2015.
VRX: Business Growth:
Subsidiaries
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 20
1. Bausch & Lomb
2. Salix Pharmaceuticals
3. Medicis Pharmaceutical
4. Solta Medical
5. Dendreon
6. OraPharma
7. Obagi
VRX: Problems Start
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 21
• In 2015–2016 the company was involved in a
controversy about drug price hikes and the use of
a specialty pharmacy for the distribution of
its specialty drugs.
• VRX came under criticism by former US Presidential
candidate and senator, Hillary Clinton, and regulatory
scrutiny of its pricing
• Valeant reversed its medication price hikes and ended
cooperation with specialty pharmacy Philidor Rx
Services and then Walgreens took over distribution.
VRX: Financials
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 22
Revenue US$9.674 billion (2016)
Operating income -US$0.566 billion (2016)
Net income -US$2.409 billion (2016)
Total assets US$43.529 billion (2016)
]
Total equity US$3.152 billion (2016)
VRX: Rise & Fall
 Having big investor Bill Ackman on board until
early 2017 was a huge win for Valeant and one
of the reasons the pharmaceutical company’s
stock price was able to skyrocket to over $335
per share in 2015.
 Bill Ackman's Pershing Square fund held a
major stake in the company before selling out
in March 2017 for a reported loss of $2.8 bln.
 The company's stock price plummeted nearly
90 percent since the peak.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 23
VRX: Rock Bottom
 Now trading below $15, the out-of-favor
pharmaceutical company has only those
investors who believe that enough value
exists at the current price to justify
waiting a substantial amount of time to
see returns.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 24
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 25
Rate of Return for VRX Investors
for last 12 months
Symbol 3-Months 6-Months One-Year
VRX -5.3% -21.3% -45.3%
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 26
VRX Latest Earnings Report
 Last week, Valeant Pharmaceuticals
reported earnings that finally surpassed
expectations. Earnings per share came in
at US$1.74, which is a significant step
given that the company lost money for the
same period a year ago.
 While this is good news for shareholders,
it does not mean new investors should run
out to purchase VRX shares.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 27
VRX: Last 1-month Performance:
Toronto Stock Exchange (TSX)
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 28
VRX: Latest Snapshot
at TSX, May 15, 2017
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 29
Still Revenue Decline
 While the VRX stock increased by more than
35% last week, the company is far from out of
the trouble.
 Reporting revenues of US$2,1 billion for the
quarter, the year-over-year decline is 11%.
 Things continued to go downhill during the first
quarter of 2017 as revenues have decreased,
leading the interest expense to account for
22% of revenues.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 30
Struggling with Big Debt
 Biggest expense for any pharmaceutical
company is the combination of interest
expenses and research and development
(R&D) expenses.
 While the average for most companies is closer
to 15%, the situation at Valeant is worse.
 During fiscal 2016, the interest expenses alone
was 18.9% of revenues, which was an increase
from the previous year’s amount of
approximately 15%.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 31
Selling a Part of Business:
Will Divesting Work?
 The good news for long investors of the VRX
stock is the amount of debt was reduced by
approximately US$1.3 billion
 In the hopes of reducing the interest expense,
VRX agreed to sell its specific products (or
business units) to competitors.
 But the revenue-generating assets will no
longer bring in enough cash to pay off the debt
load, which now totals US $28.5 billion.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 32
So What VRX
Investors Should Do?
 While the company has US$1.2 billion in cash
on the balance sheet, the interest expenses
will simply cost too much to service. The
$28.5 bln debt, which was taken on over the
past five years as mostly bank loans is
crippling Valeant, making it insolvent.
 The question institutional investors of VRX
(58% of all outstanding stocks) need to ask
themselves is whether it is time to cut their
further losses (as Bill Ackman did with $2.8
bln loss) and sell their VRX holdings.
Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 33

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Investing in Pharma Sector: Canadian Case Study (VRX)

  • 1. Investing in Pharma Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 1 Valeant Pharmaceuticals Intl. Inc. (VRX) Investing in Pharma Sector: Canadian Case Study:
  • 2. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 2 Why Study Investments and Financial Markets? 1. Financial markets channel funds from investors to companies including healthcare ones thereby promoting economic efficiency 2. Financial markets are a key factor in producing growth of private healthcare sector and reducing its borrowing costs 3. Financial markets affect funding options and behavior of pharmaceutical firms
  • 3. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 3 The Bond Market & Interest Rates  A bond is a debt instrument that promises periodic payments for a specified time  An interest rate is the cost of borrowing or the price paid on the rental of funds when a borrower issues bonds  Corporate or government bonds are fixed-income instruments
  • 4. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 4 The Bond Market & Interest Rates
  • 5. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 5 The Stock Market  A stock represents a share of ownership in a company (corporation)  A stock is an investment instrument that is a claim on the earnings and assets of that company (corporation)
  • 6. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 6 Stock Market
  • 7. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 7 Financial Institutions and Banking  Financial Intermediaries - institutions that borrow funds from people who have saved and make loans to other people  Banks - institutions that accept deposits and make loans  Other Financial Institutions - insurance companies, finance companies, pension funds, mutual funds and investment banks
  • 8. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 8 Money and Business Cycles
  • 9. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 9 Money and the Price Level
  • 10. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 10 Money Growth and Inflation
  • 11. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 11 Money Growth and Interest Rates
  • 12. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 12 How Investors Think and Operate  Return-Risk Trade-off  Portfolio Investment framework  Basic supply and demand analysis to understand behavior in financial markets  Profit maximization  Transaction costs and asymmetric information approach to financial structure
  • 13. Canadian Pharma Company: Valeant Pharmaceuticals Intl. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 13
  • 14. Valeant Pharmaceuticals International (VRX)  VRX is a multinational specialty pharmaceutical company based in Laval, Quebec, Canada.  CEO: Joseph C. Papa (May 2016–)  Headquarters: Bridgewater Township, US  Revenue: 9.674 billion USD (2016)  Number of employees: 21,500 (2016)  Founded: 1960  Total assets: 43.53 billion USD (2016)  Subsidiaries: Bausch + Lomb, Salix Pharmaceuticals, et al. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 14
  • 15. VRX: Product Range Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 15 • Valeant develops, manufactures and markets a broad range of pharmaceutical products primarily in the areas of dermatology, gastrointestinal disorders, eye health, neurology and branded generics. • Valeant owns Bausch & Lomb, one of the largest manufacturers of contact lenses.
  • 16. VRX: Medication Line Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 16 Xifaxan Uceris Arestin Jublia Solodyn Ziana Acanya Atralin Retin-A Micro Microsphere Onexton Elidel Glumetza Wellbutrin XL Isuprel Xenazine Nitropress Cuprimine Targretin Zovirax Syprine
  • 17. VRX: Business Model  The nature of Valeant’s business model: the company would borrow heavily (mostly as bank loans) to acquire assets (many with limited lifespans) and raise prices before generics ate away at market share  Reliance more on skilled capital allocation and execution than other businesses relevant to pharma sector Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 17
  • 18. M&A Strategy by VRX CEO Mike Pearson  Valeant’s private-equity-like approach of continually acquiring other pharma companies and then slashing staff and other costs created a 96 percent gain for its own shareholders in 2013  “Valeant believes that there is a tremendous opportunity to increase efficiency, reduce overspending, and generate long-term shareholder value in the pharmaceutical industry by consolidating complementary operations” (thru M&A strategy) Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 18
  • 19. VRX: Business Growth Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 19 • Valeant grew quickly with a series of mergers and acquisitions under the leadership of Michael Pearson and for a short period of time in 2015 was the most valuable company in Canada. • Valeant was described as a platform company that grows by systematically acquiring other companies. • For instance, Valeant acquired Salix Pharmaceuticals for $14.5 billion in 2015.
  • 20. VRX: Business Growth: Subsidiaries Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 20 1. Bausch & Lomb 2. Salix Pharmaceuticals 3. Medicis Pharmaceutical 4. Solta Medical 5. Dendreon 6. OraPharma 7. Obagi
  • 21. VRX: Problems Start Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 21 • In 2015–2016 the company was involved in a controversy about drug price hikes and the use of a specialty pharmacy for the distribution of its specialty drugs. • VRX came under criticism by former US Presidential candidate and senator, Hillary Clinton, and regulatory scrutiny of its pricing • Valeant reversed its medication price hikes and ended cooperation with specialty pharmacy Philidor Rx Services and then Walgreens took over distribution.
  • 22. VRX: Financials Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 22 Revenue US$9.674 billion (2016) Operating income -US$0.566 billion (2016) Net income -US$2.409 billion (2016) Total assets US$43.529 billion (2016) ] Total equity US$3.152 billion (2016)
  • 23. VRX: Rise & Fall  Having big investor Bill Ackman on board until early 2017 was a huge win for Valeant and one of the reasons the pharmaceutical company’s stock price was able to skyrocket to over $335 per share in 2015.  Bill Ackman's Pershing Square fund held a major stake in the company before selling out in March 2017 for a reported loss of $2.8 bln.  The company's stock price plummeted nearly 90 percent since the peak. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 23
  • 24. VRX: Rock Bottom  Now trading below $15, the out-of-favor pharmaceutical company has only those investors who believe that enough value exists at the current price to justify waiting a substantial amount of time to see returns. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 24
  • 25. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 25
  • 26. Rate of Return for VRX Investors for last 12 months Symbol 3-Months 6-Months One-Year VRX -5.3% -21.3% -45.3% Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 26
  • 27. VRX Latest Earnings Report  Last week, Valeant Pharmaceuticals reported earnings that finally surpassed expectations. Earnings per share came in at US$1.74, which is a significant step given that the company lost money for the same period a year ago.  While this is good news for shareholders, it does not mean new investors should run out to purchase VRX shares. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 27
  • 28. VRX: Last 1-month Performance: Toronto Stock Exchange (TSX) Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 28
  • 29. VRX: Latest Snapshot at TSX, May 15, 2017 Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 29
  • 30. Still Revenue Decline  While the VRX stock increased by more than 35% last week, the company is far from out of the trouble.  Reporting revenues of US$2,1 billion for the quarter, the year-over-year decline is 11%.  Things continued to go downhill during the first quarter of 2017 as revenues have decreased, leading the interest expense to account for 22% of revenues. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 30
  • 31. Struggling with Big Debt  Biggest expense for any pharmaceutical company is the combination of interest expenses and research and development (R&D) expenses.  While the average for most companies is closer to 15%, the situation at Valeant is worse.  During fiscal 2016, the interest expenses alone was 18.9% of revenues, which was an increase from the previous year’s amount of approximately 15%. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 31
  • 32. Selling a Part of Business: Will Divesting Work?  The good news for long investors of the VRX stock is the amount of debt was reduced by approximately US$1.3 billion  In the hopes of reducing the interest expense, VRX agreed to sell its specific products (or business units) to competitors.  But the revenue-generating assets will no longer bring in enough cash to pay off the debt load, which now totals US $28.5 billion. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 32
  • 33. So What VRX Investors Should Do?  While the company has US$1.2 billion in cash on the balance sheet, the interest expenses will simply cost too much to service. The $28.5 bln debt, which was taken on over the past five years as mostly bank loans is crippling Valeant, making it insolvent.  The question institutional investors of VRX (58% of all outstanding stocks) need to ask themselves is whether it is time to cut their further losses (as Bill Ackman did with $2.8 bln loss) and sell their VRX holdings. Investing in Healthcare Sector: Canadian Case Study, by Dr Almaz Tolymbek, Canada 33