Analysis of US Drug store chains Knowledge Foundry Business Solutions May 2009 Authors: Raj Bhatt (
[email protected]), Vivek Bothra
This document is not intended to provide tax, legal, insurance or investment advice, and nothing in it should be construed as an offer to sell, a solicitation of an offer to buy, or a recommendation for any security by Knowledge Foundry Business Solutions.
Contents • Comparison of metrics • Company-specific details
Drug retailing is a mature and competitive business
Source: NACDS, Credit Suisse
Store chains and mail order have been gaining strength over independent stores in dispensing prescriptions Market Share of Prescription Rx Sales 100% 80% 60% 40% 20% 0%
2001 2002 2003 2004 2005 2006 2007 2008 Chains Food Stores Mail Order Source : NACDS, Credit Suisse
Independents Mass Merchandisers
Drugstore chains are perceived to be convenient and trustworthy for dispensing prescriptions
CVS, Rite Aid and Walgreen are the major US chain drug store chains Comparison of the major drugstore chains (2008) Stores*
Sales ($Mn) 100000
8000
87472
80000
7483 6,934
6000
4901
59,034 60000 4000 40000
26,289 2000
20000
0
0 Cvs Corp.
Rite Aid
Walgreen
Cvs Corp.
Rite Aid
Walgreen
Employees 237,000
250,000
215,000
200,000 150,000 113,000 100,000 50,000 0 Cvs Corp.
Rite Aid
Walgreen
* Wal-Mart has 4100 pharmacies, Kroger has 1972; Target has 1400; Kmart has 1000; Supervalu has 920 pharmacies whereas Winn-Dixie has 400 Source: Annual Reports, Yahoo Finance, Wikipedia.org
Prescription drugs usually account for more than 65% of drugstore chain sales Rite Aid Sales break up 2008(%) 0.4% 33.1%
66.5%
Pharmacy
Front end
Other
Walgreens Sales Break Up 2008 (%) 25%
10%
Prescription Drugs
65%
Non prescription drugs
General Merchandise
CVS is the largest US provider of prescriptions
# Rx's dispensed in 2008 (MM) 800
729
700
617
600 500 400
316
300
300
246
200
149
100 0 CVS
Walgreens
Medco
RiteAid
Walmart
Express/ NextRx
CVS leads in the West and the South-East, Walgreens in strong in the Mid-West and SouthEast, whereas RiteAid leads in the North-East Regional Market Share % (2008) 35 30
34
31
28 24
25
%
23
21
20 15
26
19
18
18
15
13
10 5 0
NorthEast
West Coast CVS
Source: Credit Suisse
RiteAid
SouthEast Walgreens
MidWest
While CVS and Rite-Aid have acquired stores, Walgreens has primarily opened new stores Drug Stores Acquired
New Store openings 700
2000
608
1,862
1800
600
1600 1400 1200
400
1000 800
501
475
500
300
701 529
600 400 95
200
140
100
120 2
188
147
200
423
47
40
33
9
0
0
0 2006 CVS
2007 Walgreen
2006
2008
CVS
2007 Walgreen
2008
Rite Aid
Rit e Aid
Stores Closed Stores Relocated*
250
150 100
200
183
200
140 120
117 94
94
85 47
32
50
160
100 80
136
130
118
66
65
60 40
43
56
20 0
0 2006
2007 CVS
Walgreen
2008 Rite Aid
* Data for Walgreens is not available Sources: 10k filling, annual reports, press releases
2006
2007 CVS
Rite Aid
2008
Comparing organic growth, Rite-Aid has grown the slowest in the past few years Same-store Prescription sales growth
Same-store Front-end sales growth
10%
8%
8% 6%
CVS
6%
CVS
Rite-Aid 4%
4%
Rite-Aid
Walgreens
Walgreens 2%
2% 0%
0%
2006
2007
2008
2006
Years
2007 Years
Same-store Sales growth 10% 8% CVS
6%
Rite-Aid 4%
Walgreens
2% 0% 2006
2007 Years
Source: Annual reports, Investor Presentations
2008
2008
CVS has the best operating ratios -- but higher assets due to recent acquisitions 20%
15% 10%
10%
Operating profit/Assets
CVS’ high inventory turnover may be due to the Caremark PBM business
CVS
Inventory/ Total Assets
66
Rite-Aid has negative operating margins driven by low sales/ sq ft and low productivity
Operating Margin % 10%
80 80
Walgeen
-25%
-30%
60%
100
Rite Aid
-20%
Inventory Days of Sales
60
0% -10%
6.9%
42% 40%
5.8%
5%
32%
48
40
15%
20%
0%
Cvs Corp.
20
Cvs Corp.
Rite Aid
Rite Aid
CVS
Walgreen
Rite Aid
Walgeen
-8.0%
-10%
Sales/Sq feet CVS has lower contribution margin but higher sales per sq ft and sales per employee
Walgreen
-5%
0%
0
1000 900
Contribution Margin % 30
843
27
28
Sales/ Employee 500
813
843
407
813
400
21
800 20
300
600
600
429
388
233
249
Rite Aid
Walgreen
200
400
10
300
100
200 0
0 0
CvsCvs Corp. Corp.
RiteRite AidAid
Walgreen Walgreen
Cvs Corp.
CVS
Rite Aid
Walgeen
CVS has had a consistently higher operating margin– Rite-Aid had negative margins in 2008 Operating Margin
Percentage
10% 5% Cvs Corp. 0%
Rite Aid 2006
2007
2008
Walgreen
-5% -10% Years
Operating Margin
Percentage
10% 5% 0% -5%
Q1
Q2
Q3
Q4
Cvs Corp.
-10%
Rite Aid
-15%
Walgreen
-20% -25% -30% 2008
CVS carries less than 45 days of inventory whereas RAD and WAG carry more than 60 days Inventory (Days of Sales) 100 75 Cvs Corp. Rite Aid
50
CVs turnover may be driven by the PBM business
Walgreen 25 0 2006
2007
2008
Years
Inventory (Days of Sales) 100 75 Cvs Corp.
50
Rite Aid Walgreen
25 0 Q1
Q2
Q3 2008
Q4
Although CVS has faster inventory turnover, the competition is catching up
CVS has had consistently higher employee productivity than Rite-Aid and Walgreen Sales/Employee 600000
Dollars
500000 400000
Cvs Corp.
300000
Rite Aid
200000
Walgreen
100000 0 2006
2007
2008
Years
Sales/Employee 120000
Dollars
100000 80000
Cvs Corp.
60000
Rite Aid
40000
Walgreen
20000 0 Q1
Q2
Q3 2008
Q4
Rite-Aid has much lower sales per square foot than its rivals
Sales/Square foot 900
dollars
800 700 600
Cvs Corp.
500
Rite Aid
400
Walgreens
300 200 100 0 These numbers are for the retail segment
2006
2007
2008
years
Pls. note that the 2008 CVS number does not include Longs’ Drug store which have a much lower average of $598 per sq. ft
… and smaller, right-staffed stores
Avg Store Sq Foot 15000
13866
12500 10472
10000 5000 0 CVS
Rite aid
Walgreens
Em ployee/Store 40 30
34 29 23
20 10 0 CVS
Rite aid
Walgreens
Company-specific details
CVS Caremark is positioning itself as an integrated healthcare company
CVS covers most states except the North-West
CVS was primarily an east coast retailer till 2003
Minute Clinics are staffed by nurse practitioners and currently focus on acute conditions (e.g., Flu)
Its store-brand sales have increased 47% over the past four years
Key strategic initiatives at CVS Caremark •
Completed acquisition of Longs Drugs and Rx America – to gain strength on the West Coast
•
Successfully launched Proactive Pharmacy Care – a Pharmacy Benefits Management program– to compete against traditional PBM programs as well as drug retailers • Proven to improve adherence to prescriptions • Uses plan design based on a ‘Customer Engagement Engine’ that uses customer behavior, evidence-based medicine • already $8.9 BN in sales • More than 8 MM ExtraCare Health cards • 250 Maintenance Choice enterprise customers
•
Focusing on specialty pharmacy -- 30 conditions including hemophilia, MS, RA • 20 mail order pharmacies and 52 specialty retail pharmacies • generating revenue of $ 10+ BN
•
Pharmacy service initiative (PSI) and IT initiative (RxConnect ) to improve the prescription filling process
•
Launched call center to free up pharmacists time – and improve customer service
Walgreens has a rich history of innovation
•
1950 – self service stores
•
1968 – Child-proof containers
•
1981 – Satellite-linked stores
•
1991– POS scanners
•
1992 – Drive-through pharmacies
•
1999- online prescription history
•
2002 – multi-language prescription labels
•
2005 – online digital photo printing
Walgreens has a wide spread store network
Key strategic initiatives at Walgreens •
Slowing store growth
•
Re-inventing the customer experience • ‘Affordable Essentials’ program • Prescription Savings program has 1.7 MM+ members –offers discounts on more than 5000 generics; and 90-day supplies at a dollar a week • Optimizing assortment at a store level – to sell more front-end items • Optimizing pricing and promotions • Rolling out new ‘Customer-Centric Retailing (CCR)’ format • Enhance shopping experience by improving sightlines, layout and signage • Collaborating with vendors to leverage insights e.g., Baby care layout
•
Transforming community pharmacy by the POWER program (centralizing data entry, data review and clinical review of prescriptions) • Allows pharmacists to strengthen their role as trusted clinicians • Reduces overall pharmacy costs • Rolled out in all Florida stores and now launching in Arizona
Key strategic initiatives at Walgreens (contd.)
•
Expanding health & wellness and specialty pharmacy • 273 Take Care clinics and 364 Worksite Health Centers catering to 180+ enterprise clients and millions of consumers • Specialty/ Infusion centers
•
Rewiring for growth – driving major cost reduction and productivity gain • Strategic sourcing of indirect spend • Reduce corporate overhead and store labor • Balance workload to free up pharmacists’ time
Rite-Aid has a strong presence on the east coast and in select west coast markets
Source: Rite Aid presentation
Key strategic initiatives at Rite-Aid •
•
Focused store growth program –
Growth focused on key strategic markets
–
Segmented stores using sales and profitability performance (High EBITDA margin stores; High volume, lower EBITDA margin stores; Good volume; Low volume)
–
Emphasis on relocations
–
“Customer World” pharmacy centric store format prototype
Strengthen pharmacy operations –
Improve customer service using • ‘Ready when promised’ program • grow ‘Automated Courtesy Refill’ program • Use new ‘Nexgen’ KPIs • Focus on service at under-performing stores
–
Differentiated loyalty programs – senior “Living More”, Rx Savings Card
–
Focus on health and wellness programs
Key strategic initiatives at Rite-Aid (contd.) •
•
Improve front-end operations –
Continue to grow private brand penetration (currently 13% of front store)
–
Differentiating with GNC within-a-store
–
“Living More” senior loyalty program
–
Maximize prescription switches to OTC
–
Optimize front-end assortment and use new pricing model and ad zones to drive sales
Continue operational improvements –
Improve store productivity through implementation of best practices across stores
–
Inventory reduction initiatives without sacrificing customer satisfaction
–
Expenses aligned with sales level with continued focus on SG&A reduction initiatives
–
Reduction in supply chain costs