Coventry Health Care Moat Check

Continuing on review of potential wide moat companies, today I’m going to take a look at Coventry Health Care Inc. (CVH). Coventry Health Care is a Bethesda, Maryland based managed healthcare company that has been in operation since 1986. The company’s services include:

  • Health maintenance organization (“HMO”)
  • Preferred provider organizations (“PPO”)
  • Point of service products (“POS”)
  • Medicare advantage
  • Medicare prescription drug plans
  • Medicaid
  • Workers’ compensation
  • Network rental to other insurance carriers and administrators
  • Management services

Justin over at the Rule One Investment Community ran Coventry Health Care Inc. through his spreadsheet. The results look pretty good. The company’s ROIC has been above 10 percent since 1999. Earnings, sales, book value and free cash flows have also been increasing at double digit rates over the past nine years, five years, and also this past year. Justin’s spreadsheet does not include Coventry Health Care’s latest financials just released this past week. The latest quarterly results continue the company’s outstanding financial performance trend.  There’s one main thing that you need to remember when taking Kratom tinctures; dosage. Kratom tinctures are very concentrated, which makes them powerful, and hence, high doses can be very problematic. They don’t just increase the risk of adverse reactions, but they could also lead to tolerance, particularly if you use them too frequently. That said, tinctures are definitely one of the best ways of enjoying your favorite Kratom benefits really fast. Identifying the best kratom vendor among the hundreds can be daunting, somewhat like looking for a needle in a haystack. The process can be overwhelming, especially for a novice kratom user. As time went by, I became good at sifting through the fly by night, and the inconsistent suppliers to hone in on a trickle of vendors, whom I believe represent the top cream of the kratom industry, not only regarding quality across the product line, but also their consistency of batches and their general customer service.  However, it suffices to say that two or three other vendors could be arguably fit for this list. However, in the meantime, Happy Hippo Herbals, Coastline Kratom, and PurKratom remain the three best kratom vendors.

However, just because a company has good financials does not mean that it has a wide moat. The managed healthcare sector is intensely competitive. I’m currently reviewing a list of over a dozen health plans for my family’s care next year. Price and services are the main attributes I’m reviewing when selecting a plan. The branding of health plans only makes up a small portion of the decision. Coventry Health Care does not really have any strong nationally recognized brands or product names. Get supplements support stress relief by Amazon.

The only potential avenue for Coventry Health Care to have a wide moat is by being a low cost producer. Coventry Health Care appears to have operated fairly cost-effectively. However, it is not clear that they are the lowest cost producer of health care plans. Even if they were the lowest cost producer, government intervention in this sector could still potentially impact future profits.

Much of Coventry Health Care’s growth has come from acquisitions.  This is a big red flag in my book. This acquisitions have included:

Acquisition

Markets

Type of Business

Year Acquired

American Service Company entities

Multiple Markets

Multiple Products

1987

HealthAmerica Pennsylvania, Inc.

Pennsylvania

HMO

1988

Group Health Plan, Inc.

Missouri

HMO

1990

Southern Health Services, Inc.

Virginia

HMO

1994

HealthCare USA, Inc.

Multiple Markets

Medicaid

1995

Principal Health Care, Inc.

Multiple Markets

HMO

1998

Carelink Health Plans

West Virginia

HMO

1999

Kaiser Foundation Health Plan of North Carolina

North Carolina

HMO

1999

PrimeONE, Inc.

West Virginia

HMO

2000

Maxicare Louisiana, Inc.

Louisiana

HMO

2000

WellPath Community Health Plans

North Carolina

HMO

2000

Prudential Health Care Plan, Inc.

Missouri

Medicaid

2000

Blue Ridge Health Alliance, Inc.

Virginia

HMO

2001

Health Partners of the Midwest

Missouri

HMO

2001

Kaiser Foundation Health Plan of Kansas City, Inc.

Kansas

HMO

2001

NewAlliance Health Plan, Inc.

Pennsylvania

HMO

2002

Mid-America Health Partners, Inc.

Kansas

HMO

2002

PersonalCare Health Management, Inc.

Illinois

HMO

2003

Altius Health Plans, Inc.

Utah

HMO

2003

OmniCare Health Plan

Michigan

Medicaid

2004

First Health Group Corp.

Multiple Markets

Multiple Products

2005

Those are a lot of acquisitions!  The accounting gets rather messy with so many new entities getting added. There is the potential for managing earnings with all the flexibility afforded with merger accounting rules. On the flip side, if Coventry Health Care was able to acquire these companies at discount prices, these acquisitions may have really boosted the long-term value of Coventry Health Care.

My biggest concern with investing in any insurance company is whether they properly price their products for the costs of the risks involved.  It is really best to analyze insurance company during tough markets, because that is when you can find out whether they are disciplined in their pricing.  The health insurance sector has been doing really well for the past few years, so it is tough to determine Coventry Health Care’s pricing discipline.  Also, CEO Dale Wolf has only been in his position since January 2005.

There are a lot of questions regarding Coventry Health Care’s moat in my mind.  They might have a small moat but it is too hard for me to tell.  I’d love to hear your opinions on this stock.  For now, I’m going to put this one on my pass pile, but I could change my mind as I learn more about this company.

4 thoughts on “Coventry Health Care Moat Check

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  • October 30, 2006 at 9:30 am
    Permalink

    CVH is a work in progress . Management , and products are a work in innovation !
    A critical moat`ve is their product recognition : is-it or isn’t a viable product in the competitive healthcare market ?
    One aspect of their management approach is low visibility ! The company has more bumps in the road and realize this in their philosophy to weather the healthcare crisis! Due to
    the above mentioned , the company has underpinning , however , no upside leadership challenge in the sector !

  • Pingback:Festival of Stocks - October 30, 2006 at ValueBlogger.com

  • October 30, 2006 at 10:33 pm
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    Hi Don –
    Thanks for chiming in on CVH. It sounds like you also put Coventry Health Care on your pass pile.

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