Alan B. Miller is Chairman and CEO of Universal Health Services, Inc., which he founded in 1979. UHS, a Fortune 500 company and one of the largest hospital management companies in the nation, owns and operates more than 350 facilities in 37 states, Washington, D.C., Puerto Rico and the United Kingdom.
Mr. Miller also serves as Chairman and CEO of Universal Health Realty Income Trust (NYSE:UHT), a REIT that he founded that currently has investments in 65 properties located in 20 states. Prior to founding UHS, Mr. Miller was Chairman and CEO of American Medicorp Inc.
Mr. Miller has received numerous awards for his business and charitable activities. He was named Entrepreneur of the Year in 1991 and Financial World named him CEO of the Year in hospital management. He has been named by Modern Healthcare as one of the “100 Most Influential People in Healthcare” for 16 years, 2003 to 2018.
In this 1,900 word interview, exclusively in the Wall Street Transcript, Mr. Miller details his winning formula in this heavily regulated specialty real estate sector.
“In total, we have 300 behavioral health facilities, in addition to the 27 acute care. We have over 200 in the U.S. and 100 in the U.K. Our reputation in the U.K. is also excellent, and the business is growing.
We are particularly interested in the armed services, serving veterans and their families should they need mental health support. They’re in a very stressful situation, and we support them as well with a particular program designed for them.
Our revenues this year will be well over $11 billion. As I said, we have over 87,000 employees, the number of which is growing, and we provide care to 2.6 million patients every year.”
The intention is to continue the opportunistic growth pattern:
“…With a record of success and reliability, we have more capabilities in terms of outside banks than we can deal with. We have a very substantial bank line.
We generate almost $750 million a year in free cash. So we have no problem financing. And we are extremely conservative, debt/equity ratio below 40, so we’re very low levered. And it leaves us in a situation where we can build, for example, Henderson Hospital or Palmdale — over $200 million to build a first-rate acute care hospital — and we have no problem financing those.”
Get the complete 1,900 word interview only in the Wall Street Transcript.
Andrew T. Babin, CFA, is a Senior Research Analyst covering real estate — apartments, health care, manufactured housing, single-family rental and student housing — at Robert W. Baird & Co.
Prior to joining Baird in 2014, he was a senior financial analyst at CBRE Clarion Securities for eight years and covered several types of real estate. He also worked at Dwight Asset Management. Mr. Babin was recognized as a “Rising Star” in Institutional Investor magazine’s 2016 Rising Stars of Wall Street list.
In this extensive 3,862 word interview, exclusively in the Wall Street Transcript, Mr. Babin demonstrates his immense ability to pick stock market winners in this difficult to analyze sector.
“I also cover medical-office-focused names, such as Physicians Realty (NYSE:DOC), and then further down the market-cap spectrum, Global Medical REIT (NYSE:GMRE) and Community Healthcare Trust (NYSE:CHCT) that do a little more secondary markets or non-investment-grade investments in medical office and other sectors at higher yields.
In addition, we cover Senior Housing Properties Trust (NASDAQ:SNH), which is a bit more diversified, as well as Medical Properties Trust (NYSE:MPW), which does hospitals.
Recently, I should add, we launched on a name, New Senior Investment Group (NYSE:SNR), which is pure-play senior housing. And what’s interesting about them is they’re almost entirely a RIDEA senior housing format, where they pay a management fee to the manager and basically own the end economics of all their properties.
So when the senior housing business recovers, they should benefit disproportionately from that and have some pretty exciting earnings growth.
Those are the names that we cover in health care. In addition, we cover the apartment REITs, almost all of them, as well as ACC(NYSE:ACC) on the student housing side, the manufactured housing names and the two big single-family rental REITs, Invitation Homes (NYSE:INVH) and American Homes 4 Rent (NYSE:AMH).”
Get the complete analysis of these and many other medical real estate sector economic issues by reading the entire 3,862 word interview, only in the Wall Street Transcript.
Michael T. Cartwright has served as Chairman of AAC Holdings, Inc.’s board of directors since 2011 and as its Chief Executive Officer since June 2013. Mr. Cartwright has almost 23 years of experience in the addiction treatment industry.
In 2009, Mr. Cartwright co-founded Performance Revolution, LLC, dba FitRx, a company focused on weight management, and served as its CEO until it merged into Forterus, Inc. in 2011. In 1999, he founded Foundations Recovery Network, LLC, a national alcohol and drug treatment company, and served on its board of directors and as its President and CEO until 2009.
In this 4,589 word interview, exclusively in the Wall Street Transcript, Mr. Cartwright explores the intrinsic value of his firm and it’s near term prospects as a publicly traded company:
“I started in the field in 1993 working in the inner city of Nashville at a place called the Mental Health Cooperative and started out as a case manager primarily working with people with schizophrenia and addiction in the inner city.
And at that time, if you recall, there were a lot of people being deinstitutionalized from psychiatric facilities, hospitals. Are you familiar with the movement in the 1990s to deinstitutionalize a lot of our mentally ill patients across the United States? It happened quite a bit in the 1990s.
…one thing I really noticed — because I myself was misdiagnosed when I was 18 years old and experienced treatment myself — one of the things that I noticed with a lot of patients that had psychosis or were deemed schizophrenic was that they were almost not allowed to go into addiction treatment centers.
In the 1990s, you couldn’t send somebody with schizophrenia to Hazelden or Betty Ford Center. They wouldn’t take them.
So I opened up a place called Foundations in 1995 to really focus on people with schizophrenia and addiction, and we did lots and lots of research on the best ways to help somebody who was severely and persistently mentally ill but who also had an addiction issue…”
Get the complete picture on how Mr. Cartwright built his medical treatment facility chain and the challenges it is facing today in the entire 4,589 word interview, only in the Wall Street Transcript.
Matt Larew is an Analyst who joined William Blair & Company, L.L.C. in September 2012 and primarily focuses on health care delivery companies. In 2018, Institutional Investor named Mr. Larew a Rising Star for the All-America Research Team.
Before receiving an MBA in finance and a Master of Health Administration from the University of Iowa, Mr. Larew completed his undergraduate studies at the University of Notre Dame, where he earned a B.S. in biological sciences.
In this 2,365 word interview, exclusively in the Wall Street Transcript, Mr. Larew sees some clear winners in the sector:
“I think HCA (NYSE:HCA) appears likely to continue to look for consolidation opportunities. The hospital sector in general is much more consolidated, and that’s largely in the hands of many nonprofits.
But in the last year, we’ve seen a number of fairly large-scale mergers among some fairly large hospital operators — like CHI Dignity, Advocate Aurora here in the Midwest. But the hospital sector is a little more consolidated.
On the non-hospital side — think of home health and hospice operators — those are highly fragmented markets, so even the largest operators in the space own less than 5% national market share.
So there is a much larger opportunity there, and we expect names like Amedisys (NASDAQ:AMED), LHC Group (NASDAQ:LHCG) and Encompass Health (NYSE:EHC) to find smaller tuck-in assets that they can add to fill in their national footprint where it makes sense.”
The demographic trends are clear:
“The under-65 population in the U.S. is not growing, it is growing less than 1%, and that is expected to continue, and so the growth outlook for providers is muted compared with the providers that are more specifically focused on the elderly population.
We expect that to continue in the future.”
The government reimbursement specifics are driving much of the economics:
“…An acceleration in shift to Medicare Advantage from Medicare…And the incentives really are different as the patient moves from Medicare, where the government is just reimbursing on a fee-for-service basis, to the Medicare Advantage side, where payers — like UnitedHealth (NYSE:UNH) or Aetna or Humana (NYSE:HUM) — are paid a fixed or capitated amount for a patient and are then responsible for their care and, of course, any costs associated with that care.
So they become highly incentivized to, for example, keep patients out of the hospital, where the average hospital admission for Medicare is $14,000 to $15,000.
And the reason this is important is that you have an opportunity to then leverage non-hospital settings — using the home, using retail settings — to get more touch points with these polychronic, high-cost patients to help drive down their costs and simultaneously improve their health.”
Get the full picture of this important sector by reading the entire 2,365 word interview, only in the Wall Street Transcript.
Eric Mendelsohn is the President and Chief Executive Officer of National Health Investors, Inc. He has more than 20 years of health care real estate and financing experience.
Previously, Mr. Mendelsohn was with Emeritus Senior Living for nine years, most recently as a Senior Vice President of Corporate Development, where he was responsible for the financing and acquisition of assisted living properties, home health care companies and executing corporate finance strategies.
Prior to Emeritus, Mr. Mendelsohn was with the University of Washington as a transaction officer, where he worked on the development, acquisition and financing of research, clinic and medical properties. Prior to that, he was a practicing transaction attorney, representing lenders and landlords.
In this 2,213 word interview, exclusively in the Wall Street Transcript, Mr. Mendelsohn details how to create a successful medical real estate business.
“We currently have over 240 properties, and as I said, most of them are in senior housing. We try to curate our mix, if you will, but being a REIT is a very opportunistic business. You have to play the cards that you’re dealt, and the types of deals that you want to do are not always available or not always available at a price that makes sense for your cost of capital.
We try very hard to make all of our acquisitions accretive. There is a school of thought where an acquisition doesn’t need to be accretive in the beginning and that you’ll get a return through property appreciation.
Some REITs are exploring that as a business model, but we are very conservative with our investment philosophy and believe that we should only pay a price that allows us to make money year one based on our cost of capital.
The second part of your question, if I had to pick a property type that I could focus on, I would really like to explore owning more behavioral health.”
Read the entire 2,213 word interview and get the full disclosure from this successful dividend payer.
John Dorfman is Chairman of Dorfman Value Investments LLC, which he founded in 1999. He is a hands-on money manager with over four decades of financial industry experience. He has managed a mutual fund, a hedge fund and more than 100 individual accounts, and has also been a financial writer for many years.
He has been a senior special writer for The Wall Street Journal, associate editor of Forbes and a columnist for Bloomberg. His syndicated column appears in Forbes.com, GuruFocus.com and newspapers nationwide.
Earlier, he worked at Dreman Value Management.
In this 3,710 word interview, this experienced portfolio manager identifies the stocks he thinks will outperform over the next few years:
“People have felt that live sports are one of the last things that people watch live and that this is good for advertisers. So advertisers have been drawn in that direction, but even sports aren’t immune to people’s desire to watch at an hour that’s convenient for them.
I do think there will be some migration of even sports content to streaming. And considering that it’s selling for well-below the market multiple, which is around 22, and Disney is, as I said, around 16 times trailing earnings, it’s very profitable.
The return on equity in the latest four quarters was 24%.
So this is a first-class company, and we love to buy on bad news that we regard as real but temporary, and I think that Disney’s problems are not transitory.
They aren’t going away, but I think they’re exaggerated, and I think that its competitive position in TV entertainment is going to improve.
Plus, they remain just a powerhouse in theme parks and in movie production. So that’s why I’m very partial to that stock right now.”
Get all the top Dorfman picks and more by reading the entire this 3,710 word interview, only in the Wall Street Transcript.
Brandon M. Nelson, Senior Portfolio Manager, is responsible for the portfolio management of Calamos Investments LLC’s small- and smid-cap growth strategies.
He draws upon more than 22 years of experience in small- and smid-cap growth equity investing, utilizing the same philosophy and process employed by Calamos Timpani Small Cap Growth Fund (MUTF:CTSIX) today.
He is also a member of the Calamos investment committee, which is charged with providing a top-down framework, maintaining oversight of risk and performance metrics, and evaluating investment process.
Mr. Nelson joined Calamos Investments following its 2019 acquisition of Timpani Capital Management, the company he co-founded in 2008, where he served as Chief Investment Officer and Portfolio Manager of the Timpani strategies since inception. Previously, he was a Managing Director and Senior Portfolio Manager at Wells Capital Management since 2005.
In this wide ranging 4,398 word interview, Mr. Nelson reveals his investing methods and the reasoning behind several of his current top picks.
“Our philosophy is to invest in companies with fundamental momentum. We seek companies with a sustainable and underestimated growth profile, and then, we overlay that approach with an unemotional, value-added sell discipline.
And the key is to find companies that have both sustainable growth and underestimated growth. One without the other can be OK, but both together tend to be much more powerful because valuation metrics usually expand when this happens.
To elaborate a little bit more, if you don’t mind, part of the reason why I think the process is successful and repeatable is because we’re exploiting some common behavioral errors that other investors and analysts make.”
This discipline leads to several sell signals for the portfolio.
“We sold a stock called Green Dot Corp. (NYSE:GDOT). We were seeing fatigue. We sold this in the March quarter; our average sale price was around $69. I think it’s a good example of a stock that we owned for a couple of years. It was in beat-and-raise mode for most of those quarters.
They were consistently showing strong growth, actually accelerating growth. For several quarters, they were exceeding analyst expectations, and the stock was a great performer for that year and a half to two years.
Beginning in the December quarter, we started to see fatigue show up in the fundamentals. ”
Get more insight into owning winners that Mr. Nelson has identified by reading the entire 4,398 word interview, only in the Wall Street Transcript.
Stephen S. Smith founded Smith Group Asset Management, a Dallas-based investment management organization, in 1995, and serves as the company’s CEO and Chairman of the investment committee.
He began his career in the late 1960s as an engineer with NASA in the lunar landing program. Mr. Smith joined Wachovia Bank as a computer systems analyst in the mid-1970s and transitioned to the bank’s investment management division in order to help design and implement a portfolio management system.
He left Wachovia and joined what is now known as Bank of America in 1983. Mr. Smith held a number of senior investment positions at Bank of America until he departed in 1995 to found Smith Group.
In this 3,625 word interview, exclusively in the Wall Street Transcript, Mr. Smith details his portfolio management methodology and top picks for 2019.
“Right now, we have seven portfolio managers; I’ve personally been involved in hiring all of them, and the qualities that I look for in identifying portfolio managers are, number one, they have to think like an engineer.
They have to be problem-solvers. It doesn’t mean they have to have an engineering degree, but they must think like an engineer, know how to use a scientific method to identify and solve problems.
The second thing I require is that the members of our portfolio management team have to have the proper training in order to be able to analyze the companies that will go into the portfolio and the right kind of training to manage the risk of our portfolios.
The Chartered Financial Analyst, or CFA, program is very good at training us to do that; I got my CFA charter back in 1981, and I require every member of the portfolio management team to either have the CFA charter or have a CPA, and that’s a requirement of all seven of us.
And the last thing that I require is that the members of the team must be team players.”
The team is currently cautious on high value, large cap tech stocks:
“I’ve had a long enough career that I saw a moat around Polaroid and IBM (NYSE:IBM) and Eastman Kodak(NYSE:KODK); they had dominant positions in their industry until they didn’t, and then when they didn’t, they had a long downward slide.
So although we do own Facebook (NASDAQ:FB), and we own Google (NASDAQ:GOOG), we don’t own them at the level that the benchmarks do.
And it does appear that some of the FAANGs, especially Amazon with valuation levels that are off the charts, seem to be pricing in expectations that are way better than they could ever achieve.
So we like bread-and-butter technology, consumer discretionary and are especially concerned by the megacap technology companies that dominate the growth benchmarks.”
Get the complete list of the stocks that make this cut by reading the entire 3,625 word interview, exclusively in the Wall Street Transcript.
Joel D. Hirsh, CFA, is a Principal, Portfolio Manager and Co-Chief Investment Officer at Kovitz Investment Group. He is responsible for leading the firm’s equity research process as well as developing portfolio construction for KIG’s Core Equity and Hedged Equity strategies. Kovitz subadvises Absolute Capital Opportunities Fund (MUTF:CAPOX) for which Mr. Hirsh is a co-portfolio manager.
In this 3,279 word interview exclusively with the Wall Street Transcript, this highly successful portfolio manager reveals the reasoning behind his top picks:
“What’s interesting about Quanta is they grew mostly through M&A to be of a size that they are significantly better positioned than the companies they compete with. And as the company has evolved, they’re pretty well misunderstood.
They had a couple of years where earnings were not smooth because large transmission projects got delayed for regulatory purposes, but the base business continued to grow very nicely. And at this point, we estimate that 80% of their earnings is base business, and that is a very high-quality recurring type of business.”
The portfolio manager identifies other stocks with the same potential to out-perform the market in the near term and the far term:
“They’re about double the size of Expedia (NASDAQ:EXPE). And it’s really an oligopoly between Booking and Expedia.
And they’ve been a very rational oligopoly in terms of competing for traffic. They primarily distinguish themselves by the number of rooms available, the number of alternative accommodations available and the ease of use of their app and online presence.
And so in our opinion, once you’re getting about half of your traffic organically, you’ve definitely arrived, and Booking definitely has. They’re generally considered by a wide margin the best operator in the space.”
Get the complete picture on these and other stocks in the portfolio by reading the entire 3,279 word interview exclusively with the Wall Street Transcript.
Ryan McIntyre, CFA, is a Portfolio Manager at Tocqueville Asset Management L.P. He serves as a Co-Portfolio Manager of the Tocqueville Gold Strategy as well as the Tocqueville Gold Fund. Additionally, he holds research responsibilities for other commodity-related investments.
He joined Tocqueville in 2008 and focuses on generating ideas and monitoring investments related to precious metals.
Prior to joining Tocqueville, Mr. McIntyre was an analyst and then associate focused on mergers and acquisitions in the metals and mining sector with Macquarie Bank.
Douglas B. Groh is a Portfolio Manager at Tocqueville Asset Management L.P. He joined Tocqueville in 2003, where he is a Co-Portfolio Manager of the Tocqueville Gold Fund.
Prior to joining Tocqueville, Mr. Groh was Director of Investment Research at Grove Capital from 2001 to 2003 and from 1990 to 2001 held investment research and banking positions at J.P. Morgan, Merrill Lynch and ING Bank.
Mr. Groh began his career as a mining and precious metals analyst in 1985 at U.S. Global Investors.
In this 4,312 word interview, these two veteran gold investors explore where the top value is currently to be found in this interesting investment sector. Their analysis of several specific stocks is buttressed by an experienced valuation methodology:
“In the gold sector, numerous small companies are engaged just in exploration and resource discovery as their primary focus.
Their value proposition is identifying and discovering new gold deposits and then advancing the development of those deposits to a point where the economics of the resource justifies further advancement toward a construction and production decision.
The value-creating proposition for those companies is the discovery of new metal resources.
Then, there’s the segment of the sector where companies are focused primarily on developing those discoveries that might have been made by other companies.
As those properties/projects are advanced and de-risked, the market tends to assign a higher value to those assets as milestones are reached.
And then finally, there are those companies that are operators and that produce precious metals and generate cash flow on a regular basis.
The reason I break out the precious metals mining sector into segments is because it’s very important for investors to recognize that those different segments of the market require a different analytical approach.
The explorers, the discovers, they’re identifying the economic value and geologic potential of the properties they are exploring/developing. So the analysis is really more of a geologic analysis and assessing the potential of the geology and related property.
That compares to the developers who are building mines. For them, the analysis is assessing the project’s economics in terms of its risks/returns and what the project’s sensitivities are, as well as looking at the project’s progress and the risks in terms of building that project.
For the larger companies, the operators and the producers, the analysis is more of a traditional security analysis and investment analysis approach, where there’s ongoing cash flow, there’s an established balance sheet, there’s an ongoing operation.
One uses the typical security analysis that is used to look at any other company: What’s their cash flow like, and what is the quality of that cash flow? What’s their balance sheet like? What’s their future look like in terms of the proposition that they’re presenting to investors?”
One example of a stock the pair of investors discuss is located in Nevada:
“We got involved in Corvus when it was spun out of another company at about C$0.80 per share, and there were fewer shares outstanding at the time, giving it a market cap at the time of about C$35 million.
The market cap has gone from roughly, say, C$35 million to C$235 million, so almost a sevenfold increase, while shares outstanding have increased only about 2.7 times as they financed their activities.”
Get the complete detail by reading the entire 4,312 word interview with these two veteran gold investment professionals, only in the Wall Street Transcript.