The First Symptom of Health-Care Troubles?

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Rite Aid's (NYSE: RAD) difficulties started before the economic downturn, but the recession has only compounded its troubles. Since acquiring the Brooks and Eckerd chains in 2007, the drugstore syndicate has suffered from a steady succession of setbacks, resulting in nine consecutive quarters of losses. As competitors like CVS (NYSE: CVS) and Walgreen (NYSE: WAG) attempt to one-up Rite Aid in every capacity, the company frantically tries to machete its costs. But its efforts keep getting tangled up in the recession's dense underbrush.

Rite Aid exhibited more of the same in its fiscal second quarter. Net revenue fell 2.7% to $6.3 billion, and net losses landed at $116 million. That's significantly better than the $222 million that Rite Aid lost in the same quarter a year ago, although large impairment and debt retirement charges hampered last year's results. This year, the company cut its SG&A costs, but it still suffered from massive interest payments on the mountain of debt it took on to buy Eckerd and Brooks in 2007. Rite Aid's liabilities outweigh its assets, giving the company a negative book value.

A host of problems
Walgreen and CVS are doing much better than Rite Aid; both are actually making money. Furthermore, Wal-Mart (NYSE: WMT), Costco (Nasdaq: COST), and Kroger (NYSE: KR) all have in-store pharmacies now, and they offer a wider array of peripheral products at competitive prices. However, lower reimbursement rates hurt all pharmacy operations, forcing companies to either squeeze their margins or pass the shortfall on to consumers in the form of higher prices.

So in addition to intense competition and a recession, these cuts are essentially making health care more expensive for everyone, right down to the end user. Rite Aid may be the worst off right now, but no one is immune.

A grave situation
Even worse for shareholders, Rite Aid lowered its full-year revenue and earnings guidance in light of these challenges. But keep in mind that to some extent, all retail pharmacies are seeing the same pressures. With unemployment still relatively high, people will continue to seek out bargains, put off refilling their prescriptions, and generally spend less at the drugstore. If this situation doesn't improve, it could signal dark days ahead -- not only for retail pharmacies, but also for consumers, drug companies, and the entire health-care system.

You should avoid Rite Aid like the plague for now. And if its problems are a sign of things to come, other health-care stocks may not be far behind.

Further reading:

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Have a different view? Share it in the comments section below.

The Fool owns shares of Costco, which is a Motley Fool Stock Advisor recommendation. Costco and Wal-Mart are Motley Fool Inside Value recommendations. Try any of our Foolish newsletter services free for 30 days.

Fool contributor Chris Jones owns shares of CVS, but he doesn't own shares of any other company mentioned in this article. Nor is he short anything. The Motley Fool's disclosure policy already got its flu shots.

Comments from our Foolish Readers

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  • Report this Comment On September 25, 2009, at 5:00 PM, madmilker wrote:

    government involvement!

  • Report this Comment On September 27, 2009, at 12:28 AM, BucketOfOnions wrote:

    Is it Constitutional? An argument can be made that a government health care system is unconstitutional. The argument could be made under the "right to privacy" rulings that were a cornerstone in such cases as Roe v. Wade. The details of the health care reform are still being worked out and are sure to be complex in their design.

    Insurance Reform: President Obama is speaking about the creation of a National insurance program which will cover every American. The governments view is that they will be able to fund this new health care system by reallocating funds currently available and not being used efficiently. It is important to note that private insurance companies are not in favor, and feel they are competing against the government. President Obama feels that the insurance companies have said the government cannot run anything efficiently and should not feel threatened.

    Electronic Health Records: While there are many issues still up in the air, Electronic Health Records is the one area where the direction has been decided and the future is clear. The legislation has been enacted and the money has been appropriated. The early adopters will be rewarded by the government subsidizing the cost of implementing the CCHIT certified electronic health record system into a doctor's practice.

    The Carrot or the Stick! It is clear that staying on top of the where the government is going with the reimbursements are going to be very important in the next few years. Those that are able to comply will be rewarded, those that are slow to adopt will be penalized by a 5% reduction in reimbursement.

    --------------

    Money without intelligence is like a car without a road.

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  • Report this Comment On September 28, 2009, at 12:19 AM, mlaursen wrote:

    re: "However, lower reimbursement rates..."

    The article just drops this phrase without any further explanation. Unless I missed it. Who lowered what reimbursement rates?

  • Report this Comment On September 28, 2009, at 9:42 AM, Jonesicus wrote:

    mlaursen,

    This article was meant to be just a very quick earnings take.

    I was referring to medicaid reimbursement rates, and you can find a lot more information by checking out the earnings call transcript or doing some googling around. These cuts are really affecting every niche within the sector.

    Here's a link to get you started:

    http://www.fool.com/investing/general/2009/09/10/obamacare-s...

    Thanks for reading,

    Chris

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