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The 10 Fastest-Growing Health-Care Providers

Why are investors willing to pay only 10 times earnings for some stocks, but 20, 50, even 100 times earnings for others?

The short answer: growth. Companies that can grow their earnings meaningfully could make lofty current P/E ratios look cheap in hindsight.

Of course, any company can promise a rosy, growth-rich future. Figuring out which companies can actually deliver is far trickier. In this series, I take the first step by identifying companies that have put up the best growth track records in their respective sectors.

Below, I've listed the top publicly traded sales growers in health-care providers and services over the last five years. Here's how to interpret each data column.

  • Five-year sales growth: I rank each company's sales growth, to capture its pure trailing expansion without regard to the vagaries of earnings.
  • Five-year EPS growth: Since sales growth means nothing if it doesn't ultimately fall to the bottom line, I've also included each company's five-year trailing EPS growth rate.
  • Five-year analyst estimates: This column shows us how much EPS growth analysts expect over the next five years. Just keep in mind that analysts tend to grossly overestimate a company's prospects.
  • Five-year ROIC range: Return on invested capital basically shows you how efficiently a company is converting its debt and equity into profits. We want companies that can do a lot with a little. By looking at the five-year range, we can start to gauge both the power and the consistency of a company's profit engine.

Company

5-Year Sales Growth

5-Year EPS Growth

5-Year Analyst Estimates

5-Year ROIC Range

Catalyst Health Solutions (Nasdaq: CHSI  ) 38.6% 24.6% 19.3% 11.2% / 16.6%
HMS Holdings (Nasdaq: HMSY  ) 37.5% 46.8% 25.1% 10.6% / 15.6%
HealthSpring (NYSE: HS  ) 32.6% 26.1% 13.2% 12.2% / 17.3%
Universal American 32.2% 11.7% 15.0% (0.4%) / 10.5%
LHC Group 29.9% 19.1% 14.8% 16.3% / 25.6%
Community Health Systems (NYSE: CYH  ) 27.2% 12.4% 12.2% 4.3% / 6.1%
Amedisys (Nasdaq: AMED  ) 25.6% 14.2% 13.1% 9.1% / 15.8%
Bio-Reference Laboratories (Nasdaq: BRLI  ) 23.8% 26.2% 18.2% 14.1% / 18.9%
Emeritus 23.2% NM 15.0% 0.2% / 2.1%
MWI Veterinary Supply (Nasdaq: MWIV  ) 21.0% 24.7% 15.8% 11.3% / 15.4%

Source: S&P Capital IQ. NM = not meaningful; EPS growth that is NM results from losses during the period.

Use the table above as a first step to help you generate ideas for your own further research. Once you identify stocks worth a closer look, the following three steps will help you further assess their growth prospects:

  • Carefully study the table for possible danger signs, such as high sales growth but low EPS growth, analyst growth expectations significantly trailing past growth, and low ROIC figures. Then follow the trail. On the plus side, the No. 2 sales grower, HMS Holdings, has the highest EPS growth and the highest analyst expectations for future growth. Of course, you'll also want to look at its latest earnings release, which disappointed in terms of sales.
  • Find out how the company achieved its prior growth: organically, or via acquisition? Can it sustain that previous growth? Keeping with the HMS example, at least some of its growth can be attributed to acquisitions and management has lowered its fourth-quarter sales guidance.
  • Pay attention to how management plans to implement its growth plans. Does its strategy seem prudent and plausible to you?

Remember: The more profitable, efficient, and predictable growth a company can achieve, the more we investors should be willing to pay.

Learn more about any of the stocks that interest you by adding them to our My Watchlist tool. You'll get access to all the latest Motley Fool analysis, organized by company.

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Anand Chokkavelu doesn't own shares of any company mentioned. You can follow his thoughts on Twitter. The Motley Fool owns shares of Bio-Reference Laboratories. Try any of our Foolish newsletter services free for 30 days. We Fools may not all hold the same opinions, but we all believe that considering a diverse range of insights makes us better investors. The Motley Fool has a disclosure policy.


Comments from our Foolish Readers

Help us keep this a respectfully Foolish area! This is a place for our readers to discuss, debate, and learn more about the Foolish investing topic you read about above. Help us keep it clean and safe. If you believe a comment is abusive or otherwise violates our Fool's Rules, please report it via the Report this Comment Report this Comment icon found on every comment.

  • Report this Comment On November 16, 2011, at 12:38 PM, kevinm2509 wrote:

    After reading the company’s latest earnings release and 10-Q (which were issued after this article was written) I cannot but help to wonder if this company is a growth machine or too good to be true. Since August of 2010 CHSI has made four acquisitions and the integration expenses of these purchases are putting a strain on EPS as a result management has come up with a new earnings matrix called adjusted earnings per diluted share. So while GAAP EPS declined by 35% management can report that adjusted earnings per diluted share increased by 24%. Another curious development is that revenue increased by 55% in the third quarter compared to last year while account receivables increased by 74%. And finally on page 8 of the latest quarterly report we see that the acquisition of Walgreen health Initiatives contributed $323.6 million in revenues this past quarter. So after some back of the envelop calculations I calculate that the revenue growth for the existing business was 19.5%. Next up, rereading Financial Shenanigans by Howard Schilit and Financial Fine Print Uncovering a Company’s True Value by Michelle Leder before reading the company’s latest proxy and 10-k so I can refresh my skills at determining whether or not the company is presenting an accurate picture or blowing hot air.

  • Report this Comment On November 16, 2011, at 12:39 PM, kevinm2509 wrote:

    oops by this company I meant Catalyst Health Solutions

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5/25/2012 4:00 PM
HMSY $26.40 Up +0.14 +0.53%
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HS $0.00 Down +0.00 +0.00%
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