The Vanguard Health Care Fund's Top 5 Buys of the 1st Quarter

Health care-oriented fund's top buys include one new holding and four position boosts

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May 02, 2019
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The Vanguard Health Care Fund (Trades, Portfolio) disclosed this week its top five buys for the first quarter included a new position in Galapagos NV (GLPG, Financial) and position boosts of the following four companies: Elanco Animal Health Inc. (ELAN, Financial), Teva Pharmaceuticals Industries Ltd. (TEVA, Financial), Centene Corp. (CNC, Financial) and Eisai Co. Ltd. (TSE:4523, Financial).

Managed by Jean Hynes, the fund seeks long-term capital appreciation through investments in domestic and foreign companies in various industries within the health care sector. As of quarter-end, the 89-stock equity portfolio contains 97.65% exposure to health care, with a buy impact of 3.25% and a net buy impact of 0.61%.

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Hynes said in her 2019 annual report the fund’s investor shares returned 2.76% for the 12 months ending Jan. 31, outperforming the MSCI All Country World Health Care Index's return of 1.18%, boosted by strong stock selection in biopharma large-cap and strong performance in medical technology.

The fund manager views the health care sector “through a custom lens of subsectors,” which include biopharma, a combination of biotechnology and pharmaceuticals; health care services; and medial technology.

Galapagos NV

The fund invested in 1,151,526 shares of Galapagos NV, giving it 0.30% equity portfolio weight. Shares averaged $100.78 during the quarter.

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The Mechelen, Belgium-based biotech company develops small-molecule medicines to treat rheumatoid arthritis, Crohn’s disease and ulcerative colitis. GuruFocus ranks the company’s financial strength 8 out of 10: Even though the Beneish M-score suggests possible earnings manipulation, the company has little or no long-term debt and a robust Altman Z-score of 15.37.

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Elanco Animal Health

The fund added 9,398,707 shares of Elanco Animal Health, increasing the stake 895.29%. Shares averaged $30.78 during the quarter.

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GuruFocus ranks Elanco Animal Health’s financial strength 6 out of 10: Although the company has good interest coverage of 14.94, the Altman Z-score of 2.51 suggests slight financial distress.

Teva

The fund added 15,184,910 shares of Teva, increasing the position 65.14%. Shares averaged $17.62 during the quarter.

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The Israeli drug manufacturer develops and sells branded pharmaceutical products in various categories, including the central nervous system, oncology, respiratory and women’s health. GuruFocus ranks Teva’s financial strength 4 out of 10: Although the company’s Piotroski F-score ranks a solid 5 out of 9, its interest coverage is less than Benjamin Graham’s required threshold of 5 and the Altman Z-score suggests moderate financial distress.

Berkshire Hathaway Inc. (BRK.A, Financial)(BRK.B, Financial) CEO Warren Buffett (Trades, Portfolio) has not released his first-quarter portfolio as the deadline is 45 days after quarter-end. As of the latest portfolio date, Buffett owns 43,249,295 shares of Teva.

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Other gurus with holdings in Teva include Francisco Garcà­a Paramés and Seth Klarman (Trades, Portfolio) protégé David Abrams (Trades, Portfolio).

Centene

The fund added 2,167,800 shares of Centene, boosting the holding 193.36%. Shares averaged $60.76 during the quarter.

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Centene, a company tied to a merger agreement with WellCare Health Plans Inc. (WCG, Financial), offers health care plans to U.S. government-sponsored health care programs. GuruFocus ranks the company’s profitability 7 out of 10: Even though the operating margin has declined over the past five years, Centene’s three-year revenue growth rate of 38.20% outperforms 95.65% of global competitors.

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Eisai

The fund added 1,331,377 shares of Eisai, increasing the position 7.88%. Shares averaged 8,649.34 yen ($77.63) during the quarter.

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The Japanese drug manufacturing company expands its research, development, manufacturing and marketing capabilities through licensing strategies. GuruFocus ranks the company’s financial strength 8 out of 10 on several positive indicators, which include a strong Piotroski F-score of 8, a solid Altman Z-score of 4.52 and robust interest coverage of 43.02. Even though gross profit margins have declined, Eisai’s operating margin has increased approximately 2.30% per year over the past five years and is outperforming 68% of global competitors.

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Disclosure: No positions.

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