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2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
Brazil under penetrated in managed care 25% versus nearly 80% in U.S. Brazil promoting private sector care to release pressure on the public system Amil is the clear market leader with a strategic approach to care Amil is an ideal international platform to extend Optum to large underserved markets Distinctive commitment of Amil leadership
Dr. Edson Bueno remains a 10% holder of Amil Becomes the largest individual investor in UnitedHealth Group - $470 million investment Will serve on the UnitedHealth Group Board
Companies are well aligned with regards to missions, cultures, innovations and acquisitions Companies have complementary strengths
Amil in care delivery UNH in technology, health informatics and health benefits Both with strong health care brands and reputations
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
Amil at a Glance
Clear leader in fast-growing Brazilian managed care market Providing a comprehensive set of diverse health and dental benefits to more than 5 million people Current annualized revenue of $5 billion has more than doubled over last three years Proven strong business model with unique approach to strategic care delivery
Owned delivery network includes 22 hospitals and nearly 50 clinics with 25-30% of medical spend delivered from these operations Largest single contracted care network in Brazil including 44,000 physicians and 3,300 hospitals
Disciplined underwriting focused on profitable organic growth Compelling margin profile supported by superior owned and networked clinical cost structure and scale advantages as Brazils market leader
Successful consolidator in early stages of large scale market consolidation Experienced, physician-led management team committed to Amils future success
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
Brazil The leading non-U.S. private health care market (and growing) Amil The premier enterprise in the market
Distinctive strategically developed (owned and contracted) care delivery system Strong brands and market profile Consistent track record of superior performance High familiarity common business and culture with UnitedHealth Group
We believe this combination will further the growth and strengthen the overall performance of both organizations
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
Brazil (2)
200 million 48 million
Comments
Higher population growth in Brazil
78%
25%
57%
9%
434
1,600+
Source: (1) US Census Bureau, AISs Directory of Health Plans, 2011 and National Association of Dental Plans (2) ANS 2012
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
Strong democratic political system based on constitutional law Government with stable, growth-supporting policies Stable monetary policy with 5.2% inflation Free basic health care a constitutional right
Health care spending at 9% of GDP, up from 7.2% 10 years ago Highly pressured public system creating demand for quality, private health care particularly for a rapidly growing middle class
1.1%
(0.3)%
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
GDP per capita almost 2.5x of China People who can afford private coverage prefer it
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
Population Characteristics Rapidly growing middle class is seeking higher quality private sector health care Demographic shift over a decade
18 million people being added to income classes A & B 47 million people being added to income class C
Population in Millions
200
13 23 31
150
66 102 113
100
47
50
49
39 26
40 16
Approximately 75% of people use public facilities; only 47% of health spending covers this group People aspire to be part of the 25% that receives access to private facilities
A/B: Monthly Per Capita Income Above $456 C: Monthly Per Capita Income $106-456 (1) (1) D: Monthly Per Capita Income $67-106 (1) E: Monthly Per Capita Income Below $67
(1) Converted (1)
using October 5, 2012 exchange rate of $0.4939 = R$1.00 per www.oanda.com Source: Brazil Central Bank
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
$41.7 47.8 $32.5 $30.0 $25.8 $21.1 $18.4 16.8 8.9 10.4 12.6 14.5 $36.8
35.4
37.2
6.2
7.3
2005
2006
2007
2008
2009
2010
2011
2005
2006
2007
2008
2009
2010
2011
Medical
Dental
Source: ANS
8
400,000 300,000 200,000 100,000 2007 2008 2009 Private Beds 2010 2011 Total Beds
Summary Large, stable and increasingly prosperous nation Demand increasing for private alternatives to government system Market penetration for private coverage is low (about 25% of Brazilian population) Significant growth and consolidation opportunities exist Top 10 plans cover only 36% of the private insurance market Increasing regulatory standards for quality and capital levels driving smaller plans out of the market
2,003
1,377
720 719 660 627 602 567 579 553 493 479 435 427 429
Dental Medical
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
10
Amil is the Clear Market Leader With the Broadest Set of Offerings
Product Offering
Company Medical Membership (Millions) 4.3 3.7 2.2 2.0 1.2 0.6 0.6 0.4 0.1 Type Premium Top Intermediate Basic Dental
Clients
Corp. Indiv. Hospital Facilities
Source: ANS, IBGE, Companies reports as of June 2012 and Amils June 2012 Investor Presentation
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
11
Amil Brands
HIGH-END
Individual 35%
A
Corp. Clients 62%
4%
$53,150
B
Membership Mix(1)
30%
$18,670
Dental 27%
50%
$7,697
Individual 19%
RESTRICTED NETWORK
D E
15% 1%
$4,232 $2,827
(1)
As of June 2012 using October 5, 2012 exchange rate of $0.4939 = R$1.00 per www.oanda.com Source: Amils June 2012 Investor Presentation
(2) Converted 2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
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Amil is the Clear Market Leader With the Largest Single Network
Amilpar
22 Hospitals 47 Outpatient Clinics
UCP
Posture Correction Unit Prevention and Treatment 3 Outpatient Centers
Hospitals 3,300
OncoCare
HomeCare
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Successful consolidator
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
14
(1)
Net Revenues
$4,449 $3,771
Operating Earnings
$168 $127
$2,412
$30
2009
2010
2011
2009
2010
2011
2009
(1) Converted
2010
2011
2009
2010
2011
using October 5, 2012 exchange rate of $0.4939 = R$1.00 per www.oanda.com Source: Amils annual press releases and/or financial statements
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
15
Combination Summary
Benefits to Amil of Partnering with North American Market Leader
Access to advanced information technology Insights into the application of large data sets to advance clinical care delivery Experience in engaging consumers in effective personal decision-making about their health and well-being A strong, committed capital partner
Details UNH will acquire up to 90% of Amils 359 million outstanding shares at R$30.75 each through a two step process:
Approximately 60% from management upon regulatory approval management retains 10% interest Approximately 30% from public shareholders through 1st half of 2013 tender offer Expected total cash outlay of approximately $4.9 billion in two stages over up to 6-month period Approx. $4.3 billion (R$27.13 per share) equity purchase price, net of acquired tax benefits of $600 million
Debt to debt plus equity ratio expected to be below 35% by June 30, 2013 Share repurchase program to continue, paced to accommodate acquisition and capital ratio objectives Combination expected to be slightly accretive to UnitedHealth Group 2013 earnings per share
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
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(1)
Operating Income
30.4
126.6
69.9
33.6
24.5
40.4
168.4
88.7
36.3
50.7
65.0
38.3
15.8
18.5
15.8
88.3
43.7
17.3
$0.14
$0.18
$0.11
$0.04
$0.05
$0.04
$0.25
$0.12
$0.05
92.6
222.0
89.6
64.5
46.8
36.9
237.9
85.4
86.0
4,119
4,127
4,280
4,309
4,255
4,304
4,304
4,264
4,306
Dental Members
1,015
1,183
1,222
1,311
1,443
1,516
1,516
1,545
1,593
Source: Amils quarterly and annual press releases and/or financial statements. Amounts are presented in conformity with the International Financial Reporting Standards (IFRS) and in conformity with the accounting practices adopted in Brazil (collectively, GAAP).
(1) (2)
Converted using October 5, 2012 exchange rate of $0.4939 = R$1.00 per www.oanda.com Amil also reports adjusted net income and adjusted EPS. Please see www.amilpar.com.br/amilpar/web/index_pti.html to reference these figures and related reconciling items.
Information on Amils website is neither part of nor incorporated by reference into this presentation.
2012 UnitedHealth Group. Any use, copying or distribution without written permission from UnitedHealth Group is prohibited.
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