Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues

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Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
Welcome!
PNC Bank Presents: Dental Economic Trends & Perspectives

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Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
Mary Kay Schneider
Executive Vice President and Director, Industry Segmentation
PNC Bank Business Banking

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Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
Economic Outlook
Much Brighter Outlook With Vaccines, Big Stimulus Bill

Augustine Faucher
Chief Economist
The PNC Financial Services Group

Dental Economic Trends & Perspectives
October 28, 2021
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Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
It’s Official—The U.S. Economy Is In Recovery

Length of expansion, months, by starting date of recovery

  140

  120

  100

     80

     60                                                                           120        128
                                                     106
                                                                             92
     40               80                                                                73
               50                                               58
     20                     37   45    39                  36
                                              24                                                    18
                                                                       12
        0
               3/33   6/38 10/45 10/49 5/54   4/58   2/61 11/70 3/75   7/80 11/82 3/91 11/01 6/09   4/20

Source: NBER

                                                                                                           3
Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
Short-Term Rates Still Near Zero; Long-Term Rates
Are Up in 2021, But Still Very Low
Interest rate, %

     3.5
                                                              10-year Treasury bond
     3.0

     2.5

     2.0

     1.5

     1.0
                                                  3-month Treasury bill
     0.5

     0.0
               '16 A            J   O '17 A   J   O '18 A     J   O '19 A   J   O '20 A   J   O '21 A   J

Source: Federal Reserve Board

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Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
Economic Activity Now Above Pre-Pandemic Peak…

Real, % change year ago

     16

     12
                                                                      Final sales of domestic product
        8
                                Gross domestic income
        4

        0

      -4

      -8
                                                                                 Gross domestic product
    -12
              '06   '07   '08    '09   '10   '11   '12   '13   '14   '15   '16    '17   '18   '19   '20   '21

Source: BEA

                                                                                                                5
Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
…But Consumer Spending on Services Continues to
Lag
Real, % change

              Consumer services

              Consumer durables         2019Q4 to 2020Q2

       Consumer nondurables             2019Q4 to 2021Q2

 Business fixed investment

        Residential investment

   Government cons./invest.

                        Exports

                        Imports

  After-tax personal income

                                  -30      -20        -10   0   10   20   30

Source: BEA

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Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
Dental Employment Has Recovered, But Not
Spending
Index, pre-recession peak=100

    110
                                            Employment, dentists’ offices
    100
       90
       80
       70
       60
       50                                        Real personal consumption
       40                                        expenditures, dental services

       30
                    '19   A   J   O   '20   A       J       O       '21     A    J

Sources: BEA, BLS

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Welcome! PNC Bank Presents: Dental Economic Trends & Perspectives - Virtual Venues
Very High Savings Rate and Great Balance Sheets
Will Power Consumer Spending This Year and Next

              28                                                                                   19

              24                                                                                   18

                                                  Financial obligations ratio,
              20                                                                                   17
                                                  % of after-tax income (R)

              16                                                                                   16

                                      Great
              12                                                                                   15
                                      Recession

                8                                                                                  14

                4                                                Personal saving rate,             13
                                                                 % of after-tax income (L)
                0                                                                                  12
                    '05                      '10                        '15                  '20

Sources: BEA; Federal Reserve Board

                                                                                                        8
Stimulus of About One-Quarter of GDP

CARES, Paycheck Protection Program and Health Care Enhancement, Consolidated
Appropriations Plan, and American Rescue Plan Acts, spending, $ bil

                     Small business loans/grants

                                       Stimulus payments

                                             Aid to states

                                                    Other

                           Unemployment insurance

 Big business, govt. loans/guarantees

                                                   Health

                                        Business tax cuts

                                                             0   200   400   600   800   1,000   1,200

Sources: CBO, Moody’s Analytics, PNC

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With More Stimulus, Vaccine Rollout, 2021 and 2022
Look a Lot Better…
Real GDP, % change year ago

          15

          12                                 September 2021 forecast

             9

             6

             3
                                             January 2021 forecast
             0

           -3

           -6

           -9

         -12
                    '18   '19   '20   '21F         '22F        '23F

Sources: BEA; PNC

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…With a Faster Labor Market Recovery

Unemployment rate, %

           14

           12

           10

             8
                                             January 2021 forecast

             6

             4
                                             September 2021 forecast

             2
                    '18   '19   '20   '21F      '22F         '23F

Sources: BLS; PNC

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Open Questions

▪ Pandemic

▪ Biden administration proposals

▪ Longer-run growth

▪ Housing market

                                   12
For more information from PNC Economics visit
         Pnc.com/economicreports

                 Twitter:
             @GusFaucherPNC

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Disclaimer: The material presented is of a general nature and does not constitute the provision of investment or economic advice to
any person, or a recommendation to buy or sell any security or adopt any investment strategy. Opinions and forecasts expressed
herein are subject to change without notice. Relevant information was obtained from sources deemed reliable. Such information is
not guaranteed as to its accuracy. You should seek the advice of an investment professional to tailor a financial plan to your
particular needs.
©2021 The PNC Financial Services Group, Inc. All rights reserved.
                                                                                                                               14
The Impact of COVID-19 on the
           Dental Care Sector

                  Dr.Dave Preble
Patient Volume Recovery

                       Patient Volume
            (% of pre-COVID-19 level, on average)
                                                                *

                                   89%
                                   88%
                                   88%
                                  86%
                                  86%
                                  84%
                                                                                    Patient volume reached its
                                 81%
                                 81%
                                 81%

                                 81%
                                 80%

                                 80%
                                78%

                                78%
                                77%
                                76%
                                76%
100%
                               73%
                               73%
                              71%
                              70%

                                                                                    highest level during the week
                             65%

80%                                                                                 of August 16th, at 89% of pre-
                           53%

                          89%
                        79%
                        79%
                                                                                    COVID-19 levels.
                        38%

60%

                       72%
                      71%
                      70%
                      69%
                     68%
                     66%
                    64%

                    62%
        May 4 19% 18%

                   57%

                   57%

40%                                                                                 *Note that HPI changed its response
                 46%
                 7%
                 7%

                                                                                    options, allowing dentists to report
20%                                                                                 greater patient volumes compared to
 0%                                                                                 pre-pandemic levels. This did not
                                                                                    have a big impact on results.
         Apr 6

         Oct 5
       Jun 15
       Jun 29
        Jul 13
        Jul 27

       Jan 18

       Jun 14
        Jul 12
       May 18

        Sep 7

       May 17
       Oct 19
       Apr 20

       Apr 12
        Nov 2

       Dec 14
       Nov 16
       Nov 30
       Aug 10
       Aug 24

       Sep 21

       Feb 15

       Aug 16
        Jun 1

       Mar 15   Private Practice        Public Health

                                                        © 2021 American Dental Association. All Rights Reserved.   16
Staffing Shortages are Major Issue

Staffing shortages are the most common limiting factor for practices that want to see more patients,
followed by safety protocols and low patient demand.

                                                                  © 2021 American Dental Association. All Rights Reserved.   17
New Report Looking at Practice Impact

                               www.ada.org/hpi

                                   © 2021 American Dental Association. All Rights Reserved.   18
Change in Dentist Net Income 2019-20

                                                                In 2020 net income
                                                                declined by 17.9%
                                                                across all dentists
                                                                (GPs). For women
                                                                dentists the decline was
                                                                much greater, as for
                                                                older dentists as well.

                             © 2021 American Dental Association. All Rights Reserved.   19
Looking Ahead

     “Skate to where the
      puck is going…not
         where it is.”

                           © 2021 American Dental Association. All Rights Reserved.   20
Looking Ahead – 4 Big Trends

1. Intensified Consumerism

2. Shifting Demographics

3. Enabling Technology

4. Payment Reform

                               © 2021 American Dental Association. All Rights Reserved.   21
Looking Ahead – 4 Big Trends

2. Shifting Demographics

                               © 2021 American Dental Association. All Rights Reserved.   22
Higher Share of Dentists are Female

                                      © 2021 American Dental Association. All Rights Reserved.   23
More Non-White Dentists

                          © 2021 American Dental Association. All Rights Reserved.   24
Fewer Dentists are Practice Owners

                                     © 2021 American Dental Association. All Rights Reserved.   25
Fewer Dentists in Solo Practice

                                  © 2021 American Dental Association. All Rights Reserved.   26
Fewer Dentists in Solo Practice

                                                                        There is lots of variation
                                                                        across states in practice
                                                                        structure. ID, OK, UT,
                                                                        for example, have
                                                                        highest share of dentists
                                                                        in solo practice.

                                  © 2021 American Dental Association. All Rights Reserved.    27
Practice Consolidation Accelerates

                                     © 2021 American Dental Association. All Rights Reserved.   28
Practice Consolidation Accelerates…Even More

                                  © 2021 American Dental Association. All Rights Reserved.   29
Kevin Wills
Sr. Vice President, Territory Practice Manager
PNC Bank Healthcare Business Banking

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Questions & Answers

                      31
Thank you for attending today’s webcast.

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