Activist Ananym requires price cuts at Henry Schein. What to anticipate

Enterprise: Henry Schein is a options firm for well being care. It operates by two segments: well being care distribution, and expertise and value-added providers. The well being care distribution phase distributes an array of choices, together with consumable merchandise, small gear, laboratory merchandise, giant gear and gear restore providers. The expertise and value-added providers phase gives software program, expertise and different providers to well being care practitioners. It provides dental apply administration options for dental and medical practitioners. It additionally develops options for the orthopedic therapy of decrease extremities (foot and ankle) and higher extremities (primarily hand and wrist).

Inventory Market Worth: $9.36B ($75.08 per share)

Possession: n/a

Common Price: n/a

Activist Commentary: Ananym Capital Administration is a New York-based activist funding agency which launched on Sept. 3. It is run by Charlie Penner (former associate at Jana Companions and head of shareholder activism at Engine No. 1) and Alex Silver (former associate and funding committee member at P2 Capital Companions). Ananym appears to be like for prime quality however undervalued corporations, no matter business. The agency would favor to work amicably with its portfolio corporations, however it’s keen to resort to a proxy combat as a final resort. It holds roughly 10 positions in its portfolio and presently manages $250 million.

On Nov. 18, Reuters reported that Ananym is pushing Henry to refresh the board, minimize prices, handle succession planning and contemplate promoting its medical distribution enterprise.

Henry Schein is a number one international distributor of health-care services primarily to office-based dental and medical practitioners. The corporate operates by two segments that provide totally different services to the identical buyer base: (i) well being care distribution and (ii) expertise and value-added providers. Well being care distribution covers Henry Schein’s distribution of dental and medical merchandise, reminiscent of laboratory merchandise, prescribed drugs, vaccines, surgical merchandise, dental specialty merchandise and diagnostic exams. This phase, which accounts for 93.5% of internet gross sales, is sub-divided between dental (61.1% of complete internet gross sales) and medical (32.4%). Whereas the corporate’s major go-to-market technique is in its distribution capabilities, it additionally sells its personal company model portfolio of merchandise and manufactures sure dental specialty merchandise. When it comes to scale, the corporate is the worldwide chief in dental distribution and second in medical distribution to office-based physicians. Henry Schein’s different phase, expertise and value-added providers (6.5% of internet gross sales) covers the sale of apply administration software program and different value-added merchandise. With a market cap of roughly $9 billion, the corporate generates roughly $1 billion of free money circulate yearly.

Regardless of Henry Schein’s main market place, engaging market construction, differentiated worth proposition and robust earnings energy, no worth has been delivered to shareholders over the previous 5 years on a complete shareholder return foundation (0%, as of Nov. 15), versus 59% for the S&P 500 health-care index and 105% for proxy friends. The primary supply of this underperformance is comparatively clear: price management. Since 2019, the corporate has grown income at a 5% compound annual development fee and gross revenue at a 6% CAGR. But it surely has spent all that additional income after which some on working bills leading to 8% annual working expense development and adjusted earnings earlier than curiosity, taxes, depreciation, and amortization margins falling to eight% from 10%. Placing it otherwise, in 2019 the corporate had $10 billion in income, $3.1 billion in gross revenue and $916 million in EBITDA. At present, it has $12.5 billion in income, $3.9 billion in gross revenue and $815 million in EBITDA. A part of the explanation for that is that the corporate has spent greater than $4 billion (almost 45% of its present market cap) on poor acquisitions which have delivered a return on invested capital nicely beneath the corporate’s price of capital. Furthermore, administration has didn’t combine these acquisitions resulting in bloated promoting, common and administrative bills. The very first thing that must be carried out is for Henry Schein to execute a complete price restructuring plan of greater than the $100 million the corporate has introduced. There’s a potential $300 million of actionable financial savings that would improve earnings per share by 35% or extra.

Subsequent, the corporate must do a greater job with capital allocation. It should cease utilizing money circulate to make acquisitions or pay again its debt that has a 6% price and begin utilizing it to purchase again inventory at these costs. The corporate trades at a 13-times the following 12 months price-earnings a number of — close to a 15-year low level. Henry Schein has steady money circulate and a robust steadiness sheet. Together with money circulate, it may improve internet leverage to three.0-times from 2.6-times to amass greater than 10% of its float at this time and 40% of its float by 2026, versus the meager $300 million to $400 million of share repurchases (< 5% of market cap) it has introduced for 2025. This may additional improve EPS by doubtlessly 50%. Along with these steps, the corporate’s medical enterprise presents a strategic alternative. Whereas Henry Schein has efficiently carved into the office-based doctor area of interest because the No. 2 participant, the enterprise atmosphere is much extra aggressive and can favor bigger distributors. This asset may very well be price $2.5 billion or extra in a sale, which might be share worth accretive and may very well be used to additional repurchase the corporate’s discounted shares.

Many corporations have critical points and wish an activist to endure. This can be a firm that doesn’t want an activist to outlive, however it could vastly profit from an activist who may assist optimize its operations and steadiness sheet. Henry Schein is a superb firm that has gotten sleepy and been allowed to coast when it may have been hovering. A part of the explanation the market has allowed it is because it has been in comparison with its sleepy friends, Patterson and Benco. Benco is a non-public firm and Schein’s three-year return of -12% has blown away Patterson’s -41%, however Schein ought to be benchmarking itself towards the biggest U.S. health-care distribution corporations like Cardinal Well being (+135%), Cencora (+93%), and McKesson (+173%). Maybe not when it comes to scale or end-markets, however extra in aspiration and dedication to shareholders. This may require a refreshed board. A number of administrators have been of their seats at Henry Schein for over a decade and the board lacks best-in-class distribution experience. A brand new board can are available in and create a succession plan for Stanley Bergman, who has been CEO for 35 years. That is simpler when the corporate can retain prime administration. However beneath the present board, the corporate has skilled a regarding stage of government turnover since 2021.

Ananym doesn’t have an activist historical past but, however understanding Charlie Penner and Alex Silver as we do, we might anticipate them to try to work amicably with administration to create worth for shareholders. We don’t anticipate that the agency will insist on a board seat for an Ananym principal. Nonetheless, we do anticipate that Ananym will recommend a number of well-qualified business executives who may help make the modifications essential to create important shareholder worth from a board stage. However don’t confuse the investor’s pleasant demeanor and amicable engagement for weak point. The agency is a fiduciary to its personal traders and can do no matter is important to create worth at its portfolio corporations. The director nomination window doesn’t open till Jan. 21, 2025, and we might anticipate that the events will work out an settlement earlier than then.

Ken Squire is the founder and president of 13D Monitor, an institutional analysis service on shareholder activism, and the founder and portfolio supervisor of the 13D Activist Fund, a mutual fund that invests in a portfolio of activist 13D investments.