On October 18th, Getinge AB (Ticker: GETIB SS, Market Capitalization: SEK 39,681 million), a Swedish medical equipment company, announced its decision to spin off its Patient & Post-Acute Care business through a tax-free spin-off. The plan is subject to shareholder approval at the company’s Extraordinary General Meeting that will be held in the fall of 2017. The transaction is expected to be completed by the first quarter of 2018.
The spin-off will allow Getinge to narrow its focus at a time when it is implementing a strategy of centralizing its operations. It should be noted that no further reasons for the demerger are evident; Getinge is a pure-play medical equipment and devices corporation, which is neither spinning off a division with a disparate business model nor an underperforming operation.
Currently Getinge trades at a big discount to its publicly-traded peers. However, such discount appears justified: In the past few years, the FDA has discovered major violations in the company’s quality systems in four facilities—two in the USA and two in Germany. After failing to remedy the situation even after the FDA had issued warning letters, production of certain items is these facilities ceased. At the moment, the company and the FDA have agreed—for the most part—to a course of action that includes third-party inspections to verify that the necessary changes have been implemented, and annual inspections thereafter. As a result, Getinge has set aside a significant amount of provisions for the expected costs. During the last quarter, said provisions were increased by SEK 400 million.
The new entity will comprise Getinge’s Patient & Post-Acute Care division and will offer products and solutions for safe patient handling, prevention of venous thromboembolisms, medical beds, hygiene systems and easy mobility. Its addressable market is expected to grow as population in developed countries ages. The segment’s sales and adjusted EBITA1 for the first nine months of 2016 were SEK 5,376 million and SEK 596 million, respectively. Revenue declined by 6.2 percent during that period, and top-line pressure is not expected to abate: During the same timeframe, new order intake was SEK 5,337 million, representing a 7.6% year-on-year decline. EBITA, on the other hand, increased by 10.2% on a yearly basis, as a result of Getinge’s cost-cutting effort that lead to a 100 basis point EBITA margin expansion. The division’s estimated 2016 run-rate EBITDA is SEK 965 million. The average enterprise value-to-2016 EBITDA multiple of its peer group 16.9x. Using a 15.2x multiple instead2, to incorporate the unit’s declining profitability, we arrive at an enterprise value of SEK 14,656 million.
Following the spin-off, Getinge will operate under two segments: Acute Care Therapies and Surgical Workflows. The former offers solutions for cardiac, pulmonary and vascular therapies as well as products and therapies for intensive care. The latter offers productions and solutions for infection control, equipment for surgical workplaces and advanced IT systems for hospitals.
During the first nine months of 2016, revenue for the Acute Care Therapies unit declined by 0.2 percent to SEK 8,155 million, while adjusted EBITA declined by 3.3 percent to SEK 4,103 million. The situation, however, appears to have normalized, with order intake slightly positive during that period—leading to a positive year-on-year growth during Q3 2016. Furthermore, EBITA during the same period increased by 13.4 percent, primarily as a result of lower SG&A spending. On a reported basis, EBITA for the Acute Care Therapies business was negative for that quarter, due to the SEK 400 million provision for the FDA-related issues. Sales and adjusted EBITA for the Surgical Workflows unit during the first nine months of 2016 were SEK 6,702 million and SEK 531 million, respectively. Despite a 3 percent decline in revenue, EBITA increased by 27 percent due to a reduction in overhead expenses.
2016 EBITDA for the Acute Care Therapies business is estimated at SEK 2,378 million. Due to its struggles with its quality systems, that have resulted in penalties by the FDA, the division will be valued based on the lower end enterprise value-to-2016 EBITDA multiple of its peers. At 11.6x, the Acute Care Therapies segment is valued at SEK 27,564 million. Based on an estimated 2016 EBITDA of SEK 801 million and the 16.9x average enterprise value-to-2016 EBITDA multiple of its peer group, the Surgical Workflows business is valued at SEK 13,525 million.
The resulting enterprise value of post spin-off Getinge is SEK 41,089 million, while its pre-demerger enterprise value is estimated at SEK 55,745 million. Incorporated SEK 23,293 million in net debt as well as SEK 411 million in minority interests, the resulting equity valuation is SEK 32,041 million, or SEK 134 per share.