Alert: Baxter to Spin Off Renal Care and Acute Therapies Businesses
On January 6, 2023, before the market open, Baxter International Inc. (NYSE: BAX) announced its intention to spin-off the company’s Renal Care and Acute Therapies businesses into an independent, standalone, publicly traded company, which is currently being referred to as KidneyCo. The transaction, which is expected to qualify as tax-free to U.S. investors, is expected to be completed in 1H 2024 and is subject to customary closing conditions including an effectiveness declaration of a Form 10 filing with the SEC and final approval from the company’s Board of Directors, amongst others.
In addition to the KidneyCo spin announcement, BAX announced that it is implementing a new operating model that has the goal of streamlining and simplifying the business. While details were scarce, management commented that it intends to “create a more resilient supply chain and greater alignment with the company’s manufacturing footprint.” Additionally, the company stated that it has begun pursuing strategic alternatives for its BioPharma Solutions business, which may include a sale or other separation options.
As the company stands today, it describes itself as providing “a broad portfolio of essential healthcare products, including acute and chronic dialysis therapies; sterile intravenous (IV) solutions; infusion systems and devices; parenteral nutrition therapies; inhaled anesthetics; generic injectable pharmaceuticals; surgical hemostat and sealant products, advanced surgical equipment; smart bed systems; patient monitoring and diagnostic technologies; and respiratory health devices.” In 2021, the company generated $12.7 billion in revenue and operated with an 18.8% adjusted operating margin.
While the company does not disclose operating margins by business unit, sales from the Renal Care and Acute Therapies totaled $4.7 billion in 2021 and represented 36.6% of BAX’s total revenue. Excluding KidneyCo’s contribution, BAX would have generated $8.1 billion in revenue. It should be noted that BAX acquired Hilrom in mid-December 2021, which would have increased pro-forma 2021 revenue of approximately $11 billion, ex KidneyCo., if the acquisition had occurred on January 1, 2021. Additionally, the BioPharma business contributes approximately $670 million in revenue. In terms of margins, on managements conference call it stated the KidneyCo’s operating margin is “well below” that of the current company and remain co.’s operating margin will be above that of the current company’s.
In approaching valuation, we compare KidneyCo to other dialysis focused medical companies, which currently trade at approximately 10x forward EBITDA, while the parent remain co would largely trade compared to medical device and supplies companies, which trade at approximately 17x forward EBITDA (~12x – 21x range). For its part, BAX currently trades at 15.6x forward EBIT and 11.7x forward EBITDA.
Management is targeting ~3% revenue growth for the parent company and 3-4% growth at Kidney Co. Based on 2021 pro-forma revenues of $11 billion for the parent, and $5 billion for KidneyCo, we forecast 2023 revenue of $11.7 billion and $5.7 billion for BAX and KidneyCo, respectively. Based on managements respective post-spin margin commentary, and allocating depreciation and amortization based on sales, we estimate post-spin EBITDA of $3.3 billion for BAX and $874 million for KidneyCo. Applying an 8x multiple to KindneyCo and 12x to the parent, we derive post-spin enterprise values of $7.0 billion and $39.8 billion, respectively. Incorporating current net debt and shares outstanding, on a preliminary, pre-spin, sum-of-the-parts basis we assign a fair value estimate of $63 per share to Baxter.