ALERT: EHC to Spin-Off its Home Health and Hospice Business
On January 19, 2022, after the market close, Encompass Health Corp (NYSE: EHC) announced that it intends to spin-off its Home Health and Hospice (HH&H) business into a standalone, publicly traded company. As currently posited the plan would include a rebranding of the HH&H business to Enhabit Home Health & Hospice, and would be conducted via a tax-free distribution of shares to existing EHC shareholders in 1H 2022. The spin-off, if completed is subject to customary closing conditions including the effective declaration of a Form 10 filing with the SEC, regulatory approvals, and the receipt of a favorable IRS private letter ruling in relations to the tax-free nature of the proposed transaction.
For context, the spin off announcement is the culmination of a strategic review that began in December 2020 shortly after activist investor Jana Partners disclosed a 1.8% passive stake in the company, which is currently at ~2.0% (down from a peak of ~2.6%). In April 2021, the chief executive of the HH&H business, April Anthony, announced that she was stepping down from her post, effective mid-June 2021. Ms. Anthony was replaced by Ms. Barbara Jacobsmeyer (as well the company named Ms. Crissy Carlisle, previously EHC’s chief investor relations officer, as HH&H’s chief financial officer). In July 2021, the company indicated that the EHC’s Board had concluded that a full or partial separation, “”by either private or public means””, of HH&H would “”enhance the long-term success and value of the business””.
PRELIMINARY VALUATION
EHC reports two operating segments: (1) Inpatient Rehabilitation (77% of consolidated sales and 83.5% of adjusted EBITDA in 2020); and (2) Home Health and Hospice (23% of 2020 sales and 16.6% of adjusted EBITDA). With respect to financial guidance, for full year 2021 the company expects revenue of $5.08-$5.13 billion (compared with its initial range of $5.00-$5.17 billion), with adjusted EBITDA of $1.025-$1.045 billion (compared with its initial range of $925-$955 million) and adjusted EPS of $4.23-$4.38 (initially $3.31-$3.53). As well, following a brief withdrawal of guidance as the COVID-19 pandemic was intensifying, the company recently reinstated long-term growth guidance calling for growth of 8%-10% for both the top line and adjusted EBITDA (compared with its prior commentary of 7%-9%, albeit off a higher base) in 2020-2025.
In 2020, Inpatient Rehabilitation (IR) segment sales increased ~1.5% to $5.366 billion, as favorable pricing offset decreased volumes, while adjusted EBITDA declined 8.5% to $823 million, largely due to pandemic-related costs (e.g., supplies and paid time off for employees). Based on management commentary and current trends, it can be reasonably projected that the IR segment could generate F2023E sales of ~$4.5 billion, with adjusted EBITDA of $1.1 billion. Applying the 9.5x multiple awarded peers such as HCA Healthcare (NYSE: HCA) and Select Medical Holdings (NYSE: SEM), as well as The Ensign Group Inc. (NASDAQ: ENSG) and Brookdale Senior Living Inc. (NYSE: BKD), implies segment value of ~$10.5 billion.
In 2020, Home Health & Hospice segment sales declined 1.3% to $1.078 billion, driven by both lower prices and reduced volumes, while adjusted EBITDA fell ~16.5% to ~$163.5 million. Based on management commentary and current trends, it can be reasonably projected that the HH&H segment could generate F2023E sales of ~$1.177 billion, with adjusted EBITDA of $226 million. Applying the 13.0x multiple awarded peers such as Amedisys (NASDAQ: AMED) and LHC Group (NASDAQ: LHCG) implies segment value of ~$2.9 billion.
Accounting for corporate costs capitalized at the weighted average applied to segment earnings, as well as projected net debt of ~$3.8 billion, yields a sum-of-the-parts valuation of roughly $8.3 billion, or about $83 per share.