Activist Ananym calls for cost cuts at Henry Schein. What to expect

Enterprise: Henry Schein is a options firm for well being care. It operates by way of two segments: well being care distribution, and expertise and value-added providers. The well being care distribution section distributes an array of choices, together with consumable merchandise, small gear, laboratory merchandise, massive gear and gear restore providers. The expertise and value-added providers section gives software program, expertise and different providers to well being care practitioners. It presents 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 Value: 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 companion at Jana Companions and head of shareholder activism at Engine No. 1) and Alex Silver (former companion and funding committee member at P2 Capital Companions). Ananym seems to be for top of the range however undervalued firms, no matter trade. The agency would like to work amicably with its portfolio firms, nevertheless it’s prepared to resort to a proxy combat as a final resort. It holds roughly 10 positions in its portfolio and at present manages $250 million.

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

Henry Schein is a number one international distributor of health-care services and products primarily to office-based dental and medical practitioners. The corporate operates by way of two segments that provide completely different services and products 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 checks. This section, which accounts for 93.5% of internet gross sales, is sub-divided between dental (61.1% of whole 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. By way of scale, the corporate is the worldwide chief in dental distribution and second in medical distribution to office-based physicians. Henry Schein’s different section, 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 move yearly.

Regardless of Henry Schein’s main market place, enticing market construction, differentiated worth proposition and powerful 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: value management. Since 2019, the corporate has grown income at a 5% compound annual progress fee and gross revenue at a 6% CAGR. However it has spent all that further income after which some on working bills leading to 8% annual working expense progress and adjusted earnings earlier than curiosity, taxes, depreciation, and amortization margins falling to eight% from 10%. Placing it in another way, in 2019 the corporate had $10 billion in income, $3.1 billion in gross revenue and $916 million in EBITDA. As we speak, 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 under the corporate’s value of capital. Furthermore, administration has didn’t combine these acquisitions resulting in bloated promoting, normal and administrative bills. The very first thing that must be executed is for Henry Schein to execute a complete value restructuring plan of greater than the $100 million the corporate has introduced. There’s a potential $300 million of actionable financial savings that might improve earnings per share by 35% or extra.

Subsequent, the corporate must do a greater job with capital allocation. It should cease utilizing money move to make acquisitions or pay again its debt that has a 6% value and begin utilizing it to purchase again inventory at these costs. The corporate trades at a 13-times the subsequent 12 months price-earnings a number of — close to a 15-year low level. Henry Schein has steady money move and a powerful stability sheet. Together with money move, it might improve internet leverage to three.0-times from 2.6-times to accumulate greater than 10% of its float at this time and 40% of its float by way of 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 surroundings is much extra aggressive and can favor bigger distributors. This asset may very well be value $2.5 billion or extra in a sale, which might be share value accretive and may very well be used to additional repurchase the corporate’s discounted shares.

Many firms have critical points and wish an activist to endure. It is a firm that doesn’t want an activist to outlive, however it might tremendously profit from an activist who might assist optimize its operations and stability sheet. Henry Schein is a good firm that has gotten sleepy and been allowed to coast when it might have been hovering. A part of the explanation the market has allowed it’s 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 must be benchmarking itself towards the biggest U.S. health-care distribution firms like Cardinal Well being (+135%), Cencora (+93%), and McKesson (+173%). Maybe not by way of 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 below the present board, the corporate has skilled a regarding degree of government turnover since 2021.

Ananym doesn’t have an activist historical past but, however realizing Charlie Penner and Alex Silver as we do, we’d anticipate them to attempt 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 counsel a number of well-qualified trade executives who might help make the modifications essential to create vital shareholder worth from a board degree. 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 firms. 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.