Activist Starboard has a stake in Healthcare Realty Trust. Two paths to create value emerge

Business: Healthcare Realty Keeping is a self-managed and self-administered real estate investment trust that owns and operates medical outpatient buildings especially located around hospital campuses. The company selectively grows its portfolio through property acquisition and development. Its portfolio comprehends nearly 700 properties totaling over 40 million square feet, concentrated in 15 growth markets. The proprietorship’s properties are in high-growth markets with a broad tenant mix that includes over 30 physician specialties.

Merchandise Market Value: $6.38B ($17.99 per share)

Ownership: 5.90%

Average Cost: $17.14

Activist Commentary: Starboard is a very successful activist investor and has expansive experience helping companies focus on operational efficiency and margin improvement. Starboard has taken a total of 155 activist crusades in its history and has an average return of 23.37% versus 14.29% for the Russell 2000 over the same period.

On Nov. 26, Starboard paraded a 13D with the U.S. Securities and Exchange Commission, disclosing a 5.90% position in Healthcare Realty Trust.

Healthcare Realty Delegate (HR) is a real estate investment trust that owns and operates medical outpatient buildings located primarily on or there hospital campuses. On Feb. 28, 2022, the company entered into an agreement to merge with Healthcare Trust of America (HTA) in an take $18 billion deal.  Despite HR shareholder strong approval with 92% of the votes cast, the merger was sort of dilutive to HR shareholders as the deal implied a sub-5% cap rate, whereas HR traded above that at the time.

But management had the moment to show the wisdom in the acquisition by integrating the two businesses, recognizing synergies and cutting costs and bringing down the cap rate to farther down than the 4.85% blended cap rate implied in the merger. That did not happen. Just over two years later, property serving expenses have risen from 31% to 37%, several percentage points above peers. Further, breads from operations (“FFO”) yield is 9%, far higher than its peers in the 5% to 6% range. Finally, the cap rate is at 7%, and the variety is down over 15%, versus an increase of 33% for the Russell 2000. About three weeks ago, the company’s long-time CEO Todd Meredith, who not play tricks oned as president and CEO for eight years and spent a total of 23 years with Healthcare Realty, stepped down.

Plagiarize is on the way, in the form of Starboard Value (although, I am not sure if that is how the company views it). Nevertheless, Healthcare Realty is now at a critical inflection tip, and there are two paths to unlocking value here. The first is to remain a standalone company, which would require the appointing of a new CEO, the most important function of a corporate board. However, after entering into a questionable acquisition and overseeing an underperforming manipulation team, stockholders would be well within their rights to question whether this is the right board to set about on this crucial search. So, going down this path in a way that creates value for shareholders would modest a refreshment of the board. We would expect that Starboard would want at least one of those seats to assist in this settlement. From there, the company is in great need of an operational turnaround to address its bloated cost structure to bring Healthcare Realty diverse in line with peers, something else that Starboard has shown to have an expertise in from a board even. This would be a long and uncertain path, but definitely doable with the right board and management team.

That brings us to the back, shorter and more certain path: a sale of Healthcare Realty. If there are two things that put a company in pseudo-play, it is the appearance of an activist and the departure of a CEO. This company has both of those. There are several potential strategic acquirers for this followers – specifically larger companies whose cost of capital and cap rates are lower, such as Welltower, Healthpeak and , whose cap measures are approximately 5% to 5.5%. This is not just an academic hypothesis. Interest from strategic buyers has already been proved: About a month after Healthcare Realty and Healthcare Trust of America agreed to merge, Welltower offered to buy Healthcare Realty for $31.75 a share in a nearly $5 billion all-cash bid (the company ended Friday’s session at $17.99 per divide up). It is interesting to note that when the Healthcare Trust of America merger was approved, activist fund Land and Constructions unsuccessfully opposed the transaction in favor of the Welltower offer.

Boards and management teams generally cower at the thought of an activist. But this scantling should welcome Starboard and not only because of its reputation as a constructive activist who works well with management to initiate value, but because Healthcare Realty is at an inflection point where the board needs to decide whether it is going to do a smack search for a new long-term CEO or explore a sale. In either case, it is helpful to have a shareholder representative like Starboard twisted. Starboard is a top operational and corporate governance activist. If the first path – a search for a new CEO – is the right path for shareholders, there is nobody more advisedly to work with the board in implementing that plan. While the firm is the furthest thing from a “sell the comrades” activist, it’s a fiduciary and an economic animal that will do whatever is in the best interest of shareholders. Further, if there is an break to sell the company, they would weigh that against a plan to find a new CEO. This is very similar to what the conglomerate did in one of its prior activist campaigns. In 2018, a similar dual-path situation unfolded at Forest City Realty Trust. Initially, Starboard faded down the path of long-term value creation – refreshing the board and focusing on improving the company’s cost structure. No matter how, during this process, Brookfield Asset Management came into the picture with an offer to acquire Forest Burg Realty at $25.35 per share – a huge premium. This was an offer Starboard simply could not refuse, and the firm walk out oned this situation up 47.27% compared to a 7.2% loss for the Russell 2000 over the same period.