Takeaway: Thoughts on FTC move to block Steward / HCA in Utah

Hedgeye Cartoon of the Day: Lets Have a "Sit Down"

REITS DAILY BRIEF | 6.6.22 | (MPW) - Dovetail

Investing Ideas: Trend Ranges

Longs

PGRE - $8.25 - $9.71 ($8.67 prior close)

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INVH - $35.65 - $39.66 ($38.29 prior close)

MPW - $15.49 - $18.46 ($17.33 prior close)

Ticker: MPW (Active Short)

Subsector: Healthcare / NNN Hospitals (really just MPW standing alone)

Headline: Policy angle on FTC move to block Steward / HCA combo in Utah

We spoke with our policy team internally for some thoughts on last week's move by the FTC to block the Steward Health sale of the operations of five Utah hospitals to HCA, which would obviously have very negative implications for Steward's near-term liquidity and long-term solvency in our view. MPW owns these hospitals. As a reminder, Steward Health accounts for roughly ~25-30% of MPW's pro forma annualized revenue between rental income on NNN leases + loan interest. This sale would have shaved about ~10 percentage points from that exposure +/-, but now seems unlikely to move forward. Any meaningful rent reduction between MPW and Steward would most definitely necessitate a dividend cut at MPW, and likely send the share price into the single digits given the degree of leverage at MPW. 

Key Points:

  • The FTC is on a good streak challenging hospital deals. They used to lose such challenges but conducted a retrospective on previously-approved hospital deals and showed they resulted in consumer harm. So armed with new data, they’ve been winning such challenges to mergers (as in the case of Lifespan Corp. and Care New England Health System in Rhode Island recently).
  • The new FTC regime (under a progressive Democratic majority) is not shy in bringing such challenges.
  • The FTC is seeking to enjoin the transaction in federal court while they conduct the administrative litigation. This is a longer and more cumbersome process compared to a lawsuit to block in federal court. It was a 5-0 vote, so apparently there’s not much dispute within the FTC about the potential competitive harms that would result from closing the deal.
  • Usually companies walk away from deals when challenged like this. It was a unanimous 5-0 that also won the two Republicans on the FTC. So it would not be surprising if the parties consider this an uphill fight of questionable pursuit and scuttle the deal. REITs color - a vigorous fight by Steward to push forward could further signal the degree of financial difficulty for the system
  • Our original note on thoughts around the suit HERE.    
  • FTC announcement HERE. Original MPW press release HERE.  

Prior Notes:

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Rob Simone, CFA
Managing Director
Twitter: @HedgeyeREITs