AREX’s Slate of Less Experienced and
Unqualified Director Candidates – and its Planned Formation of a
“Transformation Committee” – Threatens to Destabilize Enhabit
Urges Stockholders to Vote FOR Enhabit’s
Director Nominees on the YELLOW Proxy Card
Enhabit, Inc. (NYSE: EHAB) (“Enhabit” or the “Company”), a
leading home health and hospice provider, today sent a letter to
stockholders in connection with its upcoming 2024 Annual Meeting of
Stockholders scheduled for July 25, 2024. Stockholders of record,
as of the close of business on June 5, 2024, are entitled to vote
at the 2024 Annual Meeting.
The full text of the letter follows and can be found at
investors.ehab.com/2024-annual-meeting/, along with Enhabit’s
definitive proxy materials and other materials regarding the Board
of Directors’ recommendations for the 2024 Annual Meeting.
Protect the Value of Your Investment
Vote the Enclosed YELLOW Proxy Card “FOR”
Enhabit’s Highly Qualified Director Nominees
Dear Fellow Stockholders,
At Enhabit’s 2024 Annual Meeting, AREX
Capital Management, LP is attempting to take control of Enhabit’s
Board of Directors (the “Board”) by replacing nearly all Enhabit’s
independent directors with their own nominees.
Enhabit’s Board was intentionally designed to
have the right mix of expertise to understand the key drivers of
the business, as well as the functions that are necessary to
oversee the management of a stand-alone, public company.
- Enhabit’s director nominees possess deep experience with the
three key drivers of our business: payors, hospital networks and
labor management. No candidate on AREX’s
slate has the same level of insight into any of these
drivers.
- AREX’s slate has negligible public
company experience in either director or non-interim senior
management roles, whereas Enhabit’s nominees have public
company board experience as well as current and extensive
experience in public company C-suites. Our candidates also include
directors with current experience in public company financial
controls and auditing procedures, executive compensation, IT and
cybersecurity. AREX’s candidates have negligible or stale
experience in these areas.
- AREX’s insistence that effective board oversight requires
multiple directors with direct home health and hospice experience
is contradicted by industry practices. Boards of the companies that
AREX has asserted as our “peers” are comprised of directors who
have a diverse range of senior-level skills and experiences
adjacent to home health and hospice, in line with the approach of
the Enhabit Board.1 At each of these companies, it appears that
only one independent director has direct operating experience
within the home health and hospice industry. Even putting aside the
quality of the experience of AREX’s nominees, AREX’s assertion that
it is necessary to install six directors with home health and
hospice experience for the Board to properly exercise its oversight
function is simply incorrect.
- In the attempt to portray their candidates as having direct
home health and hospice experience, AREX improperly equates
experience in companies that provide any kind of care in the home —
for example, community care and senior living facilities — with
experience in home health. In fact, home health and hospice
operates in a different environment from the regulatory,
reimbursement and referral process perspectives than these other
businesses.
- In constructing such a narrowly focused slate, AREX has
selected candidates who are demonstrably inferior to the Company’s
nominees in terms of relevant industry experience, public company
board experience, complementary skill sets and career
accomplishments.
Enhabit’s Board is almost wholly refreshed
since its separation from Encompass Health Corporation
(“Encompass”) two years ago. Each of the Company’s directors is
engaged and focused on enhancing value for all stockholders. Our
performance over the last two quarters indicates that the business
has stabilized and is positioned for profitable growth. There is
more work to do – and Enhabit’s nominees are the right nominees to
oversee the continued execution of the Company’s strategy.
In addition, AREX intends to form a
“Transformation Committee”. AREX claims that this committee would
not be a “shadow management team” and would instead operate like
committees with a similar name that have been used at other public
companies. However, unlike at other companies, AREX plans for this
committee to be comprised of four directors who have no public
company oversight experience and lack material senior operating
experience. In fact, their career experience is commensurate with
positions that would report to members of Enhabit’s C-suite.
Certain of the initiatives contained in AREX’s “plan”, such as
restructuring of the sales organization, are initiatives that are
typically carried out at the executive level. Given the nature of
the experience of the individuals and the initiatives in AREX's
“plan”, we don’t believe this committee would operate as anything
short of a shadow management team, likely with some degree of
executive authority. Our CEO has serious
concerns about continuing to serve under this “Transformation
Committee” as proposed by AREX.
AREX CONTINUES TO DEMONSTRATE ITS LACK OF
UNDERSTANDING OF THE BUSINESS AND INDUSTRY
While AREX claims its candidates have more
than 40 years of home health experience, AREX’s public statements,
as well as the lack of substance in their proposed “plan”,
demonstrate that AREX does not understand Enhabit’s business
dynamics. For example:
AREX claims that Enhabit’s inability to
manage the ongoing payor mix shift is directly responsible for the
Medicare fee-for-service market share loss.
- The implication that growth in Medicare Advantage and
improvement in the payment rate for Medicare Advantage admissions
results in a reduction in Medicare fee-for-service market share is
simply wrong. To the contrary, the payor innovation program
establishes Enhabit as a high-quality provider that can accept a
wide range of referrals for diverse payors, which is necessary in
this changing environment. Over the past two years, referral
sources have increasingly demanded that providers, including
Enhabit, serve both the Medicare Advantage and Medicare
fee-for-service business. Refusing to provide care to Medicare
Advantage patients would result in a decline in Medicare
fee-for-service referrals.
- Navigating this dynamic is fundamental in the current referral
environment. Shortly after the separation from Encompass, Enhabit’s
management team implemented a system that enables frontline sales
and branch-level personnel to discern whether individual referral
sources provide a favorable mix of Medicare and Medicare Advantage
patients.
AREX argues that Enhabit’s overhead is too
high and is questioning why Enhabit has not announced a significant
cost reduction initiative.
- Enhabit has been independent from its original parent company
for only two years and during this time has needed to make
expenditures to stand itself up as an independent public company.
At the time of the spin-off, Enhabit did not have built-out
finance, HR and IT infrastructures, and developing these
infrastructures required significant investment. As of today,
Enhabit’s investment in its HR structure has successfully
eliminated high-cost contract labor in both its Home Health and
Hospice segments. Enhabit has also focused on the buildout of the
IT organization to enhance its analytics capabilities and automate
processes. Additionally, administering Medicare Advantage
admissions and payment requires more time and personnel than is
required to manage Medicare fee-for-service. Enhabit continues to
seek out and evaluate opportunities to reduce overhead costs while
maintaining the appropriate infrastructure to support
operations.
- AREX’s criticism is based on a crude comparison of Enhabit’s
financial statements against two other public companies. When
comparing Enhabit to other companies, AREX does not account for the
differences in the size, business models and cost allocation
methodologies. AREX’s assertion that another $10 million of cost
cuts could be implemented with no impact on the operations or
revenue shows a deep misunderstanding of our operations and
business and provides a case as to why stockholders should fear
AREX having an outsized voice on the Board.
AREX’S PROPOSED “TRANSFORMATION COMMITTEE”
WOULD COMPRISE NOMINEES WHO ARE ILL-SUITED FOR THAT ROLE
AREX portrays their candidates as having
“home health and hospice” experience. However, upon closer look
beyond AREX’s high-level messaging, the AREX nominees have largely
outdated experience and negligible leadership experience, and they
lack achievements in home health and hospice. AREX consistently
makes bold statements about their candidates’ strong histories and
individual track records that are incompatible with the roles held
by the candidates.
We urge stockholders to review the actual
professional biographies of the four AREX director candidates that
AREX would have on its proposed “Transformation Committee”: Megan
Ambers, Maxine Hochhauser, Anna-Gene O’Neal and Dr. Gregory
Sheff:
- All lack material senior operating experience.
- All lack public company board experience.
- All lack public company C-suite experience, except for interim
roles that did not lead to permanent positions.
- All have career experience commensurate with positions that
would report to members of Enhabit’s C-suite. These track records
are not reflective of a director at a public company.
- None has significant tenure in a relevant role that experienced
current industry trends.
- None appears to have served for a material time in executive
positions where they had regular interaction with a public company
board of directors.
The following is a closer look at the
professional biographies of these candidates and AREX’s
overstatements about them. These are not “ad hominem” criticisms,
but observations about the professional experience of AREX’s
nominees relative to AREX’s statements about them.
Megan Ambers
AREX claims that Megan Ambers, 42, “brings a
deep understanding of home health and hospice labor strategies,
operations, payor models, utilization, and organizational
optimization from her tenure at Enhabit’s closest public peer,
Amedisys.” AREX touts that Ms. Ambers “possesses an acute
understanding of how to accelerate home health and hospice
admission growth, particularly fee-for-service admissions in home
health, through incentive plan design, regulatory compliance,
onboarding, and career development.”2
We believe AREX has significantly overstated
the seniority and depth of Ms. Ambers’ relevant experience.
- Ms. Ambers has no apparent home health and hospice operating
experience. Instead, her experience has been limited to interim and
non-C-suite roles in human resources. She held the Interim Chief
Human Resources Officer (CHRO) role at Amedisys for eight months in
2022 and then she did not continue in the role.
- Prior to that brief role, from 2018 to 2022, Ms. Ambers was an
SVP in human resources, and her current role is outside of home
health and hospice.
It is unclear how Ms. Ambers obtained her
purported expertise in home health and hospice “operations and
payor models”. Ms. Ambers’ experience is commensurate with that of
a vice president reporting to Enhabit’s current CHRO, who has
approximately 30 years of healthcare and human capital experience.
AREX touts that Ms. Ambers has experience developing incentive
plans in the home health and hospice area, which at most would make
her a candidate for a consultancy role. In contrast to Ms. Ambers’
eight months in an interim role which she did not retain, Enhabit’s
current CHRO had five years of experience as CHRO at Mercy Health,
which has a workforce of approximately 42,000 employees, before
taking her current role at Enhabit.
The most comparable candidate on Enhabit’s
slate is Susan A. La Monica, an established CHRO with over 25 years
of experience in senior executive leadership positions in human
capital management. As the CHRO of Citizens Financial, Ms. La
Monica has helped to transform Citizens into one of the nation’s
largest commercial banks since its IPO in 2014. Her understanding
of the complexities of managing a workforce in a widely dispersed
branch banking system is directly relevant to the challenges
presented in managing Enhabit’s workforce. Ms. La Monica also
supports Enhabit’s current CHRO in designing compensation and
incentive plans that align with the Company’s strategic priorities,
and in overseeing executive compensation matters. Her executive
leadership and experience with the transformation of Citizens
facilitates her contribution well beyond Ms. Ambers narrow
experience base. The Enhabit Board believes it would be
value-destructive to replace Ms. La Monica with Ms. Ambers.
Maxine Hochhauser
AREX claims that Maxine Hochhauser, 63,
“brings more than 30 years of experience as a healthcare industry
executive focused on home health and home care operations, and a
history of successfully navigating challenging financial,
regulatory, and payor transitions.” AREX touts that Ms. Hochhauser
is “Former President of the Home and Community Based Services
Division of LHC Group, Inc., a provider of in-home healthcare
services.”
We have had professional interactions with
Ms. Hochhauser and believe that AREX has overstated her experience
and fitness for the Enhabit Board.
- Ms. Hochhauser headed up the Home and Community Based Services
Division of LHC Group, Inc., a division distinct from their home
health and hospice divisions. While AREX implies that Ms.
Hochhauser’s experience running the community care division is
directly relevant to home health and hospice, community care is a
completely different industry. In community care, a company’s
workforce provides assistance with grooming and feeding, medication
reminders, meal preparation, housekeeping, respite care,
transportation and errand services. Home health and hospice
operates in a different environment from the regulatory,
reimbursement and referral process perspectives than community
care. As a result, Ms. Hochhauser’s experience at LHC Group, Inc.
has minimal relevance to the home health and hospice business,
despite AREX’s attempt to portray it differently.
- Ms. Hochhauser’s most recent experience at Addus was over seven
years ago for a period of approximately two years. Her tenure
includes working in Addus’ home health and hospice division, which
is a small part of its overall business, and completely predates
the payor mix shift and current labor dynamics that have been
central focuses of Enhabit’s business.
Against this backdrop, AREX cannot credibly
claim that Ms. Hochhauser has sufficient experience in “payor
transitions” to understand the dynamics of the current payor
environment, especially relative to Enhabit’s nominees who have
worked directly for multiple third-party payors.
Finally, as the current CEO of HealthPRO
Heritage (since 2023), Ms. Hochhauser leads a company that competes
with Enhabit in a discrete part of HealthPRO Heritage’s business.
HealthPRO Heritage partners with home health agencies by providing
agency and rehab services with operational management,
reimbursement expertise, market analytics and professional
staffing. Information, insights and experience that Ms. Hochhauser
would be exposed to if she were serving on the Board of Enhabit’s
substantially larger operation could be used to HealthPRO
Heritage’s advantage in competing against Enhabit, for example, in
the market for engaging skilled clinicians in areas where Enhabit
operates.
Anna-Gene O’Neal
AREX claims that Anna-Gene O’Neal, 57,
“brings 35 years of healthcare experience, including leadership
positions in home health and hospice operations, and a strong track
record of driving business growth, turning around operations, and
improving the quality of patient care.” AREX touts that she is
“Former Division President, Health Care Services of Brookdale
Senior Living, Inc, where she ran the home health, hospice, and
outpatient therapy division.”
Ms. O’Neal has substantially less experience,
by decades, in overseeing home health and hospice as compared to
Enhabit’s current executive officers.
- The bulk of her home health and hospice experience was from
2012 to 2019 at a small hospice care company.
- Over the past approximately five years, Ms. O’Neal’s experience
in home health and hospice was spread over four different companies
and with short tenures ranging from approximately six months to two
years. It is not clear how she can have a “strong track record of
driving business growth, turning around operations and improving
the quality of patient care” with such short tenures in all of her
recent positions, and it is not clear how such short tenures can
meaningfully contribute to her knowledge base in the home health
and hospice industry.
- While AREX touts Ms. O’Neal’s experience at Brookdale’s Senior
Living, Inc division, Brookdale’s home health and hospice business
is a small part of its overall business that did not face the same
referral management hurdles during the Medicare Advantage mix
shift.
Ms. O’Neal’s level of experience is
commensurate with that of a Senior Vice President reporting to one
of Enhabit's Executive Vice Presidents of operations, who each have
three decades or more of experience.
Dr. Gregory Sheff
AREX claims that Dr. Sheff, 55, “brings a
comprehensive understanding of home health and hospice operations
and insight into large payors along with more than 20 years of
healthcare experience, both as a practicing physician and
executive.” AREX touts that Sheff is “Former Interim President,
Home Solutions, and Chief Medical Officer, Home Solutions, where he
led the strategy, operations, partnerships, and integration of
multiple home-based care assets at Humana, Inc.”
Dr. Sheff is known to members of Enhabit’s
senior management and the Board believes AREX’s claims about Dr.
Sheff’s insights into payors and his management capabilities are
overstated.
- Dr. Sheff’s roles at Humana, Inc. were in a small subsidiary in
the home health and hospice business where he primarily served as
Chief Medical Officer, a position that generally involves
overseeing clinical operations and quality of care, not driving
strategy, partnerships and integration.
- Dr. Sheff has no apparent home health and hospice operating
experience beyond having served as the Interim President, Home
Solutions at Humana, Inc. for approximately eight months – in a
role he did not continue.
- As a result, it is difficult to understand how Dr. Sheff had
such broad responsibilities as leading “strategy, operations,
partners and integration of multiple home-based care assets.”
Additionally, he does not appear to have payor experience relevant
to Enhabit, such as negotiating contracts, pricing or value-based
initiatives, from working at Humana, Inc.
By contrast, our director nominees, Tina L.
Brown-Stevenson and Erin P. Hoeflinger each possess several decades
of knowledge and experience in the payor industry. If he were to
pursue an operating role at Enhabit, Dr. Sheff’s experience would
be commensurate with that of a non-executive officer reporting to
Enhabit’s current Executive Vice President of Strategy and Clinical
Excellence.
Finally, Dr. Sheff is currently providing
services to a portfolio company of Vistria Group, a private equity
firm which funded the formation of an Enhabit competitor
(VitalCaring) by our founder and former CEO. Vistria is a defendant
in litigation brought by Enhabit and Encompass in the Delaware
Court of Chancery. The Board is concerned about the potential
conflict posed by Dr. Sheff having a role on the Board while the
Company is actively suing Vistria for substantial damages and
Vistria is heavily invested in the success of a competing
entity.
GIVING AREX CONTROL OF THE ENHABIT BOARD NOW
IS VALUE-DESTRUCTIVE AND RECKLESS
Enhabit has just passed its two-year
anniversary as a public company following its separation from
Encompass. During that period, in the face of substantial industry
and company-specific headwinds, our Board and management team
stabilized Enhabit’s business and built the necessary
infrastructure to enable stockholder value creation as a separate
public company. Shifting course now and handing control of the
Board to AREX and its less experienced nominees so they can learn
our business on the job would be value-destructive and
reckless.
AREX has announced an operating plan for
Enhabit3 that is superficial and reflects AREX’s and its nominees’
lack of understanding of the issues and the key drivers of
Enhabit’s business. For over a year, AREX only ever advocated for a
sale of Enhabit. Now, AREX speaks only in general terms and its
“plan” proposes three months of evaluation, so its nominees can get
up to speed, which itself may be destabilizing and stop
momentum.
YOUR VOTE MATTERS – PROTECT THE VALUE OF
YOUR INVESTMENT BY VOTING THE YELLOW PROXY CARD TODAY
The Enhabit Board of Directors is committed
to acting in the best interests of stockholders. We urge you vote
the YELLOW proxy card today “FOR” ONLY Enhabit’s nine highly
qualified nominees – Jeffrey W. Bolton, Tina L. Brown-Stevenson,
Charles M. Elson, Erin P. Hoeflinger, Barbara A. Jacobsmeyer, Susan
A. La Monica, Stuart M. McGuigan, Gregory S. Rush and Barry P.
Schochet.
Thank you for your continued support of and
investment in Enhabit.
Sincerely,
The Enhabit Board of Directors
If stockholders have questions or need
assistance voting their shares, please contact:
MacKenzie Partners, Inc.
Toll-Free: 1-800-322-2885
Or
Email: Enhabit@MacKenziePartners.com
About Enhabit Home Health & Hospice
Enhabit Home Health & Hospice (Enhabit, Inc.) is a leading
national home health and hospice provider working to expand what’s
possible for patient care in the home. Enhabit's team of clinicians
supports patients and their families where they are most
comfortable, with a nationwide footprint spanning 255 home health
locations and 112 hospice locations across 34 states. Enhabit
leverages advanced technology and compassionate teams to deliver
extraordinary patient care. For more information, visit
ehab.com.
Forward-Looking
Statements
Statements contained in this press release which are not
historical facts are forward-looking statements within the meaning
of the Private Securities Litigation Reform Act of 1995. All
forward-looking information speaks only as of the date hereof, and
Enhabit undertakes no duty to publicly update or revise such
forward-looking information, whether as a result of new
information, future events, or otherwise. Such forward-looking
statements are based upon current information and involve a number
of risks and uncertainties, many of which are beyond our control.
Actual events or results may differ materially from those
anticipated in these forward-looking statements as a result of a
variety of factors. While it is impossible to identify all such
factors, factors which could cause actual events or results to
differ materially from our present expectations include, but are
not limited to, our ability to execute on our strategic plans,
regulatory and other developments impacting the markets for our
services, changes in reimbursement rates, general economic
conditions, changes in the episodic versus non-episodic mix of our
payors, the case mix of our patients, and payment methodologies,
our ability to attract and retain key management personnel and
health care professionals, potential disruptions or breaches of our
or our vendors’, payors’, and other contract counterparties’
information systems, the outcome of litigation, our ability to
successfully complete and integrate de novo locations,
acquisitions, investments, and joint ventures, our ability to
successfully integrate technology in our operations, our ability to
control costs, particularly labor and employee benefit costs, and
impacts resulting from the announcement of the conclusion of the
strategic review process. Additional information regarding risks
and factors that could cause actual results to differ materially
from those expressed or implied by any forward-looking statement in
this press release are described in reports filed with the SEC,
including our Annual Report on Form 10-K and subsequent Quarterly
Reports on Form 10-Q, copies of which are available on the
Company’s website at http://investors.ehab.com and free of charge
through the website maintained by the SEC at www.sec.gov. We urge
you to consider all of the risks, uncertainties and factors
identified above or discussed in such reports carefully in
evaluating the forward-looking statements in this press
release.
Important Additional Information and
Where to Find It
The Company has filed a definitive proxy statement on Schedule
14A and other documents with the SEC in connection with its
solicitation of proxies from the Company’s stockholders for the
Company’s 2024 annual meeting of stockholders. THE COMPANY’S
STOCKHOLDERS ARE STRONGLY ENCOURAGED TO READ THE COMPANY’S
DEFINITIVE PROXY STATEMENT (INCLUDING ANY AMENDMENTS OR SUPPLEMENTS
THERETO), THE ACCOMPANYING YELLOW PROXY CARD, AND ALL OTHER
DOCUMENTS FILED OR TO BE FILED WITH THE SEC CAREFULLY AND IN THEIR
ENTIRETY BECAUSE THEY WILL CONTAIN IMPORTANT INFORMATION. Investors
and stockholders may obtain a copy of the definitive proxy
statement, an accompanying YELLOW proxy card, any amendments or
supplements to the definitive proxy statement and other documents
filed by the Company with the SEC at no charge at the SEC’s website
at www.sec.gov. Copies will also be available at no charge by
clicking the “SEC Filings” link in the “Investors” section of the
Company’s website, http://investors.ehab.com, or by contacting
InvestorRelations@ehab.com as soon as reasonably practicable after
such materials are electronically filed with, or furnished to, the
SEC.
1 Enhabit’s “peer” group as identified by AREX: Amedisys, Inc.
and The Pennant Group, Inc.
2 These and other references to AREX candidates are to the AREX
Investor Presentation dated June 27, 2024.
3 AREX Investor Presentation, June 27, 2024.
View source
version on businesswire.com: https://www.businesswire.com/news/home/20240707988169/en/
Media contact Erin Volbeda media@ehab.com
972-338-5141
Investor relations contact Crissy Carlisle
investorrelations@ehab.com 469-860-6061
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