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The Health Care M&A Monthly

In the June 2005 issue:

Pfizer Props Its Pipeline With A $1.9 Billion Deal
After closing out the month, we learned that pharmaceutical giant Pfizer is buying Vicuron Pharmaceuticals for $1.9 billion in a bid to replace lost revenue from drugs going off patent.
...
Pricing Medical Device Transactions
Acquisition pricing for Medical Device deals has been constantly increasing after the recent recession. Read inside to see which of the industry subsectors garner the highest multiple.
...
The Month in Deals
With 64 transactions announced during the past four weeks, deal volume is off 7% from the previous month. However, the amount committed to fund that activity plummeted from $10.6 billion in May to just $1.6 billion in June.
...
In The Departments
Deal Summaries
Additional Transactions
Transaction Updates

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Companies mentioned in this issue:

A
Abbott Laboratories p14
ABN AMRO Corporate Finance p16
Actavis Group hf p16
Affymetrix p12
Alliance Imaging p10
Amedisys p3
American Hospice Management p4
American Medical Systems Holdings p14
AmeriPsych p3
Amide Pharmaceutical p16
Amphora Discovery p14
Apria Healthcare Group p3
artus GmbH p13
Asante Partners p16
Ascension Health p10
Atrium Health Plan p11
B
Banc of America Securities p16
Baptist Health Systems p4
Bionomic Limited p16
Blackstone Group p4
Blue Cross and Blue Shield of Minnesota p11
Blue Cross and Blue Shield of Wisconsin p11
Boots’ Healthcare International p16
Bright Now! Dental p12
Brotman Medical Center p4
C
Cadwalader, Wickersham & Taft LLP p3
Caliper Technologies Corp. p14
Cardiovascular Hospitals of America p4
CareWorks p11
Castle Dental p12
Cell Therapeutics p16
Cephalon p16
Children’s Behavioral Health p3
Christus Health p10
Christus St. Joseph p10
Chromos Molecular Systems p13
Citizens Baptist p4
Coherent p14
Coherent Medical Group p14
Conceptus p14
Corporate Roadshow.com p13
CRA Managed Care p11
CTI Technologies p16
D
DeKalb Forest p4
Deutsche Bank AG p10
Dolphin Medical, Inc. p10
E
Embracing HospiceCare p4
Extendicare Health Services p11
F
FemmePharma Global Healthcare p16
First Albany p16
Fisher Scientific International p12
Five Star Quality Care p12
Freeman Spogli p12
Fresenius National Medical Care p10
G
GlaxoSmithKline p16
Gold’s Gym p10
Grady Memorial Hospital p4
Group Health Associates p12
Gryphon Investors p12
H
Hamilton Physical Therapy Services p12
Harborside Healthcare Corporation p11
Hawaii Filipino Healthcare Group p4
HealthSouth p10
Heartland Pharmacy p12
High River LP p16
Hospira p14
I
Iliad Chemicals p16
Inverness Medical p14
J
Johnson & Johnson p14
K
KV Pharmaceutical Company p16
L
Latham & Watkins LLP p12
Lazard Ltd. p3
Lumenis p14
M
Madison Dearborn Partners p4
Marcus & Millichap p11
McKesson p12
McKesson BioServices p12
MeadowBrook Healthcare p12
Medical Facilities Corp. p4
Memorial Hermann p10
Mercury Computer Systems p14
Monarch Dental p12
Morgan Stanley p3
Mylan Laboratories p16
N
Neurofit p16
Novoste Corporation p16
O
OhioHealth p4
Oklahoma Spine Hospital, LLC p4
O’Melveny & Myers LLP p3
ONI Medical Systems p16
Ovion p14
P
ParAllele Bioscience p12
Peak Medical Corporation p11
Pfizer p1
Philippine Medical Association of Hawaii p4
Physiometrix p14
Preferred Medical Group p10
Primary Care, LLC p12
Prospect Medical Holdings p4
Providence Service Corporation p3
Pulmonetic Systems p14
Q
Qiagen p13
R
Radiation Therapy Services p10
Radiologix p10
Regaltech p13
RehabCare p12
Renal Care Group p10
ResCare p3
Rexahn Corp. p13
RS Staffing p12
S
sanofi-aventis p14
SeniorCare, LLC p11
SOHARD AG p14
SportsFirst p4
St. Francis Healthcare System p4
St. Francis Liliha p4
St. Francis West p4
St. Joseph Hospital p10
St. Luke’s Health System p10
St. Thomas Health Services p3
Steven Richards & Associates p4
Sun Healthcare Group p11
T
Targeted Molecules Corp. p13
TeamStaff p12
Tenet Healthcare Corp. p4
Texas Children’s Hospital p10
The Methodist Hospital p10
Tianwei p13
TriHealth p12
Tufts-New England Medical Center p12
TuiLaser AG p14
U
U.S. Physical Therapy p12
UBS Investment Bank p12
V
Viasys Healthcare p14
Vicuron Pharmaceuticals p1
W
Wallick Companies p11
Warburg Pincus p4
WellPoint p11
Wood Crest Nursing Home p11
Y
Young Medical Equipment p3

Pfizer Props Its Pipeline With A $1.9 Billion Deal

Often as not, the names given to federal legislation disguise, rather than describe, the content of the bill. And, no, we’re not talking about the Patriot Act. What we have in mind is the American Jobs Creation Act of 2004 (AJCA). A close reading of this law reveals certain provisions that permit companies to deduct 85% of certain foreign earnings when they are repatriated under specified conditions laid down in the Act.

This fact has not been lost on pharmaceutical giant Pfizer (NYSE: PFE), which decided in the first quarter to repatriate $28.3 billion of foreign earnings under the Act. In so doing, the company is plumping up its already formidable war chest. All that remains is to find a worthy use for this cash. Sure, you could increase dividends to shareholders, but prudence might tell you to grow your business and ensure being able to pay dividends down the road. Pfizer, it appears, is opting for the latter strategy.

In the wee hours of June 16, Pfizer announced that it is buying Vicuron Pharmaceuticals (NASDAQ: MICU) in a deal valued at $1.9 billion. What Vicuron brings to the table is a set of new anti-infective drugs that, once approved by the FDA, would broaden Pfizer’s own offerings in this field, and prop up earnings as its own anti-infective drugs go off patent.

The manufacturer of such blockbuster drugs as Celebrex (arthritis), Diflucan (infection), Lipitor (cholesterol), Viagra (erectile dysfunction), Zoloft (depression), Zyrtec (allergies), and Zythromax (antibiotic), Pfizer is the world’s largest pharma company.

On a 12-month trailing basis, Pfizer generated revenue of $53 billion, EBITDA of $22 billion and net income of $9.3 billion. Launched in 1992, Diflucan lost exclusivity in July 2004, and has seen revenue from its sales drop off. Zithromax is due to lose American patent protection later this year, and faces a similar decline in revenue as competing generics come to market.

Vicuron is a development-stage biotech focused on anti-infective drugs. An American-Italian company (it also trades on the Nuovo Mercato, under the ticker MICU), it is working on a new class of drugs to treat hospital-based and community-acquired infections. Headquartered in King of Prussia, Pennsylvania, Vicuron runs a research program in Fremont, California, and a research center in Gerenzano, Italy. Italy is also home to a corporate administration center (Milan), as well as a manufacturing site (Pisticci).

Two of MICU’s products are under review for U.S. marketing approval: anidulafungin for fungal infections and dalbavancin for skin and soft tissue infections.

Dalbavancin is indicated for the treatment of methicillin-resistant staphylococcus aurea, a hospital-based infection that is resistant to common antibiotics and has been on the rise since the 1980s.

Unlike vancomycin, the standard treatment for this kind of infection and one that has to be given intravenously once or multiple times daily, dalbavancin can be given once a week and may consequently remove the need for ongoing IV lines in some patients. The FDA review of this drug should be completed no later than September 21, 2005.

The other candidate, anidulafungin, shows promise in being a more potent treatment against fungi responsible for the systematic infections candida and aspergillus.

On a trailing 12-month basis, Vicuron generated revenue of $8.2 million, negative EBITDA of $68 million and a net loss of $70 million. Acquisition multiples, needless to say, are going to be out of whack, reflecting its development-stage status. On the positive side, MICU carries only about $11 million in debt.

Under terms of the deal, PFE will pay $29.10 in cash for each share of Vicuron, which works out to $1.9 billion. This offers MICU shareholders a generous 84% premium to the stock’s prior-day trading price. Much of that premium was lost when, on the announcement of the deal, shares of Vicuron shot up 77% to $27.99 on an electronic exchange while Italian-held shares rose 75% to $27.78.

By 2009, it is estimated, the sales of Vicuron’s new drugs could reach between $200 million and $300 million, which would effectively add at most 3 cents to Pfizer’s earnings. For comparison’s sake, applying the $1.9 billion it is spending on MICU to a stock repurchase program would immediately increase PFE’s earnings by 2 cents a share.

The timing of the deal is propitious, and perhaps overdue. Sales of Pfizer’s own antifungal blockbuster, Diflucan, have been plunging ever since going off patent last year. The choice of Vicruon is no accident, either: the two companies have had an existing deal to develop next-generation oxazolidinones, the first new class of antibiotics in over 30 years.

Lazard Ltd. and Cadwalader, Wickersham & Taft LLP advised Pfizer in this deal. Morgan Stanley and O’Melveny & Myers LLP advised Vicuron.

Getting back to the AJCA. If you can stimulate growth, develop new products and expand sales and markets, all thanks to the proceeds repatriated under the Act, you might actually wind up creating new jobs to handle the demand. Or so, we imagine, the argument goes.

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