
In the October 2005
issue:
WellPoint Parries UnitedHealth, Buying
WellChoice for $6.5 Billion
WellPoint gains market share in the New York City metropolitan area with
the $6.5 billion purchase of WellChoice.
...
Third Quarter Results
The Third Quarter 2005 posted impressive numbers in the health care M&A
market, and took the amount spent for the year to over $110 billion.
...
News from the Front
We interviewed Reed Welch of the investment bank Lane Berry & Co. for his
insights on two recent deals he put together.
...
In The Departments
Services
-
Health Care Services
-
Deal Summaries
-
Additional Transactions
-
Transaction Updates
Technology
-
Health Care Technology
-
Deal Summaries
Additional Transactions
-
Transaction Updates
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Articles Archive
Companies mentioned in this issue:
A
Accellent p12
Actavis hf p13
AlgoRx Pharmaceuticals p12
Alliance Imaging p9
Alliance UniChem p13
Alpharma p13
American Medical Security p10
AmeriPath p9
AMN Healthcare Services p10
Anthem, Inc. p1
Arbor Company p9
Arcadia Resources p7
Ardent Health p7
B
Baxter Healthcare p12
Bayer AG p13
Beckman Coulter p12
Beecken Petty O'Keefe & Company p10
Beverly Enterprises p9
BIO-IB LLC p12
Boots Group p13
Boots Healthcare International p13
Boston Scientific p12
Brighton Gardens of Boynton Beach p9
C
Cardinal Health p12
CCS Medical p10
Charterhouse Group p10
CLW Healthcare Services Group p9
Control Delivery Systems p12
Corgentech p12
Cornerstone Equity Investors p10
Credit Suisse First Boston p12
D
DaVita p9
Definity Health p2
Diagnostic Systems Laboratories p12
DLJ Merchant Bank Partners p10
F
Floreane Medical Implants p12
G
Gambro Healthcare US p9
GE Healthcare p12
General Electric p12
Gilmore Health System p8
Gilmore Sanitarium Foundation p8
GlaxoSmithKline p13
Global Health Exchange p12
Golden Rule Insurance p10
Goldman Sachs Capital Partners p10
Group Health Incorporated p10
H
HCA p9
Health Management Associates p8
HIP Health Plan of New York p10
I
IDX Systems Corp. p12
IntelliClaim p11
J
JDI Realty IV p9
Johnson & Johnson p12
JP Morgan p12
K
Karykeion, Inc. p8
Keri Pharma p13
Keystone Education and Youth Services p4
Kohlberg Kravis Roberts & Co. p4
KRG Capital Partners p10
L
Lane, Berry & Co. p11
LifePoint p9
Lumenos p2
M
Madison Dearborn Partners p10
Mareane, SA p12
McCown, De Leeuw & Co. p4
McKesson p11
Med-i-Bank p11
Medtronic p12
MEGA Life & Health Insurance Company p10
Merrill Lynch & Co. p12
Metavante p11
MP TotalCare p10
N
NDCHealth p11
Neoforma p12
North American Senior Care p9
North Atlantic Value, LLP p9
O
Oxford Health Plans p2
P
PacifiCare Health Systems p1
Per Se p11
PET Scans of America p9
Pfizer p13
pSivida Ltd. p12
Psychiatric Solutions p4
Putnam General Hospital p9
R
Reckitt Benckhiser Plc p13
Renal Advantage p9
S
Shore Health System p9
Specialty Family LP p9
Specialty Laboratories p9
Steven D. Bell & Co. p9
Stryker Corp. p13
SunLink Health Systems p9
Sunrise Senior Living p9
T
Team Health p10
Tenet Healthcare p7
The Blackstone Group p4
The Brown Schools p4
The MHA Group p10
Triumph Health p7
Tyco Healthcare p12
Tyco International p12
U
UBS Investment Bank p12
UICI p10
UnitedHealth Group p1
Universal Health Services p4
University of Maryland Medical System p9
UniversityHealth System p12
V
VHA, Inc. p12
W
Warburg Pincus, LLC p4
WellChoice p1
WellPoint p1
WellPoint Health Networks p1
William Blair & Co. p12 |
WellPoint Parries UnitedHealth, Buying
WellChoice for $6.5 Billion
When UnitedHealth Group (NYSE:
UNH) announced that it was buying PacifiCare Health Systems (NYSE:
PHS) for $9.2 billion in July, we speculated that to shore up its dominant
position, WellPoint (NYSE: WLP) would counter by acquiring New
York’s WellChoice (NYSE: WC), the last independent, publicly-traded
Blue Cross Blue Shield plan. A scant three months later, WLP negotiated a
deal to buy WC for $6.5 billion in cash and stock.
WellPoint, formed through
the $16.5 billion merger of WellPoint Health Networks and
Anthem, Inc. last year, provides health benefits to 28.8 million
members in 13 states, where it operates as an independent licensee of the
Blue Cross and Blue Shield Association. Its managed care plans include
commercial HMOs, PPOs and POS plans. Through its subsidiaries, it provides
traditional indemnity plans and specialty products such as dental and
vision insurance and pharmacy benefits management. On a trailing 12-month
basis, WLP generated revenue of $34 billion, EBITDA of $3.4 billion and
net income of $1.6 billion. WellChoice is a Blue Cross Blue Shield
franchise that provides health insurance to 5 million members in New York
and New Jersey through its two divisions: (1) commercial managed care and
(2) other insurance products and services. On a trailing 12-month basis,
the company generated revenue of $6.14 billion, EBITDA of $465 million and
net income of $267 million.
Once a
nonprofit, WellChoice went public in 2002 after a long and sometimes rocky
road to conversion. As a result of the conversion, the New York Public
Asset Fund (NYPAF) owns 52 million shares of WC common stock, or 62% of
all shares outstanding. As noted in The New York Times, under
legislation that was strongly supported by the head of the health worker’s
union 1199/SEIU, much of the money held by the NYPAF has been dedicated to
go into the paychecks of 1199 members, so getting the union to come on
board with this deal speaks highly of WLP’s negotiating prowess.
Returning to
the current transaction, each share of WC common stock is to be exchanged
for $38.25 in cash and WLP stock. The exchange ratio is 0.5191 shares of
WLP stock for each share of WC stock.
Accordingly,
this transaction values WC stock at about $77 per share and offers WC
shareholders a 9.1% premium over its prior-day price. The price per member
is $1,300, the price to revenue (P/R) multiple is 1.1x, and the price to
EBITDA multiple is nearly 14x.
Apparently,
NYPAF had shot down two earlier proposals, one beginning at $70 per share,
due to pricing being too low or terms too restrictive, before the $77 per
share offer was finally accepted. Given the fact that the value of WC
stock has more than tripled since going public, the NYPAF and the union
can be pretty happy with the outcome of this deal.
As a result
of this transaction, WellPoint will serve over 33 million medical members
as a Blue Cross or Blue Shield licensee in 14 states and through its
HealthLink and UniCare subsidiaries. In effect, one out of every four Blue
Cross Blue Shield members in the country will come under WLP’s umbrella.
Strategically, this deal brings WellPoint into more direct competition
with UnitedHealth in the New York City metropolitan area where UNH
acquired Oxford Health Plans last year for $4.9 billion.
When Larry Glasscock, CEO of
WLP, took his first Blue Cross job in 1993, there were 69 Blue Cross and
Blue Shield plans; once this deal closes, there will be 39. What is left
for him to buy? Both the Kansas and the Maryland Blues, which sought to
convert to for-profit status and were rebuffed, appear to be out of the
picture for the time being. The Blues in Illinois, North Carolina and
Texas are strong financially, and so have no motivation to convert. WLP
will most likely have to look for growth internally and through
acquisitions of lateral business lines. As consumer-driven health plans
penetrate the market, WLP will probably look for deals that complement its
platform acquisition of Lumenos in May 2005 for $185 million, a
deal which not coincidentally matched rival UNH’s $305 million acquisition
of Definity Health in December 2004. |
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