The Health Care M&A Information Service

Inside the Health Care M&A Market


Home | Publications | Resource Center | Database | Free Trials | Conference | Order | Senior Care Blog | Search | Contact Us 1-800-248-1668
 

We will not sell or trade your email--ever.    Privacy Policy

In the December 2005 issue:

One Target, Two Buyers
In three billion-dollar deals this month, a new buyer swooped into an existing agreement to unseat the original buyer and claim the prize for himself. Read inside to see how this strategy played out in the three deals, two in Medical Devices and the third in Long-Term Care.
...
December’s Deals
The month of November saw a total of 68 deals in the health care industry. A total of $40.9 billion was spent to fund them. Even without the proposed $25.0 billion Boston Scientific-Guidant deal, deal and dollar volume proved to be healthy.
...
In The Departments
Services
- Health Care Services
- Deal Summaries
- Additional Transactions
- Transaction Updates

Technology
- Health Care Technology
- Deal Summaries
Additional Transactions
- Transaction Updates

Sign up for a trial subscription and get the current issue!

Read more about The Health Care M&A Monthly.

Articles Archive

Companies Mentioned in this issue:
December 2005

A
Abgenix p3
Abraxis BioScience p12
AdminiSource p11
Aeterna Zentaris p16
Allergan p2
Allion Healthcare p8
American Pharmaceutical Partners p3
American Bioscience p3
Amgen p3
Atlantic Shores Hospital p4
Atrium Biotechnologies, Inc. p16
B
Bank of America p8
Berna Biotech AG p11
Bespak plc p12
Beverly Enterprises p3
Boston Scientific p1
C
Cambridge Scientific Pty Ltd p12
Canyon Creek Development p8
CareKey p11
Catholic Healthcare West p8
Cephalon p12
Chiron Corp. p11
CHN Solutions p8
CIS bio International p16
Cita NeuroPharmaceuticals p16
CIVCO Medical Instruments p11
Community Health Systems p4
Consolidated Services Group p8
CorSolutions p8
Crucell NV p11
D
Deere & Company p8
Douglas Laboratories p16
E
EBRx p8
Elekta AB p12
F
Fillmore Capital Partners, LLC p3
Fillmore Strategic Partners p3
Focus Healthcare p4
Formation Capital p3
G
Genesis Healthcare of Southern California p8
GMAC-RFC Health Capital p8
Guidant Corp. p1
H
HealthExtras p8
HealthTrust America p4
HLM Venture Partners p8
Horizon Health Corporation p4
HVL, Inc. p16
I
Immunex Corp. p11
Inamed p2
Incyte p11
InterMune p12
J
John Deere Health Care p8
Johnson & Johnson p1
K
King Systems Corp. p12
L
LB Regency Plaza, LLC p8
Lehman Brothers p8
Lighthouse Care Centers p4
M
Magellan Health Services p4
Managed Care of America p8
Marchall & Ilsley Corp. p11
Marcus & Millichap p8
Matria Healthcare p8
Medical Intelligence Medizintechnik p12
Medicis p2
MEDTEC p11
Mentor p2
Merrill Lynch Capital Healthcare Finance p8
Mills-Peninsula Medical Group, Inc. p8
Molecular Pharmacology (USA) Limited p12
Molecular Pharmacology Limited p12
MSO p4
N
National Imaging Services p4
Norgine, B.V. p16
North American Senior Care p3
Novartis p11
P
Pacer Health Corporation p4
Pfizer p11
PharmaNet Group Ltd. p12
Priority Pharmacy p8
Prospect Medical Holdings p8
Protein Polymers p11
Psychiatric Solutions p4
R
Resources For Living p4
Roper Industries p11
S
Salix Pharmaceuticals p16
Savacor p12
Schering AG p16
Selective Insurance Group p8
Senior Resource Group, LLC p4
Sequoia Hospital p8
Sequoia Physicians Alliance p8
Solvay Pharmaceuticals p16
Southpark (Louisiana) Community Hospital p4
St. Jude Medical p12
Sun Mountain Community p8
Sunwest Management p8
T
The Carlisle Naples p4
The Carlisle Palm Beach p4
The GEO Group p4
Thuris Corporation p11
TriZetto Group p11
U
UCB, SA p16
UCB-Bioproducts p16
UnitedHealth Group p8
V
Valeant Pharmaceuticals p12
Vernalis plc p16
Via Christi p4
Via Christi Oklahoma Regional Medical Center p4
W
WellPoint p8
Westminster Village p4
Z
Zeneus Holdings Ltd. p12
Zeneus Pharma p12 

One Target, Two Buyers

We have recently seen a spate of deals with buyer and seller plodding through due diligence toward completion only to be caught off guard by an interloper intent on snagging the target for himself. A new offer is made, generally with better terms, that bumps the original buyer out of the picture.

This "mini-trend" is due in part to the abundance of capital available in the market for making acquisitions, and is best exemplified in the Long-Term Care sector where many dollars chasing few quality targets have pushed multiples to heady, near-historic highs. As part of this mind- set, the ready availability of funds has emboldened some buyers to pursue certain targets, even after another buyer had previously staked a claim.

Guidant, Again

At the risk of turning our reporting on Johnson & Johnson (NYSE: JNJ) and Guidant Corp. (NYSE: GDT) into a cottage industry, we note a serious wrinkle in JNJ’s plan to buy GDT for the renegotiated price of $21.5 billion (detailed in last month’s issue). Boston Scientific (NYSE: BSX) has now entered the fray with a counterproposal to buy Guidant for $25.0 billion.

Under terms of its proposal, BSX is offering to pay $72 per share for Guidant, half in cash and half in shares of its stock. This price represents a 14% premium to JNJ’s revised offer. BSX would be paying 6.76x revenue and 25x EBITDA, while JNJ would pay 5.8x revenue and 21.5x EBITDA. Taking into account GDT’s $2.5 billion in cash on hand lowers BSX’s effective price to $22.5 million (it would lower JNJ’s to $19.0 billion).

In a gutsy move for BSX, this deal would create a major player in the cardiovascular medical device industry. To overcome potential antitrust objections, BSX has already anticipated that it may have to divest GDT’s vascular intervention and endovascular business. But this would give BSX a onetime bump in revenue and reduce the effective purchase price by perhaps another $3 billion.

Johnson & Johnson could lose this one. Its aggressive pursuit of a lower price in recent negotiations may have alienated GDT’s board and shareholders, disposing them to favor BSX’s offer. That zeal may also have helped paint JNJ into a corner; to raise its bid in light of the BSX offer would probably be viewed unfavorably in the market, where JNJ wants to preserve its reputation for disciplined management and bargaining. Stay tuned for developments.

Realignment in the Cosmetic Industry

A second upstaging took place in the Medical Device sector this month. Allergan (NYSE: AGN) sensed a loss of nerve on the part of Medicis (NYSE: MRX) to carry through with its $2.8 billion purchase of Inamed (NASDAQ: IMDC), first proposed in March 2005, and stepped in with a superior offer of $3.2 billion.

AGN develops and commercializes pharmaceutical products for the ophthalmic, neurological, dermatological and other markets while IMDC manufactures breast implants, dermal products and obesity treatments.

Under terms of the deal, AGN has agreed to pay $84 in cash or 0.8498 shares of AGN common stock for each share of IMDC stock. The final consideration is to consist of 55% stock and 45% cash. This price yields a price to revenue multiple of 7.5x revenue.

This transaction would unite two California companies and create a major player in cosmetic medicine, uniting AGN’s Botox franchise with IMDC’s implants.

A week after AGN’s announcement, MRX walked away with a $90 million breakup fee, and, perhaps, into the arms of another company. At about the same time AGN made its peremptory bid for IMDC, Mentor (NYSE: MNT), another manufacturer of cosmetic implants, made an all-stock bid for MRX worth $2.2 billion, or a 25% premium to the stock’s prior-day trading price.

Still focused on buying Inamed, MRX initially rebuffed that bid, but now that it has conceded IMDC to AGN, it may want to revisit MNT’s offer, but on revised terms. It is true that Mentor’s stock has risen 85% in the past year on the expectation that the government will once again approve the use of silicone-gel breast implants. But on the theory that what goes up can also come down, investors are often leery of sharp changes in stock price. However, if MNT restructures its proposal to include a cash component—something it has said it is willing to do—it could entice IMDC into a merger. After all, both companies will have to contend with an enlarged AGN in the marketplace.

Beverly’s Third Buyer This Year

Readers will recall that in February a group led by Formation Capital made a bid for long-term care operator Beverly Enterprises (NYSE: BEV), offering $11.50 per share. Beverly’s board didn’t like the price or the idea of a hostile takeover, but once the company was in play, the board cast about for other buyers to save it from Formation, or worse. A bidding war ensued racheting up the price for BEV and by September, BEV’s board found what they thought was a suitable buyer in North American Senior Care (NASC), who offered $13.00 per share.

Alas, it was not meant to be. Apparently, NASC couldn’t nail down all the financing, and in stepped Fillmore Strategic Partners, an affiliate of San Francisco-based private equity firm Fillmore Capital Partners, LLC. Fillmore had been involved in NASC’s original funding syndicate, but now emerged as the buyer, offering $12.50 per share, which is less, it should be said, than the $12.90 per share that Formation had bid at one time.

Adding in the assumed debt, Fillmore is paying $1.8 billion for Beverly, which works out to 0.82x revenue and 7.6x EBITDA. Of the three deals discussed in this column, this may be the most unsatisfactory. The board’s reticence to take Formation’s deal seriously resulted in bidding the price so high that almost any buyer will be forced to sell off assets (think hospice) to fund the deal; even then, there will be little untapped value left to squeeze out of the skilled nursing business. In the final analysis, Beverly’s shareholders are the ones who are getting burned because the board appears not to have been able to accurately value the company or to distinguish viable from unviable buyers.

Looking Forward

This exuberance in the current M&A market appears to be less "irrational" than was encountered in the run-up to 2000 which, among other things, saw the dot-com bubble swell and burst. Even though corporate egos may be involved in a few instances, the majority of buyers appear to have good strategic or operational reasons for taking up a specific deal. Given this healthy outlook, we expect M&A activity to continue apace into the New Year.

FREE TRIAL TO THE
HEALTH CARE M&A INFORMATION SERVICE
!

If you like this article, there’s lots more waiting for you in The Healthcare M&A Information Service. It’s the bible of what's going on in health care M&A today.

Sign up for two free months right now! There’s no obligation, no writing “cancel” on a bill. Happy reading!

The Health Care M&A Monthly

First Name


Last Name

Company

Company Type

Address


Address2


City


State


ZipCode


Country


Email


Email (again, to verify)


Phone


Fax

To confirm this request please enter: headm



Submission may take a few seconds. Please click only once.

Like this article? Click here for a free trial to the Health Care M&A Information Service.

Back to top

 

 

Irving Levin Associates, Inc.,  268 1/2 Main Avenue, Norwalk, CT 06851
800-248-1668; 203-846-6800
203-846-8300 fax

general@levinassociates.com

Since 1948, Irving Levin Associates, Inc. has been the leading source of information and investment research on mergers and acquisitions in the Behavioral Health Care, Biotech, e-Health, Home Health Care, Hospitals, Laboratories, MRI and Dialysis, Long Term Care, Managed Care, Medical Devices, Pharmaceuticals, Physician Medical Groups, Rehabilitation and other health care markets.

More Irving Levin Information:
Mergers, Acquisitions and Healthcare Venture Capital Financing Research at Irving Levin Associates | Dealmakers Resource Center on Senior Care and Health Care Companies | Healthcare Marketing Research and Healthcare Finance Publications | Database of Healthcare Ventures, Mergers and Acquisitions | Free Trial Request For One Of Our Newsletters Customer Service at Irving Levin Associates | Publication Order Form | Press Room| Contact Us
 

© 1995-2008, Irving Levin Associates, Inc. All rights reserved.