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The Health Care M&A Monthly

In the May 2007 issue:

AstraZeneca Grabs MedImmune - $15.2 Billion Deal Is
Largest Biotech Transaction Ever
In the largest biotech deal ever, AstraZeneca diversifies into biologic medicines with the $15.2 billion acquisition of MedImmune.
...
Private Equity In The Middle Market - Private Equity
Firms Continue To Find Good Deals

Financial buyers, such as private equity firms, made a big splash in the middle market, posting 11 deals worth a combined $3.5 billion.
...
April’s M&A Market
April’s health care M&A market posted 67 deals. Based on revealed prices, a total of $24.3 billion was committed to fund them.
...
In the Departments
Services
-Health Care Services
-Deal Summaries
-Additional Transactions
-Transaction Updates

Technology

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

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Articles Archive

Companies Mentioned in this issue:
May 2007

A
Abbott p3
Agilent Technologies p15
AHERF p7
AION Diagnostics p3
Alere Medical p2
Alimera Sciences p15
Alliance Boots p8
Alliant Pharmaceuticals p16
Amedisys p4
American HomePatient p4
AmeriPath p2
Amgen p3
Amsterdam Memorial Hospital p7
Amylin Pharmaceuticals p10
Andover Medical p4
Antisoma p14
Arcadia Resources p4
Ascension Health p7
AstraZeneca plc p1
B
Banc of America Securities p16
Barbara Ann Karmanos Cancer Institute p4
Battery Ventures p3
Bear, Stearns & Co. p2
Bear Stearns Merchant Banking p2
Beckman Coulter p15
BioMarin Pharmaceutical p10
Bioniche Teoranta p3
Biosite p15
BioVeris p14
Blackstone Group p8
Bristol-Myers Squibb p16
Brookdale Senior Living p8
Bupa p8
C
Cambridge Antibody Technology p9
CareScience p3
Catholic Health Initiatives p7
Centocor p3
Cerus Corp. p16
Charles River Senior Living p8
Chestnut Hill Rehabilitation Hospital p8
Cinven p8
Citibank p8
Community Health Systems p8
Coventry Health Care p8
Crestview Partners p2
Cytos Biotechnology p14
D
Detroit Medical Center p4
Drug Royalty Corporation p3
DSM Pharmaceuticals p3
DW Healthcare Partners p8
Dyna Care Health Ventures p4
E
eGene p15
Enpath Medical p16
Essex Street Associates p8
Evergreen Adult Day Care p8
F
Fillmore Capital Partners p8
Formation Capital p8
Foundations Behavioral Health p4
G
GEM Global Yield Fund p3
Genesis HealthCare p8
GlaxoSmithKline p9
Goldman Sachs p2
Gores Group, LLC p2
Greatbatch p16
Greene Holcomb & Fisher p16
H
Health Watch Holdings p16
HealthSouth Corp. p2
Houlihan Lokey Howard & Zukin p15
I
Insight Venture Partners p15
Inverness Medical Solutions p15
Inyx p16
IPC—The Hospitalist Co. p8
J
J.W. Childs Associates p2
JER Partners p8
JMJ Technologies p15
K
Kaplan Development p8
Kindred Healthcare Services p3
L
Lehman Brothers p15
M
Macquarie p8
Magna Care Hospitalists p8
MainTree Systems p15
MannKind p10
Marcus & Millichap p8
Marian Health System p7
Massachusetts General Hospital p3
Meda AB p16
MedImmune p1
Merck p9
Merrill Lynch & Co. p2
Montefiore Medical Center p7
Moringstar.com p10
MTS Health Investors, LLC p2
Mutual of Omaha p8
N
Nabi Pharmaceuticals p3
NetSmart Technologies p15
NightHawk Radiology Holdings p8
Northwestern Mutual Life Insurance Company p2
Novartis AG p14
O
Ortho-Medical Products p4
Our Lady of Mercy Medical Center p7
P
Pediatric Services of America p3
Pfizer p15
Portfolio Logic p3
Premier p3
pSivida p3
Q
QIAGEN p15
Quest Diagnostics p2
Quovadx p3
R
Radlinx Group p8
Roche Diagnostics p15
Roche Holding p14
RoundTable Healthcare Partners p3
Roxborough Memorial Hospital p4
Royal Philips Electronics p16
S
Sciele Pharma p16
Solis Healthcare, LLC p4
Springfield Residence p8
St. Clare’s Health System p7
St. John Health p4
St. John Riverview Hospital p4
St. Mary’s Hospital p7
Stratagene Corporation p15
Symbion p2
T
TA Associates p2
Tenet Healthcare p4
Terra Firma p8
The Halifax Group p2
The University of Pennsylvania Health System p8
Therapeutic Human Polyclonals p15
Traditions Management, LLC p8
U
UBS Investment Bank p16
Universal Health Services p4
Universal Hospital Services p2
V
Ventas p3
Vertex Pharmaceuticals p10
W
Warminster Hospital p4
Welsh Carson Anderson & Stowe p2
WiFiMed Holdings p15
Wyeth p16

AstraZeneca Grabs MedImmune-$15.2 Billion Deal Is Largest Biotech Transaction Ever

Email Editor

April’s M&A market produced the largest biotechnology deal ever seen. Britain’s AstraZeneca plc (NYSE: AZN) announced that it is buying MedImmune (NASDAQ: MEDI) for $58.00 per share, or $15.2 billion. In AZN’s sights are MEDI’s vaccine business and drug development pipeline.

A charter member of the big pharma club, London-based AstraZeneca makes and markets prescription pharmaceuticals in various therapeutic areas: cardiovascular, gastrointestinal, neuroscience, oncology, respiratory, inflammatory and infectious diseases and disorders. Its stable of top sellers include Arimidex for hormonal breast cancer, Crestor to manage cholesterol levels, Nexium for acid-related diseases, Seroquel for schizophrenia and bipolar mania and Symbicort for asthma. On a trailing 12-month basis, AZN generated revenue of $27.3 billion, EBITDA of $9.8 billion and net income of $6.2 billion. In 2006, Nexium contributed $5.0 billion to revenue, Seroquel $3.4 billion.

But after a string of failed experimental drugs, including candidates to treat stroke, heart disease and diabetes, AstraZeneca sorely needs an injection of new drugs for its pipeline. Moreover, top performers Nexium and Seroquel are confronting patent challenges. To remedy this, AZN took a small step to diversify its products from traditional chemical-based drugs into biologic medicines when it acquired Cambridge Antibody Technology last year for $1.3 billion (3.4x revenue). Biologic medicines, generally re-engineered from bacteria, enzymes, human proteins or yeasts, tend to have fewer side effects than their chemically-based counterparts, and have shown more success in treating such diseases as cancer and multiple sclerosis. The plan to acquire MedImmune gives AZN a more commanding presence in biotech medicines.

Based in Gaithersburg, Maryland, MedImmune develops, manufactures and commercializes products in the therapeutic areas of infectious disease, inflammatory disease and cancer. Best known as the maker of the nasal spray flu vaccine FluMist, it has two other marketed products: Synagis for infectious respiratory disease and Ethyol for reducing the side effects of chemotherapy and radiotherapy. And it has two late-stage products in development. MEDI has links to both GlaxoSmithKline (NYSE: GSK) and Merck (NYSE: MRK), since it is entitled to royalties on sales of their rival HPV vaccines Cervarix and Gardasil, much in the news lately. On a trailing 12-month basis, MEDI generated revenue of $1.28 billion, EBITDA of $126.0 million and net income of $49.0 million.

Though vaccines have historically been considered a low-margin, low-growth business, recent developments have brought them front and center once again. The addition of MEDI’s vaccine business gives AZN the capacity to address key disease targets with small molecules, large molecules or vaccines, particularly in the areas of infectious disease, oncology and inflammation. With MEDI on board, the proportion of biologics in AZN’s pipeline increases from 7% to 27%.

Under terms of the deal, AstraZeneca will offer $58.00 per share in cash, or $15.6 billion. When the $340.0 million of cash that MEDI brings with it is taken into account, the effective price falls to $15.2 billion. Merrill Lynch & Co. acted as main advisor to AstraZeneca.

The lofty price to revenue multiple of 11.9x, in nosebleed territory, is due in part to the fact that we’re dealing with a biotech and in part to a "ferociously competitive" auction, conducted by Goldman Sachs. Insiders say that at least four companies were involved in intense bidding. While many analysts had penciled out a price of 8.0x revenue once MEDI announced it had engaged Goldman (April 11), the 11.9x multiple is probably calculated to deter counterbids, as it appears to be fully priced. MEDI had been the subject of takeover speculation for much of the year, especially when investor Carl Icahn disclosed in February that he owned 2.8 million shares.

This deal offers MEDI shareholders a 21% premium over the stock’s prior-day price, and a 53% premium to its share price the day before the company announced it was up for sale. So MEDI shareholders, Mr. Icahn included, make out very well indeed. AZN is financially fit, and seems well-positioned to pull this acquisition off. Its larger sales force can certainly wring additional revenue out of the drugs MEDI directly markets. Further, two of its leading drug candidates are for superior formulations of its existing marketed drugs, so the risk of a nonperforming development pipeline seems relatively small.

This transaction naturally raises the question, Who’s next? Based on an algorithm that excludes companies with market caps over $15.0 billion as out of the reach of most buyers and under $250.0 million as too volatile to stomach, Morningstar.com has identified a list of biotech takeover candidates, including Amylin Pharmaceuticals (NASDAQ: AMLN), BioMarin Pharmaceutical (NASDAQ: BMRN), MannKind (NASDAQ: MNKD) and Vertex Pharmaceuticals (NASDAQ: VRTX). Their current market caps are, respectively, $5.5 billion, $1.6 billion, $1.1 billion and $3.9 billion.

The economic pressures prompting AZN to make a bid for MEDI are the same ones faced by the rest of big pharma: loss of patent protection on blockbuster drugs, dwindling pipelines from in-house R&D and generic competition. Thus, while the exact identity of the targets may be uncertain, it is certain that big pharma will continue to scour the biotech industry for acquisitions and new sources of revenue. We also believe it will be some time before a deal this big comes along again (see the table on page 10 of the issue).

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