Medical Device Contract Development and Manufacturing
Transcript of Medical Device Contract Development and Manufacturing
Medical Device Contract Development and Manufacturing
October 2020
Global Investments and M&A - Q3 Report
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1 Grant Street
Suite 400 Framingham
Boston, MA 01702 USA
Carlo Stimamiglio
Partner
Gabriele Brambilla
CEO
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M&A Activity in the First Three Quarters of 2020M&A activity in the global Medical Device Contract Development and Manufacturing industry has been strong in 2020, with a recordnumber of transactions completed during the third quarter. The fundamental market consolidation trend continues despite the COVID-19 pandemic.
1LBOs: Leveraged Buy-Outs
Source: PitchBook, Alira Health Analysis.
▪ With 20 global transactions to date, the first three quarters of 2020 have already matched 2019’s entire volume of MedTech CDMO M&A deals.
▪ This pick up in M&A activity is remarkable in the context of the COVID-19 pandemic, which has caused an estimated 30% decline in annualized revenue for the Medical Device industry and negatively impacted contract manufacturers.
▪ Strategic acquirers have led deal making with 13 transactions completed to date. Half of these have involved cross-border M&A, primarily between Europe and the US.
▪ The two biggest strategic transactions of 2020 (Nolato’sacquisition of GW Plastics and Nordson’s buy-out of Fluortek) exemplify the continued trend of industry consolidation via inorganic growth.
▪ Private equity sponsors have also been active with seven LBOs1 in 2020, five of which were consummated in Q3. Of these PE-backed transactions, four are new investments and three add-on deals for existing platforms.
▪ The two largest CDMO deals of 2020 (NN Life Sciences and RTI Surgical OEM) are corporate carve-outs sponsored by private equity firms.
Quarterly MedTech CDMO M&A Deals
2019 – Q3 2020
3
12
43
6
4
3
3
41
1
5
Q1 2019 Q2 2019 Q3 2019 Q4 2019 Q1 2020 Q2 2020 Q3 2020
Strategic PE
4
6
4 4
6
5
11
4
Source: PitchBook; Alira Health Analysis
Valuation Trends in Medical Device Outsourcing
▪ These charts emphasize the normal range of implied revenue and EBITDA multiples from publicly available M&A deals in the MedTech outsourcing space since 2014.
▪ Transactions consummated in 2020 with publicly disclosed financial information reflect valuation metrics in line with the recent historical period.
▪ The variance in the valuation parameters reflects a wide differentiation among deal targets by financial performance and trajectory, capabilities, and end-market applications.
Normal Enterprise Value Multiple Range (2014-present)
7.0x 8.0x 9.0x 10.0x 11.0x 12.0x 13.0x 14.0x 15.0x
EV/EBITDA
Median = 10.5x Mean = 14.0x
Lowest EV/Sales:
Highest EV/EBITDA: 25.4x
7.5x
0.0x 0.5x 1.0x 1.5x 2.0x 2.5x 3.0x 3.5x 4.0x
EV/Sales
Lowest EV/Sales: 0.6x
Median = 2.0x Mean = 2.4x
Highest EV/Sales: 5.3x
EV/Sales EV/EBITDAEBITDA Margin
Mean 2.4x 14.0x 20%
Median 2.0x 10.5x 15%
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Strategic Drivers of CDMO M&A and Featured Corporate DealsSeveral transactions backed by corporate CDMOs reflected the pursuit of proprietary know-how for high-performance polymer processing, design and engineering capabilities, as well as the acquisition of scale and geographic footprint.
Specialty Plastics Capabilities
Date Target Acquirer Sales X EBITDA X EV
9/20 $229M
Swedish polymer company Nolatoacquired the US-based GW Plastics to grow its presence in North America.
1.2x 17.1x
6/20 $125M
Nordson acquired Fluortek to add custom precision tubing capabilities for minimally-invasive devices.
6.3x n.a.
Design & Development Services
Date Target Acquirer Sales X EBITDA X EV
8/20 $2MForward Industries acquired design firm Kablooe to establish upstream medical device design capabilities.
n.a. n.a.
2/20 n.a.Heraeus bought CMI to acquire R&D capabilities of delivery systems for minimally-invasive catheters.
n.a. n.a.
Date Target Acquirer
9/20
9/20
7/20
7/20
6/20
5/20
3/20
3/20
1/20
Other Strategic Deals
Hypotube Manufacturing
Source: PitchBook, Alira Health Analysis
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Private Equity-Backed CDMO TransactionsThe third quarter of 2020 has seen a record number of private equity transactions. Two new CDMO platforms invested by financial sponsors joined a large pool of PE-backed players.
Source: PitchBook, Alira Health Analysis
Q1 – Q3 2020 Private Equity CDMO ActivityMany of the 31 PE-backed CDMOs currently active were initially invested five or more years ago. The approaching maturity of several investments may indicate that several exits are on the horizon. Some notable PE-sponsored CDMOs are featured below.
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About the Authors
CARLO STIMAMIGLIOPartner – San FranciscoAlira [email protected]
Carlo Stimamiglio is a Partner in Alira Health’s Transaction Advisory practice and specializes in helping medical device, digital health and pharmaceutical companies in the execution of strategic and M&A deals. Besides his focus on healthcare technologies, Carlo leads Alira Health’s Contract Manufacturing practice and has been an active strategy and transaction advisor to global CDMOs. Carlo is a registered investment banker with FINRA Series 79 and 63 licenses. He earned a MS in Finance from the University of Verona and an MBA from IE Business School.
CAMPBELL ROELLIGAssociate – San FranciscoAlira [email protected]
Campbell Roellig joined Alira Health in 2018 with previous experience in Investment Banking and private equity in the Technology and Aerospace & Defense sectors. Campbell focuses on M&A and other transaction advisory services and specializes in Medical Devices and Contract Manufacturing. Campbell earned a B.A. in Economics with a focus on Corporate Finance and Accounting from UC Santa Barbara. Campbell is an Investment Banking Representative holding FINRA Series 79 and Series 63 certifications.
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