Medical Device Contract Development and Manufacturing

8
Medical Device Contract Development and Manufacturing October 2020 Global Investments and M&A - Q3 Report

Transcript of Medical Device Contract Development and Manufacturing

Page 1: Medical Device Contract Development and Manufacturing

Medical Device Contract Development and Manufacturing

October 2020

Global Investments and M&A - Q3 Report

Page 2: Medical Device Contract Development and Manufacturing

2

Disclaimer

▪ This material, including, without limitation, the statistical information herein, is provided for informational purposes only. Nothing in this material should be viewed astax, investment, legal or other form of advice, and may not be relied on in making an investment or any other decision.

▪ This material is based in part on information from third-party sources that Alira Health believes to be reliable, but which has not been independently verified by AliraHealth. For this reason, Alira Health does not represent that the information is accurate or complete.

▪ This material contains forward looking statements based on information available at the time it was prepared and on certain assumptions as to future events made byAlira Health in good faith which future events are inherently uncertain and which assumptions may ultimately prove to have been inaccurate.

▪ Alira Health makes no representations or warranties, either expressed or implied, as to the accuracy of the information in this material.

▪ Any reliance the reader of this material chooses to place on this material is a matter of the reader’s sole judgment and at the reader’s sole risk.

▪ The reader of this material should obtain relevant and specific professional advice before making any investment decision.

▪ Nothing relating to the material should be construed as a solicitation, offer or recommendation to acquire or dispose of any investment or to engage in any othertransaction.

▪ In no event will Alira Health be liable for any direct, indirect, incidental or consequential damages arising out of the use of, or reliance on, the information included in thismaterial.

▪ Unless otherwise explicitly stated, this material is copyrighted by Alira Health, irrespective of whether a copyright symbol and statement is present.

▪ This material is not to be quoted in whole or in part or otherwise referred to in any public releases, nor is it to be filed with any governmental agency or other person orentity, without the prior written consent of Alira Health

▪ All trademarks are acknowledged.

▪ The information in this report is updated as of October 2, 2020.

1 Grant Street

Suite 400 Framingham

Boston, MA 01702 USA

Carlo Stimamiglio

Partner

[email protected]

Gabriele Brambilla

CEO

[email protected]

Page 3: Medical Device Contract Development and Manufacturing

3

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

Page 4: Medical Device Contract Development and Manufacturing

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%

Page 5: Medical Device Contract Development and Manufacturing

5

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

Page 6: Medical Device Contract Development and Manufacturing

6

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.

acquired the OEM business of

acquired

= platform acquisition = add-on acquisition

backed by backed by backed bybacked by

9/20 8/20 8/20 8/20

6/207/20

acquired acquired acquired acquired

backed by

2/20

via

Fiv

e+

ye

ars sin

ce

the

fo

un

din

g P

E in

ve

stme

nt

for $825M

for $440M

Page 7: Medical Device Contract Development and Manufacturing

7

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.

At Alira Health, our mission is to enable healthcare transformation.

We support our clients’ business with our Product Development, Regulatory, Clinical, Market Access, Real-World Evidence, Strategy Consulting, and Transaction Advisory services. Our team of scientists, strategists, bankers, and doctors collaborate

to fully understand every aspect of your business and offer a continuum of support to uncover opportunities, accelerate innovation, and improve outcomes for patients around the world.

Our team helps simplify the complicated journey that is the healthcare and life sciences product and corporate lifecycles so your organization can innovate, grow, and achieve success at every turn.

Learn more at www.alirahealth.com

Page 8: Medical Device Contract Development and Manufacturing

FRANCE

26 rue de Navarin

75009 PARIS

FRANCE

+33 (0)1 44 54 96 23

USA SAN FRANCISCO

88 Kearny Street, Suite 2100

SAN FRANCISCO

CA, 94104

USA

+1 (774) 777 5255

SPAIN

Carrer de Balmes, 206 (Atico 2)

08006 BARCELONA

SPAIN

+34 (93) 655 55 05

ITALY

Via Carlo Ottavio

Cornaggia 10,

20123 MILAN

ITALY

+39 (02) 36680198

GERMANY

Kurfürstenstraße 22,

80801 MUNICH

GERMANY

+49 (89) 416 14 22-0

SWITZERLANDGENEVA

Campus Biotech Innovation Park

Avenue de Sécheron 15

1202 GENEVA

SWITZERLAND

+33 (7) 69677361

+41 (79) 5937886

SWITZERLANDBASEL

Hochbergerstrasse 60B

CH 4057 Basel

SWITZERLAND

+41 (0)61 205 9669

USABOSTON

1 Grant Street,

Suite 400 Framingham

FRAMINGHAM, MA 01702

USA

+1 (774) 777 5255

www.alirahealth.com