healthtech heartbeat - q3 2015 - market review
TRANSCRIPT
Q3 2015 STRICTLY PRIVATE AND CONFIDENTIAL
HealthTech HeartbeatQ3 2015 Market Review
Q3 2015 STRICTLY PRIVATE AND CONFIDENTIAL
2QUARTERLY TECH REPORT – Q3: HEALTHTECH
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DEEP DOMAIN EXPERTISE IN THREE INTER-RELATED SECTORS… …AND BROAD INDUSTRY NETWORKS
Marketing
HealthcareTechnology
3
80
90
100
110
120
130
140
150
Healthcare IT - Europe Healthcare IT - US Biopharma IT Generalists NASDAQ Comp FTSE 100
QUARTERLY TECH REPORT – Q3: HEALTHTECH
Results International Global HealthTech Indices
Sep-15Oct-14 Nov-14 Dec-14 Jan-15 Feb-15 Mar-15 Apr-15 May-15 Jun-15 Jul-15 Aug-15
Note: Based on share prices as at 30 September 2015Note: Indices weighted by market capitalisationNote: Healthcare IT – US excludes McKesson because the majority of its revenue is generated from pharmaceutical distributionNote: (1) Excludes GeneralistsSources: Capital IQ and Results analysis
LAST
12
MON
TH S
HARE
PRI
CE P
ERFO
RMAN
CE
Q3 2015 PERFORMANCEHealthcare IT - Europe (0.8%)
Healthcare IT - US (10.5%)Biopharma IT (19.1%)Generalists (7.8%)HealthTech(1) (10.9%)
(1.3%)
29.8%
2.8%
(6.4%)
(1.2%)
(8.5%)
4
(60%)
(40%)
(20%)
-
20%
40%
60%
(5.9%) (4.9%)
13.9%6.2% 5.7% 3.2%
(17.7%) (13.2%)(5.1%) (9.4%)
16.4%
(9.1%)
(24.7%) (25.3%)
47.9%
(28.3%)(21.1%) (18.2%)
(48.4%)
(21.8%)(16.5%)
(22.5%)
(6.1%)
QUARTERLY TECH REPORT – Q3: HEALTHTECH
HealthTech: Share Price Performance
Note: Share price performance as at 30 September 2015Note: *Last quarter & last 12 months reference dates adjusted to first trading day post IPO for Teladoc (01-Jul-15); and ‘Last 12 Months’ Evolent Health (05-Jun-15) and Inovalon Holdings (12-Feb-15) Sources: Capital IQ and Results analysis
LAST
12
MON
TH S
HARE
PRI
CE
PERF
ORM
ANCE
Q3 2
015
**
(100%)
(50%)
-
50%
100%
150%
200%
250%
55.2% 44.3% 41.2%24.2% 15.5%
31.7%
(5.0%)
0.7% 11.1%
(7.6%)
1.3%
(3.2%) (9.4%) (22.9%)
222.7%
(9.2%)(26.7%) (15.4%)
(67.5%)
(21.8%) (16.9%) (4.9%)
36.8%
HEALTHCARE IT - EUROPE HEALTHCARE IT - US BIOPHARMA IT
*
5QUARTERLY TECH REPORT – Q3: HEALTHTECH
HealthTech: Selected Stocks – Performance Since IPO
COMPANY IPO DATE DESCRIPTION RAISE
D ($M)INDICATIVE PRICE
RANGE ($)IPO LISTING
PRICE ($)INCREASE VS. RANGE
DAY 1 INCREASE
CURRENT INCREASE(1)
CURRENT EV ($M)
EV / REVENUE
2015EEV / EBITDA
2015E
NYSEJun-15 Video telemedicine platform
for medical consultations 156.8 15.00-17.00 19.00 18.8% 50% 17.3% 887(2) 11.9x n.m.(3)
NYSEJun-15 Healthcare delivery and
payments software 195.5 14.00-16.00 17.00 13.3% 10.9% (6.1%) 1,017 6.4x n.m.(4)
NasdaqGSFeb-15 Cloud-based healthcare data
analytics software 600.0 24.00-26.00 27.00 8.0% 0.0% (22.9%) 2,710 6.2x 17.0x
NYSEApr-14 Healthcare information
technology and services 1,300.0 18.00-21.00 20.00 2.5% 15.0% 45.5% 13,644 4.7x 15.1x
NYSEMar-14 Healthcare enterprise
management software 177.6 13.00-15.00 16.00 14.3% 148.8% (73.8%) 301 4.0x n.m.(5)
LSEDec-13
Software, hardware and services for the healthcare and energy sectors
199.7 n.a. 2.93 n.a. 20.1% 65.8% 332 3.3x 13.6x
NYSEOct-13 Cloud-based CRM software
for the biopharma industry 260.9 16.00-18.00 20.00 17.6% 85.8% 17.1% 3,136 8.0x 28.7x
Note: Calendarised to December year end; $ millions, except share price dataNote: (1) Current increase from IPO price; Market data as of 30 September 2015Note: (2) Current EV adjusted to reflect additional cash from IPO not accounted for in most recent Balance Sheet Note: (3) Teladoc projecting negative EBITDA for CY2015Note: (4) Evolent Health projecting negative EBITDA for CY2015Note: (5) Castlight projecting negative EBITDA for CY2015 Source: Capital IQ
6
Generalists Healthcare IT - Europe
Healthcare IT - US Biopharma IT0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0% 27.9%
23.2%
18.2%
23.2%
Generalists Healthcare IT - Europe
Healthcare IT - US Biopharma IT0.0 x
5.0 x
10.0 x
15.0 x
20.0 x
25.0 x
30.0 x
11.0 x13.5 x 14.3 x
25.2 x
Generalists Healthcare IT - Europe
Healthcare IT - US Biopharma IT0.0 x
1.0 x
2.0 x
3.0 x
4.0 x
5.0 x
6.0 x
7.0 x
3.7 x3.3 x
4.0 x
5.9 x
Generalists Healthcare IT - Europe
Healthcare IT - US Biopharma IT0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
4.5%6.8%
13.7%
19.5%
QUARTERLY TECH REPORT – Q3: HEALTHTECH
HealthTech: Valuation Benchmarks
Note: EV = Enterprise Value; Financials calendarised to December year endNote: Median values reported; excludes negative multiples Note: See Selected Publicly Traded Companies (Slide 9) for details of companies included in each categoryNote: McKesson excluded from above analysis because majority of revenue is generated from pharmaceutical distributionSource: Capital IQ
REVENUE GROWTH (2015-16E) EV / REVENUE 2015E
EBITDA MARGIN 2015E EV / EBITDA 2015E
7
Q1 2012
Q2 2012
Q3 2012
Q4 2012
Q1 2013
Q2 2013
Q3 2013
Q4 2013
Q1 2014
Q2 2014
Q3 2014
Q4 2014
Q1 2015
Q2 2015
Q3 2015
0
10
20
30
40
50
60
70
80
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000
18,000
2117
20
3229
18
28 27 2832
44
61
5449
70
43
5
11
7
27 5
6
2
812
5
5
Healthcare IT Biopharma ITHealthcare IT Total Disclosed Deal Value Biopharma IT Total Disclosed Deal Value
NUM
BER
OF D
EALS
TOTA
L DIS
CLOS
ED D
EAL
VALU
E ($
M)
QUARTERLY TECH REPORT – Q3: HEALTHTECH
HealthTech: Global M&A Activity Q1 2012 – Q3 2015
Sources: Press releases, Capital IQ, Mergermarket, 451 Research and Results analysis
8QUARTERLY TECH REPORT – Q3: HEALTHTECH
HealthTech: Selected Deals in Q3 2015
DATE BUYER TARGET EV ($M) EV/REVENUE EV/EBITDA COMPANY DESCRIPTION TARGETLOCATION
Sep-15 120.0 - - SaaS-based biopharma marketing compliance software
Sep-15 - - - Mobile clinical assessment and patient flow management systems
Sep-15 - - - Mobile workflow management software for the healthcare, government and industrial sectors
Sep-15 - - - Tech-enabled services and software for the healthcare industry
Sep-15 - - - Cloud-based financial performance analytics for healthcare
Aug-15 11.7 2.0x - Clinical patient flow and compliance education software
Aug-15 140.0 3.0x - Data-driven advisory services and BI systems for the life sciences industry
Aug-15 150.0 3.8x - Mobile medical education platform for physicians
Aug-15 65.0 - - Financial management software for hospitals
Aug-15 903.9 4.0x 20.7x Medical image management systems
Aug-15 - - - Genomic laboratory information management software
Aug-15 400.0 - - Saas-based performance management and improvement software for healthcare
Jul-15 - - - Laboratory information system middleware
Jul-15 - - - Healthcare professional and organisation database
Jul-15 - - - Healthcare professional and organisation database
Jul-15 4.7 - - Primary and secondary care administration and compliance software
Jul-15 910.0 - - Cloud-based healthcare data analytics platform and engagement solutions
Jul-15 - - - Clinical decision support software
Note: Financials relate to the companies’ full fiscal year before the transaction took placeNote: Enterprise Value (EV) = transaction value scaled to 100% shareholding plus net debt (includes minority interest)Sources: Press releases, Capital IQ, Mergermarket, 451 Research and Results analysis
9QUARTERLY TECH REPORT – Q3: HEALTHTECH
HealthTech: Selected European Fundraisings in Q3 2015
DATE COMPANY TYPE OF ROUND
FUNDS RAISED
($M)INVESTOR PARTICIPATON COMPANY DESCRIPTION COMPANY
LOCATION
Sep-15 Seed 0.3 IT Translation Investissement Pharmaceutical data management and analysis system
Sep-15 DESKTOP GENETICS Venture 2.1
IQ Capital Partners LLP; London Business Angels; Funding London; Capital Enterprise, Investment Arm
Genome engineering and editing software
Sep-15 Seed 0.3 - Online veterinarian consultation app
Aug-15 Series A - Wild Blue Cohort Online consumer care platform
Aug-15 Series A 3.4 LEO Pharma A/S; Personal Health Solutions Capital
Skin health tracking and inspection mobile application
Jul-15 Seed 0.2 Esade Ban Angels Lung image analysis web application
Jul-15 Seed 1.5 - Online GP consultation platform for desktop and smartphone
Jul-15 Seed - Health Innovations Healthcare quality data gathering and reporting software
Jul-15 Seed 5.0 Smedvig Capital Limited Personalised healthcare information assistant applications
Sources: Press releases, Capital IQ and Results analysis
10
OPERATING METRICS VALUATION METRICSPRICE % OF 52 MARKET TOTAL NET ENTERPRISE REVENUE REV. GROWTH GROSS MARGIN REVENUE EBITDA
COMPANY (30-SEP-15) WEEK HIGH CAP CASH DEBT VALUE CY2015 CY15-16 HISTORICAL CY2015 CY2016 CY2015 CY2016 CY2015 CY2016
GENERALISTS WITH SIGNIFICANT HEALTHTECH EXPOSURE
Oracle 36.12 77% 157,128 55,930 (13,439) 143,689 37,947 1.5% 60.7% 45.0% 46.7% 3.8 x 3.7 x 8.4 x 8.0 xEMC 24.16 78% 46,961 7,742 1,163 48,124 25,167 4.5% 62.4% 25.5% 26.8% 1.9 x 1.8 x 7.5 x 6.8 xSAP 64.55 82% 78,855 3,990 7,177 86,032 22,735 5.3% 72.2% 34.4% 34.5% 3.8 x 3.6 x 11.0 x 10.4 xThermo Fisher Scientific 122.28 87% 49,262 808 13,257 62,519 16,809 4.5% 46.2% 25.3% 26.3% 3.7 x 3.6 x 14.7 x 13.5 xComputer Sciences Corporation 61.38 84% 8,576 2,199 443 9,019 11,687 (1.0%) 24.1% 14.4% 17.6% 0.8 x 0.8 x 5.4 x 4.4 xThomson Reuters 40.04 98% 31,207 1,299 8,060 39,267 9,212 2.6% 28.0% 27.9% 29.2% 3.2 x 3.1 x 11.4 x 10.6 xAspen Technology 37.91 81% 3,198 215 (215) 2,983 456 7.3% 81.4% 44.4% 46.9% 6.5 x 6.1 x 14.7 x 13.0 x 25th percentile 2.1% 37.1% 25.4% 26.6% 2.5 x 2.5 x 8.0 x 7.4 xMedian 4.5% 60.7% 27.9% 29.2% 3.7 x 3.6 x 11.0 x 10.4 x75th percentile 4.9% 67.3% 39.4% 40.6% 3.8 x 3.7 x 13.1 x 11.8 x
HEALTHCARE IT - EUROPE
CompuGroup Medical 32.90 80% 1,636 23 390 2,026 615 6.5% 33.9% 22.0% 23.1% 3.3 x 3.1 x 15.0 x 13.4 xCegedim 40.18 84% 561 316 190 751 572 2.8% 46.2% 19.1% 19.8% 1.3 x 1.3 x 6.9 x 6.4 xEMIS Group 15.89 99% 1,004 9 6 1,009 243 7.2% 48.2% 30.8% 31.0% 4.2 x 3.9 x 13.5 x 12.5 xNoemaLife 6.87 96% 52 6 42 94 119 12.8% 22.4% 19.2% 19.6% 1.1 x 1.0 x 5.8 x 5.0 xServelec Group 4.86 98% 341 6 (9) 332 101 6.2% 45.3% 24.3% 25.4% 3.3 x 3.1 x 13.6 x 12.3 xCraneware 10.27 98% 275 42 (42) 234 48 10.9% 93.0% 30.5% 30.5% 4.9 x 4.4 x 15.9 x 14.3 x 25th percentile 6.2% 36.7% 19.9% 20.7% 1.8 x 1.7 x 8.5 x 7.9 xMedian 6.8% 45.7% 23.2% 24.3% 3.3 x 3.1 x 13.5 x 12.4 x75th percentile 10.0% 47.7% 29.0% 29.3% 3.9 x 3.7 x 14.6 x 13.1 x
HEALTHCARE IT - US
McKesson 185.03 76% 43,452 5,635 5,677 49,129 190,425 6.1% 6.3% 2.6% 2.8% 0.3 x 0.2 x 10.0 x 8.8 xCerner 59.96 79% 21,502 558 65 21,567 4,743 20.1% 84.5% 33.6% 34.8% 4.5 x 3.8 x 13.5 x 10.9 xIMS Health 29.10 87% 9,788 348 3,856 13,644 2,911 10.2% 53.4% 31.1% 31.7% 4.7 x 4.3 x 15.1 x 13.4 xAllscripts Healthcare Solutions 12.40 80% 2,343 77 595 2,938 1,406 5.3% 45.5% 17.2% 19.2% 2.1 x 2.0 x 12.1 x 10.3 xathenahealth 133.35 87% 5,279 116 185 5,463 920 21.5% 59.8% 18.2% 18.4% 5.9 x 4.9 x 32.6 x 26.6 xMedAssets 20.06 84% 1,211 10 831 2,042 763 1.7% 76.1% 31.0% 31.6% 2.7 x 2.6 x 8.6 x 8.3 xQuality Systems 12.48 67% 753 117 (117) 636 505 6.0% 54.6% 13.9% 15.6% 1.3 x 1.2 x 9.1 x 7.6 xInovalon Holdings 20.83 62% 3,216 797 (507) 2,710 437 24.7% 68.8% 36.5% 36.8% 6.2 x 5.0 x 17.0 x 13.5 xMerge Healthcare 7.10 100% 713 20 249 962 251 9.2% 60.8% 21.6% 23.1% 3.8 x 3.5 x 17.8 x 15.2 xHealthstream 21.81 67% 699 140 (140) 559 205 13.7% 56.6% 15.4% 16.9% 2.7 x 2.4 x 17.7 x 14.2 xComputer Programs & Systems 42.13 65% 476 37 (37) 439 189 6.3% 45.9% 20.8% 22.9% 2.3 x 2.2 x 11.2 x 9.6 xEvolent Health 15.96 69% 941 219 75 1,017 159 35.0% 27.5% (24.4%) (13.8%) 6.4 x 4.7 x n.m. n.m.Castlight Health 4.20 31% 465 164 (164) 301 76 52.3% 39.1% (83.8%) (43.5%) 4.0 x 2.6 x n.m. n.m.Teladoc 22.29 63% 909 172 (22) 887 75 57.3% 77.2% (67.7%) (26.1%) 11.9 x 7.5 x n.m. n.m. 25th percentile 6.3% 45.9% 13.9% 15.6% 2.7 x 2.4 x 11.4 x 9.7 xMedian 13.7% 56.6% 18.2% 19.2% 4.0 x 3.5 x 14.3 x 12.2 x75th percentile 24.7% 68.8% 31.0% 31.6% 5.9 x 4.7 x 17.5 x 14.0 x
BIOPHARMA IT
Medidata Solutions 42.11 69% 2,383 266 (19) 2,363 404 19.5% 74.7% 23.2% 25.0% 5.9 x 4.9 x 25.2 x 19.6 xVeeva Systems 23.41 70% 3,573 438 (438) 3,136 394 26.8% 62.9% 27.7% 29.2% 8.0 x 6.3 x 28.7 x 21.5 xInstem 2.90 88% 37 2 - 28 23 6.1% 14.8% 15.4% 17.3% 1.6 x 1.5 x 10.3 x 8.7 x 25th percentile 12.8% 38.9% 19.3% 21.1% 3.7 x 3.2 x 17.8 x 14.1 xMedian 19.5% 62.9% 23.2% 25.0% 5.9 x 4.9 x 25.2 x 19.6 x75th percentile 23.1% 68.8% 25.5% 27.1% 6.9 x 5.6 x 26.9 x 20.6 x
EBITDA MARGIN
QUARTERLY TECH REPORT – Q3: HEALTHTECH
HealthTech: Selected Publicly Traded Companies
Note: Calendarised to December year end; $ millions, except share price data; Multiples capped at 20x EV / Revenue and 50x EV / EBITDA; Net debt includes minority interest Note: (1)McKesson excluded from ‘Healthcare IT – US’ summary analysis above because majority of revenue is generated from pharmaceutical distributionNote: (2) Teladoc current EV adjusted to reflect additional cash from IPO not accounted for in most recent Balance Sheet Source: Capital IQ
(1)
(2)
11QUARTERLY TECH REPORT – Q3: HEALTHTECH
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