Fairness opinionsDistribution and Equipment Services2022

Apria acquired by Owens & Minor: fairness opinion by Goldman Sachs

Announced January 10, 2022 · One-step merger · All cash · DEFM14A filed February 22, 2022
Distribution and Equipment Services HME / DME
Enterprise value
$1.7B
EV / LTM EBITDA
12.0x
EBITDA $141M · 12% margin
EV / LTM revenue
1.48x
revenue $1.1B
DCF discount rate
7.5%–9.0%
Perpetuity growth

Deal terms

ConsiderationAll cash
Price per share$37.50
Premium24.3%
Premium basisclosing price of $30.18 on January 5, 2022 (two trading days before opinion)
StructureOne-step merger
Termination fee$42.0M
Reverse termination fee
Go-shopNone
Outside date

Implied value per share by method vs. $37.50 offer

Discounted cash flow $31.74 – $43.99
Illustrative Present Value of Future Share Price Analysis $29.72 – $37.16
Premia Paid Analysis $32.29 – $37.73

Ranges as disclosed in the banker’s summary of analyses; the red line marks the per-share consideration.

Opinion of Goldman Sachs to the target board

Delivered January 7, 2022 · Fee $21.1M ($16.1M contingent on closing)

Discounted cash flow assumptions

Discount rate7.5%–9.0%
Basisweighted average cost of capital (CAPM)
Terminal valuePerpetuity growth
Perpetuity growth0.0%–2.0%
Exit multiple5.5x–9.2x implied exit terminal year Adjusted EBITDA Less Patient Equipment Capex
Projection periodQ4 2021E-2031E
Projections usedApria management Forecasts and Corrected Forecasts
Implied value per share$31.74–$43.99

Discounted to present value as of September 30, 2021; includes present value of net operating loss benefits. Using the Forecasts: $31.74-$43.99; using the Corrected Forecasts (after D&A error correction): $32.16-$44.43. Goldman Sachs confirmed on January 21, 2022 that there was no change to its opinion conclusion.

Other analyses

AnalysisSummaryImplied per share
Implied Premia AnalysisImplied premia of $37.50 vs. $30.18 closing price on 1/5/2022 (24.3%), highest closing price since IPO $38.11 (-1.6%), 1-month VWAP $30.79 (21.8%), 3-month VWAP $31.74 (18.1%), 6-month VWAP $32.56 (15.2%), VWAP since IPO $30.14 (24.4%).
Illustrative Present Value of Future Share Price AnalysisApplied EV/NTM Adjusted EBITDA Less Patient Equipment Capex multiples of 9.5x-11.5x to NTM estimates beginning 9/30/2021, 9/30/2022 and 9/30/2023; subtracted net debt as of 9/30/2021 and discounted implied future share prices back to 9/30/2021 at an 8.8% cost of equity.$29.72–$37.16
Premia Paid AnalysisReviewed 250 acquisitions of all outstanding equity of U.S. public companies with enterprise values of $500 million to $2 billion announced January 2017 - December 2021; median premium 16%, 25th percentile 7%, 75th percentile 25%. Applied a 7%-25% reference range to the $30.18 undisturbed closing price.$32.29–$37.73

Transaction fee estimated at approximately $21.1 million, $5.0 million of which became payable upon execution of the merger agreement and the remainder contingent upon consummation of the merger.

3,000+ healthcare deal-level valuation multiples
The Valuation database includes financial details for more than 3,000 healthcare M&A transactions, private and public, with deal-level multiples, categorized by segment, type, and year.
See the Valuation database →

Management projections

Projection yearYear 1Year 2Year 3CAGR
Revenue$1.2B$1.3B$1.3B4.9%
Revenue growth5.6%5.0%4.8%
EBITDA$137M$147M$149M4.3%
EBITDA growth-2.8%7.3%1.4%
EBITDA margin11%12%11%
Implied EV / EBITDA12.3x11.5x11.3x

Year-1 growth is against LTM at announcement ($1.1B revenue, $141M EBITDA); later years are year over year.

Apria management prepared non-public Financial Projections provided to the Apria Board on December 14, 2021 and approved for Goldman Sachs' use, covering 2021E-2024E: Net Revenue of $1,136M in 2021E rising to $1,321M in 2024E; Adjusted EBITDA of $232M in 2021E rising to $272M in 2024E; Adjusted EBITDA Less Patient Equipment Capex of $141M (2021E) to $149M (2024E); Unlevered Free Cash Flow of $95M (2021E), $85M (2022E), $109M (2023E) and $107M (2024E). After announcement, management identified a depreciation/amortization error affecting 2022-2024 unlevered free cash flow, which corrected to $88M, $110M and $109M; Goldman Sachs used both the Forecasts and Corrected Forecasts (extended through fiscal 2031) in its DCF.

Process notes

Single fairness opinion from Goldman Sachs to the Apria Board. Goldman Sachs was not requested to and did not solicit interest from other parties. Notable disclosure of an error in management's Financial Projections (depreciation/amortization for 2022-2024) discovered after the January 7, 2022 opinion; Goldman Sachs re-ran its DCF using corrected forecasts ($32.16-$44.43 vs. original $31.74-$43.99) and confirmed on January 21, 2022 that its opinion conclusion was unchanged. Goldman Sachs disclosed approximately $8.8 million of compensation from Apria/affiliates and approximately $352 million from Blackstone (a significant Apria stockholder) and its affiliates/portfolio companies over the prior two years. Holdings LLC (Blackstone affiliate, ~39.8% of shares) and two executives signed support agreements. No selected companies or precedent transactions analyses were presented. Termination fee of $41,970,000 negotiated down from earlier proposals (3.5%/3.2%/2.9% of transaction equity value discussed in negotiations).

Other Distribution and Equipment Services fairness opinions

All Distribution and Equipment Services opinions → · Goldman Sachs opinions