Fairness opinionsMedical Devices and Supplies2019

CAS Medical Systems acquired by Edwards Lifesciences: fairness opinion by William Blair

Announced February 11, 2019 · One-step merger · All cash · DEFM14A filed March 13, 2019
Medical Devices and Supplies Medical Devices
Enterprise value
$100M
EV / LTM EBITDA
EBITDA $-2.3M · -9% margin
EV / LTM revenue
4.06x
revenue $24.7M
DCF discount rate
9.0%–13.0%
Perpetuity growth and exit multiple

Deal terms

ConsiderationAll cash
Price per share$2.45
Premium45.2%
Premium basisclosing price of $1.69 one day prior to February 8, 2019 (last trading day prior to entry into merger agreement)
StructureOne-step merger
Termination fee$3.5M
Reverse termination fee
Go-shopNone
Outside date

Opinion of William Blair to the target board

Delivered February 11, 2019 · Fee $2.5M ($2.5M contingent on closing), $0.3M on delivery of the opinion

Discounted cash flow assumptions

Discount rate9.0%–13.0%
BasisWilliam Blair's estimate of CASMED's weighted average cost of capital using the capital asset pricing model
Terminal valuePerpetuity growth and exit multiple
Perpetuity growth3.0%–5.0%
Exit multiple3.0x–5.0x CY2023E Revenue
Projection period2019E-2023E
Projections usedCASMED management Forecasts provided February 4, 2019
Implied value per share$-0.72–$3.12

Exit multiple methodology implied $1.10-$3.12 per share; perpetuity growth methodology implied $(0.72)-$0.30 per share. Unlevered FCF from after-tax EBIT at a 23% tax rate, less capex and increase in net working capital; discounted back to December 31, 2018; net debt as of December 31, 2018 deducted and divided by diluted shares as of January 31, 2019.

Selected public companies (14)

MISONIX, Inc. · Restoration Robotics Inc. · Viveve Medical, Inc. · AngioDynamics, Inc. · AtriCure, Inc. · Cardiovascular Systems, Inc. · CONMED Corporation · Glaukos Corporation · Intersect ENT, Inc. · LeMaitre Vascular, Inc. · Nevro Corp. · OrthoPediatrics Corp. · STAAR Surgical Company · Tactile Systems Technology, Inc.

MultiplePeer lowPeer medianPeer highRange appliedImplied per share
EV / LTM Revenue (micro cap peers)1.1x2.7x4.8x
EV / LTM Revenue (small cap peers)2.7x6.1x15.9x
EV / CY2019E Revenue (micro cap peers)0.9x2.5x4.3x
EV / CY2019E Revenue (small cap peers)2.6x5.5x11.9x

Selected precedent transactions (18)

DateTargetAcquirerMultiple
2018-12Buffalo FilterCONMED Corporation
2018-09Focal TherapeuticsHologic
2018-09InvuityStryker Corporation
2018-03Cogentix MedicalLaborie Medical Technologies
2017-12Entellus MedicalStryker Corporation
2017-06NOVADAQ TechnologiesStryker Corporation
2016-09EndoChoice HoldingsBoston Scientific Corporation
2016-06E.T. View MedicalAmbu A/S
2016-05Smith & Nephew plc (Gynecology Business)Medtronic
2016-05Galil MedicalBTG
2016-04Hansen MedicalAuris Health
2015-09Synergetics USAValeant Pharmaceuticals
2014-03New Wave Surgical CorporationCovidien
2013-12Patient Safety TechnologiesStryker Corporation
2013-08CardiocomMedtronic
2012-04Oridion SystemsCovidien
2010-11O.R. SolutionsEcolab
2010-06Somanetics CorporationCovidien
MultipleLowMedianHighRange appliedImplied per share
EV / LTM Revenue2.1x5.1x8.9x

Other analyses

AnalysisSummaryImplied per share
M&A Premiums Paid AnalysisReviewed 238 acquisitions of U.S. publicly traded companies announced since January 1, 2014 with 100% of target equity acquired and equity values between $50M and $200M, comparing premiums 1 day, 1 week, 1 month, 90/180/270/365 days prior. Implied premiums at $2.45: 45.2% (1 day, $1.69), 40.0% (1 week, $1.75), 27.3% (1 month, $1.92), 30.3% (90 days, $1.88), (8.2)% (180 days, $2.67), 78.8% (270 days, $1.37), 129.2% (365 days, $1.07). 1-day and 1-week premiums fell between the 50th and 60th percentiles.

Pursuant to letter agreement dated April 1, 2016, a $250,000 fairness opinion fee became payable upon delivery of the opinion; a fee of approximately $2,490,000, less any fees previously paid, becomes payable upon consummation of the merger. No portion of the fees was contingent on the conclusions reached.

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Management projections

Projection yearYear 1Year 2Year 3Year 4CAGR
Revenue$28.2M$32.8M$37.5M$42.0M14.2%
Revenue growth14.3%16.3%14.3%12.0%
EBITDA$-2.3M$1.2M$3.1M$5.0M
EBITDA growth158.3%61.3%
EBITDA margin-8%4%8%12%
Implied EV / EBITDA83.5x32.3x20.0x

Year-1 growth is against LTM at announcement ($24.7M revenue, $-2.3M EBITDA); later years are year over year.

CASMED management prepared standalone Forecasts for fiscal years 2019 through 2023, provided to William Blair on February 4, 2019. Revenue grows from $24.7 million in 2019 to $42.0 million in 2023; EBITDA is negative $(2.3) million in 2019 and 2020, turning positive at $1.2 million in 2021 and reaching $5.0 million in 2023; EBIT ranges from $(3.2) million in 2019 to $3.4 million in 2023. Earlier 2019 forecasts provided to Edwards and other bidders were superseded by these Forecasts and were not relied upon by William Blair or the board.

Process notes

Single financial advisor (William Blair) to the CASMED board; no special committee. The DCF perpetuity-growth methodology produced a range of $(0.72)-$0.30 per share, well below the $2.45 merger consideration, while the exit-multiple methodology produced $1.10-$3.12. Holders of 100% of the Series A Convertible Preferred and Series A Exchangeable Preferred (approximately 26.1% of total voting power) entered into voting agreements supporting the merger. If terminated for failure to obtain stockholder approval, CASMED must reimburse up to $1.0 million of Edwards' expenses, credited dollar-for-dollar against the $3.5 million termination fee.

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