Fairness opinionsDiagnostics / Life Sciences2019

Genomic Health acquired by Exact Sciences: fairness opinion by Goldman Sachs

Announced July 29, 2019 · One-step merger · Cash and stock · DEFM14A filed October 4, 2019
Diagnostics / Life Sciences Diagnostic Tools: Genetics
Enterprise value
$2.4B
EV / LTM EBITDA
32.2x
EBITDA $74.0M · 16% margin
EV / LTM revenue
5.27x
revenue $452M
DCF discount rate
9.0%–10.0%
Perpetuity growth

Deal terms

ConsiderationCash and stock
Price per share$27.50
Premium5.0%
Premium basisclosing price of $68.66 on July 26, 2019, last trading day prior to announcement
StructureOne-step merger
Termination fee$92.4M (3.3% of equity)
Reverse termination fee
Go-shopNone
Outside date

$27.50 in cash plus shares of Exact Sciences common stock equal to the exchange ratio; exchange ratio of 0.37737 calculated based on the Exact Sciences closing price of $117.92 on July 26, 2019, subject to a collar with a 15-trading day averaging period for determining the final exchange ratio. Implied value of consideration of $72.00 per share.

Implied value per share by method vs. $27.50 offer

Precedent transactions — Levered aggregate consideration (excluding earnouts) / LTM Sales $33.19 – $57.56
Discounted cash flow $49.03 – $69.83
Illustrative Present Value of Future Share Price Analysis—Genomic Health Standalone $51.20 – $79.66
Illustrative Pro Forma Present Value of Future Share Price Analysis—Value to Genomic Health Stockholders $60.64 – $94.39
Illustrative Discounted Cash Flow Analysis—Pro Forma Value Per Share to Genomic Health Stockholders $51.22 – $71.57
Premia Analysis—Diagnostic Services Transactions $68.97 – $86.59
Premia Analysis—Cash and Stock Transactions ($1-5bn EV, 5 years) $58.51 – $74.46

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 July 28, 2019 · Fee $32.7M ($32.7M contingent on closing)

Discounted cash flow assumptions

Discount rate9.0%–10.0%
BasisWACC derived via Capital Asset Pricing Model
Terminal valuePerpetuity growth
Perpetuity growth2.0%–4.0%
Exit multiple9.2x–14.9x implied exit terminal year EBITDA multiple
Projection period2019E-2026E
Projections usedGenomic Health management forecasts (standalone)
Implied value per share$49.03–$69.83

Discounted to June 30, 2019; added net cash of $244 million as of June 30, 2019.

Selected public companies (9)

Guardant Health, Inc. · Exact Sciences (EXAS) · Invitae Corporation · Myriad Genetics, Inc. · Natera, Inc. · Neogenomics, Inc. · Veracyte, Inc. · Laboratory Corporation of America Holdings · Quest Diagnostics Incorporated

MultiplePeer lowPeer medianPeer highRange appliedImplied per share
EV / 2019E Revenue (peer companies)2.6x8.8x21.8x
EV / 2020E Revenue (peer companies)2.5x6.5x15.3x
2019E-2021E Revenue CAGR (peer companies)0.0x0.2x0.5x
EV / 2019E Revenue (diagnostic lab companies)1.9x2.1x2.3x
EV / 2020E Revenue (diagnostic lab companies)1.9x2.1x2.3x
2019E-2021E Revenue CAGR (diagnostic lab companies)0.0x0.0x0.0x

Selected precedent transactions (15)

DateTargetAcquirerMultiple
2018-06-19Foundation Medicine, Inc.Roche Holding AG
2018-05-28Counsyl, Inc.Myriad Genetics, Inc.
2017-07-06Ambry Genetics CorporationKonica Minolta, Inc.
2016-08-03Assurex Health, Inc.Myriad Genetics, Inc.
2016-07-27Sequenom Inc.Laboratory Corporation of America Holdings
2015-10-21Clarient, Inc.NeoGenomics Laboratories, Inc.
2015-06-04Bio-Reference Laboratories Inc.OPKO Health, Inc.
2014-12-02Ariosa Diagnostics, Inc.Roche Holding AG
2014-02-04Crescendo Bioscience, Inc.Myriad Genetics, Inc.
2011-10-06Caris Life Sciences, Inc.Miraca Holdings Inc.
2011-03-18Celera CorporationQuest Diagnostics Incorporated
2011-02-24Athena Diagnostics, Inc.Quest Diagnostics Incorporated
2011-01-24Genoptix, Inc.Novartis AG
2010-10-22Clarient, Inc.GE Healthcare Limited
2010-09-13Genzyme GeneticsLaboratory Corporation of America Holdings
MultipleLowMedianHighRange appliedImplied per share
Levered aggregate consideration (excluding earnouts) / LTM Sales2.5x3.3x4.9x 2.5x–4.9x $33.19–$57.56

Other analyses

AnalysisSummaryImplied per share
Historical Stock Trading AnalysisImplied consideration of $72.00 per share represented a 5% premium to the $68.66 closing price on July 26, 2019, a 34% premium to the $53.88 closing price on June 26, 2019 (one month prior), and a 22% premium to the 45-day VWAP of $59.02.
Illustrative Present Value of Future Share Price Analysis—Genomic Health StandaloneApplied EV / forward revenue multiples of 3.5x to 5.5x to management forecast revenue for FY2020-2022, added net cash, divided by fully diluted shares, and discounted future per share values back to June 30, 2019 at a 9.4% cost of equity.$51.20–$79.66
Illustrative Pro Forma Present Value of Future Share Price Analysis—Value to Genomic Health StockholdersApplied EV / forward revenue multiples of 9.0x to 14.0x to pro forma combined company revenue (including synergies) for FY2020-2022, discounted at a 9.1% cost of equity, multiplied by the 0.37737 exchange ratio and added $27.50 cash.$60.64–$94.39
Illustrative Discounted Cash Flow Analysis—Pro Forma Value Per Share to Genomic Health StockholdersDCF of pro forma combined company (including synergies) 2019-2026 unlevered FCF using discount rates of 8.5%-9.5% and perpetuity growth rates of 3.0%-5.0%, discounted to June 30, 2019; resulting per share equity value multiplied by the 0.37737 exchange ratio plus $27.50 cash.$51.22–$71.57
Premia Analysis—Diagnostic Services TransactionsPremia for the selected diagnostic services transactions over the last 10 years relative to target closing price one month prior: median 45.8%, 25th percentile 28.0%, 75th percentile 60.7%. Applied 28.0%-60.7% to the $53.88 one-month-prior price.$68.97–$86.59
Premia Analysis—Cash and Stock Transactions ($1-5bn EV, 5 years)Premia for cash and stock consideration transactions during the 5-year period ended July 26, 2019 with enterprise values between $1 billion and $5 billion: median 20.1%, 25th percentile 8.6%, 75th percentile 38.2%. Applied 8.6%-38.2% to the $53.88 one-month-prior price.$58.51–$74.46

Transaction fee estimated at approximately $32.7 million based on information available as of announcement, all of which is contingent upon consummation of the merger. Engagement letter dated January 23, 2018.

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Management projections

Projection yearYear 1Year 2Year 3Year 4Year 5CAGR
Revenue$512M$570M$630M$720M$818M12.4%
Revenue growth13.3%11.3%10.5%14.3%13.6%
EBITDA$102M$125M$147M$178M$218M20.9%
EBITDA growth37.8%22.5%17.6%21.1%22.5%
EBITDA margin20%22%23%25%27%
Implied EV / EBITDA23.3x19.0x16.2x13.4x10.9x

Year-1 growth is against LTM at announcement ($452M revenue, $74.0M EBITDA); later years are year over year.

Genomic Health management prepared standalone forecasts for fiscal years 2019-2026 showing revenue growing from $452 million in 2019E to $939 million in 2026E, EBITDA (non-GAAP, after stock-based compensation) from $74 million to $247 million, and unlevered free cash flow from $39 million to $170 million. Management also prepared pro forma combined Exact Sciences forecasts for 2019-2026 (based on Genomic Health's forecasts plus consensus analyst estimates for Exact Sciences adjusted for diligence), showing revenue of $1,252 million in 2019E rising to $4,518 million in 2026E and EBITDA of $(117) million rising to $1,360 million, including pre-tax operating synergies of $8 million in 2020, $17 million in 2021 and $25 million per year thereafter. Both sets were provided to the Genomic Health Board and Goldman Sachs.

Process notes

Single fairness opinion from Goldman Sachs to the Genomic Health Board. Goldman Sachs was not requested to and did not solicit interest from other parties after February 2018; the Board relied on the late 2017-early 2018 process in which no final indications of interest were received. Termination fee of $92.4 million equaled 3.25% of equity value after negotiation (Exact Sciences initially proposed 3.75%, Genomic Health 2.75%). Exact Sciences required a voting agreement with transfer restriction from Genomic Health's largest stockholder (Baker Bros. Advisors LP affiliates). The final exchange ratio is subject to a collar determined over a 15-trading day averaging period. Genomic Health's advisors were Goldman Sachs (financial), Sullivan & Cromwell and Pillsbury (legal); Exact Sciences used Centerview and Skadden.

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