Fairness opinionsMedical Devices and Supplies2021

Hill-Rom Holdings acquired by Baxter International: fairness opinion by BofA Securities and Goldman Sachs

Announced September 2, 2021 · One-step merger · All cash · DEFM14A filed October 20, 2021
Medical Devices and Supplies Medical Equipment
Enterprise value
$12B
EV / LTM EBITDA
17.6x
EBITDA $707M · 22% margin
EV / LTM revenue
3.89x
revenue $3.2B
DCF discount rate
7.0%–9.0%
Exit multiple

Deal terms

ConsiderationAll cash
Price per share$156.00
Premium
Premium basis
StructureOne-step merger
Termination fee$367M
Reverse termination fee$420M
Go-shopNone
Outside date

Implied value per share by method vs. $156.00 offer

Selected companies — EV / 2021E EBITDA (BofA Securities) $117.00 – $156.75
Selected companies — EV / 2022E EBITDA (BofA Securities) $114.50 – $157.75
Precedent transactions — EV / LTM EBITDA (LTM 6/30/2021) (BofA Securities) $104.25 – $141.75
Precedent transactions — EV / NTM EBITDA (NTM 6/30/2022) (BofA Securities) $90.50 – $141.50
Discounted cash flow (BofA Securities) $130.50 – $208.25
52-Week Trading Range (period ended July 27, 2021 - unaffected) (BofA Securities) $81.17 – $123.78
52-Week Trading Range (period ended August 30, 2021) (BofA Securities) $81.17 – $145.78
Wall Street Analysts Unaffected Price Targets (BofA Securities) $114.75 – $120.25
Wall Street Analysts Current Price Targets (BofA Securities) $119.25 – $142.25

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

Opinion of BofA Securities to the target board

Delivered September 1, 2021 · Fee $11.0M ($9.5M contingent on closing), $1.5M on delivery of the opinion

Discounted cash flow assumptions

Discount rate7.0%–9.0%
BasisEstimate of Hillrom's weighted average cost of capital derived using the capital asset pricing model
Terminal valueExit multiple
Perpetuity growth
Exit multiple10.0x–15.0x Terminal year EBITDA
Projection periodJune 30, 2021 through September 30, 2031
Projections usedHillrom Projections (Hillrom management)
Implied value per share$130.50–$208.25

Unlevered after-tax free cash flows discounted to present value as of June 30, 2021 using mid-year convention; net debt as of June 30, 2021 (pro forma for Bardy Diagnostics acquisition) subtracted.

Selected public companies (8)

STERIS plc · Hologic, Inc. · Teleflex Incorporated · DENTSPLY SIRONA Inc. · Integra Lifesciences Holdings Corporation · ICU Medical, Inc. · CONMED Corporation · NuVasive, Inc.

MultiplePeer lowPeer medianPeer highRange appliedImplied per share
EV / 2021E EBITDA9.8x17.1x26.3x 14.5x–18.5x $117.00–$156.75
EV / 2022E EBITDA13.3x17.0x22.3x 13.0x–17.0x $114.50–$157.75

Selected precedent transactions (13)

DateTargetAcquirerMultiple
2021-01-12Cantel Medical Corp.STERIS plc
2020-12-18BioTelemetry, Inc.Koninklijke Philips N.V.
2019-05-02Acelity L.P. Inc.3M Co
2018-06-06Johnson & Johnson Advanced Sterilization ProductsFortive Corporation
2017-04-23C. R. Bard, Inc.Becton, Dickinson and Company
2016-12-20LifeCell CorporationAllergan plc
2016-10-18Abbott Vascular Access BusinessTerumo Corporation
2016-02-16Physio-Control, Inc.Stryker Corporation
2016-02-01Sage Products LLCStryker Corporation
2015-09-15Sirona Dental Systems Inc.Dentsply International Inc.
2015-07-22Thoratec CorporationSt. Jude Medical, Inc.
2015-06-17Welch Allyn, Inc.Hill-Rom Holdings, Inc.
2014-10-05Carefusion CorporationBecton, Dickinson and Company
MultipleLowMedianHighRange appliedImplied per share
EV / LTM EBITDA (LTM 6/30/2021)13.7x16.6x28.7x 14.0x–18.0x $104.25–$141.75
EV / NTM EBITDA (NTM 6/30/2022)11.0x16.3x27.3x 11.5x–16.5x $90.50–$141.50

Other analyses

AnalysisSummaryImplied per share
52-Week Trading Range (period ended July 27, 2021 - unaffected)Trading range of Hillrom common stock for the 52-week period ended July 27, 2021, the day before The Wall Street Journal reported deal discussions.$81.17–$123.78
52-Week Trading Range (period ended August 30, 2021)Trading range of Hillrom common stock for the 52-week period ended August 30, 2021.$81.17–$145.78
Wall Street Analysts Unaffected Price TargetsPublicly available equity research analyst price targets as of July 27, 2021, discounted by one year at Hillrom's illustrative cost of equity of 9%.$114.75–$120.25
Wall Street Analysts Current Price TargetsPublicly available equity research analyst price targets as of August 30, 2021, discounted by one year at Hillrom's illustrative cost of equity of 9%.$119.25–$142.25

Aggregate fee of approximately $11 million, $1.5 million payable upon delivery of opinion and the remainder contingent upon consummation of the merger. BofA derived ~$4.5 million of revenues from Hillrom and ~$8.0 million from Baxter for corporate/investment banking services from Sept 1, 2019 to Aug 31, 2021; anticipates less than $150,000 in fees from Baxter's amended revolving credit facilities.

Opinion of Goldman Sachs to the target board

Delivered September 1, 2021

Fee details not included in the sliced sections. Goldman Sachs acted and may continue to act as a lender under Baxter's U.S. dollar-denominated and Euro-denominated revolving credit facilities and anticipates receiving customary lender fees.

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Management projections

Projection yearYear 1Year 2Year 3Year 4Year 5CAGR
Revenue$3.4B$3.7B$3.9B$4.1B$4.3B6.1%
Revenue growth7.1%7.8%5.6%5.4%5.4%
EBITDA$808M$900M$957M$1.0B$1.1B7.5%
EBITDA growth14.3%11.4%6.3%6.2%6.2%
EBITDA margin24%24%25%25%25%
Implied EV / EBITDA15.4x13.8x13.0x12.2x11.5x

Year-1 growth is against LTM at announcement ($3.2B revenue, $707M EBITDA); later years are year over year.

Hillrom management prepared standalone unaudited projections covering Q4 FY2021E and fiscal years 2022E through 2031E (fiscal year ending September 30), which were given to the Hillrom Board, Goldman Sachs, BofA Securities and Baxter. Revenue was projected to grow from $767 million in Q4 FY2021E and $3,197 million in 2022E to $5,303 million in 2031E, with Adjusted EBITDA of $707 million in 2022E rising to $1,418 million in 2031E, and unlevered free cash flow of $493 million in 2022E rising to $1,016 million in 2031E. Management also provided estimates of LTM Adjusted EBITDA (twelve months ended June 30, 2021) of $632 million and NTM Adjusted EBITDA (twelve months ending June 30, 2022) of $688 million.

Process notes

Two financial advisors delivered fairness opinions to the Hillrom Board (Goldman Sachs and BofA Securities), both dated September 1, 2021; only the BofA Securities opinion section was included in the provided slices, so Goldman Sachs' analyses and fees are not captured. Hillrom did not solicit alternative proposals before signing; BofA Securities was not requested to solicit indications of interest. Reverse termination fee ($420 million) is larger than the company fee ($367 million), reflecting negotiated regulatory risk allocation. No dissenters' rights under Indiana law. Analyses referenced the July 27, 2021 'Unaffected Price' (day before The Wall Street Journal reported deal discussions).

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