Fairness opinionsHospitals2018

LifePoint Health acquired by Apollo Global Management: fairness opinion by Goldman Sachs

Announced July 23, 2018 · One-step merger · All cash · DEFM14A filed September 27, 2018
Hospitals Hospital: General Acute Care
Enterprise value
$5.6B
EV / LTM EBITDA
7.5x
EBITDA $751M · 12% margin
EV / LTM revenue
0.88x
revenue $6.3B
DCF discount rate
7.0%–8.5%
Exit multiple

Deal terms

ConsiderationAll cash
Price per share$65.00
Premium35.7%
Premium basisclosing price of $47.90 on July 20, 2018 (last trading day before opinion)
StructureOne-step merger
Termination fee$80.4M
Reverse termination fee$161M
Go-shop31 days · $40.2M reduced fee
Outside date

Implied value per share by method vs. $65.00 offer

Precedent transactions — EV / LTM EBITDA $66.25 – $72.70
Discounted cash flow $58.90 – $89.05
Illustrative Present Value of Future Share Price Analysis $42.60 – $75.25
Premia Paid Analysis $57.55 – $70.25

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 22, 2018 · Fee $31.6M ($28.6M contingent on closing)

Discounted cash flow assumptions

Discount rate7.0%–8.5%
BasisWACC (capital asset pricing model)
Terminal valueExit multiple
Perpetuity growth
Exit multiple6.0x–7.5x EV / terminal year (2022E) EBITDA
Projection periodJuly 1, 2018 - December 31, 2022
Projections usedLifePoint Forecasts (management)
Implied value per share$58.90–$89.05

Discounted to June 30, 2018 using mid-year convention; 24.5% cash tax rate; subtracted net debt of $2,785 million and minority interest of $135 million; 41.2 million fully-diluted shares. Sensitivity analyses at 7.75% discount rate and 6.75x terminal multiple showed per-share effects of $(3.40)-$3.45 (revenue growth), $(7.70)-$7.55 (EBITDA margin) and $(3.80)-$3.70 (capital expenditures).

Selected public companies (5)

LifePoint Health, Inc. · Community Health Systems Inc. · HCA Healthcare, Inc. · Tenet Healthcare Corporation · Universal Health Services, Inc.

MultiplePeer lowPeer medianPeer highRange appliedImplied per share
EV / NTM EBITDA (as of July 20, 2018)7.6x9.2x
EV / NTM EBITDA - Hospital Services Index (as of July 20, 2018)7.9x

Selected precedent transactions (5)

DateTargetAcquirerMultiple
2006-07-24HCA Inc.Hercules Holding II, LLC7.9x EV / LTM EBITDA
2013-06-24Vanguard Health Systems, Inc.Tenet Healthcare Corporation7.8x EV / LTM EBITDA
2013-07-30Health Management Associates, Inc.Community Health Systems, Inc.8.2x EV / LTM EBITDA
2015-07-27Capella Healthcare, Inc.Medical Properties Trust, Inc.8.1x EV / LTM EBITDA
2017-05-19IASIS Healthcare LLCSteward Health Care LLC8.2x EV / LTM EBITDA
MultipleLowMedianHighRange appliedImplied per share
EV / LTM EBITDA7.8x8.1x8.2x 7.8x–8.2x $66.25–$72.70

Other analyses

AnalysisSummaryImplied per share
Implied Premia and Multiple Analyses$65.00 implied premia of 35.7% to the $47.90 closing price on July 20, 2018, (0.7)% to the 52-week high of $65.45, 31.1% to the 1-month VWAP of $49.60 and 26.3% to the 3-month VWAP of $51.45. Implied EV multiples: 7.5x 2017A EBITDA, 7.6x 2018E EBITDA (I/B/E/S) and 7.5x 2018E EBITDA (LifePoint Forecasts).
Historical Trading MultiplesFor reference only: average EV/NTM EBITDA multiples as of July 20, 2018 and over 1, 2, 3 and 5-year periods - LifePoint 6.4x/6.4x/6.5x/6.7x/7.0x; CHS 9.2x/8.8x/8.2x/7.8x/7.6x; HCA 8.1x/7.6x/7.4x/7.4x/7.6x; Tenet 7.6x/7.4x/7.4x/7.6x/7.7x; UHS 7.9x/8.1x/8.3x/8.5x/8.6x; Hospital Services Index 7.9x/7.7x/7.5x/7.5x/7.6x.
Illustrative Present Value of Future Share Price AnalysisApplied EV/NTM EBITDA multiples of 6.0x to 7.0x to LifePoint Forecast EBITDA to derive theoretical future share prices as of December 31, 2018-2021, discounted to June 30, 2018 at a 9.6% cost of equity.$42.60–$75.25
Premia Paid AnalysisReviewed all-cash acquisitions of U.S. public companies announced January 1, 2011 - July 20, 2018 with enterprise values of $2-$10 billion; annual median premia ranged from 20.1% (2018 YTD) to 46.7% (2012). Applied 20.1% to 46.7% to the $47.90 July 20, 2018 closing price.$57.55–$70.25

Transaction fee estimated at approximately $31.6 million, $3.0 million of which became payable upon execution of the merger agreement and the remainder contingent upon consummation. Goldman Sachs recognized approximately $116.4 million of compensation from AGM, its affiliates and portfolio companies during the two-year period ended June 22, 2018.

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Management projections

Projection yearYear 1Year 2Year 3Year 4CAGR
Revenue$6.4B$6.6B$6.8B$7.0B3.0%
Revenue growth1.0%3.0%3.0%3.0%
EBITDA$783M$837M$882M$932M6.0%
EBITDA growth4.3%6.9%5.4%5.7%
EBITDA margin12%13%13%13%
Implied EV / EBITDA7.2x6.7x6.3x6.0x

Year-1 growth is against LTM at announcement ($6.3B revenue, $751M EBITDA); later years are year over year.

Goldman Sachs used the "LifePoint Forecasts," internal financial analyses and forecasts for LifePoint prepared by management and approved for Goldman Sachs' use, covering the period from July 1, 2018 through December 31, 2022 (unlevered free cash flow) with future share price analysis extending through calendar 2021. Implied EV/2018E EBITDA based on the LifePoint Forecasts was 7.5x (versus 7.6x on I/B/E/S estimates). A 24.5% cash tax rate was assumed and stock-based compensation was treated as a cash expense; specific revenue/EBITDA dollar figures are not shown in the sliced sections.

Process notes

Single fairness opinion, delivered by Goldman Sachs to the LifePoint Board on July 22, 2018. Deal included a 31-day go-shop period (July 22 - August 22, 2018) with a reduced $40,176,000 termination fee for an exempted-person superior proposal; no exempted persons emerged as of the no-shop period start date. Parent termination fee $160,703,000; expense reimbursement up to $20,000,000 on a stockholder vote termination. Apollo's bidding history: $60.00/share (Nov 2017), mid-$60s indication (Dec 2017), $58.00-$60.00 (Apr 2018), $61.00 (May 2018), final $65.00. Goldman Sachs disclosed extensive prior relationships with Apollo/AGM portfolio companies (~$116.4 million of compensation over the prior two years), which was disclosed to the LifePoint Board. Financing included $4.975 billion of committed debt plus an $800 million ABL facility.

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