Fairness opinionsMedical Devices and Supplies2021

Misonix acquired by Bioventus: fairness opinion by J.P. Morgan and Perella Weinberg Partners

Announced July 29, 2021 · One-step merger · Cash and stock · DEFM14A filed September 24, 2021
Medical Devices and Supplies Medical Devices
Enterprise value
$518M
equity $518M
EV / LTM EBITDA
EBITDA $-3.0M · -4% margin
EV / LTM revenue
6.48x
revenue $80.0M
DCF discount rate
10.3%–12.3%
Perpetuity growth

Deal terms

ConsiderationCash and stock
Price per share$28.00
Premium
Premium basisMisonix closing price of $23.30 on July 27, 2021
StructureOne-step merger
Termination fee$20.7M
Reverse termination fee$20.7M
Go-shopNone
Outside dateJanuary 31, 2022

Each Misonix share converted, at holder election, into either $28.00 in cash or 1.6839 shares of Bioventus class A common stock, subject to proration such that aggregate cash equals $10.50 multiplied by the number of outstanding Misonix shares. Implied per share value of $28.00 calculated as $10.50 cash plus 1.0524 Bioventus shares valued at the seven-day VWAP of $16.63 as of July 27, 2021.

Implied value per share by method vs. $28.00 offer

Selected companies — FV / 2021E Revenue (Misonix peers) (J.P. Morgan) $11.20 – $30.20
Selected companies — FV / 2022E Revenue (Misonix peers) (J.P. Morgan) $15.60 – $38.20
Selected companies — FV / 2021E Revenue (Bioventus peers) - implied Bioventus per share (J.P. Morgan) $8.30 – $31.10
Selected companies — FV / 2022E Revenue (Bioventus peers) - implied Bioventus per share (J.P. Morgan) $9.50 – $32.80
Selected companies — FV / 2021E EBITDA (Bioventus peers) - implied Bioventus per share (J.P. Morgan) $14.50 – $42.90
Selected companies — FV / 2022E EBITDA (Bioventus peers) - implied Bioventus per share (J.P. Morgan) $15.10 – $34.40
Precedent transactions — FV / NTM Revenue (J.P. Morgan) $16.10 – $31.80
Discounted cash flow (J.P. Morgan) $18.50 – $28.60
Discounted Cash Flow Analysis (including cost synergies) (J.P. Morgan) $23.50 – $33.60
Bioventus Discounted Cash Flow Analysis (J.P. Morgan) $17.10 – $25.70

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

Opinion of J.P. Morgan to the target board

Delivered July 29, 2021 · Fee $8.0M ($7.0M contingent on closing), $1.0M on delivery of the opinion

Discounted cash flow assumptions

Discount rate10.3%–12.3%
BasisWACC of Misonix of 10.25% to 12.25%
Terminal valuePerpetuity growth
Perpetuity growth3.0%–4.0%
Exit multiple
Projection periodFY2022E-FY2026E (July 1, 2021 through June 30, 2026)
Projections usedMisonix revised unaudited projections (Misonix Projections)
Implied value per share$18.50–$28.60

Excluding cost synergies: $18.50-$28.60. Including cost synergies (adding 50% of implied equity value of Misonix projected cost synergies, using 0.0% perpetual growth and 11.1% discount rate; synergy DCF used 0.0%-1.0% perpetual growth and 10.1%-12.1% discount rates): $23.50-$33.60. Separate Bioventus DCF using Adjusted Bioventus Street Forecasts (July 1, 2021-Dec 31, 2025), 2.5%-3.5% perpetual growth and 10.0%-12.0% discount rates, implied $17.10-$25.70 per Bioventus share.

Selected public companies (17)

ConvaTec Group plc · Integra LifeSciences Holdings Corporation · ConMed Corporation · NuVasive, Inc. · Avanos Medical, Inc. · AxoGen, Inc. · Orthofix Medical Inc. · SurModics, Inc. · Vapotherm, Inc. · Anika Therapeutics, Inc. · Intersect ENT, Inc. · Sientra, Inc. · Globus Medical, Inc. · Hill-Rom Holdings, Inc. · ICU Medical, Inc. · Merit Medical Systems, Inc. · Medacta Group SA

MultiplePeer lowPeer medianPeer highRange appliedImplied per share
FV / 2021E Revenue (Misonix peers)1.5x4.9x7.1x 2.6x–7.1x $11.20–$30.20
FV / 2022E Revenue (Misonix peers)1.5x4.5x6.3x 2.5x–6.3x $15.60–$38.20
FV / 2021E Revenue (Bioventus peers) - implied Bioventus per share1.5x3.8x9.1x 1.5x–4.9x $8.30–$31.10
FV / 2022E Revenue (Bioventus peers) - implied Bioventus per share1.5x3.3x8.2x 1.5x–4.6x $9.50–$32.80
FV / 2021E EBITDA (Bioventus peers) - implied Bioventus per share12.5x19.6x35.0x 12.5x–35.0x $14.50–$42.90
FV / 2022E EBITDA (Bioventus peers) - implied Bioventus per share11.1x17.1x24.1x 11.1x–24.1x $15.10–$34.40

Selected precedent transactions (10)

DateTargetAcquirerMultiple
2020-12-18BioTelemetry, Inc.Royal Philips5.4x FV / NTM Revenue
2019-11-04Wright Medical Group N.V.Stryker Corporation5.3x FV / NTM Revenue
2018-12-13Buffalo Filter LLCConmed Corporation7.5x FV / NTM Revenue
2018-08-30K2M Group Holdings, Inc.Stryker Corporation4.3x FV / NTM Revenue
2017-06-28The Spectranetics CorporationRoyal Philips6.6x FV / NTM Revenue
2016-12-02Vascular Solutions, Inc.Teleflex Incorporated5.3x FV / NTM Revenue
2016-06-07LDR Holding CorporationZimmer Biomet Holdings, Inc.5.1x FV / NTM Revenue
2014-05-27AngioScore Inc.The Spectranetics Corporation3.7x FV / NTM Revenue
2013-12-08Given Imaging Ltd.Covidien plc4.0x FV / NTM Revenue
2013-04-29Conceptus, Inc.Bayer Healthcare LLC6.7x FV / NTM Revenue
MultipleLowMedianHighRange appliedImplied per share
FV / NTM Revenue3.7x5.3x7.5x 3.7x–7.5x $16.10–$31.80

Other analyses

AnalysisSummaryImplied per share
Discounted Cash Flow Analysis (including cost synergies)Misonix DCF adjusted by adding 50% of the implied equity value of projected cost synergies (0.0% perpetual growth, 11.1% discount rate)$23.50–$33.60
Bioventus Discounted Cash Flow AnalysisDCF of Bioventus using Adjusted Bioventus Street Forecasts, 2.5%-3.5% perpetuity growth, 10.0%-12.0% discount rates; compared to Bioventus seven-day VWAP of $16.63$17.10–$25.70
Relative Implied Exchange Ratio AnalysisImplied exchange ratios: Trading multiples Misonix FV/2021E Revenue vs Bioventus FV/2021E EBITDA 0.2611x-2.0828x; Misonix FV/2022E Revenue vs Bioventus FV/2022E EBITDA 0.4535x-2.5298x; DCF (excl. synergies) 0.7198x-1.6725x; compared to exchange ratio of 1.6839x
Intrinsic Value Creation AnalysisCompared implied standalone DCF equity value of Misonix to implied equity value attributable to existing Misonix holders in the pro forma combined company; indicated hypothetical incremental implied value of 47% to Misonix holders

Transaction fee of approximately $8 million, of which $1 million payable upon delivery of opinion and the balance upon closing. Aggregate fees over prior two years from Misonix approx. $2 million and from Bioventus/Bioventus LLC approx. $3.25 million.

Opinion of Perella Weinberg Partners to the acquirer board

Delivered July 29, 2021 · Fee $5.0M ($3.5M contingent on closing), $1.5M on delivery of the opinion

Discounted cash flow assumptions

Discount rate8.5%–9.5%
BasisWACC of Misonix derived using CAPM
Terminal valuePerpetuity growth
Perpetuity growth3.0%–4.0%
Exit multiple
Projection period2H CY2021E-CY2031E
Projections usedAdjusted and Extrapolated Misonix Street Forecasts
Implied value per share$26.55–$38.54

Standalone Misonix DCF: $26.55-$38.54. Including Cost Savings: $42.28-$60.62. Separate Bioventus DCF (2H CY2021E-CY2025E, 7.75%-8.75% discount rates, 3.0%-4.0% perpetuity growth) implied $22.52-$33.99 per Bioventus share, translating to a Bioventus DCF Implied Offer Value Range for Misonix of $34.20-$46.27 (1.0524x plus $10.50).

Selected public companies (15)

Alphatec Holdings, Inc. · Anika Therapeutics, Inc. · Axogen, Inc. · CONMED Corporation · Globus Medical, Inc. · Integra LifeSciences Holdings Corporation · NuVasive, Inc. · Organogenesis Holdings Inc. · Orthofix Medical Inc. · SeaSpine Holdings Corporation · Surgalign Holdings, Inc. · Vericel Corporation · Apyx Medical Corporation · MiMedx Group, Inc. · PolarityTE, Inc.

MultiplePeer lowPeer medianPeer highRange appliedImplied per share
EV / 2021E Revenue (Misonix peers)2.7x5.5x21.3x 4.5x–9.0x $19.14–$40.45
EV / 2022E Revenue (Misonix peers)3.3x5.4x16.4x 4.5x–7.5x $22.31–$39.50
EV / 2021E Revenue (Bioventus peers) - implied Bioventus per share1.0x4.7x21.3x 3.8x–6.0x $24.36–$42.03
EV / 2022E Revenue (Bioventus peers) - implied Bioventus per share0.9x4.3x15.6x 3.3x–5.3x $23.61–$41.12
EV / 2021E Adj. EBITDA (Bioventus peers) - implied Bioventus per share13.8x24.3x34.9x 24.0x–29.0x $29.83–$38.62
EV / 2022E Adj. EBITDA (Bioventus peers) - implied Bioventus per share11.2x21.2x24.1x 21.0x–24.0x $30.66–$37.48

Selected precedent transactions (19)

DateTargetAcquirerMultiple
2021-03Lumenis Ltd. (Surgical Business)Boston Scientific Corporation5.4x EV / NTM Revenue
2021-01Preventice Solutions, Inc.Boston Scientific Corporation7.8x EV / LTM Revenue
2021-01Cantel MedicalSteris plc4.3x EV / LTM Revenue
2020-12BioTelemetry, Inc.Koninklijke Philips N.V.6.2x EV / LTM Revenue
2020-12ACell, Inc.Integra LifeSciences Holdings Corporation4.0x EV / LTM Revenue
2020-10Key SurgicalSteris plc5.0x EV / NTM Revenue
2020-07Medicrea InternationalMedtronic plc7.6x EV / LTM Revenue
2020-01Arthrosurface, Inc.Anika Therapeutics, Inc.3.4x EV / LTM Revenue
2019-11Wright Medical Group N.V.Stryker Corporation5.8x EV / LTM Revenue
2019-07Hu-Friedy Manufacturing Co., LLCCantel Medical3.6x EV / LTM Revenue
2019-05Vertiflex, Inc.Boston Scientific Corporation18.0x EV / LTM Revenue
2019-03MyoScience, Inc.Pacira Pharmaceuticals Inc.40.3x EV / LTM Revenue
2018-12Buffalo Filter LLCCONMED Corporation8.3x EV / LTM Revenue
2018-08Cartiva, Inc.Wright Medical Group N.V.18.0x EV / LTM Revenue
2017-12Entellus Medical, Inc.Stryker Corporation8.2x EV / LTM Revenue
2017-10Jotec GmbHCryoLife, Inc.4.4x EV / LTM Revenue
2017-06Novadaq Technologies Inc.Stryker Corporation7.8x EV / LTM Revenue
2017-02ZELTIQ Aesthetics, Inc.Allergan plc6.8x EV / LTM Revenue
2016-02Sage Products LLCStryker Corporation6.5x EV / LTM Revenue
MultipleLowMedianHighRange appliedImplied per share
EV / LTM Revenue3.4x6.8x40.3x 4.5x–8.5x $17.75–$35.20
EV / NTM Revenue3.8x5.9x12.4x 4.0x–6.5x $18.51–$31.53

Other analyses

AnalysisSummaryImplied per share
Misonix Discounted Cash Flow Analysis (including Cost Savings)Same DCF framework plus present value of approximately $20 million of cost savings and related cash flows$42.28–$60.62
Bioventus Discounted Cash Flow Analysis / Implied Offer ValueBioventus DCF implied $22.52-$33.99 per Bioventus share; multiplied by 1.0524 plus $10.50 cash to derive Bioventus DCF Implied Offer Value Range for Misonix$34.20–$46.27
Bioventus Selected Companies - Implied Offer Value Ranges2021E revenue based implied offer value range $36.14-$54.74; 2022E revenue based $35.35-$53.78 (Bioventus implied value x 1.0524 + $10.50)$35.35–$54.74
Historical Stock Trading (52-week)Misonix closing price ranged $11.04-$24.42 over the 52 weeks ended July 27, 2021 (closing $23.30); Bioventus ranged $10.74-$19.94 (closing $16.81). Reference data only.$11.04–$24.42
Equity Research Analyst Price TargetsRecent analyst price target for Misonix was $23.00 per share; Bioventus targets ranged $19.00-$23.00. Reference data only.$23.00

Engagement letter dated July 21, 2021; $1.5 million payable on delivery of opinion (payable even if PWP determined it could not deliver an opinion) and an additional $3.5 million upon closing.

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Management projections

Projection yearYear 1Year 2Year 3Year 4Year 5CAGR
Revenue$98.0M$125M$156M$194M$235M24.4%
Revenue growth22.5%28.0%24.7%24.0%21.0%
EBITDA$4.3M$12.1M$21.6M$33.7M$44.6M79.5%
EBITDA growth181.4%78.5%56.0%32.3%
EBITDA margin4%10%14%17%19%
Implied EV / EBITDA120.5x42.8x24.0x15.4x11.6x

Year-1 growth is against LTM at announcement ($80.0M revenue, $-3.0M EBITDA); later years are year over year.

Two sets of Misonix management projections (fiscal years ending June 30, 2022-2026) were provided to the Misonix board and J.P. Morgan: preliminary (FY2022 revenue $98.0M / Adj. EBITDA $4.3M rising to FY2026 revenue $234.8M / Adj. EBITDA $44.6M) and revised (FY2022 revenue $98.2M / Adj. EBITDA $2.3M rising to FY2026 revenue $243.1M / Adj. EBITDA $45.7M, with unlevered FCF of $(9.7)M to $27.0M); J.P. Morgan was instructed to rely on the revised projections. Bioventus management separately used Adjusted Bioventus Street Forecasts (CY2021E revenue $413M / Adj. EBITDA $79M to CY2025E revenue $644M / Adj. EBITDA $147M) and Adjusted and Extrapolated Misonix Street Forecasts (CY2021E revenue $80M / Adj. EBITDA $(3)M to CY2031E revenue $304M / Adj. EBITDA $91M), which Perella Weinberg relied upon. Both parties also agreed on approximately $20 million of cost synergies realizable by the second full year after closing.

Process notes

Two fairness opinions: J.P. Morgan to the Misonix board (target) and Perella Weinberg to the Bioventus board (acquirer), both rendered orally July 28, 2021 and confirmed in writing July 29, 2021. Mixed cash/stock election consideration with proration so that aggregate cash equals $10.50 per outstanding Misonix share; a $28.00 implied value per share was set using Bioventus' 30-day/7-day VWAP at signing. Misonix's projections were never shared with Bioventus, so Perella Weinberg relied on street-derived, Bioventus-adjusted Misonix forecasts. Termination fee of $20,661,000 is mutual (payable by either party). Negotiation history shows Misonix unsuccessfully sought a collar on the exchange ratio; initial price discussion was $27.50 per share and fee discussions ranged from 2.0% to 4.5% of Misonix equity value. Voting/support agreements cover approximately 67.4% of Bioventus shares and 28.8% of Misonix shares. Outside date January 31, 2022, extendable to March 31, 2022 for regulatory matters. J.P. Morgan disclosed prior relationships with both parties (aggregate fees of ~$2M from Misonix and ~$3.25M from Bioventus over prior two years).

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