Fairness opinionsPhysician Groups2010

Virtual Radiologic acquired by Providence Equity Partners: fairness opinion by Goldman Sachs

Announced May 17, 2010 · Going-private · All cash · DEFM14A filed June 18, 2010
Physician Groups Facility-Based
Enterprise value
$294M
EV / LTM EBITDA
9.5x
EBITDA $31.0M · 23% margin
EV / LTM revenue
2.19x
revenue $134M
DCF discount rate
9.0%–11.0%
Perpetuity growth

Deal terms

ConsiderationAll cash
Price per share$17.25
Premium32.8%
Premium basisclosing price of $12.99 on May 14, 2010
StructureGoing-private
Termination fee$9.0M
Reverse termination fee
Go-shopNone
Outside date

Implied value per share by method vs. $17.25 offer

Discounted cash flow $13.87 – $18.88
Illustrative Present Value of Future Share Price — P/E Analysis $12.06 – $18.52
Illustrative Present Value of Future Share Price — EBITDA Analysis $11.70 – $16.87

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 May 16, 2010 · Fee $3.0M ($3.0M contingent on closing)

Discounted cash flow assumptions

Discount rate9.0%–11.0%
Basisweighted average cost of capital based on certain financial metrics, including betas, for Virtual Radiologic and the Selected Companies
Terminal valuePerpetuity growth
Perpetuity growth2.0%–3.0%
Exit multiple
Projection period2010E-2014E
Projections usedForecasts prepared by Virtual Radiologic management
Implied value per share$13.87–$18.88

Unlevered free cash flows discounted back to March 31, 2010; EBITDA estimates adjusted to add back medical malpractice reserve accruals.

Selected public companies (9)

Alliance Healthcare Services, Inc. · RadNet, Inc. · NightHawk Radiology Holdings, Inc. · MEDNAX, Inc. · Emergency Medical Services L.P. · Team Health, Inc. · IPC The Hospitalist Company, Inc. · AMN Healthcare Services, Inc. · Cross Country Healthcare, Inc.

MultiplePeer lowPeer medianPeer highRange appliedImplied per share
EV / CY2010E EBITDA5.3x8.7x13.2x
EV / CY2011E EBITDA5.0x8.0x10.4x
P / CY2010E EPS13.0x14.1x20.7x
P / CY2011E EPS9.4x15.8x31.7x

Other analyses

AnalysisSummaryImplied per share
Historical Stock Trading Analysis$17.25 represented a 32.8% premium to the $12.99 closing price on May 14, 2010, a 54.9% premium to the three-month average closing price ended May 14, 2010, and a 25% premium to the highest closing price during the twelve-month period ended May 14, 2010.
Illustrative Present Value of Future Share Price — P/E AnalysisApplied forward P/E multiples of 14.0x and 16.0x to forward-year EPS estimates for fiscal years 2010-2014, discounted to March 31, 2010 at 11%-14% cost of equity. Ranges: 2010 $12.27-$14.02; 2011 $12.06-$14.06; 2012 $12.32-$14.75; 2013 $13.25-$16.30; 2014 $14.66-$18.52.$12.06–$18.52
Illustrative Present Value of Future Share Price — EBITDA AnalysisApplied EV/forward EBITDA multiples of 5.0x and 6.0x for fiscal years 2010-2014, discounted to March 31, 2010 at 11%-14%. Ranges: 2010 $12.44-$14.20; 2011 $11.94-$13.94; 2012 $11.70-$14.10; 2013 $12.15-$15.08; 2014 $13.13-$16.87.$11.70–$16.87
Illustrative Leveraged Buyout AnalysisAssumed a hypothetical financial buyer purchase price of $17.25 per share, leverage of 3.5x-4.5x, weighted average interest rate of 7.00%-11.00%, and a 2014 exit at 5.5x-7.5x one-year forward EBITDA (EBITDA adjusted for malpractice accruals, stock comp and $1.0 million of public-company cost savings). Implied IRRs of 19.3% to 22.6%.
Implied Multiples of Virtual Radiologic at Merger ConsiderationAt $17.25: EV/2010E EBITDA 7.9x and 2011E 7.2x, P/E 20.8x (2010) and 19.2x (2011) using IBES medians; 7.7x/7.2x EBITDA and 19.6x/18.1x P/E using the Forecasts. At the $12.99 closing price: 5.4x/4.9x EBITDA and 15.7x/14.4x P/E (IBES); 5.3x/4.9x and 14.8x/13.7x (Forecasts).

Transaction fee of approximately $3 million, all contingent upon consummation of the merger; plus expense reimbursement and indemnification. Engagement letter dated January 12, 2010.

3,000+ healthcare deal-level valuation multiples
The Valuation database includes financial details for more than 3,000 healthcare M&A transactions, private and public, with deal-level multiples, categorized by segment, type, and year.
See the Valuation database →

Management projections

Projection yearYear 1Year 2Year 3Year 4CAGR
Revenue$151M$182M$234M$319M28.3%
Revenue growth13.0%20.5%28.5%36.3%
EBITDA$33.6M$39.0M$48.7M$63.4M23.6%
EBITDA growth8.4%16.1%24.9%30.2%
EBITDA margin22%21%21%20%
Implied EV / EBITDA8.8x7.5x6.0x4.6x

Year-1 growth is against LTM at announcement ($134M revenue, $31.0M EBITDA); later years are year over year.

Goldman Sachs used internal financial analyses and forecasts for fiscal years 2010 through 2014 prepared by Virtual Radiologic management and approved for Goldman Sachs' use (the "Forecasts"), along with IBES median estimates for comparison. The Forecasts implied EV/EBITDA multiples of 5.3x (2010E) and 4.9x (2011E) at the $12.99 market price. For certain analyses, EBITDA estimates were adjusted per company guidance to add back medical malpractice reserve accruals (and, in the LBO analysis, stock-based compensation and $1.0 million in annual public-company cost savings). No specific revenue or EBITDA dollar figures were disclosed in the excerpted sections.

Process notes

Single financial advisor (Goldman Sachs) delivering an opinion to the Virtual Radiologic Board; no special committee described. Goldman Sachs disclosed prior and ongoing relationships with Providence Equity Partners and its portfolio companies (Warner Music Group, Stream Global Services, Education Management). Dr. Eduard Michel and the Generation Funds (approximately 31.3% of shares) entered voting and proxy agreements with a no-shop restriction; other directors and officers hold approximately 1.7%. In addition to the $9.0 million termination fee, the company may be required to reimburse Parent's expenses up to $2.4 million (creditable against the termination fee). No precedent transactions analysis with named deals was disclosed, although Goldman Sachs reviewed financial terms of certain recent business combinations in healthcare staffing and department outsourcing.

Other Physician Groups fairness opinions

All Physician Groups opinions → · Goldman Sachs opinions