Memorandum

Platinum Equity offers to acquire J&J’s LifeScan business for $2.1 billion; plan to create a standalone company – March 16, 2018

Executive Highlights

  • J&J announced today that it has received a binding offer from Platinum Equity to acquire the LifeScan BGM business for ~$2.1 billion. If the proposed offer is accepted, the transaction would be expected to close by the end of 2018. Current LifeScan President Valerie Asbury will continue leading the business, and the goal is to “create a global standalone business and set the stage for continued investment in growth and innovation.” It seems like a similar model to Panasonic’s Ascensia (Bayer Diabetes)?
  • Platinum Equity is a leading private investment firm with a portfolio of 30+ operating companies and 200+ acquisitions since 1995. The firm specializes in M&A&O – acquiring and operating companies, especially “non-core” divisions from the world’s largest corporations. Platinum seems like a very capable business operator, but less experienced in healthcare than in other industries. We wonder if there were any proposals from existing diabetes/healthcare companies. .
  • The proposed ~$2.1 billion offer represents a somewhat-low 1.4X multiple on LifeScan’s 2017 net revenue of ~$1.5 billion. That said, this is actually a premium on the 1.0X multiple that Panasonic paid for Bayer’s Diabetes Care business three years ago – that was a ~$1.2 billion acquisition on ~$1.2 billion in previous year’s sales.
  • This news has been expected for over a year, when J&J’s 4Q16 call shared it was exploring strategic options for LifeScan/Animas. Animas subsequently announced in October it was shutting down and exiting the pump market, and this news for LifeScan has seemed even more likely since then. It is a plus that LifeScan will continue in Platinum’s hands, rather than being shut down like Animas.  
  • J&J is continuing its strategic evaluation of Calibra Medical (OneTouch Via, formerly Finesse) and there is no update at this time. We believe this is a highly attractive asset for many insulin delivery companies. It seems like J&J will not launch it.

This morning, J&J announced that it has received a binding offer from Platinum Equity, a leading private investment firm, to acquire the LifeScan BGM business for ~$2.1 billion. J&J’s acceptance period for the proposed offer will end on June 15 (unless extended), and if it is accepted, the transaction would be expected to close by the end of 2018.

Based on the Platinum Equity press release, current LifeScan President Valerie Asbury will continue leading the business following the change in ownership. The goal, according to Platinum Equity Partner Jacob Kotzubei, is to “create a global standalone business and set the stage for continued investment in growth and innovation.” In other words, it sounds a lot like what Panasonic/KKR has done with Bayer’s Diabetes business (Ascensia). We’re not sure if Platinum Equity’s ultimate plan is to turn the LifeScan business around and resell it, or to operate it indefinitely – see our list of questions below. LifeScan does not expect changes to the OneTouch products or availability, presumably in the near-term.

The ~$2.1 billion proposed valuation represents a 1.4X multiple on LifeScan’s 2017 net revenue of ~$1.5 billion, which is actually a premium on the 1.0X multiple that Panasonic paid for Bayer’s Diabetes Care business three years ago (a ~$1.2 billion acquisition on ~$1.2 billion in previous year’s sales). The proposed offer is arguably a low multiple, considering LifeScan’s brand name, 20 million patients served globally, and reach in 90 countries. Indeed, the price is ~30%-50% lower than the January rumor (Reuters) of a $3-$4 billion offer from Chinese bidders to acquire LifeScan.

We’ve been expecting this news since January 2017, when J&J first announced it was exploring strategic options for the LifeScan/Animas businesses. J&J subsequently announced in October it was shutting down Animas and exiting the pump market. While the long-term impact of this Platinum/LifeScan deal is unknown and has a fair amount of uncertainty, it’s a positive that the BGM business will at least continue – rather than shutting down completely like Animas.

Platinum is a big private investment player, but less experienced in healthcare. Its portfolio includes 30+ operating companies with $22+ billion in annual revenue, and the firm has completed 200+ acquisitions since 1995 – see this slide deck. Platinum specializes in “M&A&O” – acquiring and operating companies, with an “intensive” focus on operations and execution. The company has raised five investment funds of increasing size since 1995, now with $13 billion under management (half of that raised in 2016). Platinum Equity seems seasoned and very capable as an operator, though it does not have a serious healthcare track record. The current fund is focused on “digital transformation,” which certainly applies to LifeScan. Platinum has handled corporate divestitures for many big-name companies, including GE, IBM, and Philips.

Today’s announcement did not mention OneTouch Via (formerly Calibra Finesse), and we confirmed that J&J is continuing its strategic evaluation of this asset – we think it has tremendous upside, especially for players in insulin delivery (e.g., BD, Insulet, Lilly, Medtronic, Novo Nordisk, Roche, Sanofi).

We wish the story had played out differently for J&J in diabetes devices – LifeScan was hit hard by competitive bidding in the US, CGM has reduced the number of high-frequency BGM users, and Animas did not execute on automated insulin delivery. This news speaks to the challenges in diabetes devices, where a company as renowned as J&J had a hard time making it work. What can Platinum Equity and other companies learn for the future of BGM?

Platinum is inheriting a challenged J&J LifeScan business, particularly in the US. LifeScan/Animas sales were $1.6 billion in 2017, down 38% from the worldwide peak of $2.6 billion in 2011. Over that time, US sales have declined 53%, now running at half the size of the 2011 US business. It will be interesting to see how Platinum approaches the US vs. OUS markets and where it invests in the business vs. pulls back.

Below, we include more details on Platinum Equity, a SWOT analysis of LifeScan’s business, a non-exhaustive list of M&A deals in diabetes devices, and our long list of questions.

Who is Platinum Equity?

  • Platinum Equity was founded in 1995 and has a portfolio of more than 30 operating companies. Over the past 22 years it has completed more than 200 acquisitions, specializing in “M&A&O” – acquiring and operating companies in a variety of markets, including manufacturing, distribution, transportation and logistics, equipment rental, metals services, media and entertainment, technology, telecom, and other industries.
  • In the past 12 months, Platinum has done 29 deals in six industries – 23 acquisitions and six divestitures. The firm says its “core competency” is “Acquiring Non-Core Divisions of the World’s Largest Corporations” – certainly that applies here with J&J’s pressured LifeScan business. None of the recent deals have been in healthcare, and the biggest focus has been on “business services” (e.g., Staples in Australia and New Zealand) and “industrial services (e.g., United Site Services, who does portable sanitation). The firm’s deal criteria are quite broad: businesses with enterprise values from $100 million to $5+ billion in any industry and any geography. Overall, this page on deal activity reinforces Platinum’s wide global reach in many businesses, but also little recent experience in healthcare. Of course, that could be an asset or a handicap, depending on one’s perspective.
  • This slide deck gives a great overview of Platinum and the 30+ companies in its portfolio. This LifeScan acquisition price of $2.1 billion appears to be the firm’s second-largest in the past 12 months, following a $4 billion purchase of Emerson (industrial technology).
  • This page on corporate divestitures notes Platinum deals with some major companies: Alcatel, AT&T, BASF, Bayer, Boehme, Degussa, Fujitsu, GE, IBM, Lucent, Motorola, Owens, Corning, Philips, Vivendi, Weyerhaeuser.

LifeScan/Platinum Equity Strengths, Weaknesses, Opportunities, Threats (SWOT) Analysis

Strengths

  • Brand-name recognition
  • Global reach: 20 million patients served in 90 countries
  • OneTouch Reveal app on Android and iOS with serious global reach + Bluetooth-enabled Verio Flex meter = groundwork laid for connectivity and digital transformation
  • Fairly accurate Verio strips, massive manufacturing scale
  • Retaining well-respected executive Val Asbury to run business

Weaknesses

  • Platinum has no experience in diabetes and limited experience in healthcare – how will it handle the J&J LifeScan business?
  • Short R&D pipeline, at least from what we’ve heard publicly – how will J&J compete with Roche and Ascensia, particularly as a digital ecosystem becomes more important?
  • Pressured BGM field, especially in the US – six straight years of sales declines for LifeScan. Has it bottomed out? Where will growth come from?

Opportunities

  • More investment and operational attention to LifeScan business via Platinum Equity
  • Platinum can apply best practices from other industries to LifeScan
  • Partnership with WellDoc’s BlueStar to make BGM data more useful and drive better outcomes
  • Access to BGM supplies in high-need, high-diabetes-growth countries like China and India
  • OneTouch Reveal app – as of October 2017, it had over 420,000 total downloads
  • Insulin titration and/or coaching (e.g., Livongo, Voluntis, iSage Rx)?
  • Direct-to-consumer unlimited strips model, like One Drop, mySugr/Roche, and Livongo?
  • New business models and outcomes-based reimbursement

Threats

  • More use of CGM and factory-calibrated CGM continuing to reduce strip use in high-frequency users
  • Pricing margins – current BGM/strips pricing unlikely to go up, especially in previously profitable markets like the US
  • Less hypoglycemia0causing agents in type 2, move away from mealtime insulin
  • Offshore, store brand meters
  • Novel approaches to BGM gaining more traction in developed markets (e.g., mySugr/Roche, One Drop, Livongo, etc.)

The State of J&J’s LifeScan Business

  • Platinum is inheriting a challenged J&J LifeScan business, particularly in the US. LifeScan/Animas sales have declined for six straight years from a worldwide peak of $2.6 billion in 2011. J&J reported device division revenue of $1.6 billion in 2017, down 10% for the year (-17% in the US, -5% OUS) and down 38% from the peak. It’s notable that US and OUS businesses were almost exactly the same size in 2011; now, the US business is half the size of the OUS business, a testament to competitive bidding and the tougher US market. (As a reminder, this graph below includes the small fraction that is Animas revenue, which if anything, bolstered the overall LifeScan/Animas business from 2011-2015.)
  • Today’s news did confirm that LifeScan’s 2017 net revenue was indeed ~$1.5 billion, or ~95% of the LifeScan/Animas division’s total 2017 sales of $16 billion; that implies Animas pulled in roughly $100 million or less in 2017, on par with our model’s estimates. Assuming the Animas business declined meaningfully in 2017 (we estimate a 70% decline in our model), worldwide LifeScan BGM sales declined approximately ~2% year-over-year in 2017. If that’s in the ballpark, 2017 actually had the smallest sales decline for LifeScan BGM in the past five years.
  • We wonder if the US weakness will change Platinum’s focus with LifeScan – Will it reinvest in the US? Will it focus efforts OUS?
  • Revenue aside, we assume the LifeScan business is profitable, or at least, Platinum sees a path to profitability. We’d guess that the business’ short-term profit margins will rest more on cost reduction and operational efficiency, rather than price increases. Medium- to long-term, new business models could presumably extend topline revenue and increase profits.

Close Concerns’ Questions

Q: What does this mean for the mid- and long-term future of LifeScan, including sales and marketing investment and innovation? Will LifeScan receive more investment than it has recently at J&J? Where will Platinum focus its investment within the LifeScan portfolio – will R&D increase or decline? Will it simply improve efficiency?

Q: What are LifeScan’s profit margins right now? How much cash is the business generating? How much could it generate with the right investment?

Q: What does this mean for the BGM landscape and competition – will LifeScan return to its former peak and receive the investment it needs? How will LifeScan in three years compare to Ascensia (formerly Bayer Diabetes Care)? Will the LifeScan business be larger in three years than it is today? Will it be more profitable? Will it have more innovative products and new business models?

Q: What other offers came in, if any? Why did J&J choose Platinum Equity over a diabetes company or a healthcare company?

Q: What will be the future of OneTouch Via (formerly Calibra Finesse)? Will an insulin delivery company give this the investment it needs to launch?

Q: Beyond Valerie Asbury, how much of the current LifeScan leadership will move over to once the acquisition is completed?

Q: Has Platinum been successful in healthcare? Will its experience operating many non-healthcare companies be an asset? Over the past 22 years and 200+ acquisitions, what are Platinum Equity’s biggest successes? What are its biggest failures?

Q: Will Platinum operate the LifeScan business for some period of time, but ultimately sell it to a diabetes/healthcare company? If that is the plan, will it change the scope of investment or how it runs the business?

Q: Will LifeScan be more nimble under Platinum? Will it be more open to partnerships, especially in digital health?

How does this compare to other M&A in diabetes devices over the past 20 years?

This list below is not exhaustive – let us know what we missed!

Buyer

Seller

Date

Price

Abbott

MediSense

August 1996

$867 million

Inverness

Integ

January 2001

$40 million

Medtronic

MiniMed

August 2001

$3.5 billion

J&J

Inverness

November 2001

$1.3 billion

Roche

Amira

November 2001

$140 million

Roche

Disetronic

February 2003

$900 million

Abbott

TheraSense

January 2004

$1.2 billion

J&J

Animas

December 2005

$518 million

Roche

Medingo

April 2010

$160 million

Alere

Axis-Shield

November 2011

$373 million

Alere

Arriva Medical

November 2011

$65 million

Medtronic

Diabeter clinic

April 2015

We’d speculate <$10 million*

Bigfoot Biomedical

Asante

May 2015

We’d speculate <$10 million*

Panasonic

Bayer

June 2015

$1.2 billion

Abbott

Alere

February 2016

$5.8 billion

Biotelemetry

Telcare

December 2016

$7 million

Bigfoot

Timesulin

June 2017

We’d speculate <$10 million*

Roche

mySugr

June 2017

$80 million

Livongo

Diabeto

September 2017

We’d speculate <$10 million*

Enteromedics

ReShape Medical

October 2017

$38 million

*Financial terms were not disclosed, though these deals were all acquisitions of small companies.

 

--by Adam Brown and Kelly Close