Lifesciences Sector Trends August 2016
Strictly private and confidential
Recent Developments in the Indian Lifesciences Sector News Run
1
Indian Lifesciences Sector – Industry Headlines Indian pharma companies eyeing overseas acquisitions to expand operations “India’s top pharma companies are embarking on an acquisition spree to bulk up their overseas presence. Companies like Lupin, Torrent, Zydus, Cadila, Aurobindo, Dr. Reddy’s and Sun Pharma are examining proposals of varying sizes that can fill gaps in the product range, scouting for niche manufacturing sites, promising experimental drugs, specialty firms in emerging markets and opportunities in the US, Europe or Japan. At the same time, a bunch of small Indian firms are also emerging as prime acquisition targets“ The Economic Times, August 25, 2016
Indian drug makers feel pinch of price curbs as Q1 growth slows “India’s pharmaceutical sector grew at 6.4% in the April-June quarter, down from 14.8% last year, largely due to the aggressive price controls by the government. The moderation of growth is attributable to aggressive price controls by the government, coupled with cut-throat competition in the domestic branded formulation market and the ban on fixed dose combination drugs” Livemint, August 17, 2016
GST to benefit pharma industry but pricing remains a concern “The goods and services tax (GST), India’s biggest indirect tax reform, is expected to be beneficial for Indian drug makers in the medium to long run as it aims to simplify tax structure and bring operational efficiency. However, concerns about drug prices, exemptions and compliance remain. Up to 12% tax rate, the impact on pricing of drugs will be neutral. Beyond that, there may be some inflationary effect” Livemint, August 05, 2016
At last, India caps prices of stents “Prices of stents are set to get cheaper. The government has included two categories of stents (drug eluting and bare metal stents) in the National List of Essential Medicines (NLEM), a step expected to lead to a steep drop in the prices of the device. The move has received mixed reviews producers - Global medical device manufacturers criticized the move and said it is detrimental to the nascent medical device industry committed to improve access to quality healthcare & medical devices in India. AiMed, a lobby group representing indigenous medical device makers, said the move may improve opportunities for Indian stent makers” The Economic Times, July 20, 2016
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Indian Lifesciences Sector – Company Highlights Cipla, Wockhardt in talks for a broader business alliance “India's top drugmakers Cipla and Wockhardt are in advanced stages of talks for a broader business alliance exploring the best synergies between the two to tide over serious market and regulatory challenges globally. The alliance, which is very strategic in nature, would involve synergies between the manufacturing capabilities of Cipla and the brand and marketing bandwidth of Wockhardt on a global scale, mainly concerned with the US and Europe” The Business World, August 23, 2016
Lupin looks to launch 25 products in US this fiscal “Drug major Lupin expects to launch nearly 25 products in the US market in 2016-17 that the company expects to be the key driver for its revenue growth, going forward. As per the company, in the next two years, a combination of products in particular semi-exclusive, exclusive plus dermatology pipeline out of India as well as Gavis plus the controlled substances would add nicely to their revenues as well as profitability” The Economic Times, August 15, 2016
Dr. Lal Path Labs looking at acquisitions to expand, to set up central hub in New Town by Sept ’17 “ Dr Lal PathLabs, India's biggest pathology chain, is looking for acquisition of medium and small pathology firms, especially in western and southern parts of the country. To spread its footprint in the east, the pathology major is coming up with an 8-storied, 1,500sqm central lab in New Town (Kolkata) by September, 2017. The New Town lab will cater to the entire east for high-level and critical tests like molecular diagnostics, flow cytometry and genetics. In order to bolster its footprint in central India, the firm will set up one central lab in Lucknow by December, 2018. For the west and south regions, it is strengthening network in Pune and Bengaluru” The Times of India, August 09, 2016
Apollo Hospitals launches cancer institutes, to invest INR 1,200 crore in oncology segment to offer proton therapy “The Apollo Hospitals announced consolidation of its oncology facilities across the country into a functional independent entity called Apollo Cancer Institutes. Plans are afoot to launch cancer institutes in Mumbai besides some other cities including Visakhapatnam. Further, Apollo will also invest ~ INR 1,200 crore in advanced precision oncology care. Out of the proposed investment, INR 650 crore will be spent on state of the art proton therapy treatment facilities to be installed in the Apollo Cancer Institute in Chennai. The proton therapy, to be available for the patients by 2018, will be first of its kind in the country” The Hindu Business Line, August 04, 2016
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Lifesciences Deal Activity YTDFY2017
4
PE, M&A and Capital Market Activity # of transactions vis-à-vis last year 1 YTDFY16 40
38
Transaction value vis-à-vis last year 1&2 YTDFY17
38
2,500
29
30
YTDFY17
2,138
2,000
24
1,716
1,500
20
1,000
10
2
1
610
500
1
153
85
137
62
0
0 PE
M&A
IPO
QIP
PE
Capital market activity – YTDFY17 IPOs
Company
YTDFY16
US$ mn
Issue Size Month (US$ mn) May-16
Aug-16
74
63
Issue Price (INR) 446
896
M&A
IPO
QIP
Upcoming IPOs Listing Price3 (INR) 662
1,210
Source: VCC Edge, Equirus research 1 YTD represents period from 1 April to 26 August 2 Includes transactions where deal value has been disclosed 3 Represents price on listing and not the closing price on first day of listing
Post listing CMP % Listing (INR) premium change % 554
1,355
48%
35%
Company
Proposed Issue Size (US$mn)
DRHP filing
Segment
Nov-15
Single specialty hospitals
18
Jun-16
Multi specialty hospitals
308
Jul-16
Pharma / Biotech
18
Aug-16
Pharma / Biotech
46
(16%)
10%
5
PE and M&A transactions M&A deals – YTDFY17
M&A transactions value – YTDFY17 Transaction value (YTDFY17)
Number of deals (YTDFY17)
Pharma/Biotech
2 1 1
Diagnostics
3
166
Pharma/Biotech
Hospitals # of deals: 38
6
Includes transactions where deal value has been disclosed; Remaining segments have been disclosed under ‘Others’ as deal values are insignificant 6
Medical Devices
25
Hospitals
US$ 2,138 mn
Health Tech
Others
1,967
Others
PE deals – YTDFY17
PE transactions value – YTDFY17 Transaction value (YTDFY17)
Number of deals (YTDFY17)
Includes transactions where deal value has been disclosed; Remaining segments have been disclosed under ‘Others’ as deal values are insignificant Single specialty 6 1 2
Medical devices
6 # of deals: 24 4
37
Pharma / Biotech Health tech 3
2
Multi specialty hospitals
3 US$ 153 mn
Multi specialty hospitals Diagnostics
56
Others
Note: YTD represents period from 1 April to 26 August
6
58
Single specialty Pharma / Biotech Others
Key PE and M&A transactions in the last 6 months PE transactions Date
Target Company
Investor
Segment
Deal value (US$ mn)
31-Mar-16
Corona Remedies Pvt Ltd
Creador
Pharma / Biotech
18
6-Apr-16
Adcock Ingram Healthcare Pvt. Ltd.
Samara Capital
Pharma / Biotech
23
23-Apr-16
Cancer Treatment Services International
TPG Growth
Hospitals
33
2-Jun-16
Vyome Biosciences Pvt. Ltd.
Aarin Capital, Kalaari Capital, Sabre Partners, Romulus Capital, Perceptive Advisors
Pharma / Biotech
14
15-Jul-16
Rhea Healthcare Pvt. Ltd. (Motherhood Hospitals)
TPG Growth
Single specialty hospitals
33
18-Aug-16
Cytecare Hospitals Pvt. Ltd.
HNIs
Hospitals
25
24-Aug-16
Nephrocare Health Services Pvt. Ltd.
IFC, SeaLink Capital Partners
Single specialty chains
15
M&A transactions Date
Target Company
Acquirer
Segment
29-Mar-16
Novartis AG, 14 Prescription Brands
Sun Pharmaceutical Industries Ltd.
Pharma / Biotech
31-May-16 Dr. Ramesh Cardiac & Multispeciality Hospital
Aster DM Healthcare Ltd.
Multi specialty hospitals
11-Jun-16
Teva Pharmaceutical Industries, 8 ANDAs
Torrent Pharmaceuticals Ltd.
Pharma / Biotech
350
30-Jun-16
Glochem Industries, Vizag API Unit
Torrent Pharmaceuticals Ltd.
Pharma / Biotech
45
30-Jun-16
Rockland Hospitals Ltd.
VPS Healthcare
Multi specialty hospitals
28-Jul-16
Gland Pharma Ltd.
Shanghai Fosun Pharmaceutical Group Co. Ltd.
Pharma / Biotech
1,261
16-Aug-16
Ash Stevens Inc.
Piramal Enterprises Ltd.
Pharma / Biotech
53
19-Aug-16
SRL Ltd.
Fortis Malar Hospitals Ltd.
Diagnostics
NA
Source: VCC Edge 7
Deal value (US$ mn) 293 17
149
Indian Lifesciences Sector - Public Market Performance
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Stock performance vis‐a‐vis Sensex and Nifty Hospitals 30%
One year return % 24%
20% 10%
8%
10%
8%
0% (3%)
(10%) HCG
Apollo Hospitals
(8%) Narayana Hrudayalay
Fortis Healthcare
Nifty
Sensex
Diagnostics One year return % 15%
12%
10%
10%
8%
5% 0% (5%) (10%) (11%)
(15%) Dr Lal Path Lab
Thyrocare Technologies
Nifty
Source: Bloomberg Note: Return calculated as per listing date for Narayana Health, HCG, Thyrocare and Dr Lal Path Lab 9
Sensex
Stock performance vis‐a‐vis Sensex and Nifty Large Cap Pharma
Mid cap Pharma
One year return %
Small cap Pharma
PE
115%
B
112%
Na DL
25%
APL
54%
Syn
C SP
38%
AL
13%
TP
(11%) (13%)
Alem
(8%)
GSK
(10%)
IL(28%) DRL (25%)
13%
Gr
12%
UL
11%
IR
(4%)
Seq
(5%)
SL
(9%)
GP(29%)
NSE
WCK (37%)
10%
BSE (50%)
SM
6%
SS (16%)
L (16%)
86%
45%
AP 5%
DP
60%
JL
9%
CH
One year return %
One year return %
8% 0%
50%
100%
150%
NSE
10%
BSE
8%
(50%)
0%
50%
Source: Bloomberg Note1 : Return calculated as per listing date for Alkem Labs. Note2: Large Cap pharma – Mcap >US$ 5bn, Mid cap pharma – Mcap of US$ 1bn – US$ 5bn, Small cap pharma – Mcap of <US$ 1bn 10
100%
150%
NSE
10%
BSE
8%
(50%)
0%
50%
100%
Indices movement vis-à-vis Sensex & Nifty BSE Healthcare Index vis-à-vis Sensex & Nifty BSE Healthcare vis-à-vis Market performance BSE Healthcare Index
Sensex
Nifty
115 1yr return - 10%
110
1yr return - 8%
105
100
95
1yr return – (7)%
90
85
80 Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Jan-16
Feb-16
Source: Bloomberg
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Mar-16
Apr-16
May-16
Jun-16
Jul-16
Aug-16
Equirus Group Lifesciences focus
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Lifesciences credentials Key transactions
Lifesciences companies under research coverage
BNH Dr. Balabhai Nanavati Hospital Collaboration towards operation of Onco Centre with
Kiran Medical Systems Strategic Partnership with Trivitron Healthcare
HealthCare Global Enterprises Ltd.
Glenmark Pharmaceuticals
Raise of PE Investment by Milestone Religare
Private Equity Investment by CDC Capital Partners
Plethico Pharmaceuticals Limited
Fortis Healthcare
Advisor to Plethico Pharma in itâ&#x20AC;&#x2122;s acquisition of Natrol Inc.
Advisor to Fortis in itâ&#x20AC;&#x2122;s acquistion of Clinique Darne
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Highly experienced lifesciences focused team Strong Healthcare practice covering PE markets, Public Markets and Strategic markets Team Member
Gautam Kothari Associate Director
Maitri Bhatia Associate
Profile
● ● ●
Gautam has over 12+ years of experience in I-banking at different levels and is currently heading the Life sciences practice at Equirus Gautam’s previous assignments were with JM Financial Group in Mumbai & Singapore, Rosyblue in UAE and Pyramid Research in the US B.Com, LLB from University of Mumbai & MBA from Boston College - Carroll School of Management, USA
● ●
4 years of experience in investment banking, financial due diligence and equity research Prior to Equirus, was associated with Deloitte Touche Tohmatsu India Pvt Ltd where she assisted private equity clients and Indian corporates in their financial / strategic investments across various sectors like healthcare, pharma, manufacturing, hospitality, etc. Member of the Institute of Chartered Accountants of India (ICAI) and a graduate of Institute of Company Secretaries of India (ICSI)
●
● ● Nimish Mehta Research Analyst
● ●
Over 15 years of experience in pharma sector Nimish has been a part of some of the largest M&A deals in Indian pharma space and as a part of Mehta Partners, he led a team of research analyst and developed proprietary research database He is a Founder Director of Research Delta Advisor Nimish is a CFA from ICFAI
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Annexure Sector Trading Comparables
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Trading Comparables â&#x20AC;&#x201C; Hospitals / Diagnostics Hospitals Mcap
EV
(INR mn)
(INR mn)
FY16
FY17E
FY16
FY17E
FY16
FY17E
FY16
FY17E
188,097
211,666
3.5x
2.9x
24.5x
22.0x
56.8x
46.3x
10.0%
11.2%
Fortis Healthcare Ltd
80,087
86,285
2.0x
1.9x
39.3x
20.1x
NM
58.4x
NM
3.1%
Narayana Hrudayalaya Ltd
63,658
65,996
4.1x
NA
37.2x
NA
NM
83.0x
2.3%
11.0%
HealthCare Global Enterprises Ltd
18,070
20,482
3.6x
3.1x
23.8x
22.0x
NM
NM
0.3%
3.1%
Mean
3.3x
2.6x
31.2x
21.4x
56.8x
62.6x
4.2%
5.8%
Median
3.5x
2.9x
30.9x
22.0x
56.8x
58.4x
2.3%
3.1%
Company Apollo Hospitals Enterprise Ltd
EV/Revenue
EV/EBITDA
P/E
RoAE
Diagnostics Mcap
EV
(INR mn)
(INR mn)
FY16
FY17E
FY16
FY17E
FY16
FY17E
FY16
FY17E
Dr Lal PathLabs Ltd
76,272
73,362
9.3x
7.8x
35.0x
30.3x
57.7x
52.5x
31.2%
25.6%
Thyrocare Technologies Ltd
29,666
29,590
12.8x
NA
31.3x
NA
57.3x
NA
15.8%
NA
Mean
11.0x
7.8x
33.1x
30.3x
57.5x
52.5x
23.5%
25.6%
Median
11.0x
7.8x
33.1x
30.3x
57.5x
52.5x
23.5%
25.6%
Company
EV/Revenue
EV/EBITDA
Source: Bloomberg
16
P/E
RoAE
Trading Comparables – Large Cap Pharma Large cap pharma Mcap
EV
(INR mn)
(INR mn)
FY16
FY17E
FY16
FY17E
FY16
FY17E
FY16
FY17E
1,817,656
1,797,034
6.4x
5.5x
21.5x
16.2x
38.5x
25.6x
16.5%
20.5%
Lupin Ltd
681,714
745,281
5.4x
4.2x
19.9x
15.3x
30.0x
23.3x
22.9%
23.9%
Dr Reddy's Laboratories Ltd
518,510
512,068
3.3x
3.4x
14.2x
16.8x
25.9x
29.4x
16.7%
13.3%
Aurobindo Pharma Ltd
462,255
500,930
3.6x
3.1x
15.6x
12.8x
23.3x
18.7x
32.5%
30.2%
Cipla Ltd
455,824
495,915
3.7x
3.2x
19.8x
17.3x
30.3x
27.1x
13.3%
13.3%
Cadila Healthcare Ltd
391,070
407,812
4.3x
3.9x
17.3x
17.5x
25.7x
24.4x
31.7%
26.7%
Divi's Laboratories Ltd
353,538
345,250
9.1x
7.7x
24.4x
20.4x
31.8x
28.0x
28.6%
27.2%
Piramal Enterprises Ltd
318,741
471,249
7.1x
5.3x
25.1x
25.2x
33.5x
55.5x
7.9%
5.4%
Mean
5.4x
4.5x
19.7x
17.7x
29.9x
29.0x
21.3%
20.1%
Median
4.9x
4.1x
19.8x
17.0x
30.1x
26.4x
19.8%
22.2%
Company Sun Pharmaceutical Industries Ltd
EV/Revenue
EV/EBITDA
Source: Bloomberg Note: Large Cap pharma – Mcap >US$ 5bn, Mid cap pharma – Mcap of US$ 1bn – US$ 5bn, Small cap pharma – Mcap of <US$ 1bn 17
P/E
RoAE
Trading Comparables – Mid Cap Pharma Mid cap pharma Mcap
EV
(INR mn)
(INR mn)
FY16
FY17E
FY16
FY17E
FY16
FY17E
FY16
FY17E
Torrent Pharmaceuticals Ltd
273,367
283,144
4.3x
4.3x
10.4x
15.9x
15.9x
22.9x
58.6%
31.0%
GlaxoSmithKline Pharmaceuticals Ltd
252,559
239,606
8.7x
7.6x
49.7x
45.1x
67.0x
57.4x
21.4%
26.4%
Glenmark Pharmaceuticals Ltd
239,722
271,028
3.6x
2.9x
18.9x
11.8x
34.1x
17.9x
19.3%
27.5%
Alkem Laboratories Ltd
184,477
180,410
3.7x
3.1x
21.3x
17.7x
27.4x
21.8x
20.7%
21.9%
Biocon Ltd
178,490
183,149
5.3x
4.6x
21.3x
19.2x
19.9x
33.0x
24.5%
12.6%
Ajanta Pharma Ltd
173,365
172,886
10.0x
8.0x
29.3x
23.6x
43.2x
34.4x
39.9%
36.6%
Alembic Pharmaceuticals Ltd
119,670
116,841
3.7x
3.7x
11.6x
18.5x
16.6x
27.3x
57.9%
24.2%
Natco Pharma Ltd
118,822
119,194
11.0x
7.4x
44.2x
24.8x
76.6x
36.2x
14.5%
23.0%
Syngene International Ltd
92,380
94,091
8.8x
7.0x
26.7x
21.0x
43.1x
29.2x
23.3%
27.2%
Wockhardt Ltd
90,439
104,523
2.3x
2.1x
20.2x
19.3x
27.8x
27.1x
8.6%
8.3%
Strides Shasun Ltd
85,129
107,065
3.4x
2.6x
20.5x
13.2x
40.7x
20.8x
10.4%
13.2%
Jubilant Life Sciences Ltd
82,189
124,006
2.1x
2.0x
9.6x
8.5x
19.0x
14.1x
16.1%
18.4%
Ipca Laboratories Ltd
69,489
73,777
2.6x
2.3x
20.6x
14.2x
74.5x
26.9x
4.2%
10.7%
Mean
5.3x
4.4x
23.4x
19.4x
38.9x
28.4x
24.6%
21.6%
Median
3.7x
3.7x
20.6x
18.5x
34.1x
27.1x
20.7%
23.0%
Company
EV/Revenue
EV/EBITDA
Source: Bloomberg Note: Large Cap pharma – Mcap >US$ 5bn, Mid cap pharma – Mcap of US$ 1bn – US$ 5bn, Small cap pharma – Mcap of <US$ 1bn 18
P/E
RoAE
Trading Comparables – Small Cap Pharma Small cap pharma Mcap
EV
(INR mn)
(INR mn)
FY16
FY17E
FY16
FY17E
FY16
FY17E
FY16
FY17E
Shilpa Medicare Ltd
42,537
43,844
6.1x
NA
28.2x
NA
41.0x
35.0x
17.4%
17.3%
Sequent Scientific Ltd
32,519
34,331
5.5x
4.1x
54.6x
32.0x
NM
NM
NM
4.1%
Indoco Remedies Ltd
28,557
29,574
2.9x
2.6x
17.1x
13.8x
34.4x
23.2x
15.0%
19.6%
Dishman Pharmaceuticals & Chemicals
28,413
36,209
2.3x
1.9x
8.8x
7.1x
16.6x
14.3x
12.7%
13.0%
Granules India Ltd
27,699
30,321
2.1x
1.9x
10.9x
9.3x
23.4x
17.1x
21.2%
21.4%
Suven Life Sciences Ltd
24,731
23,167
4.6x
3.8x
22.6x
16.5x
37.1x
24.9x
11.6%
15.8%
Unichem Laboratories Ltd
24,723
24,834
1.9x
1.6x
15.1x
11.5x
22.9x
17.8x
11.9%
13.7%
Mean
3.6x
2.6x
22.5x
15.0x
29.2x
22.1x
15.0%
15.0%
Median
2.9x
2.2x
17.1x
12.6x
28.9x
20.5x
13.9%
15.8%
Company
EV/Revenue
EV/EBITDA
Source: Bloomberg Note: Large Cap pharma – Mcap >US$ 5bn, Mid cap pharma – Mcap of US$ 1bn – US$ 5bn, Small cap pharma – Mcap of <US$ 1bn 19
P/E
RoAE
Contact Equirus
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