BTG plc Acquisition - Boston Scientific
Transcript of BTG plc Acquisition - Boston Scientific
BTG plc Acquisition
Jeff Mirviss, SVP & President, Peripheral Interventions
Mike Mahoney, Chairman & CEO
2
Safe Harbor for Forward-Looking Statements
This presentation contains forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of
the Securities Exchange Act of 1934. Forward-looking statements may be identified by words like “anticipate,” “expect,” “project,”
“believe,” “plan,” “estimate,” “intend” and similar words. These forward-looking statements are based on our beliefs, assumptions and
estimates using information available to us at the time and are not intended to be guarantees of future events or performance. If our
underlying assumptions turn out to be incorrect, or if certain risks or uncertainties materialize, actual results could differ materially from the
expectations and projections expressed or implied by our forward-looking statements.
Factors that may cause such differences can be found in our most recent Form 10-K and Forms 10-Q filed or to be filed with the Securities
and Exchange Commission under the headings “Risk Factors” and “Safe Harbor for Forward-Looking Statements.” Accordingly, you are
cautioned not to place undue reliance on any of our forward-looking statements. We disclaim any intention or obligation to publicly
update or revise any forward-looking statements to reflect any change in our expectations or in events, conditions, or circumstances on
which they may be based, or that may affect the likelihood that actual results will differ from those contained in the forward-looking
statements.
Non-GAAP Measures:
This document contains non-GAAP measures (denoted with *) in talking about our company’s performance. Please refer to the
addendum to this presentation for further information regarding these non-GAAP measures and the Investor Relations section of our
website at www.bostonscientific.com.
Market Estimates:
Unless noted otherwise, all references to market sizes, market share positions, and market growth rates are BSX internal estimates.
3
BSX and BTG: Focus on Minimally Invasive Therapies
to Address Critical Needs
Focus on
minimally
invasive
treatments for
today’s most
challenging
conditions
• Highly differentiated
Interventional
Medicine portfolio
focused on oncology
and vascular solutions
• Unique Acute Care
Pharma and Licensing
portfolio
• Global medical
technology leader
• Leader in Peripheral
Interventions
• Worldwide market
access
• Deep R&D and
clinical expertise
4
Clear Strategic & Financial Rationale
High Growth
Cancer Expansion
Highly Synergistic
to BSX PI
Strong Margin &
Cash Flow
Compelling
Shareholder
Returns
Execution Sweet
Spot
• Advances category leadership strategy with complementary IM business
• Adds $400M+ (2019E1) of double digit growth revenue to $1B+ BSX PI business
• Adj. margins in line with BSX today, and accretive to BSX and PI in year 3
• High growth Interventional Medicine (IM) business accretive to BSX and PI
• BTG platform technologies (TheraSphere™, Galil) enable BSX to continue to
expand treatment options for cancer patients worldwide
• BTG Acute Care Specialty Pharma franchise is a differentiated, profitable
business along with cash generating Licensing assets
• Immediately $0.02-$0.03 accretive to BSX 2019 adjusted EPS*; more so thereafter
• Significant synergies of $175M+ expected (yr. 3); adj. ROIC* 7-8% in yr. 3; 9-10% in yr. 5
• Maintains flexibility for future M&A and commitment to investment grade ratings
• Tuck-in acquisition very complementary to BSX PI infrastructure/call point
• Leverages BSX track record and experience with this transaction type
1BSX Estimate for calendar year 2019
5
BTG Background & Deal Terms
• BTG (LSE: BTG) Headquartered in London, United Kingdom
– Founded 1948, listed London Stock Exchange 1995
– 1,600+ employees globally
• Three business segments:
– Interventional Medicine: Interventional Oncology & Interventional Vascular
– Acute Specialty Pharmaceuticals: portfolio of antidotes (CroFab™, DigiFab™, Voraxaze™)
– Licensing: portfolio of licensed healthcare products (Zytiga™, etc.)
• Offering 840 pence in cash per share; committed debt financing in place
• Total equity value of £3.3B (U.S. $4.2B), total enterprise value of £3.1B (U.S. $4.0B)
(U.S. values based on November 19 exchange rates)
• The transaction is expected to be effected by way of an English Court sanctioned Scheme of
Arrangement, with closing targeted for H1:2019, subject to receipt of BTG shareholder approval,
customary regulatory approvals and the approval of the English Court
Key
Deal
Terms
6
BSX Continued Shift to Higher Growth Markets
High Growth Segment (>10% CAGR): NM, TAVR, LAAC, EP, PI Drug Eluting, Venous, ICM, Prostate (MIT/Spacer), MIS URO
Low Growth Segment (<3% CAGR): Pacer, Defib., DES
Moderate Growth Segment (4 - 8% CAGR): Endo, Core PI, Oncology, UroPH, Women's Health, Complex Coronary
20172021E
2013
Revenue Mix by Segment Growth Rate
2-3% 5-6%Served Market
Y/Y Growth
Low Growth
~40%
Moderate
Growth
~50%
Low
Growth
~20%
Moderate
Growth
~45%
High
Growth
~35%High
Growth
~10%
New Markets & Recent Acquisitions More than Double High Growth Revenue Mix
High
Growth
~15%
Low Growth
~35%
4-5%
Moderate
Growth
50%
7
Creating Significant Capabilities for Cancer Care
Cancer WW Annual Incidence1 Therapy/
Palliation
Prostate 1,300,000 ✓
Liver 850,000 ✓
Breast 2,100,000 Early Stage
Colorectal 1,850,000 ✓
Kidney 400,000 ✓
Lung 2,100,000 Early Stage
Stomach 1,050,000 ✓
Esophageal 550,000 ✓
Pancreatic 450,000 Early Stage3
✓ ✓
Over 10 Million Cancer Patients Annually
1400,000 men will undergo prostate radiotherapy worldwide (Data on file. Boston Scientific. August 2018)2 International Association of Cancer Registries; GLOBOCAN Database: http://gco.iarc.fr/. 3 Equity investment
Potential diagnostic for ovarian cancer,
300,000 annual incidence2
Therapy used to reduce common,
debilitating side effects after receiving
prostate cancer radiotherapy1
Radio Frequency probe for palliative care
of patients living with pancreaticobiliary
cancers
Recent BSX Acquisitions
8
BSX Peripheral Interventions: Portfolio Breadth for
a Large and Growing Sector
2017
PI Category BSX PI
Size Growth 2017-2020 est. CAGR Revenue Growth
~$6B +6% +6% - 8% $1.1B +7%
Category Factors BSX Growth Drivers
• Aging population
• Under-diagnosed &
under-treated populations
• Heterogeneity of disease
• Room to innovate
• Interventional Oncology
• Venous Disease
• Drug-eluting tech for PAD
• Critical Limb Ischemia
9
BSX & BTG Create a Best in Class Portfolio
Addressing $6B M/HSD-Growth Peripheral Market
Guide-
wiresDrug
Elution
Stents
Balloons
Crossing
Catheters(Roxwood)
Vena
Cava
Filter(Sentry)
Coils Micro-
catheters
Guidewires
Radio-
Embolization
& Beads(TheraSphere™)
Cryo &
Microwave
Ablation(Galil)
Acoustic
Pulse
Thrombolysis(EKOS™)
Superficial
Venous
Disease(Varithena™)
Venous
Stents
& IVUS
Mechanical
Thrombectomy
&
Interventional Oncology Venous Arterial
Segment Size: ~$1.6B
Growth: ~8%
Segment Size: ~$1.4B
Growth: ~7% Segment Size: ~$3.2B
Growth: ~6-7%
Not all products and/or indications are available in all territories.
10
Highly Differentiated Cancer Therapies for Large
Patient Populations
TheraSphere™ Y90 Radiotherapy
• Only U.S. approved therapy for
primary liver cancer (HCC)
Pipeline:
• Clinical trials in follow up target expanded
indications (STOP-HCC & EPOCH)
• Geographic expansion, especially Asia
Galil Cryoablation Therapy
• Unique therapy in kidney cancer
• Microwave system in development
• Over 400,000 patients
diagnosed with kidney
cancer WW annually1
• Ablation modality of
choice to treat kidney
cancers
Pipeline:
• Microwave ablation platform in development
• Flexible needles for use in other cancers
~850,000
patients
diagnosed
with liver
cancer WW
annually1
1International Association of Cancer Registries; GLOBOCAN Database: http://gco.iarc.fr/.
11
Opportunities To Expand Into New Cancer
Therapies
Lung Cancer: #1 Cause
of Cancer Deaths
• TheraSphere™ studies
underway
• Cryoablation studies
(ECLIPSE & SOLSTICE
provide positive early
signals)
• Product development
for specialized catheter
Bone Metastases
• Cryoablation study
(MOTION) underway
Breast Cancer
• Exploratory clinical trial
underway
In addition to a multitude of trials studying the benefits of BTG therapies
in combination with Immunotherapy
Under development. Not for sale or use worldwide.
12
Venous Franchise Gains Pulmonary Embolism
Therapies with EKOS & Sentry
• Pulmonary Embolisms (PEs) can be immediately fatal
• PEs cause more deaths in the U.S. annually than
breast cancer and AIDS combined1,2
• Early diagnosis and appropriate therapy can reduce
PE mortality from 30% to <10%3
First on-label product in
U.S. with wealth of
clinical evidence:
ULTIMA, SEATTLE II,
OPTALYSE PE
Only FDA-approved
bioconvertible vena cava
filter, U.S. launch just
beginning
1. Heit JA et.al., Abstract #910; 2005:106 (no.11) part 1 of 2, pg. 267a.2. Gerotziafas et.al., Curr Opin Pulm Med. 2004;10:356-65.
3. Banovac, R et al., J Vasc Interv Radiol, 2010; 21:44-53.
13
Opportunities for Global Expansion of BTG
Product Lines in BSX Commercial Engine
United States International90%+
Global Revenue Distribution1
InternationalUnited States 57% 43%
Global Revenue Distribution2
1BTG plc Interim Results, November 2018 2BSX Q3 2018 Earnings, October 2018
14
BTG Acute Care Specialty Pharma & Licensing
Offer an Attractive, Profitable Portfolio
• Acute Care Specialty Pharmaceuticals
– Antidote products for patients over-exposed to
certain toxins or medications
– Durable, market-leading positions
• CroFab™ : Strong clinical data, well understood
treatment algorithm and cost effectiveness data
• Licensing
– Royalties related to products, primarily Zytiga™
– Declining revenue stream due to patent expiry
and/or generic entrants
Attractive Profitability in Both Franchises
15
Compelling Value Creation for Shareholders
– Significant potential to reduce costs across multiple areas
• Manufacturing footprint, duplicate functions, other areas
– Revenue & cost synergies of $175M+ expected in year 3
Accretive
Revenue &
Margins
Meaningful
Synergies
Compelling
Valuation
– Immediately $0.02-$0.03 accretive to BSX 2019 adjusted EPS*
– Expected adj. ROIC* of 7-8% in year 3; 9-10% in year 5
– Maintains B/S flexibility; firmly committed to investment grade
– BTG IM business $400M+ (2019E) growing double digits,
further enhanced via global reach of BSX PI commercial engine
– Adj. margins* in line with BSX today, accretive to BSX & PI in year 3
18
Non-GAAP Reconciliations
Use of Non-GAAP Financial MeasuresTo supplement our consolidated financial statements presented on a GAAP basis, we disclose certain non-GAAP financial measures. These non-GAAP financial measures are not in accordance with generally accepted accounting principles in the United States and should not be considered in isolation from or as a replacement for the most directly comparable GAAP financial measures. Further, other companies may calculate these non-GAAP financial measures differently than we do, which may limit the usefulness of those measures for comparative purposes. For further information regarding our non-GAAP measures, see Part II, Item 7 - Management’s Discussion and Analysis of Financial Condition and Results of Operations in our most recent Annual Report on Form 10-K, which we may update in Quarterly Reports on Form 10-Q we have filed or will file hereafter.
Adjusted Gross Margin: To calculate adjusted gross margin certain charges and/or credits are excluded, such as amortization expense, acquisition-related net charges/credits, and restructuring and restructuring-related net charges/credits. The GAAP financial measure most directly comparable to adjusted gross margin is GAAP gross margin.
Adjusted Operating Margin: To calculate adjusted operating margin certain charges and/or credits are excluded, such as amortization expense, acquisition-related net charges/credits, and restructuring and restructuring-related net charges/credits. The GAAP financial measure most directly comparable to adjusted operating margin is GAAP operating margin.
Adjusted Earnings Per Share (EPS): To calculate adjusted EPS certain charges and/or credits are excluded, such as amortization expense, acquisition-related net charges/credits, and restructuring and restructuring-related net charges/credits. The GAAP financial measure most directly comparable to adjusted EPS is GAAP EPS. On a GAAP basis, the transaction is expected to be dilutive in 2019, and less dilutive or increasingly accretive thereafter, as the case may be, due to amortization expense andacquisition-related net charges.
Adjusted Return on Invested Capital (ROIC): Adjusted ROIC is calculated as adjusted net operating profit after tax (NOPAT) divided by invested capital (defined as purchase price enterprise value plus tax planning costs). To calculate adjusted net operating profit certain charges and/or credits are excluded, such as amortization expense, acquisition-related net charges/credits, and restructuring and restructuring-related net charges/credits. The GAAP financial measure most directly comparable to adjusted operating profit is GAAP operating profit.
Please refer to our Safe Harbor for forward-looking statements disclosure in conjunction with any forward looking information presented within.