Amazon’s healthcare push continues

BY Richard Summerfield

Amazon has agreed to acquire primary care organisation One Medical in a deal valued at around $3.9bn.

Under the terms of the deal, Amazon will acquire One Medical for $18 per share in an all-cash transaction valued at approximately $3.9bn, including One Medical’s net debt. Completion of the transaction is subject to customary closing conditions, including approval by One Medical’s shareholders and regulatory approval. Upon completion, Amir Dan Rubin will remain as chief executive of One Medical.

“We think health care is high on the list of experiences that need reinvention,” said Neil Lindsay, senior vice president of Amazon Health Services. “Booking an appointment, waiting weeks or even months to be seen, taking time off work, driving to a clinic, finding a parking spot, waiting in the waiting room then the exam room for what is too often a rushed few minutes with a doctor, then making another trip to a pharmacy – we see lots of opportunity to both improve the quality of the experience and give people back valuable time in their days. We love inventing to make what should be easy easier and we want to be one of the companies that helps dramatically improve the healthcare experience over the next several years.”

He added: “Together with One Medical’s human-centered and technology-powered approach to health care, we believe we can and will help more people get better care, when and how they need it. We look forward to delivering on that long-term mission.”

“The opportunity to transform health care and improve outcomes by combining One Medical’s human-centered and technology-powered model and exceptional team with Amazon’s customer obsession, history of invention, and willingness to invest in the long-term is so exciting,” said Mr Rubin. “There is an immense opportunity to make the health care experience more accessible, affordable, and even enjoyable for patients, providers, and payers. We look forward to innovating and expanding access to quality healthcare services, together.”

One Medical, whose parent company is San Francisco-based 1Life Healthcare, Inc, is a membership-based service that offers virtual care as well as in-person visits. It also works with more than 8000 companies to provide its health benefits to employees. One Medical has about 767,000 members and 188 medical offices in 25 markets, according to its first-quarter earnings report, which also showed the company had incurred a net loss of $90.9m after pulling in $254.1m in revenue.

Amazon’s interest in healthcare services has been growing for some time. In 2018, the company acquired online pharmacy PillPack for $750m before opening its own online drug store that allows customers to order medication or prescription refills and have them delivered to their front door in a couple of days. And last year, it began offering its Amazon Care telemedicine programme to employers across the US.

News: Amazon strikes $3.5 bln deal for One Medical in long march into U.S. healthcare

Suncorp sells banking arm for $3.3bn

BY Richard Summerfield

Australia and New Zealand Banking Group (ANZ) has announced a $3.3bn deal to acquire the banking arm of insurer Suncorp Group.

Under the terms of the deal, ANZ will continue operating the Suncorp Bank brand for five years as it takes on an additional $47bn in home loans and $45bn in deposits.

The acquisition is subject to approval from the Australian Competition and Consumer Commission and the federal treasurer, Jim Chalmers. The deal is also subject to a minimum completion period of 12 months and to certain other conditions.

“This proposal has been assessed through the lens of creating value for shareholders and, just as importantly, to ensure there is alignment of purpose and values and positive outcomes for our people and customers,” said Christine McLoughlin, chairman of Suncorp. “Suncorp Group, which is the proud home of several of Australia and New Zealand’s leading and most trusted insurance brands including AAMI, GIO, Shannons, Apia and Vero, and of course the Suncorp brand, will continue to offer the same great service to Queenslanders.

“Both businesses will benefit from a singular focus on their growth strategies and investment requirements,” she continued. “We believe the agreed price fairly values the Bank and reflects the hard work of our people and progress made on delivering our strategic objectives. Our purpose of building futures and protecting what matters – the focus of our company for over 100 years – will remain at our core and enable our people to deliver on our vision to create the leading Trans-Tasman insurance company.”

“The acquisition of Suncorp Bank will be a cornerstone investment for ANZ and a vote of confidence in the future of Queensland,” said Shayne Elliott, chief executive of ANZ. “With much of the work to simplify and strengthen the bank completed, and our digital transformation well-progressed, we are now in a position to invest in and reshape our Australian business. This will result in a stronger more balanced bank for customers and shareholders.

“ANZ has licenced the Suncorp Bank brand for five to seven years and we are committed to maintaining its current branch footprint in Queensland for at least three years post completion,” he added. “This is a growth strategy for ANZ and we will continue to invest in Suncorp Bank and in Queensland for the benefit of all stakeholders.”

Going forward, Suncorp will continue to be led by its current chief executive Clive van Horen, and according to Mr Elliott there will not be any job losses at the company for at least the next three years. The company’s insurance operations in Australia and New Zealand were not included in the deal.

News: Australia's ANZ to buy Suncorp banking arm for $3.3 billion, boost mortgage business

European PE dealmaking strong in H1 2022, reveals new report

BY Fraser Tennant

European private equity (PE) dealmaking was strong through the first half of 2022, with record dry powder and the rise of private credit funds keeping the deal environment moving, according to a Pitchbook report published this week.

In its ‘European PE Breakdown’, Pitchbook reveals that despite an unpredictable macroeconomic and policy environment, and continued downside volatility, PE dealmaking across Europe continued to be resilient in the first half of 2022.

The report also makes clear that deal size, not deal count, was behind the record deal value seen in the first half of the year. Transactions got larger, with the median deal size accelerating to €47.6m. Deals sized greater than €2.5bn hiked nearly three times in deal value compared to H1 2021.

“Sponsors’ record dry powder levels and the rise of private credit funds has kept the deals environment moving, as the syndicated loan and high yield debt markets come under stress,” said Dominick Mondesir, senior analyst of EMEA private capital at Pitchbook. “Sponsors doubled down on their investment sweet spots, as they were able to take advantage of softer multiples.”

Key takeaways from the report include: (i) deal value totalled €463.5bn through 30 June, a year-over-year (YOY) increase of nearly 35 percent, driven primarily by a spike in deal sizes; (ii) take-private activity also increased over H1 2021, and with take-privates offering one of the best risk-reward plays for PE firms, they are expected to remain a major theme in 2022; (iii) exit volume remained flat, but cumulative exit value fell by 25 percent YoY as valuations dropped; and (iv) fund count is pacing toward its lowest total ever, with just 40 vehicles closed in H1, as limited partners struggle to keep up with general partners’ demand for capital.

However, despite these strong H1 figures, Pitchbook forecasts that the second half of the year may be a different story, with slowing growth, rising interest rates and the possibility of a recession potentially leading to a more pressurised dealmaking environment.

Mr Mondesir concluded: “In the second half of the year, we expect the dealmaking environment to experience rapidly declining consumer and business confidence, rising high yield credit spreads, falling GDP, accelerating inflation, and the expectation of further interest rate increases, which is likely to cause a recession underpinned by stagflation.”

Report: European PE Breakdown

Return to growth: new UK GDP figures allay recession fears – for now

BY Fraser Tennant

The UK economy grew by 0.5 percent in May 2022 after a decline of 0.2 percent in April, according to new figures from the Office for National Statistics (ONS).

Economists had expected zero growth in May alone, and in the three months to May, amid the UK’s cost of living crisis.

The ONS reports that the services sector was responsible for the majority of the increase in growth, with a particular emphasis on human health and social work activities. A surge in GP appointments has also aided the UK economy, helping to prop up health service activity, despite a huge drop in test and trace vaccinations.

Less positively, the ONS figures provide proof that the UK consumer base is on shaky ground, with consumer-facing services such as retail trade, food and beverage, travel and transport, and entertainment and recreation, seeing output fall 0.1 percent. In addition, consumer-facing services were 4.7 percent below pre-coronavirus (COVID-19) levels.

“While it is positive to see a small nudge upwards in overall GDP, these figures are hardly shooting the lights out,” said Sophie Lund-Yates, lead equity analyst at Hargreaves Lansdown. “It will take something strong to fully reverse fears the UK’s heading towards a recession in the coming year. Until there is a clear path out from political turmoil, the energy crisis, cost-of-living squeeze and the UK’s far-reaching productivity problems, it is hard to see where the economy will find its take-off point.”

Sharing the fear that the risk of recession has only been temporarily allayed is James Brown, a managing partner at Simon Kucher & Partners, who suggests that UK businesses may respond to a looming recession by raising prices.  

“It is looking increasingly likely that a meaningful price adjustment will be one of the few tools remaining at the disposal of UK businesses,” he concludes. “While the surprise increase in growth comes as welcome news, the possibility of the UK entering a recession during the second half of 2022 and beyond still looms large.”

News: UK economy returns to growth aided by travel rebound and haulage

Legal fight looms as Musk abandons Twitter takeover

BY Richard Summerfield

Elon Musk has sought to abandon his $44bn takeover of social media giant Twitter Inc.

“Mr Musk is terminating the merger agreement because Twitter is in material breach of multiple provisions of that agreement, appears to have made false and misleading representations upon which Mr Musk relied when entering into the merger agreement, and is likely to suffer a Company Material Adverse Effect,” wrote lawyers for Mr Musk to Twitter.

Mr Musk has claimed that Twitter had failed to respond to multiple requests for information on fake or spam accounts on the platform, he also noted that he was walking away from the bid because Twitter had removed a number of high-ranking executives and one-third of the talent acquisition team, which was in contravention of the company’s obligation to “preserve substantially intact the material components of its current business organization”.

To walk away from the transaction, as per the merger agreement filed with the US Securities and Exchange Commission (SEC), Mr Musk must be able prove that Twitter breached the original agreement or risk being sued for a $1bn breakup fee.

In response to Mr Musk’s claims, Twitter said that it planned to sue Mr Musk to complete the $44bn merger and that it was “confident” it would prevail. “The Twitter board is committed to closing the transaction on the price and terms agreed upon with Mr Musk and plans to pursue legal action to enforce the merger agreement,” said Bret Taylor, chair of the board at Twitter, in a tweet.

The ‘on again, off again’ relationship between Twitter and Mr Musk, at one point the company’s largest shareholder, has played havoc with the company’s share price in recent months. Mr Musk announced an agreement to acquire the company on 25 April, having offered to purchase all of the company’s shares for $54.20 each; the company’s stock is currently trading at around $36.81 per share. Twitter’s share price fell by 7 percent in extended trading after the announcement that Mr Musk was planning to walk away from the deal.

The likelihood of the deal being completed has been in question for some time. On 13 May, Mr Musk said the deal was “on hold” while he awaited details supporting Twitter’s assertion that fewer than 5 percent of its users were spam or fake accounts. Mr Musk claimed that the true figure was 20 percent and said Twitter would need to show proof of the lower number for the purchase to go through.

News: Twitter vows legal fight after Musk pulls out of $44 billion deal