5 Ways of Creating High Valuations for Your
Life Science Company
- Clinic Impact
Clinical impact is a fundamental
characteristic and the most important benchmark for success of a medical device
company. Almost all firms that generate premium M&A exits have products
that fundamentally alter the pre-existing practice of therapy or diagnosis. Take Perclose whose
sutere catheter provides a novel method for closing a femoral access wound. Perclose
fundamentally changed the clinical thinking and challenged the standard of care
in the cardiac cath lab (pressure with sandbags). The improvement in patient
care, comfort and clath lab efficiency were immediate. A new way of thinking
emerged , creating an entirely new market.
Another recent example is Irvine, Ca based Spinofix,
Inc is working on next generation posterior fixation spine technology. Spine
surgeons in spine decompression surgery remove the spinous process, by doing
that a segment of spinal cord is exposed. Spinofix technology replaces the
spinous process and provides room for bone grafting and supposedly superior
stabilization with its fixation technology. Bigger companies are looking at
this technology as option to conventional parallel rod system.
- Franchise Value, Strategic Need & Clinical Need
Franchise value implies that a
company’s technology and the resulting clinical application are infact novel
and clearly the best of breed. In almost all cases, companies with high
franchise value are the first to market in an entirely new category. They
establish dominant presence and create a new clinical franchise.
Eg; Lapband from Allergan is
meeting a great unmet need in the obesity space.
Obesity is one of the biggest unmet
clinical need, and there is opportunity for 20 more companies to meet the need,
because they can target various methods to treat obesity.
- The Effect of Focusing on Milestones/ Value of Execution
The company’s performance during
the early stages of its development is critical to maximizing value. This
explains why VCs place so much emphasis on the management team. Not only is
execution important, it is controllable; an experienced team knows how to
organize itself around key issues, thereby preventing situations such as
program misdirection and lack of appropriate development focus from taking
hold, while at the same time preserving the ability to change direction based
on new information. Good start ups have good strategy.
- Sustainability
When buying a company, models are
built to justify acquisition or an IPO, placing extensive weigh on sustainable
(if IPO) or predicatable sales (start up) of the acquired technology. Buyers want
to know whether acquiring a company or its technology (product acquisition) is
going to generate long –lasting profits.
A large market, significant
clinical impact and the ability to bolster a franchise for the acquirer is
critical to profit sustainability. It signifies successful management of
capital and time.
- Timing of Exit
A company with a ground breaking
technology may exit too early. It is
important to monitor progress against milestones and the impact. Exiting before
hitting the infliction point will result in less money and less ROI for
investors. Conversely, if the infliction
point is not noticed and value is not cashed, then a opportunity to exit may be
lost. Therefore timing is very important, monitoring the infliction point may
bring very high return on investment or a good exit.
In the past four years the inflow
of money from VCs into early start ups has affected the way exits will occur.
Milestones are slower, but the key is “who stays in the game” companies who run
out of money or spend it too fast to reach milestone can lose because they are
not in the game. Startups need to manage
regulatory and clinical strategy to manage more complex FDA interaction.
The good news is the M&A market
is very strong, large cap companies still depend on small medical device
companies as a source to expand their offerings without earning dilutions, and
funding will therefore continue to be available for novel, clinically relevant
products that serve large and growing markets, one example is obesity market. Obesity
was a condition and recently categorized as a disease, there are very few
players and will continue to be the biggest market in the world as US, UK,
AUSTRALIA, EU, LATIN AMERICA all reel under epidemic of obesity and its
problems. This is a $200B market and growing.
The above benchmark characteristics
define a successful value creation and exit.
By: Raj Nihalani, M.D., RAC(US)
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