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Sectorwatch: Healthcare & Life Sciences Management Consulting Q1 2019

Healthcare and Life Sciences Management Consulting

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Page 1: Healthcare and Life Sciences Management Consulting

Sectorwatch:Healthcare & Life Sciences Management ConsultingQ1 2019

Page 2: Healthcare and Life Sciences Management Consulting

2

Healthcare & Life Sciences Management ConsultingQ1 2019 Sector Dashboard [4]

Public Basket Performance [5]

Operational Metrics [7]

Valuation Comparison [10]

Recent Deals [12]

7 Mile Advisors appreciates the opportunity to present this confidential information to the Company. This document is meant to be delivered only inconjunction with a verbal presentation, and is not authorized for distribution. Please see the Confidentiality Notice & Disclaimer at the end of the document. Alldata cited in this document was believed to be accurate at the time of authorship and came from publicly available sources. Neither 7 Mile Advisors nor 7MSecurities make warranties or representations as to the accuracy or completeness of third-party data contained herein. This document should be treated asconfidential and for the use of the intended recipient only. Please notify 7 Mile Advisors if it was distributed in error.

Page 3: Healthcare and Life Sciences Management Consulting

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Overview

7MA provides Investment Banking & Advisory Services to the Business Services and Technology Industries globally. We advise on M&A and private capital transactions, and provide market assessments and benchmarking. As a close knit team with a long history together and a laser focus on our target markets, we help our clients sell their companies, raise capital, grow through acquisitions, and evaluate new markets. We publish our sectorwatch, a review of M&A and operational trends in the industries we focus.

Dashboard• Summary metrics on the sector• Commentary on market momentum by

comparing the most recent 12-month performance against the last 3-year averages.

Public Basket Performance• Summary valuation and operating metrics

for a basket of comparable public companies

Valuation Comparison• Graphical, detailed comparison of valuation

multiples for the public basket

Recent Deals• The most recently announced deals in the

sector

Page 4: Healthcare and Life Sciences Management Consulting

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Dashboard

Operating Metrics

Valuation

Revenue Growth Momentum

1.7%One year revenue growth percentage compared to

revenue growth average percentage for last 3

years.

Pricing / Gross Margin

-4.6% One year gross profit percentage compared to

gross profit percentage average for last 3 years.

Profitability

-2.6% One year EBITDA percentage compared to EBITDA

percentage average for last 3 years.

Current revenue growth rate exceeds the average of the last 3 years by

this amount, indicating that market momentum is increasing.

Current gross profit margin is less than the average of the last 3 years

gross profit margins, which may signal pricing pressure.

Current EBITDA margin is a bit less than the average of the last 3 years,

consistent with the contraction in gross margin.

7.0%

11.5%

35.5%

0% 10% 20% 30% 40%

Median LTM Revenue Growth %

Median LTM EBITDA Margin %

Median LTM Gross Profit Margin%

0.8x

9.2x

12.3x

24.8x

0x 10x 20x 30x

Median TEV / LTM Revenue

Median TEV / LTM EBITDA

Median TEV / LTM EBIT

Median Price / LTM Earnings

Page 5: Healthcare and Life Sciences Management Consulting

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Public Basket

Company TEV $mLTM Rev

$m

Rev Growth

YoY GP %EBITDA

%TEV / Rev X

TEV / EBITDA

X # FTEsRev / FTE $k

Huron Consulting Group Inc. 1,334 776 7% 35% 12% 1.7 14.4 3,083 252

Navigant Consulting, Inc. 808 957 33% 30% 13% 0.8 6.6 6,008 159

Cegedim SA 552 538 5% 45% 12% 1.0 8.7 4,072 132

CRA International, Inc. 333 406 15% 31% 8% 0.8 10.9 631 643

Cello Health plc 152 223 4% 62% 7% 0.7 9.2 1,000 223

Average 636 580 13% 41% 10% 1.0 10.0 2,959 282

Median 552 538 7% 35% 12% 0.8 9.2 3,083 223

share price as of 28Jan19

Page 6: Healthcare and Life Sciences Management Consulting

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Public Basket Valuation Trends

Public EBITDA Multiples over Time

Public Revenue Multiples over Time

0.0x

0.4x

0.8x

1.2x

1.6x

TEV/Revenue - Median TEV/Revenue - Average

0x

4x

8x

12x

16x

TEV/EBITDA - Median TEV/EBITDA - Average9.9x

1.1x

0x

2x

4x

6x

8x

10x

12x

14x

16x

TEV/EBITDA - Median TEV/Revenue - Median

TEV/EBITDA - Average TEV/Revenue - Average

Page 7: Healthcare and Life Sciences Management Consulting

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Operational Metrics

LTM Revenue Growth %LTM Revenue per

Full Time Employee x 000’s

$- $200 $400 $600 $800

Median

Cegedim SA

Navigant Consulting, Inc.

Cello Health plc

Huron Consulting GroupInc.

CRA International, Inc.

0% 10% 20% 30% 40%

Median

Cello Health plc

Cegedim SA

Huron Consulting GroupInc.

CRA International, Inc.

Navigant Consulting, Inc.

Page 8: Healthcare and Life Sciences Management Consulting

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Operational Metrics

LTM Gross Profit Margin % LTM EBITDA %

0% 4% 8% 12% 16% 20%

Median

Cello Health plc

CRA International,Inc.

Cegedim SA

Huron ConsultingGroup Inc.

NavigantConsulting, Inc.

0% 20% 40% 60% 80%

Median

Navigant Consulting, Inc.

CRA International, Inc.

Huron Consulting GroupInc.

Cegedim SA

Cello Health plc

Page 9: Healthcare and Life Sciences Management Consulting

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Valuation

TEV / LTM Revenue TEV / LTM EBITDA

0.0x 0.4x 0.8x 1.2x 1.6x 2.0x

Median

Cello Health plc

CRA International,Inc.

NavigantConsulting, Inc.

Cegedim SA

Huron ConsultingGroup Inc.

0x 4x 8x 12x 16x

Median

NavigantConsulting, Inc.

Cegedim SA

Cello Health plc

CRA International,Inc.

Huron ConsultingGroup Inc.

Page 10: Healthcare and Life Sciences Management Consulting

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Valuation

Price / LTM Earnings Historical Valuation Multiples versus Revenue Growth Rate

0x 10x 20x 30x

Median

NavigantConsulting, Inc.

Cegedim SA

Cello Health plc

CRA International,Inc.

7x 8x 10x 11x 15x0%

5%

10%

15%

20%

25%

30%

35%

0x

2x

4x

6x

8x

10x

12x

14x

16x

LT

M R

GR

%

EB

IT

DA

(x)

EBITDA(x) LTM RGR%

Page 11: Healthcare and Life Sciences Management Consulting

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In the last twelve months, 7 Mile Advisors tracked 180 transactions, adding up to a total deal value of $8.2b in the Healthcare and Life Sciences Management Consulting sector. Of which the majority were M&A transactions. The other balance comprised of financings and equity offerings/placements.

RECENT TRANSACTIONS SUMMARY

All Transactions by RegionAll Transactions by Type

Merger & Acquisition Statistics

Valuation Summary

Total Deal Value($mm): $8,233.77

Average Deal Value: $686.15

Average TEV/Revenue: 2.56x

Average TEV/EBITDA: 16.77x

Average Day Prior Premium(%): 45.45%

Average Week Prior Premium(%): 50.92%

Average Month Prior Premium(%): 53.36%

Most Active Buyers/Investors by Number of Transactions Most Active Buyers/Investors by Total Transaction Size

Company NameNumber Of

TransactionsCompany Name

Transaction Size ($mm)

CU Medical Systems, Inc. (KOSDAQ:A115480) 2 Atos SE (ENXTPA:ATO) 3,670.09

Morgan Stanley Private Equity 2 DXC Technology Company (NYSE:DXC) 2,078.38

Salesforce Ventures 2 Roche Holding AG (SWX:ROG) 1,900.0

Sapphire Ventures LLC 2 Canada Pension Plan Investment Board 497.0

.406 Ventures, LLC 1 Bain Capital, LP 497.0

Advanced Business Software and Solutions Limited 1 TPG Capital, L.P. 497.0

Alight Solutions LLC 1 Bain Capital Investors, LLC 497.0

Anju Software, Inc. 1 Goldman Sachs Private Capital Investing 360.0

Artis Capital Management, L.P. 1 KKR & Co. Inc. (NYSE:KKR) 360.0

Atos SE (ENXTPA:ATO) 1 The Descartes Systems Group Inc (TSX:DSG) 248.91

Private Placement,

50

Merger/Acquisition, 60

Europe, 27

Asia / Pacific, 32

Africa / Middle East, 1

United States and

Canada, 118

Latin America and Caribbean, 2

Page 12: Healthcare and Life Sciences Management Consulting

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Recent TransactionsDate Target Buyer / Investor

Total Transaction

Value Target

Revenue TEV /

Revenue TEV /

EBITDA

10Jan19 QuarterLine Consulting Services, LLC Planned Systems International, Inc. - - - -

20Dec18 Kinsale Holdings, Inc. GHO Capital Partners LLP - - - -

13Dec18 Capilano Corretora de Seguros de Vida Ltda. BR Insurance Corretora de Seguros S.A. - - - -

10Dec18 Blue Latitude Health Fishawack Limited - - - -

31May18 Advanced Health Media, LLC IQVIA Holdings Inc. - - - -

28Nov18 Asset Optimization Group LLC Crowe LLP - - - -

7Nov18 BlueLine Associates, Inc ThreeBridge Solutions, LLC - - - -

5Nov18 Eliassen Group, LLC Stone Point Capital LLC - - - -

10Oct18 Hayes Management Consulting, Inc. Primus Capital - - - -

17Jul18 Compass Group, Inc. TiER1 Performance Solutions, LLC - - - -

13Jun18 Life Account, LLC Alight Solutions LLC - - - -

12Jun18 Clinical Device Group Inc Factory-CRO bv - - - -

11Jun18 Sciformix Corporation Covance Inc. - - - -

11Jun18 Jobson Healthcare Information LLC WebMD Health Corp. - - - -

9May18 Mark Krueger & Associates, Inc. - - - - -

5Apr18 Telerx Marketing Inc. HCL America, Inc. 60.00 199.00 0.3x -

21Mar18 Xiangtan Meinian Onehealth Healthcare Management Co., Ltd

Changsha Meinian Onehealth Healthcare Management Co., Ltd. 4.66 3.71 1.7x -

1Mar17 Thomson International Health Services Pte. Ltd. - 0.09 - - -

8Feb18 Qualis Health Inc. HealthInsight, Inc. - - - -

5Feb18 Consulting Division of PBC Advisors, LLC BDO USA, LLP - - - -

30Jan18 Insight Strategy Advisors, LLC Precision Medicine Group, Inc. - - - -

10Jan18 CBIG Consulting, LLC Trianz Holdings Pvt. Limited - - - -

5Jan18 Practice Fusion, Inc. Allscripts Healthcare, LLC 128.69 - - -

7Dec17 Paragon Solutions, Inc. CGI Group Inc. 60.58 - - -

5Dec17 Alliance Life Sciences Consulting Group, Inc. The Access Group - - - -

4Oct17 Pursuit Healthcare Advisors, LLC Atos SE - - - -

29Sep17 Healthcare Provider Consulting Business and The Breakaway Group, Inc.

Atos SE - - - -

28Aug17 The Advisory Board Company OptumInsight, Inc. 1,300.00 799.15 - -

9Aug17 Clinical Benchmarking, LLC The Pinnacle Group, LLC - - - -

28Jul17 Medical Knowledge Group, LLC WindRose Health Investors, LLC; MTS Health Investors IV, L.P. - - - -

12Jul17 Vynamic, LLC UDG Healthcare plc 32.00 - - -

10Jul17 Novia Strategies, Inc. The Camden Group - - - -

29Jun17 NMC Health Plc Infinite Investment LLC 301.20 1,319.24 5.5x -

22Jun17 Cobridge Co.,Ltd. WDB Holdings Co., Ltd. - 1.80 - -

Page 13: Healthcare and Life Sciences Management Consulting

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7MA provides Investment Banking & Advisory Services to the Business Services and Technology Industries globally. We advise on M&Aand private capital transactions and provide market assessments and benchmarking. As a close-knit team with a long history togetherand a laser focus on our target markets, we help our clients sell their companies, raise capital, grow through acquisitions, and evaluatenew markets. Securities offered through 7M Securities LLC.

CONTACT INFO

Leroy Davis, Partner 704.899.5962 [email protected]

Tripp Davis, Partner 704.899.5762 [email protected]

Andy Johnston, Partner 704.899.5961 [email protected]

Ben Lunka, Managing Director 704.496.2995 [email protected]

Jeff Stoecklein, Managing Director 312.796.9330 [email protected]

Mark Landry, Managing Director 561.972.0609 [email protected]

Kristina Sergueeva, Director 704.899.5149 [email protected]

Neil Churman, Director 281.742.9340 [email protected]

John Cooper, Director 704.973.3996 [email protected]

Tim Frye, Director 704.973.3994 [email protected]

Nicholas Prendergast, Financial Analyst 704.973.3995 [email protected]

Ariail Siggins, Marketing Director 704.981.2908 [email protected]

Sydney Larese, Associate 704.973.3998 [email protected]

Marty Johnson, Associate 704.973.3999 [email protected]

Rory Julyan, Associate 704.981.2520 [email protected]

Garth Martin, Associate 704.973.3997 [email protected]

Dennis Fox, Associate 704.706.9168 x 119 [email protected]

Steve Buffington, Associate 704.960.1828 [email protected]