M&A Market Update
2023 saw a drop in reported deal volume compared to 2022 and 2021. However, deal volume in 2023 was still above pre-pandemic levels. Meanwhile, the reported deal value in 2023 surged by over 50% compared with 2022. Four mega deals in excess of $1Bn helped drive this increase: Syneos Health ($7.4Bn), Worldwide Clinical Trials ($2.0Bn), Baxter BioPharma Solutions ($4.3Bn), and F.I.S. ($1.4Bn).
Notable Q4-23 deals included: Ajinomoto acquiring Forge Biologics, a gene-therapy CDMO, Accenture acquiring healthcare Concentric Partners, a healthcare marketing agency, and Certara acquiring Applied BioMath, a provider of model-informed drug discovery and development services.
Financial investors continued to be meaningful players in the sector in 2023. All four of the previously mentioned mega deals involved PE buyers, inclusive of Elliott Management, Patient Square, Veritas, Warburg Pincus, Advent International, and Bain. In 2024, we expect that PE exit activity will increase driven by improving valuations as well as extended hold periods. At present, the average hold period for North American private equity funds reached a 20-year high of 7.1 years in Nov-2023(3).
KPMG US 2024 Healthcare & Life Sciences Investment Outlook – Key Takeaways
Tailwinds
Demand for CGT clinical trials and manufacturing: There are twice as many biologics in clinical trials now as there were in 2019. Much of that work will continue to be outsourced to biopharma services companies.
An increasing reliance on AI: The potential for AI-powered applications to streamline and speed up operations across the sector is likely to lead to increased M&A as companies position themselves to provide innovative services to clients.
A boost from PE: As PE volume is expected to rebound in 2024, biopharma services M&A activity should increase given PE’s strong participation in the sector.
Headwinds
Valuation Uncertainty: Amid turbulence in the sector, there remains a valuation disconnect between buyers and sellers.
Dealmaking impediments: Although the cost of capital appears to be stabilizing, it remains much higher than in recent years, challenging the calculus for making acquisitions.
We hope you find this information valuable, and as always, feel free to reach out if you would like to discuss in further detail. To read the full report, download the PDF below.