What is the impact of Funds on

the LBO value creation?

Financial theory and case study analysis

Carles CODINA

HEC - Master in International Finance

Patrick LEGLAND

HEC Professor - Thesis director June 2020

Abstract

This study is based on the role of Private Equity funds in LBO value creation. Specifically, it analyses the value creation achieved for all participants in the investment. It starts with a theoretical section followed by a proposed framework for the calculation of the value created. This framework is then applied to the real case of Biomet. An American medical device manufacturer acquired in 2008 by a consortium of Private Equity funds and sold in 2014 to Zimmer Holdings creating the current industry leader Zimmer Biomet. At the end of this case it has been concluded that at the exit of the LBO, value was created for the firm, the shareholders and the debtholders, thanks to several value drivers exploited with good management during the holding period.

Acknowledgements

I would like to thank very sincerely Mr Patrick Legland, who as my thesis director has helped and advised me during all this period of research and elaboration of my thesis. With his experience, flexibility and closeness has made this time of work enjoyable and fruitful.

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Table of contents

LIST OF FIGURES ...... 4

INTRODUCTION ...... 6

SECTION I – THEORY PROSPECT ...... 7 1. LBOs and Private Equity Funds ...... 7 2. Sources of Value Creation and Private Equity funds intervention ...... 13 2.1. Operational and Financial Engineering ...... 14 2.2. Industry Performance ...... 17 3. Conflict of interests between the PE fund and the company objectives ...... 18 4. Measuring the Value Creation ...... 19 4.1. Sharing of the value created ...... 19 4.2. Measuring the risk of the firm ...... 25 4.3. How current crisis is affecting Private Equity funds and value creation through LBO? ...... 26

SECTION II – THE BIOMET CASE STUDY ...... 29 5. Pre-LBO analysis - Company and Industry ...... 29 5.1. Company Overview ...... 29 5.2. Medical devices and equipment industry overview ...... 31 6. Financial Analysis pre-LBO and the delisting in 2008...... 36 7. Value creation during the holding period (2008-2014) ...... 40 7.1. WACC estimation for the holding period ...... 40 7.2. Value creation for the firm ...... 42 7.3. Value creation for the shareholders ...... 43 7.4. Value creation for debtholders ...... 43 7.5. Digging into the drivers of value creation ...... 44 7.6. Risk analysis...... 51 8. The exit to the new holding Zimmer Biomet ...... 53

SECTION III – CONCLUSIONS ...... 55

BIBLIOGRAPHY ...... 57

APPENDICES ...... 58

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LIST OF FIGURES

Figure 1: LBO typical financing structure. Source: IB book by Giuliano Iannotta ...... 9 Figure 2: Typical phases in a PE activity. Source: The DVS Group ...... 10 Figure 3: PE typical legal structure. Source: IB book by Giuliano Iannotta ...... 12 Figure 4: Number of closed funds and import committed by LP's (2003-2017). Source: EY 2018 Publication ...... 13 Figure 5: Activities by PE vs CEO interests. Source The Boston Consulting Group...... 19 Figure 6: Value Creation Framework. Source: INSEAD and Duff&Phelps ...... 24 Figure 7: Value Creation Breakdown. Source: INSEAD and Duff&Phelps ...... 25 Figure 8: Medical Devices Sales Distribution (2008). Source World Health Organization . 32 Figure 9: Top medical device companies by sales (2008). Source WHO ...... 33 Figure 10: Value and number M&A deals (2000-2012). Source: Thomson ONE ...... 34 Figure 11: Rational behind the largest M&A deals in medtech. Source CapitalIQ ...... 34 Figure 12: Sales evolution (2002-2007). Source:Thomson Reuters ...... 36 Figure 13: EBITDA Margin evolution (2002-2007). Source: Thomson Reuters ...... 37 Figure 14: Biomet pre-LBO financial analysis (2002-2007). Source: Thomson Reuters ...... 37 Figure 15: Top 10 biggest PE funds. Source:PE International Data Base ...... 38 Figure 16: Sources and Uses table of the LBO entry. Source: Own calculation ...... 40 Figure 17: WACC computation for the holding period. Source: Own calculation ...... 41 Figure 18: WACC sensitivity to the ERP and the Beta. Source: Own calculation ...... 42 Figure 19: ROCE vs WACC spread (2008-2014). Source: Own calculation ...... 43 Figure 20: ROE vs COE spread (2008-2014). Source: Own calculation ...... 43 Figure 21: ROD vs COD spread (2008-2014). Source: Own calculation ...... 44 Figure 22: Sales growth evolution. Source: Own calculation ...... 45 Figure 23: Gross margin and EBITDA margin. Source: Own calculation...... 46 Figure 24: Unlevered FCF evolution (2008-2014). Source: Own calculation ...... 47 Figure 25: Cash Flow analysis and split. Source: Own source ...... 47 Figure 26: Capital expenditures evolution (2004-2014). Source: Own calculation ...... 48 Figure 27: WCR Decomposition as % of sales. Source: Own calculation ...... 49 Figure 28: Operating WCR evolution (2004-2014). Source: Own calculation ...... 50 Figure 29: Total WCR evolution (2004-2014). Source: Own calculation ...... 50 Figure 30: Financial Risk metrics computation. Source: Own calculation ...... 51 Figure 31: Fixed vs Variable costs ratio (2007-2014). Source: Own calculation...... 52

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Figure 32: Exit details to new holding Zimmer Biomet. Source: Pillar of Wall Street ...... 54 Figure 33: Biomet Balance Sheet (2002-2007): Source: Thomson Reuters ...... 58 Figure 34: Biomet Income Statement (2002-2007): Source: Thomson Reuters ...... 59 Figure 35: Biomet Cash Flow (2002-2007): Source: Thomson Reuters...... 59 Figure 36: Biomet Balance Sheet (2008-2014): Source: Thomson Reuters ...... 60 Figure 37: Biomet Income Statement (2008-2014): Source: Thomson Reuters ...... 61 Figure 38: Biomet Cash Flow (2008-2014): Source: Thomson Reuters...... 61

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INTRODUCTION

The private equity industry and its ways of creating value for investors, often in reprimand of the company itself, has been throughout history a highly controversial subject. In the same way, is a business model that has varied greatly over time, adapting to each global situation. At the present time, with the COVID-19 pandemic causing an economic recession worldwide, continuing to create value in its funds will be the great challenge for the industry in the coming years.

In this study, we provide a theoretical review of how private equity funds manage to generate value in companies. We talk about how to measure this value and how it is then distributed among the participants in the investment. Moreover, we add a point about how, in this current crisis situation, these funds may be able to keep their investee companies afloat, overcome this challenge and continue to extract value from them. Finally, as part of this first theoretical section, a point is also added to discuss the conflict of interest that often arises in this type of investments. Where, PE managers and the company's CEO, usually pursue different objectives.

Afterwards, during the second section, the framework proposed for calculating the value creation in a LBO, is applied to the real case of Biomet. An American multinational company, medical devices manufacturer, which was acquired in 2008 by a consortium of private equity funds. We will analyse in depth, what impact these funds had on the company both at an operational and financial level during the holding period (2008-2014).

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SECTION I – THEORY PROSPECT

1. LBOs and Private Equity Funds

As it is known, in a (LBO), a company is acquired by a specialized investment firm using a relatively small portion of equity and a relatively large portion of outside debt financing. These leveraged buyout investment firms today are generally referred to as Private Equity firms.

Private Equity is, in the most simplistic terms, the capital that is held in a private company. These companies are run by general partners (also called sponsors), who invest money obtained from investors who work together for a limited time and are therefore called "limited partners". However, while this practice may seem novel, the reality is that the concept behind it is very old. The fact that a group of people pool their capital to buy shares in a private company has been going on since the 18th century. The first prototype was found in the Massachusetts Bay Company, which used the money raised to finance the development of the economy of the English colonies in North America. While the colonists were dedicated to structuring and improving the colonies, those who stayed in England helped finance the company, hoping to find a return on their investment over time.

Years later, when the economic engine of the United States (US) was the railroad and its construction one of the most expensive enterprises of the time, the lack of financing from wealthier families led the major banks to buy controlling interests, restructured business operations, introduced new administration and helped eliminate corruption. These are all current components of the modus operandi of private equity funds.

It was not until 1946 that the first modern PE company as we know it today appeared under the name of American Research and Development Corporation. The industry, on the other hand, will take several decades to establish itself. In 1970 we found about a dozen PE companies mostly located in the US. However, this number will rapidly multiply due to:

• The fall of the US stock market in the 1970s.

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• Period of uncertainty from the enactment of ERISA (Employee Retirement Income Security Act) in 1974, which was extremely damaging to the industry, until its clarification in 1978. • Reductions in the maximum rate of capital gains tax (Cendrowski et al, 2008).

The golden age of the PE industry arrived in the United States with the boom in the high-yield debt market (high-yield debt that is more expensive and more profitable than that offered by the market). Michael Milken's research, which showed that this type of high-yield debt produced much higher returns than the more common investment grade debt, led to the use of the most characteristic activity of a PE, the leveraged buyout (LBO).

This investment method as commented above is characterized by minimizing the equity package that the investing company must commit, replacing it with debt and benefiting from the high returns offered by this type of debt, the internal rates of return of the operations carried out with LBOs financed by high yield debt offered juicy profit opportunities. Between the years 1980 and 1988, there was an investment in the percentage of the total capital coming from corporate loans and bonds in the market, going from 57% to 15% and 36% to 61% respectively.

The escalation of LBO operations is notable during the entire decade of the 80s, reaching its peak in 1988 with the purchase of the American multinational RJR Nabisco by the investment fund KKR (Kravis Kohlberg Roberts). This purchase operation, worth around 30 billion dollars, which had the market on tenterhooks because of its drama, was the last major operation by the PE sector in the 20th century.

The private capital market has become a major source of funds for start-ups, companies in financial difficulty and public companies seeking financing for share purchases. Between 1980 and 1994, the amount of outstanding PE increased from less than $5 billion to $100 billion. Fenn, et al (1995).

The stock market crash of the 1990s caused by junk bonds and the negative consequences of the Nabisco case led to the purchase.

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The first step in this process is to bring the leveraged buyout into the background, where it remains dormant in a state of sustained growth until the beginning of the 21st century. The leveraged buyout model will take hold in the United Kingdom at the beginning of this century and will take a few more years to take hold in the rest of the old continent, being definitively implemented in the years prior to the financial crisis of 2007.

After this recapitulation in the history of the sector. We are going to enter in a more practical level to see what an LBO consists of.

We will first analyse the key drivers in an LBO and its most common financing structure, to later analyse how the Private Equity fund intervenes in the investment process collaborating in the value creation of the target company. As the main steps driving any Private Equity investment activity we are going to define the (a) purchase price and the financing structure used in the acquisition, (b) the operating evolution of the company during the 5-10 years after the transaction close, and finally, (c) the selling price in the exit through either an IPO or a sale of the target company.

i. The purchase price in a LBO depends on three factors: the estimated terminal value of the company at the end of the investment period (5-10 years), the debt capacity of the target firm, and the return required by sponsors. Regarding the capital structure used in the acquisition, each component relates to a piece of the financing package that is used to purchase the company. Each LBO is structured slightly differently. However, the typical financing structure is represented in Figure 1. In the section on financial engineering we will go into more detail on how this financing is carried out and legally structured for maximum optimization.

Figure 1: LBO typical financing structure. Source: IB book by Giuliano Iannotta

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The amount of debt usually provides between 60 and 90% of the value of the deal (Kaplan and Strömberg, 2008). In large LBOs there are multiple layers of debt, mezzanine and equity. Each of these sources of finance comes from different institutions. Financial institutions such as banks or insurance companies provide PE firms with the senior debt that would be the layer with the highest repayment seniority as well as the lowest interest rate. Second, comes subordinated debt, which can be either high-yield (junk bonds) or privately placed debt with a lower seniority, higher interest rate and usually with bullet repayment. Another proportion of our funding is mezzanine debt, usually from mezzanine funds. With high interest rates (Paid in Kind). Finally, the equity portion comes from the General and Limited Partners, explained in detail below.

ii. Once the company is acquired, certain operational improvements can be implemented making the business run more efficiently (e.g., through organic growth, acquisitions, and/or increased profitability). Lately we will go into more detail on these operational improvements and see how they directly affect value creation. By the end of the investment horizon, ideally the sponsor has increased the target’s EBITDA and reduced its debt, thereby substantially increasing the target’s equity value.

iii. Most sponsors seek to exit or liquidate their investments within a 5-10 years retention period in order to provide a timely return on their LP. These returns are typically realized through a sale to another company (commonly called as a "strategic sale"), a sale to another sponsor, or an initial public offering (IPO).

Figure 2: Typical phases in a PE activity. Source: The DVS Group

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Once we have gone through a quick look to the drivers governing any PE activity, we are going into more detail on how the investment is structured. We have seen the debt equity ratios that are normally used in these investments but the process is not as simple as it seems. As illustrated in Figure 3, the typical LBO structure consists of a series of SPVs (Special Purpose Vehicles) each founded for a debt or equity instrument. On the one hand, there is the equity of the General Partners (GP's) members of the Private Equity, who contribute a very small proportion of the total equity used for the transaction. On the other hand, through an LPA, the commitment of the contribution of the rest and the great majority of the necessary equity is signed with the Limited Partners (LP’s). These LP's are external investors such as pension funds, insurance companies or high-net worth individuals who invest in the fund.

The LPA document sets out certain points committing both parties. The main points covered are: • The laws and regulations that will govern the agreement. • The purpose of the agreement and the type of investments to be made in that fund (industry, geography, etc.). • The duration of the fund, normally 10 years with the option of two one-year extensions. • The capital to be contributed by each LP through capital calls over the duration of the fund.

Once the capital it’s “collected” (committed by LP’s) in the fund, capital flows from one SPV to the other until it reaches the so-called "BidCo", the legal entity that executes the acquisition of the target company.

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Figure 3: PE typical legal structure. Source: IB book by Giuliano Iannotta

Having seen both the financing structure and the legal structure of a private equity fund, it is concluded that one of the most important phases in this type of investment is fundraising. That is why, before continuing with the creation of value once the participation in the company is held, the keys to good fundraising are set out. The private equity industry has good skills in raising capital in any kind of economic cycle, but a redefinition of business relationships is needed. It is recommended that companies: • Work on new channels to access other sources of capital: Sovereign wealth funds, family offices and pension funds have increased their holdings as LPs in the industry. • Take advantage of the dynamic relationship between GP and LP: Possible future fund movements include the allocation of capital to separately managed accounts (SMAs), co-investment mechanisms and direct investment in private companies. • Treating innovation as an imperative: One of the fastest growing strategies is the issuance of private debt (the weight in the total assets managed by the industry has

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risen from 16% in 2007 to 31% in 2017) as a complement to capital on the balance sheet, which offers investors various interest rate and return options. The key is to remain attentive to the market, broaden the offer and look for synergies. • Capitalize on the open window to raise capital: Firms should take advantage of the fact that today there is an open window to raise capital. A change of cycle would close it and there would not be the availability that there is today.

Figure 4: Number of closed funds and import committed by LP's (2003-2017). Source: EY 2018 Publication

As can be seen slightly in the figure above, taken from a study by Ernst and Young of the private equity industry in 2018 The private equity industry has a strong cyclical component, and the previous peak was reached in 2008 with a volume of capital commitments of $634 billion from LPs.

2. Sources of Value Creation and Private Equity funds intervention

Firstly, we start analysing in a qualitative way, which are the main drivers of value creation that can be used by private equity funds in LBO acquisitions. These drivers can be divided into four groups. Operational and financial engineering, Industry performance, Tax shields and Corporate Governance Mechanisms. This division allow us to look at value creation for the whole company, and not just from the shareholder's point of view. Later on we will see how the value created will be shared between the firm, the shareholders and the debtholders.

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2.1. Operational and Financial Engineering

We define in this section two other drivers used by PE sponsors, to increase their target value. On the one hand we have the value creation through the management of the capital employed (Total Assets – Current Liabilities) also called operational engineering, and on the other hand the financial engineering which consists in create value by optimizing and managing the invested capital (improving the capital structure, providing liquidity, financing or enabling the company to access to Debt and Equity Capital Markets).

2.1.1. Operational Engineering

The leveraged buyout industry has become increasingly competitive, forcing private equity firms to adapt and improve. During the 1980s and 1990s financial engineering was the main source of value creation, but as financing became cheaper in the 21st century all industrial companies acquired financial engineering capabilities. Financial engineering, while still important, has moved from being a differentiator to a requirement for remaining competitive. Amidst a myriad of views on the sources of value creation in an LBO, operational engineering is being highlighted as the main driver of performance improvement.

Operational engineering refers to the expertise and actions provided by the private equity firm and how it is used to enhance the value of the portfolio companies' operations.

Now, let’s go deeper into the levers for operational value creation: the sales growth, the gross margin improvement, overhead reduction, capital efficiency and shared services. • Sales Growth: Boosting revenue growth through increased sales volume is the preferred lever for the value creation. New market entry, new product introduction and improving sales force effectiveness are some of the initiatives employed to drive sales growth.

• Gross Margin Improvement: PE-baked companies drive the margin enhancement through a combination of improved sales and cost savings. Price increases, supply chain and distribution optimization, and improved capacity utilization are the main initiatives chosen for this purpose.

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• Overhead Reduction: Reducing overhead is one of the most common lines of value creation immediately following the PE-fund's investment in a company in its portfolio. This reduction of the overhead causes a quick win for the bottom and short pay-back periods. They usually focus on reducing general and administrative costs, and tend to outsource non-core functions, while focusing the effort on research and development of products with the highest commercial potential.

• Capital Efficiency: PE investors work closely with their portfolio companies to optimize the use of their capital. Managing the use of capital is particularly important in leveraged buyouts (LBO's), as excess cash can be used to repair debt or pay early distributions to PE investors and thus improve the internal rate of return (IRR). On the one hand, short-term capital management is focused in the optimization of working capital through inventory reduction and improvement in payment and collection contracts with suppliers and customers. On the other hand, the optimization of fixed assets is focused on ensuring that capital expenditures generate value during the investment period and identifying those assets that must be shut down or sold to generate immediate cash.

• Shared Services: PE funds can obtain improvements in the profitability of the companies within their fund by sharing services between them and leveraging the combined negotiating power of the companies within the portfolio. The most common services that are shared are insurance related or back-office and business services.

2.1.2. Financial Engineering

Historically, leverage has been the primary means of creating value in an LBO by taking on a large amount of debt in acquisitions. Both the amount of debt, the specific conditions of the debt, and the layers of debt can substantially increase the return for equity investors. As mentioned above, financial engineering was the basis of private equity activities in the past. It has been seen how private equity funds create financial packages composed by debt tranches and equity capable to cover the enterprise value of the target company

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including its equity value (with any premium to be paid) plus the need to refinance or repay its existing borrowings as well as cover the transaction costs.

The use of debt (leverage effect) benefits the PE in two ways:

• It reduces the upfront cost when acquiring the company thus amplifying the return. It is important to note that leverage does not boost returns, it amplifies it. Making good investments better and bad ones worse. • Even though you will have to pay back either during the investment period or on your exit the money borrowed for the acquisition, since money today is worth more than tomorrow, the IRR increases by more if you can reduce your investment cost by $100 today than if you can increase your proceeds $100 at the exit.

As a result of this leverage effect the so-called tax shield arises. Leverage can enhance the firm value through the tax deductibility of interest. Tax shield can boost returns by increasing the cash flows available to capital investors through the reduction of tax expenses each year. However, this creation of value by the leverage effect and the tax shied it entails, carries a risk. The use of leverage is to some extent threatened by the risk of bankruptcy. That is why it is key to compute and define the optimal debt level.

It seems largely clear in the literature that the contribution of the taxes in LBOs must not be underestimated. Nevertheless, the tax shield present in the LBOs has declined over time due to some regulations. For instance, in 2008 the German government issued a measure designed to restrict excessive leverage in LBOs by limiting the tax-deductible interests to 30% of EBITDA. Similarly, in the U.S., legislators are currently reviewing various regulatory measures, including limits on rate-deductible interest, with the intention also of reducing the leverage of U.S. private equity fund portfolio companies.

The second key driver of value creation through financial engineering is the optimization of the capital structure. Decreasing the WACC by utilizing more debt, which is cheaper than the cost of the investors’ equity is a key driver behind the outsized returns obtained in a successful LBO.

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2.2. Industry Performance

In this section we will go into how we can add value to our investment through market timing (we call this market multiple expansion). To create value through market or industry timing, the fund managers should try to buy when the markets or the industry to which the target company belongs, are in a bad state or with a period of growth nearly expected. It is difficult to predict the industry multiple expansion, since it depends on the general sector performance or external factors such as political, social, environmental, or industry-specific factors. That’s why this driver is considered external to the management of the company as opposed to the operational and financial engineering studied above which can also cause a multiple expansion occasionally.

In order to track the fund managers market timing ability, we define the industry multiple expansion as the delta between the average industry multiple at investment and the average industry multiple at the exit.

Thus, the ability of the fund's managers to try to take advantage of the expansion of the multiple caused by the performance of the industry or the market in general, is based mainly on keeping themselves very up to date and make the right decision on when is the best time to invest and then know how to choose the right time to exit.

To give a practical example on how sometimes independently of our operational and financial management with the company and independently of leverage effect of the acquisition used by PE’s we can obtain value too by just choosing the right moment to undertake the operation. Let's look at the current state of the economy: Wall Street closed on Friday 20th March 2020 its worst week since 2008. The respite of the European and Asian stock markets could not erase the heavy losses of previous days and the price of oil fell for the fourth consecutive week. The unbridled spread of the Covid-19 and the Russia-Saudi fight over oil prices were the two ingredients of an explosive cocktail that led the stock markets to one of the darkest weeks in several years.

The initial impact of the epidemic on economic activity was felt mainly in sectors such as tourism (airlines, travel agencies, hotels...) and in those more dependent on the international supply chain (automotive industry, footwear and textiles, high technology and

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household items), but concern about the effects of the epidemic is spreading to all sectors and sub-sectors of the economy. Being clear that the effect is negative for the vast majority of industries and sectors. Like every crisis, it brings with it interesting investment opportunities for those who want to take advantage of this doubtlessly tragic situation. For the private equity funds this situation creates a double effect. On the one hand, current investments suffer a significant loss in value. But on the other hand, a lot of new opportunities arise. The crisis is leaving the vast majority of companies very undervalued, giving a potential return within reach of all those able to detect the opportunity. As we have said before this is a clear situation where the market is leaving low entry multiples and just as this pandemic will eventually be remedied, the markets will eventually recover with it regaining the lost value to those companies that are being affected. Considering the risk that some of them may not be able to cope with this situation and may not be able to stay afloat when they go bankrupt, this is a great opportunity to take advantage of the strong changes in the market to create value in your investments.

3. Conflict of interests between the PE fund and the company objectives

Over time, diverse opinions regarding the roles and responsibilities in a PE-backed company can lead to certain tensions between the management team and the PE owners. According to the survey conducted by Boston Consulting Group (Schneider and Lang, 2013), there is a significant divergence of views regarding the importance of the role of the PE firm in relation to the operational management of the company. The main sources of conflict appear during the first 100 days post-investment and the definition of KPIs, two activities that are normally focused on by the owners of the PE fund. Other sources of tension include lack of transparency, accountability, and of course poor business results.

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Figure 5: Activities by PE vs CEO interests. Source The Boston Consulting Group

4. Measuring the Value Creation

Having gone deep into the sources of value creation in an LBO This section is dedicated to study how to quantify the value created at the end of the investment, and in this way to be able to assign the total value obtained to each of the sources and distribute it to each of the parties of the LBO investment. The framework used during this section will be used later in the case study to analyse the specific real case of the Biomet’ LBO.

4.1. Sharing of the value created The first step will be to quantify the total value obtained from the investment for each of the parties involved in the investment: (3.1) The Firm, (3.2) The Shareholders and (3.3) The Debtholders. It is important to note that these are all approaches, using frameworks that are as close as possible to reality. The method used consists of estimating the difference between the return obtained and the cost that has been incurred by each of the parties. The drivers that will increase the returns for each of the participants in the investment are those explained above.

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4.1.1. The firm

At the global level of the firm, the value created is defined as the spread between the company's ROCE and WACC. As part of the basic rules of finance it is said that if you achieve a return on invested capital greater than the cost of capital you are creating value. And consequently, in the opposite case, value is destroyed. So the spread will be measured as the ROCE-WACC.

i. WACC computation

The WACC is basically the sum of the cost of debt and the cost of equity, calculated as a weighted average of their percentage in the value of the company. Therefore, in order to calculate the WACC, the formula below is used.

퐷 퐸 푊퐴퐶퐶 = 퐾 (1 − 푡) + 퐾 푑 퐷 + 퐸 푒 퐷 + 퐸

t: Corporate tax. D: Financial Debt. E: Equity. Kd: Cost of Financial Debt (Kd). Is the cost that a company incurs to develop its activity or an investment project through its financing in the form of credits, loans or debt issuance. In the subsequent case to be studied of Biomet, this cost will be calculated as the net cost of the debt year by year over the period of the LBO. Important to note that such cost is tax deductible. Ke: Cost of Equity (Ke). A common method for calculating the Ke is the CAPM (Capital Asset Pricing Model). Which is the result of adding a market risk premium (e.g. historical stock market return minus historical government bond return) to the risk-free return of a fixed income (e.g. a bond). Conditioned by the volatility of the stock in relation to the market (훽 ). 퐾푒 = 푟푓 + 훽(푟푚 − 푟푓)

For the subsequent study of Biomet's case, a risk free rate equivalent to the 10y-US government bond will be used. On the other hand, the Equity Risk Premium (rm-rf), will be

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assumed as the difference between the return of the NASDAQ, index in which Biomet was listed before privatization, and the rf. Regarding the calculation of the Beta, it is said that it represents the correlation between the return of the market and those of our stock. This volatility can only represent the risk of the industry in which the company is located (Unlevered Beta), or it can also include the risk of the company's leverage level (Levered Beta). For the calculation of the Cost of Equity, the Levered Beta will be used. Based on the Unlevered Beta extracted from the industry peers' average, using the formula below the company's own leverage is added.

퐷 훽 = 훽 (1 + (1 − 푡) ) 퐿푒푣푒푟푒푑 푈푛푙푒푣푒푟푒푑 퐸

i. ROCE computation 푁푂푃퐴푇 푅푂퐶퐸 = 퐶푎푝𝑖푡푎푙 퐸푚푝푙표푦푒푑

NOPAT: Net Operating Profit After Taxes. It is calculated in a very simple way by subtracting taxes from operating profit (EBIT), thus obtaining something similar to the operating margin for shareholders in a company without debt. Capital Employed: The capital employed is less clear, since depending on the company or the context, various criteria can be used. For our case the capital employed will be assumed as the Fixed Assets + Working Capital.

The problem with using the ROCE to quantify value creation is that it is an indicator that can easily be artificially increased. For example, by lowering the Capital employed automatically increases the ROCE, which does not have to mean greater value creation in the future. This is solved by using the EVA for the value calculation (explained below). Secondly, a decrease in taxes paid or in the D&A would also result in an increase in ROCE. To avoid the effect of manipulating taxes, in the case of Biomet, effective constant tax rate will be used. I has been chosen to use the ROCE spread over the WACC to calculate the total value creation of the firm. But as mentioned in the previous paragraph, another option is to use the EVA (Economic Value Added). The method is very similar, with the only difference being that it is multiplied by the Capital Employed. As seen in the formula below, the EVA is based on the ROIC which is the Return on Invested Capital. Despite not being exactly

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true, it will be assumed as equal the capital employed and capital invested, consequently assuming equal ROIC and ROCE for simplicity.

퐸푉퐴 = (푅푂퐼퐶 − 푊퐴퐶퐶)퐶푎푝𝑖푡푎푙 퐸푚푝표푦푒푑

4.1.2. The shareholders

The calculation of the return from the shareholders' perspective will be very similar. But in this case it will be necessary to compare the ROE (Return on Equity) with the Ke (Cost of Equity). The ROE is easily calculated as the return on equity invested by the fund. And the cost equity as shown in the previous section using the CAPM.

푁푒푡 푃푟표푓𝑖푡 푅푂퐸 = 퐸푞푢𝑖푡푦

Discomposing the ROE

Two additional indicators

The two most typical metrics for a PE fund to measure how attractive an investment is or to evaluate the outcome of an investment already at the exit is the IRR (Internal Rate of Return) and the C/C multiple (Cash-on-Cash). Both are indicators that focus on cash flows. The IRR is defined as the rate of return that would generate a zero NPV of the cash flows of the period. The C/C multiple is the division between the equity you receive and the one injected into the fund. In this way, using this multiple you are not taking into account the value of money in time, since it does not differentiate when the cash inflows or outflows are made. That’s why the C/C is not considered an indicator of the value created in the investment. Similarly, the IRR, even taking into account the value of money over time, it does not serve as an indicator of value creation for three reasons: • The IRR may give different values, and the results may conflict with the Net present Value criteria. • The second and probably the most important, the IRR ignores the cost of capital. It is really in the comparison of the return with the cost of financing where you see whether the value has been created or destroyed in the investment.

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• Finally, with the IRR you are assuming a constant discount rate throughout the period. If, on the other hand, evaluating year by year the spread between the ROE and the COE allows you to work with a varying discount rate.

Discompose de IRR/C/C

The method used to decompose the return focused on cash flows is based on a research paper made in 2016 by INSEAD Business School in cooperation with the company Duff & Phelps, leader in valuation tasks. And in the same way we will decompose the value created in the Biomet LBO case study. At the end of an LBO, the value extracted from that investment can be divided into two big groups: i. Operational effect: ii. Leverage effect The operational effect at the same time can be divided in three main groups: (a) EBITDA impact, (b) Multiple impact and (c) FCF impact.

a) EBITDA impact - The impact of EBITDA measures the portion of value created that can be attributed to operational changes during the holding period. EBITDA is used as a proxy for operating cash flow, and as a measure of the operating portion of the company without regard to accounting standards or different capital structures. However, this point includes improvements that may have occurred in the industry in general, i.e. not caused by management improvements during the period. In the case that we would like to measure only the impact of private equity funds on value creation, as is our case, we should be able to isolate the growth of EBITDA coming from the improvements brought by private equity in the management of the company at the operational level from the growth generalized in the industry. b) Multiple impact - The impact of the multiple quantifies the price variation to be paid per unit of EBITDA between the entry and exit. Just as we discussed in the impact of EBITDA, this simple measurement does not differentiate between the change in multiples attributable to market or industry cycles and the company-specific changes.

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c) FCF impact/Net Debt impact - The variation in net debt during the holding period is measured in dollar terms and represents the cash generated for shareholders. It is known that the cash generated each year can be used either to repay debt, dividends to shareholders or can be kept on the balance sheet. How you manage your operational cash flow by repaying debt, whether mandatory or voluntary, is especially relevant in LBOs. However, this does not measure the impact of leverage on return on investment.

Figure 6: Value Creation Framework. Source: INSEAD and Duff&Phelps

All this value created can be attributed to operational improves and external market evolutional conditions. Hence, if we add to this amount the benefit provided by the leverage effect, we will have the total value created.

Therefore, if you represent the return on investment based on the money multiple (MM) which is the same as the C/C. We can break it down into return on leverage effects and return on operational improvements and market conditions. To which we can add one more layer of granularity from the previous framework (Figure 7).

The operational improvements could be divided in changes in sales, margin or both. And at the same time, the variation of multiple can be broken down multiple variation caused by changes in the market, in the company itself or in both. In this way we are left with a

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more detailed framework for the attribution of the value created. Note that the numbers are not real and only to understand the breakdown.

Figure 7: Value Creation Breakdown. Source: INSEAD and Duff&Phelps

4.1.3. The debt holders Finally, it will be time to measure the value created for the third major investment participants, the debtholders. By far, it will be the most straightforward calculation. The value creation will be equivalent to the difference between the ROD (Return on Debt) and the COD (Cost of Debt). In this case the return on the debt (ROD) for the bank is equivalent to the cost of the debt (Kd) for the target company seen in the previous section. On the other hand, the cost of the debt (COD) for the banks is equal to the risk-free rate plus the credit default spread (CDS) of the sector where the company requesting the debt is located.

4.2. Measuring the risk of the firm To end up this section of value creation. The different ways to evaluate the risk of the target company will be discussed. These methods will then be used to measure the risk in the Biomet LBO case. Two factors are proposed to address risk in an LBO: financial leverage and operational leverage.

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When talking about an LBO, the first thing that comes to mind is a substantial increase in financial leverage. But as you know, with the potential additional return that this leverage can give you comes an extra risk that must be monitored in some way. The most common ratios for analyzing and keeping this risk under control are:

퐷푒푏푡 푁푒푡 퐷푒푏푡 퐸퐵퐼푇퐷퐴 − 퐶푎푝퐸푥

퐸푞푢𝑖푡푦 퐸퐵퐼푇퐷퐴 퐶푎푠ℎ 퐼푛푡푒푟푒푠푡

푁푒푡 푂푝푒푟푎푡𝑖푛𝑔 퐼푛푐표푚푒 DSCR ratio = 퐷푒푏푡 푃푟𝑖푛푐𝑖푝푎푙+퐼푛푡푒푟푒푠푡푠 + 퐿푒푎푠푒 푝푎푦푚푒푛푡푠

On the other hand, the operational management of the target company during the holding period also involves a risk that must be monitored. There are two very simple ways of measuring that risk. The first consists of measuring how fixed costs vary with respect to total costs (fixed + variable), and in this way we can see how we are varying the break-even point. Another way of measuring operational risk is by means of the DOL (Degree of Operating Leverage), calculated with the following formula:

% 푐ℎ푎푛푔푒 𝑖푛 퐸퐵퐼푇 퐷푂퐿 = % 푐ℎ푎푛푔푒 𝑖푛 푆푎푙푒푠

This is a good indicator of operational risk since an increase in fixed costs carries more risk for the company and we would see a higher DOL.

4.3. How current crisis is affecting Private Equity funds and value creation through LBO?

To conclude this section in which we have entered in depth in a theoretical way into the operation of private equity funds as well as their sources of value creation through LBOs. Given the global crisis situation, mainly caused by the COVID-19, this point is dedicated to analyze how this exceptional economic situation affects the activity of private equity funds, and in turn, see what challenges both GPs and LPs will face in order to receive value through LBOs.

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One of the main virtues of private equity funds is their ability to generate value in the long term, in contrasts with quoted funds whose daily valuation, in many cases, makes them incur in a certain short term mentality. The standard format of private equity funds (5- 10y investments) enables their managers to carry out a strategy to add value to the target company and generate a sale of the company (Exit) at the highest possible multiple.

In an environment such as the current one, the private equity manager or sponsor (General Partner) should have management and financing levers that allow him to build a "scorecard" that helps his participated companies to navigate the crisis by identifying both their operational and financial needs. On the operational side, they should face multiple fronts depending on the needs of the company in which they have a stake. Areas such as maintaining the productivity of displaced personnel, optimizing supply chains, cost containment in companies with sharp falls in demand, and customer and supplier management should be a priority. With regard to financing, the manager should consider providing capital, either directly through the company's own resources or through a third party that provides equity or debt.

Another important requirement for the fund manager, since these are unlisted assets and therefore less transparent, is communication with the unit-holders (Limited Partners) who, in addition to being informed of the activity carried out by the managers, should be aware of the fund's valuation on a regular basis and not just once a year as provided by the law regulations. To this end, although it is not the most common thing in the sector, having an independent valuation of the invested companies made by a third party, in line with the standards suggested by the IPEV (International Private Equity and Valuation) and which would serve as a contrast with the fund's internal valuation, would be very useful for both the manager and the fund's participant.

Large listed private equity managers with a market price, such as Partners Group, KKR, Carlyle, Blackstone or Apollo have all lost between 35% and 40% of their value in the last month, over the 29% drop in the S&P 500 and, in the world of venture capital, the giant Softbank has fallen 50% on the Tokyo stock exchange. This explains why the value of the underlying of this type of fund immediately reflects the ups and downs of the economy. However, even if there is a correlation between the market valuation of a listed and an unlisted company within the same sector, for many reasons we cannot assume that the

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valuations of these vehicles must be a pure mirror of market circumstances. To this end, there is nothing better than having a transparent periodic valuation scheme in which both participants and managers can have a clear idea of the fund's situation at any given time.

In conclusion, in the current environment, private equity funds have a fundamental advantage in creating value compared to listed asset funds, deriving from their greater control over their investee companies. This control means that their managers can implement direct support measures both in managing the crisis, helping them to overcome any operational difficulties that may arise, and through explicit financial support, injecting capital or facilitating the search for capital. And it is at times like the present, through effective and transparent management with regard to its participants, that this sector has its opportunity to continue demonstrating the benefits of the investment model.

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SECTION II – THE BIOMET CASE STUDY

This second section is dedicated to working on the Biomet Inc. case. It will start with a company and sector analysis prior to the LBO carried out by a consortium of private equity funds between 2008 and 2014. This will be followed by a detailed analysis of the company's operational and financial performance during the holding period, value creation and its sources. Finally, its exit through the sale of Biomet to the strategic buyer Zimmer, to create the new entity Zimmer Biomet.

5. Pre-LBO analysis - Company and Industry

The case study begins with an overview of the company to be studied by Biomet Inc. Its history prior to privatisation and its position within the medical device industry. A section is then dedicated to studying the situation of the sector at the time of the acquisition in order to understand the rationale behind the operation and to put us in the picture.

5.1. Company Overview

Biomet, Inc was a medical device and equipment manufacturer based in Warsaw, Indiana (USA). The company specialized in reconstructive products for orthopaedic surgery, neurosurgery, craniomaxillofacial surgery and operating room equipment.

Biomet Timeline:

November 30, 1977: Dane A. Miller, Ph.D., Niles L. Noblitt, Jerry L. Ferguson, and M. Ray Harroff realized their vision of providing patients with the highest quality, most advanced orthopedic products on the market. In the first year, Biomet recorded sales of $17,000 with a net loss of $63,000. These results did not discourage the founders, who maintained their vision of the future of orthopaedics.

1984: Biomet expanded its manufacturing operations into Europe with the acquisition of Orthopaedic Equipment Company (OEC). OEC provides the company with an extensive line of internal fixation devices and operating room supplies.

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1988: Biomet acquires Electro-Biology, Inc. (EBI), which offered an excellent product line in both the electrical bone growth stimulation and external fixation markets. Today EBI is still active under the trade names Biomet Trauma and Biomet Spine.

1990: Biomet enters the arthroscopy market with the acquisition of Arrow Surgical Technologies, further expanding its product range. The arthroscopy product range has continued to evolve under the name Biomet Sports Medicine.

1992: Acquisition of W. Lorenz Surgical, Inc. an established leader in the craniomaxillofacial market, which opened up another avenue for Biomet to gain further experience. Today WLS is still active under the name Biomet Microfixation LLC.

1994: With the purchase of Kirschner Medical Corporation, Biomet had the opportunity to expand further in the area of reconstructive products.

1998: Biomet Inc. and Merck KGaA of Darmstadt (Germany) pooled their resources to form the Biomet Merck joint venture. The company quickly expanded throughout Europe and enhanced its product range, using the knowledge and skills of both partners. Biomet Inc. brought established excellence in the orthopaedic sector, while Merck KGaA attracted a wealth of knowledge about biomaterials, based on a heritage of over 300 years in the pharmaceutical sector.

1999: Biomet entered the dental reconstruction implant market with the purchase of Implant Innovations, Inc. (now Biomet 3i LLC). 3i continues to be a market leader in the development of new products and technologies such as dental implants.

2004: In June 2004, Biomet Inc. purchases Merck KGaA's interest in the Biomet Merck Joint Venture and renames it Biomet Europe Group.

September 2007: Biomet is delisted from the NASDAQ being acquired by a consortium of private equity firms consisting of The Blackstone Group L.P., Goldman Sachs & Co., & Co. L.P. and TPG Capital. Biomet was.

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April 2014: Zimmer Holdings announced a $13.4 billion offer to acquire Biomet upon the exit of the LBO.

October 2014: The European Union's anti-fraud regulators opened an investigation into Zimmer's offer on the basis that the agreement could lead to a substantial reduction in competition in certain markets.

June 2015: The verdict finally allowed the merger to take place in June 2015, becoming the world's second-largest seller of orthopaedic products behind Johnson & Johnson.

5.2. Medical devices and equipment industry overview

Before going into detail on the Biomet LBO that took place between 2008 and 2015 by the consortium of PE’s and its corresponding exit to Zimmer Holdings. At this point we are going to put ourselves in the situation. How was the medical equipment sector at that time (2008)? What were the projections for the following years in that industry? In this way we can understand the rationale behind the acquisition of Biomet by the Private Equity Funds. We are at the end of 2007. By then, the market for medical equipment was a little over US$ 210 billion achieved by an industry that comprises more than 27,000 medical device companies worldwide employing altogether about one million people. In order to enter a little deeper, the distribution of these sales is shown in Figure 8. United States led the ranking with more than 40% of sales, followed by Japan and Germany which together accounted for 18% of sales.

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Figure 8: Medical Devices Sales Distribution (2008). Source World Health Organization

On the other hand, in Figure 9 10 top medical device companies by sales (2008) are displayed. Large conglomerates such as Johnson & Johnson, GE, Philips or Siemens lead the industry. Biomet, company to be studied, is positioned at the 29th with sales of $US 2135 million. Also noteworthy is Zimmer's 15th position, company acquiring Biomet in June 2015 at the exit of the LBO, climbing up then the sector ranking to enter the top-3 medical device companies by sales in 2015.

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Figure 9: Top medical device companies by sales (2008). Source WHO

Following the industry analysis over the years of the PE consortium's acquisition of Biomet. At this point we will take a look at the M&A deals of the time and especially analyse the motives behind the major transactions.

The financial and capital market conditions of the time were the main obstacle to M&A transactions in the industry. The years before the 2008 crisis witnessed a strong M&A momentum with a significant amount of large deals (>$1 billion). However, during 2009, given the difficult conditions, there was a significant drop in transactions in the sector. Over the next two years the industry recovered. And despite a difficult second half of 2011, the

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M&A market returned to growth driven by private equity firms, which again had a significant presence armed with substantial amounts of bank financing. A clear example was Blackstone's astonishing $16 billion bid for Synthes in late 2011. In the following figure (Figure 10), we can see the evolution of M&A transactions in the medical device industry from 2000 to 2012.

Figure 10: Value and number M&A deals (2000-2012). Source: Thomson ONE

According to a 2012 report made by BCG, during the period under study the main motives for which medical devices companies had chosen to use M&A to achieve were: (a) market segment consolidation, (b) strategic portfolio extension, (c) access to some technology or R&D, (d) private-equity investment and (e) strategic entry by non-medtech players. These are the top five rationales, individually or in combination, that drove transactions worth more than $1 billion in the medtech industry from 2005 to 2012. Time frame in which the Biomet acquisition took place.

Figure 11: Rational behind the largest M&A deals in medtech. Source CapitalIQ

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i. Market Segment Consolidation - As we can observe above (Figure 11), the majority of medtech deals (almost 75 percent) were motivated by the aim of being consolidated in an specific market segment. Companies strived to make use of customer relationships and complementary geographic sales footprints to increase revenues of combined product portfolios in a specific therapeutic area. ii. Strategic Portfolio Extension - The second dominant reason why companies in the sector use M&A is to expand their product portfolio. Representing 61% of those studied. This may include simply expanding existing products with additional complementary services. Specifically, in the medical equipment sector one could see for example dental implant companies acquiring computer-aid-ed design and manufacturing software which allows the laboratory to design customized implants for its clients. iii. Access to R&D Technology - Access to a R&D pipeline for 30 percent of the deals studied. These transactions are symbiotic agreements, where large medtech companies acquire smaller entrepreneurial and innovative companies. And both parties gain from the deal. iv. Private equity investments - 25 percent of the deals analysed involve private-equity funds attracted by high margins, solid growth and good exit opportunities throw a sell to strategic competitors, or an IPOs. Because medtech companies did not focus in the past on being lean and mean, there are substantial opportunities for private equities to create value through operational improvements. Our case of Biomet is a clear example of a consortium of private equity funds taking advantage of the opportunity of a company with solid growth and an attractive exit sale to a strategic competitor such as Zimmer. v. Strategic entry by non-medtech players – Finally, a 14 percent of the M&A transactions analysed involved companies without previous presence in the medical devices sector. Usually representing pharma companies attempting to counter the challenges of their industry, such as the expiration of certain patents. Another option may also be the objective of these companies to offer integrated medtech- pharmaceutical products.

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6. Financial Analysis pre-LBO and the delisting in 2008.

The financial situation in the years prior to the LBO is shown in Figure 14. The strong growth in sales during the 5 years prior to the LBO with a CAGR of 12.1% (Figure 12) stands out, especially when compared to the global growth of the sector. This growth is largely due to acquisitions and joint ventures during the period. The best example is the joint venture with Merck in 2004.

Following with the operating pre-LBO analysis, a fall in the EBITDA margin can be seen during this same period (Figure 13), which together with the stability in the generation of cash flow and the strong increase in sales generates a range of possibilities for the creation of value through operational engineering. On the investment side, it can be seen how the Working Capital requirements are significant during all the studied period (c.50% of sales), which undoubtedly also means room for improvement in the management of this Working capital during the LBO. Not surprisingly, much of the value creation will eventually come from improvements in WCR management reducing it to represent 24% of sales at the end of the holding period. Finally, Biomet is in an attractive position in terms of leverage. It can be seen how during this 5-year period prior to the acquisition by the private equity consortium, the company's net debt is practically zero or even negative in some years. This situation, considering that it is a company with very stable cash flows, offers the possibility of taking advantage of the leverage effect through the LBO, without exposing the company to excessive risk.

3000 Sales (millions USD) evolution 2500

2000 CAGR 12,1%

1500

1000

500

0 2002 2003 2004 2005 2006 2007

Figure 12: Sales evolution (2002-2007). Source:Thomson Reuters

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EBITDA Margin evolution 32.00%

31.00%

30.00%

29.00%

28.00%

27.00%

26.00% 1 2 3 4 5 6

Figure 13: EBITDA Margin evolution (2002-2007). Source: Thomson Reuters

Biomet financial analysis 2002-2007: pre-LBO period

(millions USD) ACTUAL Normative tax rate (t) = 30% 2002 2003 2004 2005 2006 2007

Revenue 1191.9 1390.3 1615.25 1879.95 2025.74 2107.4 % Growth 16.6% 16.2% 16.4% 7.8% 4.0%

Gross Profit 859.2 983.0 1153.1 1346.6 1443.6 1456.3 % Gross Margin 72.1% 70.7% 71.4% 71.6% 71.3% 69.1%

EBI TDA

N 370.7 426.5 487.9 570.1 608.4 586.6 O

I EBITDA Growth 15.1% 14.4% 16.8% 6.7% -3.6% T

A EBITDA Margin 31.1% 30.7% 30.2% 30.3% 30.0% 27.8%

E

R C D&A (2)

H 47.8 45.7 58.2 69.6 82.2 97.0 T

L % Margin 4.0% 3.3% 3.6% 3.7% 4.1% 4.6%

A E

W EBI T (1) 322.9 380.8 429.7 500.5 526.2 489.6 % Margin 27.1% 27.4% 26.6% 26.6% 26.0% 23.2%

CapEx (3) 62.27 59.77 61.34 97.37 108.9 142.5 % Revenue 5.2% 4.3% 3.8% 5.2% 5.4% 6.8%

FCF = (1)*(1-t)+(2)-(3) 211.562 252.478 297.663 322.566 341.62 297.22 % Cash conversion 57.1% 59.2% 61.0% 56.6% 56.2% 50.7%

S Fixed Assets (4) 219.06 253.45 268.83 322.89 357.63 427.4

T

N E

M WCR(5) 620.45 696.24 678.26 768.85 850.58 820 T

S % Sales 52.1% 50.1% 42.0% 40.9% 42.0% 38.9%

E

V N I Capital Employed = (4) + (5) 839.51 949.69 947.09 1091.74 1208.21 1247.4

Net Financial Debt

G -94.8 -148.87 -59.62 166.52 109.22 -149.1

N

I C

N Gearing = N et Debt/ Equity NA NA NA 0.6x 0.3x NA

A

N I

F Leverage = N et Debt/ EBI TDA NA NA NA 0.3x 0.2x NA . f ROCE = EBI T * (1-t)/ Capital Empl.

o 26.9% 28.1% 31.8% 32.1% 30.5% 27.5% r P ROCEFigure -WACC 14: Biomet pre-LBO financial analysis (2002-2007). Source: Thomson Reuters

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After analysing the situation of both the company and the sector in the years prior to the LBO, and before analysing the creation of value during the holding period, we expose some information regarding the funds participating in the Acquisition along with the financing structure of the acquisition is defined at this point.

As commented above the acquisition was carried out by a consortium of private equity funds formed by: The Blackstone Group, Goldman Sachs, KKR and TPG Capital. If we look at Figure 15 we can see how three of them are among the biggest funds in the world. Important to note that Goldman Sachs it is not among them since it is considered an Investment Bank despite the fact it contains an strong participation in the Privat Equity market.

Ranking Name City, Country (H Q)

1 The Blackstone Group New York, United States

2 The Carlyle Group Washington, United States

3 KKR New York, United States

4 TPG Fort Worth, United States

5 Warburg Pincus New York, United States

6 NB Alternatives New York, United States

7 CVC Capital Luxembourg, Luxembourg

8 EQT Stockholm, Sweden

9 Advent International Boston, United States

10 Vista Equity Partners Austin, United States

Figure 15: Top 10 biggest PE funds. Source:PE International Data Base

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A Sources & Uses table has been created for this purpose. Here, on the one hand, the cost of the acquisition (Uses) is indicated and, on the other hand, the sources of financing used.

On the Uses side, the Equity value paid by the private equity funds consortium is in the first place. This data has been extracted from press reports of that year and is equal to 10.9 billion dollars (44$ per share). This amount includes a premium of 27% over the company's market capitalization as of April 3 of that same year, the trading day before the market started considering the company a takeover target. Once the Equity Value paid is fixed, the net debt assumed by the buyer must be added, which in this case Biomet had a negative debt of 149 million dollars. Finally, to this value it is included the fees paid to any type of advisor.

The side of the sources is more complex, and certain assumptions had to be made. On the one hand, the financing is divided into debt and equity, representing about 60% and 40% respectively. In turn, the debt is obtained from various sources (banks, Mezzanine Funds, Hedge Funds, etc.) through the so-called SPV's ordered from lower to higher seniority. The percentages of each source can be seen in the table below (Figure 16). On the equity side, the contribution comes from 4 large investors mentioned above, of which more details are included in the Appendix: The Blackstone Group, Goldman Sachs, KKR and TPG Capital. We can note that the proposed/required stake for the founders and management of Biomet is near 41 million dollars, which gives them control of 1% of the company. It can be seen that the EBITDA multiple paid on the acquisition is 18.8x, a multiple in line with sector acquisitions.

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Sources and Uses table

EBITDA2007= 586.6

Sources Uses (million USD) (million USD) Value % xEBITDA Value Term Loan A 1800 16% 3.1x Equity Value (100%) 10900 Term Loan B 1500 14% 2.6x Net Debt to refinance -149 Term Loan C 1500 14% 2.6x Fees 290 Total Senior Debt 4800 43% 8.2x Implied fees % (as % of Total EV) 2.7% Enterprise Value 10751 Mezzanine Facility 1600 14% 2.7x

Total Acquisition Debt 6400 58% 10.9x

Total Equity 4641 42% 7.9x o/w The Blackstone Group L.P 1500 32% o/w Goldman Sachs & Co. 1500 32% o/w KKR & Co. 1000 22% % of Total Equity o/wTPG Capital 600 13% o/w Biomet founders 41 1%

Total Sources 11041 18.8x Total Sources 11041 Figure 16: Sources and Uses table of the LBO entry. Source: Own calculation

7. Value creation during the holding period (2008-2014)

At this point, being already in the picture. Having seen the situation of the company in the industry and the structure of the acquisition by the group of private equity funds. This section is dedicated to studying the operational and financial management of the company by the new owners. The value created will be calculated, and the sources of this value creation will be studied. Finally, one point will be dedicated to studying the risk assumed during the period.

7.1. WACC estimation for the holding period

i. Risk-free rate and Equity Risk Premium computation

As explained in previous points the risk-free rate is estimated as the 5-year US government bond. As a personal input it has been considered that the 10-year government bond would be too long for a typical LBO investment. However, we have chosen to add 15bps to the 5-year bond in an arbitrary way to make a sort of average between the 5-year and the 10-year bond. However, this decision does not significantly affect the outcome.

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On the other hand, regarding the Equity Risk Premium, a constant value of 6% has been taken for each year of the LBO, and a sensitivity table will be shown later on to see the effect of a variation in this value.

ii. Beta computation

For the period of the LBO, it has been considered an equity beta based on:

• A sectorial Unlevered Beta of 0.8, considered fixed for the whole period (obtained from brokers’ reports). • A market capitalization of 10.9 billion dollars, based on the price paid in the acquisition. • And finally the level of net debt and the effective tax rate corresponding to each year.

The bridge formula between unlevered beta and levered beta is computed in the previous section. Finally, once obtained de cost of equity we compute de WACC weighting this cost with the cost of debt equal to the interest paid on the debt year by year. Following the premises taken and discussed, the following figure (Figure 17) summarizes the WACC computation for each year. In addition, in Figure 18, a sensitivity table has been elaborated to see how the value of WACC varies depending on the Equity Risk Premium taken and the Unlevered Beta of the industry.

WACC computation

HOLDI NG PERI OD 2008 2009 2010 2011 2012 2013 2014 Cost of Debt 8.2% 8.9% 8.8% 8.3% 8.2% 6.7% 6.2% Cost of Equity 10.8% 10.1% 9.7% 9.3% 8.4% 8.9% 9.4% rf (5y bond + 15bps) 3.0% 2.4% 2.1% 1.7% 0.9% 1.3% 1.8% ERP 7% 7% 7% 7% 7% 7% 7% Unlevered Beta 0.8 0.8 0.8 0.8 0.8 0.8 0.8 Levered Beta 1.12 1.11 1.09 1.09 1.07 1.09 1.08 Net Debt (million USD) 6173.2 5997.1 5707.4 5651.1 5332.9 5610.8 5472.8 Market Cap (million USD) 10900 10900 10900 10900 10900 10900 10900 Effective Tax Rate 30% 30% 30% 30% 30% 30% 30%

%D 36.2% 35.5% 34.4% 34.1% 32.9% 34.0% 33.4% %E 63.8% 64.5% 65.6% 65.9% 67.1% 66.0% 66.6%

WACC 8.95% 8.72% 8.49% 8.11% 7.55% 7.49% 7.69% Figure 17: WACC computation for the holding period. Source: Own calculation

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Wacc sensitivty (2008 value as example)

Unlevered Beta (sectorial) 8.95% 0.6 0.7 0.8 0.9 1 6.0% 7.17% 7.70% 8.24% 8.77% 9.31%

6.5% 7.44% 8.01% 8.59% 9.17% 9.75% P

R 7.0% 7.70% 8.33% 8.95% 9.58% 10.20% E 7.5% 7.97% 8.64% 9.31% 9.98% 10.64% 8.0% 8.24% 8.95% 9.66% 10.38% 11.09% Figure 18: WACC sensitivity to the ERP and the Beta. Source: Own calculation

7.2. Value creation for the firm

Once the WACC and its evolution during the holding period has been calculated, it is time to compare it with the ROCE obtained during this same period to estimate the total value creation for the firm. The ROCE used is the called normative ROCE, which includes the normative tax rate, and which uses a “normative capital employed” excluding the revaluation of intangible assets in the LBO acquisition.

Looking at Figure 19 it is confirmed the importance of studying the evolution of the ROCE during the period, since despite the fact that a decrease in WACC is achieved between 2008 and 2013 the significant change is observed in the ROCE.

In 2008 (the first year of the investment period), it is clear that value is being destroyed. This is due to the negative EBIT of that year (-271.5m$), caused by an increase in costs that were not reflected in an increase in Revenues until the following years. This fact can be demonstrated also by observing the evolution of the EBITDA margin, which was 8.4% in 2008 and 29.6% in 2009.

From 2009 onwards, considerable value creation can be observed as shown in the second graph of the figure, reaching a maximum spread of 16.3% in 2012.

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Figure 19: ROCE vs WACC spread (2008-2014). Source: Own calculation

7.3. Value creation for the shareholders

Having calculated the total value created for the firm, the next step is to measure the spread between the ROE and the COE during the holding period. In this way, the value created for the shareholders is obtained as mentioned in the previous points. The following figure illustrates the evolution of ROE and Cost of Equity (Figure 20). It can be seen how in the first 3 years of the investment period value is destroyed as the cost of equity (which drops slightly but remains at around 9%) is greater than the return obtained. However, from 2011 onwards, mainly thanks to the operating improvements in the EBIT, value is created for the shareholders. The right-hand side of the figure shows the evolution of this spread between the two metrics.

Figure 20: ROE vs COE spread (2008-2014). Source: Own calculation

7.4. Value creation for debtholders

As explained in the previous sections, the value for debt holders is estimated as the spread between the cost of debt (computed as the 5y-US government bond yield plus a 5-y

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Credit Default Spread) and the return on debt (ROD) equivalent to the ratio between financial expenses and the gross debt for each year. In this case, as shown in the figure below, value is created for debtholders throughout the period, as the cost of financing is and remains very low.

Figure 21: ROD vs COD spread (2008-2014). Source: Own calculation

7.5. Digging into the drivers of value creation

At this point, this section is dedicated to go into detail in the creation of value and see the sources that have caused it. This task is done following the method discussed previously, based on a research paper made in 2016 by INSEAD Business School in cooperation with the company Duff & Phelps.

Giving an input equity of 10,892 million dollars and output equity of 14,887 million dollars both extracted from press news from the time. A return was obtained at the end of the period of IRR= 6.3% and CoC=1.5x. These are considered low returns for the sector and for the type of investment exit to an strategic buyer (Zimmer). However, it is interesting to go into detail about the drivers that have led to the creation of this value.

i. Sales evolution (Internal vs External growth)

The first driver of operational improvement to the company during the period (2008- 2014) is the boost in sales. Therefore, revenue growth is analysed in this point. However, since the focus is on the impact of private equity on value creation, it is necessary to differentiate between the overall growth of the sector (external growth rate) and the growth achieved internally by good management of the company (internal growth rate). The sum of these two metrics results in Biomet's total growth year over year.

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External vs Internal Sales Growth (2008-2014) 14.0%

12.0%

10.0%

8.0%

6.0%

4.0%

2.0%

0.0% 2008 2009 2010 2011 2012 2013 2014

External Sales Growth Internal Sales Growth Biomet Sales Growth

Figure 22: Sales growth evolution. Source: Own calculation

The figure above (Figure 22) represents the three metrics discussed:

• External Sales Growth: Represents the global growth rate from the medial devices industry extracted from 2014 industry reports. • Internal Sales Growth: The sales growth achieved by the good management of the company in parallel with the global growth of the industry. In this way, it is a growth that represents a gain in market share over competitors. • Biomet Sales Growth: Biomet's total growth is computed as the sum of external growth plus internal growth.

Looking at the graph it can be seen how the Biomet outperforms the global growth of the industry by far during almost every year except 2011, when after the global crisis, growth slowed down significantly.

ii. Cost structure evolution

Having analysed the sales trend this section studies the evolution of costs during the period. Firstly, the improvement in margins (Gross margin and EBITDA margin) are

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analysed. Not only the evolution between 2008 and 2014 but also taking a step back and comparing it with the margins they were obtaining before privatisation.

Figure 23: Gross margin and EBITDA margin. Source: Own calculation

As can be seen in the figure (Figure 23), the low return obtained in the LBO is largely caused by poor cost management. It can be seen how the boost in sales is not accompanied by an improvement in margins. And although EBITDA ends up increasing at the end of the period with respect to the years prior to privatization, it does not do so on the same scale as sales, since the EBITDA margin suffers a significant drop, especially during the first years of investment. At the beginning of the period, the company was generating a gross margin and an EBITDA margin of 70% and 30% respectively. After the acquisition and coinciding with the global crisis, margins of 50% and 10% respectively were reached. Then, during the three years prior to the exit, these margins recovered although not reaching the levels of 2007. iii. Operating Cash Flow evolution, Cash Flow from investing and Free Cash Flows (FCF)

Although it is difficult to draw conclusions from the evolution of the Unlevered FCFs. It can be seen (Figure 24) how the trend is in line with the evolution of operational metrics such as EBIT. This is because the cash flow from investments as represented in Figure 25 is not particularly volatile (except for 2013) and in any case, does not significantly exceed depreciation. Another important factor affecting these FCFs is the management of Working Capital. Both the evolution of CapEx with respect to Depreciation and the variation of Working Capital will be seen in more detail in the following sections (iv, v).

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Figure 24: Unlevered FCF evolution (2008-2014). Source: Own calculation

Figure 25 shows the cash flow separated into operating, investing and financial activities. It is important to note that the first year of investment (2008) has been omitted since the financial cash flow, due to the enormous amounts of equity and debt that had to be issued at the beginning of the investment, would have disfigured the entire representation.

During 2008 and 2009 the financial cash flow was positive as these were years of financing issues (debt and equity). From 2010 onwards, interest payments and debt repayments predominate, making cash flow negative and fairly constant.

Figure 25: Cash Flow analysis and split. Source: Own source

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iv. Capital Expenditure evolution

The following figure (Figure 26) shows the evolution of Capital Expenditures as an absolute value and relative to sales.

Figure 26: Capital expenditures evolution (2004-2014). Source: Own calculation

On the one hand, it can be seen that in the years prior to Biomet's privatization, CapEx was rising, and this was not being accompanied by an increase in sales in the same proportion as the ratio was also increasing. This means that either capital expenditures were not being used to drive sales, they were just simply maintenance expenses or that they were investments with long-term objectives.

However, if we look at the evolution of both metrics from 2008 onwards, once the company was in hands of the consortium of private equity funds It can be seen how the period began with strong CapEx investments in 2010, 2011 and 2012, moderated slightly in the following two years. And what seems more interesting is to see that CapEx as a percentage of sales decreases during this period. This means that sales grew at a higher proportion, and therefore despite having to assume higher capital expenditures these were compensated by higher sales growth.

v. Working Capital management

As with Capital Expenditures, this section analyses the management of Working Capital before and during the LBO. For this purpose, the WCR is divided into the two different definitions. On the one hand, we will see how the so-called operational WCR, defined as

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Accounts receivable + Inventories – Accounts Payable. And on the other hand, we will see the trend of the total WCR including in the previous calculation the Other Currents Assets and Other Current Liabilities.

In this first figure (Figure 27) the operating WCR has been broken down into the Accounts Receivable, the Inventory and the Accounts Payable as a percentage of sales. In this way we can see how each of them has been managed separately.

Figure 27: WCR Decomposition as % of sales. Source: Own calculation

Analysing this first figure (Figure 27) it is already possible to detect the good management of the WCR during the LBO. If we compare the ratios with respect to sales, we can see how both the Accounts Receivable and the Inventory are reduced by approximately 5% (2007 vs 2014) with respect to sales. This means that from the sales of each year you are getting 5% more conversion to cash (i.e. by receiving the money from customers before).

In addition, Accounts Payable as a percentage of sales is increased by about 10% (2007 vs 2014), for example by improving contracts with suppliers. In this way you also achieve a shorter cash cycle.

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Figure 28: Operating WCR evolution (2004-2014). Source: Own calculation

As expected, this figure (Figure 28) shows how, from the acquisition in 2008 to the exit of the operation in 2014, a decrease in Operating Working Capital of around 15% is achieved with respect to sales. It is concluded as one of the good operational management during the LBO period.

Figure 29: Total WCR evolution (2004-2014). Source: Own calculation Finally, if the analysis of the evolution of the total WCR is carried out adding the Other Current Assets and the Other Current Liabilities to the previous calculation (Figure 29). The good management during the LBO is confirmed, since the reduction of the WC is even more accentuated.

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7.6. Risk analysis

As exposed in the last point of the first section (4.2) the study of value creation is closed with a risk analysis. Firstly, in order to have an accurate approach to the risk evolution it is important to separate it into financial risk and operational risk. Starting with the study of the financial risk, 3 metrics have been computed. All three represented in the figure below (Figure 30).

Figure 30: Financial Risk metrics computation. Source: Own calculation

The three metrics for the year prior to the LBO and for the entire Holding Period have been computed to see how risk has been managed during the period. Firstly, if we look at the Debt Equity ratio, we see that although in 2007 it was 0.2x, throughout the period it has remained around 1x and therefore stable and with a reasonable value.

Not so stable was the Net Debt/EBITDA ratio. As expected, in 2008, as the leverage through debt skyrocketed, net debt increased and operating results (EBITDA) did not boost until 2009 as we have seen throughout the section. This caused this ratio to jump to the worrying value of 31x in 2008. However, it is a risk that was successfully assumed, since from 2009, this ratio stabilized between 6x and 7x until the end of the period.

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Finally, the ratio between EBITDA-CapEx and interest payments on debt has been computed. The evolution of this value seems a little more worrying. In 2007 it was around 20x and after a fall to negative values in 2008 it stabilised slightly at around 1x, which puts the company at risk of not being able to cover interest expenses. Of course, it must be taken into account that no other investment or financing income that the company might have is being taken into account.

Finally, in order to assess operational risk, it was decided to compute the evolution of the ratio between fixed and variable costs (Figure 31). As commented in the theory section, an increase in fixed costs in relation to variable costs entails more risk for the company as it makes it difficult for the company to reach break-even point.

Figure 31: Fixed vs Variable costs ratio (2007-2014). Source: Own calculation

Looking at the result of the evolution of the ratio between fixed and variable costs, it can be concluded that operational management was carried out without added risk. It can be seen how the ratio decreased in the year of the acquisition. This means that as an operational improvement a more affordable break-even point was achieved for the company, consequently, a lower risk for the company.

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8. The exit to the new holding Zimmer Biomet

Having seen and analysed the acquisition and value creation of Biomet by the consortium of private equity funds, it only remains to study its exit to the strategic buyer Zimmer Holding, Inc. through a cash and equity acquisition of near $14 billion.

Zimmer Holding at that time was a public medical equipment company, founded in 1927 based in Warsaw as part of an industry cluster. However, in 2001 it was spun off from the cluster (Bristol-Myers Squibb) and started trading alone on the NYSE under the ticker "ZMH". After several other strategic acquisitions in 2015 the ticker became "ZBH" as a result of the studied acquisition of Biomet on its exit from the LBO.

On October 24, 2014 Zimmer announced the agreement to purchase Biomet for nearly $14 billion. However, it was not an easy acquisition. Since, following the announcement of the offer, EU’s regulators opened an investigation into Zimmer's bid for Biomet concerned that could significantly affect some competition markets. Finally, Zimmer was able to complete the acquisition by becoming Zimmer Biomet Holdings.

Entering into the strategic and rationale fit behind the merger, Zimmer Biomet became a market leader, with a highly diversified portfolio of musculoskeletal solutions. Zimmer Holdings strengthened its presence in all major markets worldwide and at the same time increased its presence in emerging markets. Similarly, Zimmer Biomet estimated the creation of operational synergies that would drive shareholder value.

The acquisition was intended to be double-digit accretive for Zimmer. In large part due to net annual synergies of $350 million in the third year but anticipated by nearly 40% in the first year. The directors of Zimmer Holdings also saw future cross-selling opportunities while leveraging their scalable platforms.

Finally, after the closing of the merger, the board of directors of the new entity increased by 12 members. The presence of Michael Michelson from KKR and Jeffrey Rhodes from TPG is noteworthy. As both were part of Biomet's board of directors during the LBO period.

In the table below (Figure 32) the details of the exit are exposed:

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Figure 32: Exit details to new holding Zimmer Biomet. Source: Pillar of Wall Street

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SECTION III – CONCLUSIONS

To conclude this research paper, this section is dedicated to expose the conclusions drawn after reviewing the theory behind how private equity funds can extract value from their LBOs, and after having analysed the real case of Biomet Inc's LBO by the consortium of Private Equity funds. Therefore, we conclude this research by commenting on the results obtained by applying the theoretical methods and frameworks outlined in the first section to the Biomet's case study. First, by observing the evolution of the ROCE-WACC spread. It has been possible to verify that during the LBO, this spread was able to be turned it into positive and increased during the period and thus create value for the whole firm. This value was then distributed by estimating the ROE-COE and ROD-COD spreads among shareholders and debtholders respectively. In both cases this resulted in a positive outcome at the end of the investment period. Therefore, it can be concluded that the impact of private equity on Biomet through the LBO was value creation for all its participants. Secondly, it has been detailed the path that has been followed to enable all the participants in the operation to obtain value in the end. In general terms, a Cash on Cash multiple (C/C) of 1.5x has been obtained, equal to the one set as a target prior to the acquisition. On the one hand, in operational terms, this return has been generated by a sales growth significantly higher than the overall sector growth during the holding period, an efficient Working Capital management and a cost structure optimization. On the other hand, the other two causes of the value boosting have been the leverage effect and a positive multiple impact. This last one, mainly caused by a low entry multiple, being a period of global economic crisis (2008), and by a high exit multiple in the sale to a strategic buyer with which significant synergies were generated ($350 million per year). Finally, following an analysis of both the financial and operational risk of the LBO, it has been studied the rationale behind the Biomet acquisition by Zimmer Holdings at the exit of the LBO, and how the new entity Zimmer Biomet has become an industry leader.

In parallel, two additional interesting topics have been addressed during the first theorical section: One is the conflict of interests that very often exists between PE owners and the management team of the invested company. This conflict arises when making decisions, especially in the operational management of the company in the holding period. However,

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based on a survey carried out by The Boston Consulting Group, it has been observed that there are many points of high common interest to face and which generate value for all participants in the investment. Some examples would be the exit planning, the balance sheet management or the governance.

The other interesting point developed at the end of the first section is the analysis of the effect of the current situation caused mainly by COVID-19 on the Private Equity industry and, more specifically, the challenge it represents in terms of value creation in LBOs. It has been concluded that PE managers should now find operational and financial measures to keep afloat and help participated companies navigate this crisis. Identifying what each company in its portfolio will need depending on the sector it is in. And with regard to financing, they should also have to consider increasing capital through their own resources or third parties. Besides, it has also been considered important in these times to maintain constant transparency with investors (LPs). As a proposal, it is suggested the possibility of contracting third parties to provide regular independent valuations, which would be very useful for both the managers and the participants of the fund. Finally, on this point it is concluded that private equity funds currently have a fundamental advantage for the creation of value with respect to listed asset funds, coming from the greater control they have over their invested companies.

As two last conclusions, we would like to mention the limitation of any single methodology for the estimation of value creation, and possible additional studies that could be carried out. The case of Biomet has served to highlight the limitation of using a single method for measuring the effect of an LBO on a company. Neither accounting ratios (ROCE, ROE, etc) nor other metrics such as IRR or CoC are sufficient to understand the whole effect of an LBO on a company. It is necessary to understand in depth the situation of the sector and the company Pre-LBO, during the LBO and Post-LBO. Finally, since this is a very general and infinitely extendable subject, it is considered that additional studies could be carried out to complement this one. For instance, it would have been very interesting to add a practical case about a failure LBO, with an overall destruction of value for the firm at the exit. This would open up a range of possibilities for understanding what can cause the objectives of an LBO not to be met.

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BIBLIOGRAPHY

- Arzac, Enrique R. 1986. "Do Your Business Units Create Shareholder Value?" Harvard Business Review, Jan 1, 121.

- Barton, Dominic. 2017. "The Data." Harvard Business Review, 67.

- Berg, Achim and Oliver F. Gottshalg. 2005. "Understanding Value Generation in Buyouts." Journal of Restructuring Finance 2 (1): 9-37.

- Coyner, Theresa. 2017. "Chapter 7." Journal of the Dermatology Nurses’ Association 9

- Eckbo, B. Espen and Karin S. Thorburn. 2008. "Corporate Restructuring." : 431- 49

- Erxleben, Ulrich 2007. "Value Creation of Corporate Restructuring." PL Academic Research.

- Feldman, Emilie and Patia McGrath. 2016. "Divestitures." Journal 5 : 1-16.

- Ittner, Christopher D. and David F. Larcker. 2003. "Coming Up Short on Nonfinancial Performance Measurement." Harvard Business Review, Nov, 88.

- Moller, Dan. 2017. "Property and the Creation of Value." Economics & Philosophy 33: 1-23.

- Olympe Bhêly-Quenum. 2017. "Chapter 44." In As She was Discovering Tigony, 225

- Puche, Benjamin and Ann‐Kristin Achleitner. 2015. "International Evidence on Value Creation in Private Equity Transactions." Journal of Applied Corporate Finance 27 (4): 105-122.

- Shapiro, Alan C. 2000. Modern Corporate Finance. Upper Saddle River, NJ: Prentice-Hall.

Databases: Thomson Reuters Eikon, Thomson ONE, Statista, ACSI, Factiva.

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APPENDICES

Biomet Financials Pre-LBO period (2002-2007)

1- Balance Sheet

(millions USD) ACTUAL ASSETS 2002 2003 2004 2005 2006 2007

Current Assets Cash & Short-Term Investments 185.27 262.99 169.27 115.67 167.34 230.9 Accounts Receivables 414.67 472.36 465.95 495.73 524.76 498.7 Inventories 335.35 356.27 389.39 469.79 534.51 540.4 Prepaid Expenses 17.66 20.14 21.88 35.98 32.34 45 Other Current Assets 0 0 69.38 75.11 75.19 136.8 Total Current Assets 952.95 1111.76 1115.87 1192.28 1334.14 1452

Non-Current Assets Long-term Investments 201.25 155.61 66.34 61.41 58.13 43 PP&E 219.06 253.45 268.83 322.89 357.63 427.4 Other Non-Current Assets 14.78 13.78 16.23 14.91 11.84 12.7 Intangible Assets 8.53 10.87 53.57 87.83 79.5 74.6 Goodwill 125.16 126.71 262.07 435.62 441.4 448.4 Total N on-Current Assets 568.78 560.42 667.04 922.66 948.5 1006.1

Total Assets 1522 1672 1783 2115 2283 2458

LIABI LITI ES

Current Liabilities Accounts Payable 129.75 140.08 180.02 232.65 241.03 264.1 Short-Term Debt 90.47 114.12 109.65 282.19 276.56 81.8 Other Current Liabilities 17.48 12.45 18.94 0 0 0 Total Current Liabilities 237.7 266.65 308.61 514.84 517.59 345.9

Non-Current Liabilities Long-Term Debt 0 0 0 0 0 0 Deferred Taxes 3.33 7.03 26.09 31.25 26.99 21.2 Other Non-Current Liabilities 0.41 0.46 0 0 17.88 41.6 Total N on-Current Liabilities 3.74 7.49 26.09 31.25 44.87 62.8

Total Liabilities 241 274 335 546 562 409

SHAREHOLDERS' EQUI TY

Common Stock 277.1 307.9 227.64 300.44 323.16 368.5 Retained Earnings and Reserves 1003.19 1090.12 1220.57 1268.4 1397.03 1680.7 Total Shareholders' Equity 1280.29 1398.02 1448.21 1568.84 1720.19 2049.2

Total Liabilities & Equity 1522 1672 1783 2115 2283 2458

Check TRUE TRUE TRUE TRUE TRUE TRUE Figure 33: Biomet Balance Sheet (2002-2007): Source: Thomson Reuters

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2 - Income Statement

(millions USD) ACTUAL 2002 2003 2004 2005 2006 2007 Revenue 1191.9 1390.3 1615.25 1879.95 2025.74 2107.4 Growth 16.6% 16.2% 16.4% 7.8% 4.0%

Cost of Operating Revenue 332.73 407.3 462.17 533.36 582.11 651.1

Gross Profit 859.17 983 1153.08 1346.59 1443.63 1456.3 Gross Margin 72.1% 70.7% 71.4% 71.6% 71.3% 69.1%

SG&A and Other Operating expenses 488.48 556.5 665.17 776.51 835.25 870

EBI TDA 371 427 488 570 608 587 EBITDA Growth 15.1% 14.4% 16.8% 6.7% -3.6% EBITDA Margin 31.1% 30.7% 30.2% 30.3% 30.0% 27.8%

D&A 47.83 45.66 58.22 69.6 82.18 97.00

EBI T - Operating Profit 323 381 430 500 526 490 EBIT Margin 27.1% 27.4% 26.6% 26.6% 26.0% 23.2%

Financing Income/(Expense) -11.66 -9.16 -4.25 -4.4 -3.38 -9.3 Other Non-Operating Financial Income/(Expense) 8.8 23.84 18.3 11.57 14.27 21.3

Normalized Pre-Tax I ncome 320 396 444 508 537 502

Non-recurring Income/(Expense) 0 5.8 -1.25 -26.02 0 0

Pre-Tax I ncome 320 401 442 482 537 502 Pre-Tax Income Margin 26.8% 28.9% 27.4% 25.6% 26.5% 23.8%

Taxes 0 0 0 -193.25 -209.43 0

Net I ncome 320 401 442 288 328 502 NI Margin 26.8% 28.9% 27.4% 15.3% 16.2% 23.8% Figure 34: Biomet Income Statement (2002-2007): Source: Thomson Reuters

2 - Cash Flow

(millions USD) ACTUAL 2002 2003 2004 2005 2006 2007 Net I ncome 320 401.32 442.49 288.38 327.66 501.6

D&A 47.83 45.66 58.22 69.6 82.18 97 Stock Based Compensation 0 0 3.46 2.74 2 17.7 WC Increase/(Decrease) -118.4 -32.78 1.19 -48.37 -75.6 56.6 Income Taxes pais/(Reimbursed) 0 0 0 0 0 0 Other Non-Cash items to reconcile -65.19 -103.92 -119.27 98.57 77.16 0

Cash Flow from Operating Activities 184.24 310.28 386.09 410.92 413.4 672.9

CapEx -62.27 -59.77 -61.34 -97.37 -108.9 -143 Acquisition and Disposal of Business or Assets -6.74 0 -307.48 -266.23 0 0.00 Investment Securities -5.43 44.02 116.54 4.45 -12.8 -64.70 Other Investign Cash Flow 1 -1.53 -1.21 -3.95 -2.98 -6.50

Cash Flow from I nvesting Activities -73.44 -17.28 -253 -363 -125 -214

Dividends Paid -24.27 -26.42 -38.6 -50.87 -62.5 -73.5 Stock Issuance/(Retirement) -191.65 -197.84 -144.52 -215.02 -192.3 15.8 Debt LT&ST Issuance/(Retirement) 26.99 1.44 -11.49 167.62 -2.7 -196.8 Other Financing cash Flow 0 0 0 0 0 3.2

Cash Flow from Financing Activities -188.93 -222.82 -194.61 -98.27 -257.5 -251.3

Foreign Exchange Effects 1.31 3.58 -4.41 -6.5 -0.6 4.3

Change in Cash -76.82 73.76 -66.42 -56.95 30.62 212 Cash BoP 126 126 126 126 126 126 Cash EoP 49.18 200 59.58 69.05 157 338 Figure 35: Biomet Cash Flow (2002-2007): Source: Thomson Reuters

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Biomet Financials during the holding period (2008-2014)

1- Balance Sheet

(millions USD) HOLDI NG PERI OD ASSETS 2008 2009 2010 2011 2012 2013 2014

Current Assets Cash & Short-Term Investments 127.6 215.6 189.1 369.2 494.9 355.6 247.6 Accounts Receivables 535 531.1 471.7 485.5 496.6 538.7 577.3 Inventories 539.7 523.9 507.3 582.5 543.2 624 693.4 Prepaid Expenses 46.7 39.1 72.6 109.7 124.1 134.4 202.9 Other Current Assets 100.7 78.4 64.3 71.5 52.5 119.9 149.9 Total Current Assets 1350 1388 1305 1618 1711 1773 1871

Non-Current Assets Long-term Investments 41.3 27.4 23.3 33.1 13.9 23 12.5 PP&E 640.9 636.1 622 638.4 593.6 665.2 716 Other Non-Current Assets 118.9 -615.4 120.9 62.6 56.8 102.8 93 Intangible Assets 6208.2 6384.3 5190.3 4534.4 3930.4 3600.9 3439.6 Goodwill 5422.8 4780.5 4707.5 4470.1 4114.4 3630.2 3634.4 Total N on-Current Assets 12432.1 11212.9 10664 9738.6 8709.1 8022.1 7895.5

Total Assets 13782 12601 11969 11357 10420 9795 9767

LIABI LITI ES

Current Liabilities Accounts Payable 357.3 476.9 412.7 437.9 418.4 467.6 658.7 Short-Term Debt 75.4 81.2 35.6 37.4 35.6 40.3 133.1 Other Current Liabilities 131.8 73.1 70.2 64.1 56.5 56.2 53.4 Total Current Liabilities 564.5 631.2 518.5 539.4 510.5 564.1 845.2

Non-Current Liabilities Long-Term Debt 6225.4 6131.5 5860.9 5982.9 5792.2 5926.1 5587.3 Deferred Taxes 2112.5 1816.3 1674.9 1487.6 1257.8 1129.8 968.6 Other Non-Current Liabilities 43.1 181.6 181.2 172 177.8 206.1 256.3 Total N on-Current Liabilities 8381 8129.4 7717 7642.5 7227.8 7262 6812.2

Total Liabilities 8946 8761 8236 8182 7738 7826 7657

SHAREHOLDERS' EQUI TY

Common Stock 5547.7 5584.4 5605.1 5614.1 5628.8 5667.5 5687 Retained Earnings and Reserves -711.4 -1744.1 -1871.6 -2439 -2946.7 -3698.9 -3577.8 Total Shareholders' Equity 4836.3 3840.3 3733.5 3175.1 2682.1 1968.6 2109.2

Total Liabilities & Equity 13782 12601 11969 11357 10420 9795 9767

Check TRUE TRUE TRUE TRUE TRUE TRUE TRUE Figure 36: Biomet Balance Sheet (2008-2014): Source: Thomson Reuters

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2 - Income Statement

(millions USD) HOLDI NG PERI OD 2008 2009 2010 2011 2012 2013 2014 Revenue 2383.3 2504.1 2698 2732.2 2838.1 3052.9 3223.4 Growth 13.1% 5.1% 7.7% 1.3% 3.9% 7.6% 5.6%

Cost of Operating Revenue 1246.8 1204.2 1192.5 1200.1 1102.7 1187.2 1347.4

Gross Profit 1136.5 1299.9 1505.5 1532.1 1735.4 1865.7 1876 Gross Margin 47.7% 51.9% 55.8% 56.1% 61.1% 61.1% 58.2%

SG&A and Other Operating expenses 937 559 601 550 790 967 1,062

EBI TDA 199 741 904 982 946 898 814 EBITDA Growth -66.1% 271.9% 22.1% 8.6% -3.7% -5.0% -9.3% EBITDA Margin 8.4% 29.6% 33.5% 36.0% 33.3% 29.4% 25.3%

D&A 471 538 548 549 509 495 501

EBI T - Operating Profit -272 203 357 433 436 403 313 EBIT Margin -11.4% 8.1% 13.2% 15.9% 15.4% 13.2% 9.7%

Financing Income/(Expense) -516.6 -550.3 -516.4 -498.9 -479.8 -398.8 -355.9 Other Non-Operating Financial Income/(Expense) -9.1 95.1 72.1 46.9 571.2 127 253.1

Normalized Pre-Tax I ncome -797 -252 -87.70 -18.60 528 131 210

Non-recurring Income/(Expense) -479 -668 -54 -1046 -1118.6 -872.2 -250.3

Pre-Tax I ncome -1,276 -920 -142 -1,065 -591 -741 -39.90 Pre-Tax Income Margin -53.5% -36.8% -5.3% -39.0% -20.8% -24.3% -1.2%

Taxes 0 0 0 0 132 117.7 115.8

Net I ncome -1,276 -920 -142 -1,065 -459 -623 75.90 NI Margin -53.5% -36.8% -5.3% -39.0% -16.2% -20.4% 2.4% Figure 37: Biomet Income Statement (2008-2014): Source: Thomson Reuters

2 - Cash Flow

(millions USD) HOLDI NG PERI OD 2008 2009 2010 2011 2012 2013 2014 Net I ncome -1276.2 -920.4 -141.7 -1064.6 -458.8 -623.4 75.9

D&A 470.3 537.7 548 549 509 495 501 Stock Based Compensation 25.8 33.9 22.4 12.7 16 38.3 18.2 WC Increase/(Decrease) 78.4 26.3 -98.2 -43.9 -5.6 45.9 134.7 Income Taxes pais/(Reimbursed) 0 39.4 9 46 -29 -38.4 29.5 Other Non-Cash items to reconcile 0 0 0 0 0 0 -230.5

Cash Flow from Operating Activities -701.7 -283.1 339.1 -500.8 32 -82.2 529

CapEx -190 -185 -183 -167 -165 -190 -226 Acquisition and Disposal of Business or Assets -11,638 0.00 -10.20 -18.40 -21.10 -298 -152 Investment Securities 128 3.10 11.60 -19.40 41.70 -0.90 13.40 Other Investign Cash Flow -10.20 -13.00 0.00 0.00 0.00 0.00 0.00

Cash Flow from I nvesting Activities -11,711 -195 -182 -205 -144 -489 -365

Dividends Paid 0 0 0 0 0 0 0 Stock Issuance/(Retirement) 5519.1 2.8 -1.7 -3.7 -1.3 -0.1 1.3 Debt LT&ST Issuance/(Retirement) 6047 39.70 -158 -47.70 -36.80 3280.8 672.6 Other Financing cash Flow -83.2 0.00 0.00 0.00 0.00 -3415.4 -947.8

Cash Flow from Financing Activities 11482.9 42.5 -159.9 -51.4 -38.1 -134.7 -273.9

Foreign Exchange Effects 2.1 -3.4 -6.10 15.00 -30.60 18 2

Change in Cash -928 -439 -8.90 -742 -181 -688 -108 Cash BoP 230.9 127.6 215.6 189.1 369.2 494.9 355.6 Cash EoP -697 -311 207 -553 189 -193 248 Figure 38: Biomet Cash Flow (2008-2014): Source: Thomson Reuters

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Private equity funds participating in the Biomet LBO

We have considered interesting, add a section in this appendix giving an overview of the funds PEs who participated in the Biomet LBO

The Blackstone Group

Stephen Schwarzman and Peter Peterson founded the company as an M&A firm that gradually expanded its range to become the number one private equity firm and the largest land owner in the world. Those $400,000 that Blackstone started with in 1985 have now grown into a group of 2,500 employees, 23 offices worldwide and $512 billion in assets under management, surpassing the iconic half-trillion figure for the first time. The firm's first transaction was the merger between investment banks EF Hutton and Lehman Brothers in 1987, which earned Blackstone a $3.5 million fee.

The keys to the firm

Name: Blackstone Group. Headquarters: 345 Park Avenue in New York. Founded: 1985. Chief Executive Officer: Stephen Schwarzman is its founder and CEO. Peter Peterson, also a founder, serves as non-executive chairman. Assets under management: $512 billion. Main activities: Private equity, hedge fund, debt and real estate.

KKR

KKR emerged in 1976, during a meal that Henry Kravis and George Roberts held at Joe and Rose restaurant in New York. Six years later, the manager captured the first public funds coming from the pension funds of Oregon, Washington and Michigan, until in 1984 he raised the first institutional fund for a billion dollars. The fund expanded its scope in 1998 by setting up an office in London and now has a presence in the main regions of the world, with subsidiaries in Hong Kong, Dubai and Mumbai.

The keys to the firm

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Name: KKR Headquarters: Solow Building in New York. Founded: 1976. Chief Executive Officer: Henry Kravis and George R. Roberts Assets under management: $148.5 billion. Main activities: Management Buyouts, Leveraged Finance, Venture Capital,

TPG

Founded in 1992 by David Bonderman , James Coulter , and William S. Price III . Since its inception, the firm has raised over $50 billion in commitments from investors through 18 private equity funds. The company has offices in North America, Europe, Asia and Australia.

The keys to the firm

Name: TPG Headquarters: San Francisco California Founded: 1992. Chief Executive Officer: Jon Winkelried and James Coulter. Assets under management: $75 billion. Main activities: Leveraged buyouts, growth capital and venture capital.

Goldman Sachs

Goldman Sachs is an international investment bank based in New York called "The No. 1 Wall Street Broker". The firm was founded in 1869 by Marcus Goldman and changed its name to Goldman Sachs in 1885 with the addition of Goldman's son-in-law to the firm.

Goldman Sachs enjoys a reputation as one of the world's leading investment banks, whose clients include governments, private clients and corporations. The firm is a prime broker in U.S. Treasury securities and has supported initial public offerings of many companies since 1906.

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The keys to the firm

Name: Goldman Sachs Headquarters: 200 West Street, New York Founded: 1869. Chief Executive Officer: David M. Solomon Assets under management: $1.859 trillion. Main activities: Asset management, Commercial banking, Commodities, Investment banking, Investment management, Mutual funds and Prime brokerage

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