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Dr Colin Goldschmidt Managing Director/CEO 23 August 2005 Sonic Expands into USA Pathology Market Acquisition of Interest in CPL

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Page 1: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Dr Colin GoldschmidtManaging Director/CEO

23 August 2005

Sonic Expands into USA Pathology MarketAcquisition of Interest in CPL

Page 2: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Agenda

Acquisition Structure and Funding

Clinical Pathology Laboratories, Inc.

US Industry Overview

Sonic’s Global Expansion

SummarySummary

Page 3: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Summary

Sonic Healthcare has signed an agreement to initially acquire an80-85% interest in Clinical Pathology Laboratories, Inc. (CPL)

CPL is the one of the largest independent laboratories in the United States

Annual revenues of ~US$190 million (~A$250 million)

CPL enjoys a leadership position in Texas, with significant growth opportunities in contiguous states

CPL’s core market is the South West of the USACPL’s main lab facilities are based in Austin, Texas

CPL has a history of strong growth, with recent expansion into Ohio and Virginia

Page 4: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Summary

CPL is differentiated from major competitors in the independent sector

Pathologist / Medical leadershipDoctor-focused, personalised service

Sonic and CPL have similar corporate cultures and values

CPL provides Sonic with substantial growth opportunityLike-minded partnershipLargest market in the world

Acquisition is EPS accretive

Funded by a US$ facility jointly provided by ANZ Bank andJPMorgan

CPL represents an ideal entry for Sonic into the US market

Page 5: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Agenda

Acquisition Structure & Funding

Clinical Pathology Laboratories, Inc.

US Industry Overview

Sonic’sSonic’s Global ExpansionGlobal Expansion

Introduction

Page 6: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

1997 1998 1999 2000 2001 2002 2003 2004 2005

CPL Acquisition Affords Sonic a Global Footprint

United States2005

United Kingdom2002

Germany2004

Hong Kong2001

Australia1987

New Zealand1999

Sonic Core EPS performance

4

Page 7: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Agenda

Acquisition Structure & Funding

Clinical Pathology Laboratories, Inc.

US Industry OverviewUS Industry Overview

Sonic’s Global Expansion

Introduction

Page 8: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

The United States Pathology Market

The US is the largest pathology market in the worldUS$40 billion revenue in 2003

Laboratory testing is linked to the entire US healthcare systemHospital care, GP and specialist services, nursing homes, home healthcare etc

Pathology expenditure in the US~3.0% of overall US health services expenditureEstimated future growth rates of approximately 7% p.a. through to 2013

Total public and private laboratory revenue. Washington G2 Reports

30.7 32.9 35.4 38.1 40.1 43.046.1

49.452.9

56.660.7

65.069.6

74.579.8

$0

$10

$20

$30

$40

$50

$60

$70

$80

$90

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013

Laboratory industry revenueLaboratory industry revenueLaboratory industry revenue

CAGR = 7.1%

Page 9: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

US Laboratory Market Segments

Ot he r la b s7 %P hy s ic ia n

o w ne d lab s7 %

Ho s p it a l b a s e d la b s

5 4 %Ind e p e nd e nt c l inic a l la b s

3 2 %

Laboratory Industry Shareby Test Revenue, 2003

Laboratory Industry ShareLaboratory Industry Shareby Test Revenue, 2003by Test Revenue, 2003

Source: Washington G2 Reports

Hospital Labs………………...~8,500Independent Labs……….......~5,000Physician Office Labs….…~110,000Other Labs…………………~ 58,000

Page 10: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Independent Laboratory Sector – Revenue Trend

9.510.6

11.712.4

13.0

3

6

9

12

15

1999 2000 2001 2002 2003

US$

B

The independent laboratory sector grew atThe independent laboratory sector grew atan average of 6.9% per annum (1999 an average of 6.9% per annum (1999 –– 2003)2003)

Source: Washington G2 Reports

Page 11: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Independent Laboratory Sector

Independent pathology sector is highly fragmented

In 2003, the sector had revenues of ~US$13 billion

5,000 independent laboratories falling into three categoriesNational consolidators - Quest and LabCorpMid-sized independents with revenue of US$10-500 million p.a.Small independents with revenue of <US$10 million

Independent Laboratory Sector (2003)

Quest/Labcorp $7,677M

59%27 mid-size labs $2,231M

17%

119 small labs $378M 3%

Other independents $2,714 M

21%

Source: Washington G2 Reports

Page 12: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Independent Laboratories(by revenue, 2003)

Quest

Labcorp

Ameripath – Specialist Anatomical Pathology

LabOne – purchased by Quest in 2005

Mayo Medical Labs – Hospital owned, esoteric lab

ARUP Laboratories – Hospital owned, esoteric lab

Spectra Renal Labs – Specialist renal dialysis

CPL

Impath – purchased by Genzyme in 2004

Specialty Labs

CPL is the 3CPL is the 3rdrd largest comprehensive lablargest comprehensive labin the independent sectorin the independent sector

Page 13: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

US Laboratory Testing Segments

US Laboratory Testing Segmentsby Revenue, 2003

US Laboratory Testing SegmentsUS Laboratory Testing Segmentsby Revenue, 2003by Revenue, 2003

Source: Washington G2 Reports

Routine tests include blood counts, routine chemistry analysis, urinalysis, blood cholesterol tests, pregnancy and prenatal testing, glucose monitoring etc

Anatomical pathology testing analyses disease by examining changes in human tissues and cells, such as biopsies

Cytology testing involves Pap smear testing and fine needle aspiration biopsies

Esoteric testing typically includes rarer tests such as endocrine tests, allergy testing, chromosome and gene analyses, molecular testing etc

Drugs-of-abuse testing involves screening for illegal drugs

Routine

testing

72%

Cytology

3%Esoteric

testing

9%

Drugs-of-

Abuse

testing

2%

Anatomical

pathology

14%

Page 14: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Agenda

Acquisition Structure & Funding

Clinical Pathology Laboratories, Inc.Clinical Pathology Laboratories, Inc.

US Industry Overview

Sonic’s Global Expansion

Introduction

Page 15: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Clinical Pathology Laboratories (CPL)

CPL is the largest regional independent laboratory in the USA

CPL’s core market is Texas, with newly established markets in Ohio and Virginia (Washington DC area)

Annual revenue of ~US$190 M (~A$250 M) per annum

CPL has a proven, experienced and committed management team

Diverse and loyal customer base

15 year history of strong growth

CPL has a unique doctor-focused operating model

Sonic and CPL have very similar cultures and values

CPL offers a unique and compelling platform for Sonic in the USCPL offers a unique and compelling platform for Sonic in the US

Page 16: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

CPL History

1948 – 1989 Forerunner of CPL, part of pathologist group

1990 – 1997 Expansion into San Antonio, Dallas

1999 Acquisitions of Seguin Labs and Waco Medical Group Lab

2000 Acquisitions of labs in Houston, Dallas, Denton, Victoria

2001 CPL recapitalises with entry of private equity fund

2002 Expansion into Oklahoma, Arkansas, Louisiana

2003 Acquisition of labs in Ohio and Virginia

2004/5 Further small acquisitions in South West and Ohio

CPL has shown strong organic growth over the past 15 yearsCPL has shown strong organic growth over the past 15 years

Page 17: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

CPL Operational Markets

Mid AtlanticMid AtlanticMid WestMid WestSouth WestSouth West

Page 18: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

CPL Geographic Markets

CPL South West• CPL’s core market• Texas, Oklahoma, Arkansas, Louisiana• South West laboratory market estimated at US$1.3 billion annually• CPL has around 15% share of Texas market (population 22 million)• Major referrals from Austin, Dallas and San Antonio• Extensive network of local pathologist relationships• Strong and recognised reputation for excellent customer service

CPL Mid-AtlanticAcquisition of Fairfax Medical Laboratories, Chantilly, VirginiaFull service laboratory, medium sizeServices local area, including Washington D.C.Expansion opportunities in D.C., Baltimore and other areas

CPL Mid-WestAcquisition of Pathology Laboratories, Inc (PLI), Toledo, OhioFull service laboratory, medium sizePotential to service Detroit, Cleveland, Chicago

Page 19: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

CPL Operational Infrastructure

150 Patient 150 Patient Service CentresService Centres

• Highly esoteric testsare outsourced

• Austin, Texas• Toledo, Ohio• Chantilly, Virginia

• Limited range of tests• Rapid, urgent testing

• Strategic, established collection infrastructure

OutsourcingOutsourcing

3 Full Service 3 Full Service LabsLabs

25 Stat Labs25 Stat Labs• Courier network –strategic routes and hubs

Page 20: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Laboratory Testing Segments

Source: Washington G-2 Reports.

US Laboratory Testing Segmentsby Revenue, 2003

US Laboratory Testing SegmentsUS Laboratory Testing Segmentsby Revenue, 2003by Revenue, 2003

Anatomical pathology

14%

Drugs-of-Abuse

testing

2%Esoteric

testing

9%

Cytology3%

Routine testing

72%

CPL focuses testing on:CPL focuses testing on:

Routine PathologyRoutine PathologyAnatomical PathologyAnatomical PathologyCytopathologyCytopathology

Page 21: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Corporate Values and Operating Models

Sonic HealthcareSonic HealthcareSonic Healthcare CPLCPLCPL

Medical practice / Medical leadershipMedical practice / Medical leadership

Respect & honestyRespect & honesty

Responsibility & accountabilityResponsibility & accountability

Personalised service for DoctorsPersonalised service for Doctors

Commit to service excellenceCommit to service excellence

Federation modelFederation model

Pathologist interaction with cliniciansPathologist interaction with clinicians

Uncompromising integrityUncompromising integrity

AccountabilityAccountability

Focus on the physicianFocus on the physician

Service comes firstService comes first

“Franchise Model” by region“Franchise Model” by region

Sonic Healthcare and CPL are “likeSonic Healthcare and CPL are “like--minded” organisationsminded” organisations

Page 22: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Corporate values and operating models of Sonic and CPL are very similar

Like Sonic, CPL has pathologists in leadership positions

Like Sonic, CPL provides direct personalised service to referring doctors

CPL is affiliated with over 150 pathologists

CPL’s model is distinctive in the US independent laboratory market

CPL’s values and model are key attractions for Sonic in the US market

Corporate Values of Sonic and CPL

Page 23: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

CPL Payer Mix

Government including Medicare (Federal –elderly) and Medicaid (State – disadvantaged)Managed care companies – CPL has contracts with many including Blue Cross, Aetna, United, Medical Mutual, Humana etcDirect payers such as physicians, hospitals, employers (“Clients”)Other laboratories and patients

Patient11%

Insurance36%

HMO1%

Client22%

Government30%

Page 24: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

CPL Management

CPL has an experienced and dedicated management team, committed to growing the business with Sonic

Dr Robert Connor, M.D., Chairman, CEO, Medical DirectorQualified and practising pathologistBecame Chairman and CEO of CPL in 1990Has driven the medical leadership model of CPL – both pathologists and clinicians

Mr David Schultz, B.S.B.A., President, Chief Operating OfficerLong-standing career in laboratory managementHighly respected management profile in US laboratory industry

Dr Connor and Mr Schultz have worked together at CPL for 16 years and are the architects of CPL’s unique strategy

CPL management have a track record of strong growth

CPL’s management culture and operating model are critical differentiators in the independent pathology sector

Page 25: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Agenda

Acquisition Structure & FundingAcquisition Structure & Funding

Clinical Pathology Laboratories, Inc.

US Industry Overview

Sonic’s Global Expansion

Introduction

Page 26: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Sonic will consider a range of alternatives to refinance the facility

ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition

Purchase price equates to ~9.5 times prospective EBITDA

Consideration includes an earnout amount of up to US$20M which will be paid if EBITDA targets are met in CY2005

Consideration for initial acquisition is ~US$300M (assuming an 80% initial acquisition)

Key CPL management and pathologists will initially retain a 15% - 20% interest in CPL

Sonic will acquire the minority interests progressively over a 3 year period (2009 – 2012)

Sonic will initially acquire 80% - 85% of CPL

CommentaryCommentaryKey Transaction TermsKey Transaction Terms

The acquisition will be immediately EPS accretive for SonicThe acquisition will be immediately EPS accretive for Sonic

Summary of Key Transaction Terms

Page 27: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Ownership Structure

Initially, Sonic will acquire at least 80% of CPL, and not more than 85%

Key management and pathologists will retain equity for a period of at least 5 years

The largest non-Sonic shareholders will continue to be Dr Robert Connor (Chairman and CEO) and Mr David Schultz (President and COO)

Dr Connor and Mr Schultz will retain ~50% of their current shares and will coordinate the register of ongoing non-Sonic shareholders

Summit Partners, retired pathologists and non-active shareholders will exit entirely

Sonic’s exact initial percentage shareholding will depend on this process

Sonic will move progressively to acquire 100% of CPL over 3 years (2009-2012), using a mechanism geared to EBITDA

Page 28: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Purchase Price

Sonic’s consideration for 80% of CPL is US$300 million, less debt (~US$10 million)

Earn-out of up to US$20 million of the US$300 million consideration

Earn-out is dependent on achievement of pre-defined EBITDA targets in CY2005

Valuation represents a prospective EV/EBITDA multiple of ~9.5 times

Purchase price compares favourably to recent transactionsQuest acquired LabOne at 12.7x EBITDA (pre-synergies) - August 2005LabCorp acquired Esoterix at 12.7x EBITDA (pre-synergies) - March 2005

Acquisition is immediately EPS accretive for Sonic

Page 29: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Acquisition Debt Facility

Sonic was named the exclusive preferred bidder for CPL in early July

A shared philosophy and Sonic’s ‘federation’ model were critical success factors and certainty of funding was a pre-requisite

ANZ Bank and JPMorgan have provided a six-month US$ debt facility

Sonic is considering a number of alternatives to refinance this facility, including potentially upsizing its senior syndicated debt facility

Page 30: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Transaction Timeline

Transaction conditionsApproval from Sonic’s banking syndicate for the US$ facilityCPL shareholder approval (CPL Board approval given)US anti-trust approval

No problems are envisaged with these conditions

Completion expected on 30 September 2005

Page 31: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times

Conclusion

CPL represents an exceptional entry for Sonic into the world’s largest pathology market

CPL’s management and pathologists are experienced and committed and will hold significant equity in the business

Sonic is attracted to CPL’s similar culture and unique doctor-focused operating model

Sonic-CPL will create a strong partnership for organic andacquisitional growth in the US laboratory market

Page 32: Acquisition of Interest in CPL - Sonic Healthcare · 2017-05-04 · ANZ Bank and JPMorgan have provided a US$ facility to fund the acquisition Purchase price equates to ~9.5 times