Dispel These Myths to Maximize Value in Small and Midsize Biopharma M&A

By  Hob BrooksMark Lubkeman Ben Aylor Megan DeFauw, and  Mic Rosiello
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Throughout the pandemic, biopharma M&A has continued at a brisk pace, with large companies focusing on small and midsize deals to help drive growth and innovation. These are deceptively complex transactions, with as few as six weeks between announcement and close, and there is a lot at stake. Acquirers are often paying a significant premium based on the target’s portfolio, technology, and talent, as well as on the potential financial benefits of combining the two companies.

One would therefore expect acquirers to work quickly after the deal is announced to define the integration strategy and the operating model for the combined company in order to identify the talent they want to retain, ensure business continuity, and preserve value. But in our work with more than 20 recent biopharma integrations, we saw acquiring companies often fall victim to several damaging myths about these transactions that delayed action and destroyed value. Acquirers need to dispel these myths and adopt an integration approach that focuses on value drivers first and cost synergies later, that quickly defines the combined operating model, that prioritizes talent retention, that is cross-functional and centrally governed, and that ensures readiness on Day One while maintaining a focus on value.

Benefits and Challenges of These Acquisitions

The number of small and midsize biopharma M&A transactions remains high. (See Exhibit 1.) From 2017 to 2019, the annual number of small deals (less than $3 billion) increased 44% from 316 deals to 455, and the combined value of those deals rose from $35 billion to $65 billion. Even in the very challenging 2020 environment, the total number of small transactions exceeded 400, with a combined value of $60 billion, just short of the 2019 record. Meanwhile, the volume of midsize deals ($3 billion to $30 billion) held relatively steady, with eight or nine deals each year during that three-year period. During the first quarter of 2021, deal activity remained strong, with 117 small deals and 3 midsize deals.

These small and midsize acquisitions enable larger buyers to gain access to new technologies, assets, and talent more rapidly than internal development will allow. In addition, the buyer’s scale can often increase the value of the acquired company’s products and platforms in the market. But to win these deals and secure access to assets, buyers are consistently paying premiums that can reach 150% or even more over the pre-transaction market value. Moreover, the handoff from the team that negotiates the deal to the integration team responsible for delivering on the deal’s promise is not always smooth. As a result, gaps in the integration team’s understanding of the deal’s rationale and value drivers often impede success.

Indeed, the period between announcing and closing the deal is particularly challenging for the acquiring company. If there is an information vacuum at the acquired company—and there often is—its employees don’t understand what the transaction means for them; they become anxious and start shopping their resumes and looking to the exits. At a certain point, efforts to retain talent become futile. The acquirer must move quickly to articulate to key employees of the acquired company how the new, combined company will operate and the value of being part of it. Only then will the acquirer be able to retain the talent it needs, maintain business continuity, and realize the full potential of the acquisition.

Why Acquirers Avoid Integration Planning

Despite the substantial premium that biopharma companies are paying to acquire small and midsize assets, many continue to downplay the need for disciplined integration of these companies. In our experience, such acquirers believe they can forgo robust integration planning because they have fallen victim to at least one of the following five myths. (See Exhibit 2).

How to Enable a Robust Integration

To help large biopharma companies avoid the value destruction that can result from failure to pursue a disciplined approach to integration, we recommend the following practices, which strike the right balance between too much and too little planning.

Setting Up an IMO to Preserve Deal Value
We worked with a top-ten global biopharma company that acquired an $11 billion company to support its oncology pipeline and improve its leadership position. The target was a relatively small US company (fewer than 400 employees) with a “small biotech” culture. It was involved in discovery, development, and commercialization of small-molecule oncology products and had a strong pipeline, including more than ten active development programs, and rapidly growing revenue of more than $100 million.

The acquirer wanted to preserve the target’s capabilities and allow it to grow with relative independence after the acquisition. It also wanted to support the target’s global expansion and achieve significant revenue synergies. To that end, the acquirer set different levels of integration for each function, depending on its connection to specific value drivers, such as growth and capability sharing. Also, given the target’s tightly knit culture, the acquirer knew it needed to manage communication and talent retention efforts carefully.

To support the integration planning effort, BCG set up a central IMO that focused on four critical tasks:
  • Define the end-state operating model. Quickly finalize the target’s operating model by function (for example, it retained an independent research unit while support functions were partially integrated with the acquirer's platforms).
  • Stabilize the organization with robust change management. Use strong communication and change management to mitigate confusion about integration plans and retain critical talent.
  • Ensure Day One readiness. Identify risks, design mitigation plans, provide business and systems continuity (including that of the sales force), and ensure that all employees have a manager on Day One.
  • Design implementation plans. Begin rigorous planning as soon as the deal is announced to identify specific integration activities and milestones.
This carefully planned approach to the integration allowed the acquirer to preserve the target's culture and R&D operations while realizing the revenue and cost synergies that justified the valuation.

An IMO also helps keep senior leaders engaged and making the necessary decisions about sequence and timing, rather than delaying until the deal closes. The CEO of the acquiring company should serve on the integration steering committee; senior management should decide early who will lead the acquired company and place that person at the center of the integration process.


Having spent $3 billion or more of shareholders’ capital on small or midsize biopharma acquisitions, acquirers need to plan their integrations carefully, with a tight focus on value drivers. That means dispelling the myths that delay decision making and destroy value. With a robust, cross-functional approach, acquirers can address key questions and make their integrations a success. The extra value it generates will far exceed the extra effort involved.

Authors

Managing Director & Partner

Hob Brooks

Managing Director & Partner
Philadelphia

Alumnus

Mark Lubkeman

Alumnus

Managing Director & Senior Partner, and Recruiting Partner

Ben Aylor

Managing Director & Senior Partner
Washington, DC

Managing Director & Partner

Megan DeFauw

Managing Director & Partner
Dallas

Partner & Associate Director, Transaction & Integration

Mic Rosiello

Partner & Associate Director, Transaction & Integration
Boston

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