A suddenly healthy market for healthcare machine learning

by Michael Hill

Faster medical research, improved diagnosis and efficient patient monitoring were early and oft-touted examples of the changes that machine learning could bring. Despite that, there’s been little demand for acquisitions of machine learning vendors in the healthcare vertical. Or at least that was the case. This year, healthcare machine learning deals have suddenly accelerated as strategic buyers have begun seeking bolt-on acquisitions to keep up with customer demand.

According to 451 Researchs M&A KnowledgeBase, nearly half of all machine learning purchases in the healthcare market have printed since the start of 2019. This year has seen 15 acquisitions of machine learning companies where the acquirer or target (often both) are selling into the healthcare vertical. Prior to this year, there hadn’t been more than six such deals in a single year.

Healthcare machine learning transactions in 2019 have largely been characterized by a mix of veteran and first-time strategic buyers reaching for emerging tech targets to complement their existing offerings in line with their customers’ needs. For example, Royal Philips added Medumo’s machine learning patient monitoring software to its healthcare IT suite as a survey by 451 Research’s Voice of the Enterprise finds that ‘patient monitoring’ ranked at the top of multiple healthcare applications of machine learning, with 46% of healthcare respondents citing it as a use case for machine learning.

Nearly one of three survey respondents cited ‘clinical trials’ as an application of machine learning, which aligns with the rationales behind five of this year’s deals. And while the applications of machine learning in healthcare are coalescing, adoption remains nascent. Fewer than one of five healthcare providers claims to be using machine learning today.

Figure 1: Healthcare industry-specific machine learning use cases deployed today

Monetary policy and its discontents

by Brenon Daly

What if the US Federal Reserve cut interest rates and nobody noticed? Or, worse, what if the central bankers cut twice, and still no one noticed? That appears to be the case as the Fed trimmed its benchmark rate last week for the second time in two months. Following the latest easing, markets gyrated a bit but basically shrugged off the move.

The collective shrug comes, at least in part, because the central bankers are looking to solve a problem that doesn’t really exist. At least it’s not a problem that’s weighing heavily on US businesses. In a summer survey of roughly 1,100 North American business employees by 451 Research concerning a host of business considerations as well as overall macroeconomic outlook, interest rates and the related concern of credit availability barely merited a mention.

Specifically, respondents to our Voice of the Enterprise: Macroeconomic Outlook survey didn’t even rank interest rate worries among the top five threats to sales at their companies. Instead, labor shortages and trade wars were overwhelmingly cited as the main headwind to business right now. Three times as many survey respondents indicated that those two separate concerns are weighing more on sales right now than interest rates.

Most of the pressing problems that businesses articulated in our survey fall a bit outside the realm of domestic monetary policy. Even an area where the Fed does have influence, our survey respondents don’t necessarily see a problem there: credit is flowing freely, according to their view from summer. Just one in 20 respondents (6%) said it was harder for their company to borrow money now than it was three months ago.

Retailers check out machine learning

by Scott Denne

The retail industry has adopted machine learning at a faster rate than other verticals, which has led to an uptick of M&A. Home improvement retailer Lowe’s is the latest to make a deal with the purchase of Boomerang Commerce’s retail analytics technology assets. Although this transaction extends that trend, the acquirer departs from its peers in buying machine learning for applications beyond customer engagement.

Like many industries, retail has not yet moved past the early stages of adopting machine learning, although it’s further up the curve. According to 451 Research’s Voice othe Enterprise: Artificial Intelligence & Machine LearningAdoption and Use Cases, 49% of companies in retail are running, at a minimum, a machine learning proof of concept, compared with just 40% across all verticals. Retailers and the tech firms that sell to them have acquired nine machine learning providers since the start of the year, just one fewer than all of last year, according to 451 Research’s M&A KnowledgeBase.

Acquisitions of technologies and products that aim to improve customer experience through new offerings, recommendations or analytics have accounted for nearly all of that deal flow this year. McDonald’s, for example, nabbed Dynamic Yield for personalization technology, while Walmart picked up Aspectiva to make product recommendations from customer reviews.

Those rationales align with retailer priorities in our machine learning survey, where 45% of retailers said ‘customer engagement’ was among their current use cases for machine learning. And although the rationale for Lowe’s purchase – pricing optimization and demand prediction – hasn’t driven as many transactions, it’s not far behind in the survey, as 37% highlighted that application.

Working through the M&A backlog

by Brenon Daly

After surging to start 2019, tech acquirers appear to have worked through most of the backlog of deals that built up during the volatility-plagued end of last year. According to 451 Research’s M&A KnowledgeBase, January saw spending on tech and telecom transactions around the globe jump to a three-month high.

In contrast, spending in February dropped by about 25% compared with the opening month of the year. The M&A KnowledgeBase tallied $32bn worth of deals in February, essentially matching the same month last year. If it hadn’t been for financial buyers, this month’s decline would have been much sharper.

Private equity (PE) acquirers accounted for three of this month’s four largest deals, and a whopping $23bn, or more than 70% of total M&A spending in February. That’s roughly twice their typical share of spending in the tech M&A market. Corporate buyers, which had been averaging six transactions valued at more than $1bn each month last year, put up just three billion-dollar prints in February.

Half of the PE spending came in a single landmark software deal: the $11bn take-private of Ultimate Software. In the largest-ever SaaS acquisition, Hellman & Friedman led a group that valued the human resources software vendor at 10 times trailing sales. Similarly, in this month’s fourth-largest transaction, buyout shop Thoma Bravo paid $3.7bn, or 7x trailing sales, for mortgage lending SaaS provider Ellie Mae.

As to what’s coming for the rest of the year, check out 451 Research’s 2019 Tech M&A Outlook. The 125-page report highlights the trends that we expect to shape deal flow in six key enterprise IT sectors, including application software, information security, IoT and cloud. Additionally, our comprehensive report names over 250 potential target candidates and dozens of specific acquirer-target pairings, based on the research of more than 40 of our analysts.

For more real-time information on tech M&A, follow us on Twitter @451TechMnA.

New deals from new offerings

by Scott Denne

Technology vendors coming off recent IPOs were notable contributors to last year’s booming M&A market. Now Dropbox, with its IPO less than a year behind it, has inked its latest and largest deal, suggesting that such companies could play an important role in this year’s market, although the slowdown in new offerings makes that look less likely.

With the $230m acquisition of HelloSign, Dropbox has become the latest company from the 2018 vintage of business technology IPOs to ramp up its acquisitions. According to 451 Research’s M&A KnowledgeBase, Dropbox spent more on this purchase than any in its history. And while Dropbox was once a prolific acquirer of small startups, it hadn’t printed a deal since November 2017.

Likewise, DocuSign, which hadn’t ever spent more than $40m on a single transaction, paid $220m for SpringCM in a July 2018 deal that followed the buyer’s public stock debut by three months, our data shows. Another member of the 2018 class, Zscaler, inked its first-ever acquisition following its IPO in March. And firms from slightly older vintages made more impactful moves. Cloudera (2017) and Twilio (2016) printed their first $1bn-plus transactions last year. Cision, which went public via a reverse merger in 2017, has spent $350m across two deals since the start of this year.

As my colleague Brenon Daly noted in the introduction to 451 Research’s Tech M&A Outlook 2019, last year saw a record 15 IPOs from business technology vendors, although the pace slowed down in the back half of the year, when just five of those entered the public markets. A late-year decline in stock prices helped put on the brakes and a government shutdown effectively closed the market for new offerings in the opening month of 2019.

A possible recurring shutdown in three weeks could keep the SEC from processing filings from would-be public companies. But even if the US government remains functioning, the public markets may not be as hospitable for new offerings. A November survey from 451 Research’s VoCUL shows that 47% of consumers are less confident in the stock market than they were 90 days earlier. That’s up from 30% when asked the same question a year earlier.

Monkeying around with the competition

By Scott Denne

Qualtrics is looking to become 2018’s second public offering from a survey software vendor as it unveils its prospectus, moving one step closer to an IPO. In doing so, Qualtrics draws a contrast to SurveyMonkey, outpacing its rival on most metrics that matter to Wall Street. That contrast wasn’t missed by investors, who trimmed $250m from SurveyMonkey’s market cap following the Qualtrics filing.

Qualtrics’ revenue jumped 52% to finish 2017 at $290m and, despite spending almost half that amount on sales and marketing, it managed to eke out a $3m profit (the company claims to have generated positive free cash flow in every year since its 2002 founding). SurveyMonkey, by comparison, expanded just 14% to $218m with a $20m loss during the same period. When Qualtrics does list, its combination of size, growth and profit are likely to be rewarded.

In a sale of its shares to existing investors, the company commanded a valuation a bit above $2.5bn. With $343m in trailing revenue, Qualtrics should be able to increase that previous valuation when it hits the Nasdaq. SurveyMonkey, for its part, was valued just a bit shy of 10x trailing revenue on its first day, although that’s come down by 30% since, including a 14% drop since the Qualtrics prospectus became public.

The general outlook for unicorns like Qualtrics is increasingly bullish. In the October edition of 451 Research and Morrison & Foerster’s M&A Leaders’ Survey, 62% of respondents expect the average unicorn IPO to finish its first day of trading above its last post-money valuation, compared with just 48% that predicted increasing valuations when we asked the same question six months earlier.

For more real-time information on tech M&A, follow us on Twitter @451TechMnA.

Blood on Wall Street

by Brenon Daly

It wasn’t quite blood on the streets. But the deep red that has colored Wall Street in recent trading sessions did kill the IPO dreams of at least a few companies. Not so with Anaplan. The corporate performance management vendor priced its offering at the top end of its range, and then saw its newly minted shares tack on another one-quarter in value as they debuted on the NYSE on Friday.

Already a unicorn in the private market, 10-year-old Anaplan boosted its value substantially in the IPO. With 124 million shares outstanding (or 150 million on a fully diluted basis), the company created roughly $3bn of market value. That’s about twice the value realized by rival Adaptive Insights, which was on track for an IPO of its own but then sold to Workday instead in June.

Of course, investor sentiment has deteriorated noticeably between those two exits. Anaplan priced its offering amid a sharp and sudden stock market rout. (Just in the two trading days before Thursday evening’s final decision to come public, the Nasdaq Index plummeted almost 5%.) That broad-market mauling was enough to convince two non-tech firms to shelve their plans to join the ranks of public companies.

The current worries on Wall Street show up even when we compare Anaplan with the previous enterprise software IPO, last week’s offering by Elastic. The open source search software provider came public valued at an eye-popping price-to-sales valuation in the mid-20s. And Elastic shares have held up solidly over the past week, even as most other stocks have been roughed up. That’s particularly true for many of the dozen enterprise-focused tech vendors, including Zuora and DocuSign, that have come public so far this year.

For its part, Anaplan secured a more-sedate price-to-sales valuation in the mid-teens. (The company’s roughly $3bn market cap is 15x its trailing 12-month sales of $200m.) Still, the fact that Anaplan found plenty of buyers for its stock, as most investors were selling stocks, has to count for something.

For more real-time information on tech M&A, follow us on Twitter @451TechMnA.

Ad breaks 

Contact:Scott Denne

A four-year streak of expanding ad-tech M&A is set to end as strategic acquirers and foreign investors give way to price-sensitive buyers. There are several reasons why the streak is heading toward its conclusion, and today’s acquisition of Taykey highlights one such reason: despite the potential for programmatic advertising to reshape the advertising ecosystem, the complexity and variety of tools have outpaced advertisers’ ability or desire to deploy them.

Starting with 2013, the annual value of ad-tech dealmaking has jumped each year. According to 451 Research’s M&A KnowledgeBase, there was $2.3bn in ad-tech M&A spending last year, although just $1.8bn in 2017 with only a month to go. High-priced deals are notably lacking from this year’s total. While 2016 saw three companies exit at north of $500m, there’s only been one such transaction this year – Oracle’s purchase of Moat, one of only two targets that fetched more than 4x trailing revenue.

Last year, deals by enterprise software vendors (Adobe and Salesforce) along with overseas companies (China’s Beijing Miteno and Norway’s Telenor) spurred a 16% increase in spending on ad-tech targets, despite a drop in volume to just 66 transactions. This year, the volume continues to decline – just 56 companies have been bought so far – as those categories of buyers have grown quiet. Enterprise software providers have cooled their overall M&A spending after a pair of record years, while activity from foreign acquirers for any kind of US-based target has cooled, particularly the China-based buyers that took an interest in ad-tech in 2016.

Even if terms of Innovid’s pickup of Taykey were disclosed, the deal wouldn’t move the annual ad-tech M&A total. All signs point to a tuck-in: Innovid plans to shutter Taykey’s media and data businesses and fold the contextual analysis technology into its video ad server. Even those types of transactions will struggle to get done. There are few ad-tech firms like Innovid with stable, expanding revenue, and even fewer with access to capital to ink acquisitions – venture capitalists in the US have largely abandoned the space, and the public markets are even less welcoming.

Why have investors and acquirers retreated from ad-tech? Those that wanted to make a bet here already have. And, although the industry is undergoing a significant change as media consumption becomes ubiquitously digital, advertisers must pass through a gauntlet of challenges and opportunities to capitalize on that shift, entailing dozens of vendors ranging from what kind of audience data to use, who to partner with on measurement, how to gain visibility on the media supply chain, and how to scrutinize providers making vague promises on the power of artificial intelligence, blockchain and other technology themes that haven’t been part of the advertisers’ expertise.

All those choices mean there are a lot of Taykeys out there struggling to build a lasting business with advertisers across segments of ad-tech, including mobile location, identity resolution, cross-device matching, antifraud, brand safety, media buying and ad exchanges, to name a few. And there aren’t many Innovids with the appetite to buy them.

For more real-time information on tech M&A, follow us on Twitter @451TechMnA.

Genesys boosts August PE totals with Interactive buy

Contact: Scott Denne

Genesys’ $1.4bn purchase of fellow contact-center software vendor Interactive Intelligence wraps up a busy August for private equity (PE). This month, PE firms and the companies they own, like Genesys, have racked up $14.5bn in deal value – almost half of August’s total tech M&A, according to 451 Research’s M&A KnowledgeBase.

Today’s transaction values Interactive at 3.3x trailing revenue. That’s a bit lower than the 4x multiple in both NICE’s acquisition of Interactive’s SaaS rival inContact earlier this summer and Genesys’ own $3.8bn post-money valuation on a minority investment from Hellman & Friedman last month. (That deal left a majority stake in the hands of Genesys’ earlier owners, Permira and Technology Crossover Ventures.) Interactive’s 14% revenue growth, compared with inContact’s 25%, accounts for much of the difference.

Genesys has recently set its sights on expanding beyond call-center software into broader customer experience applications to increase its single-digit annual growth. Yet today’s move is more of a consolidation play. It does, however, bring Genesys an asset whose SaaS business is growing – that product grew its revenue 43% year over year to $31m last quarter, accounting for about one-third of Interactive’s sales. Genesys also obtains a team that can help it target smaller customers – Interactive’s average revenue per customer is less than half of what Genesys takes in.

For more real-time information on tech M&A, follow us on Twitter @451TechMnA.

Deals — not dollars — drive tech M&A in July

Contact: Brenon Daly

While tech acquirers weren’t especially ‘spendy’ last month, they certainly were busy. The number of tech, media and telecom (TMT) transactions announced in the just-completed month of July topped 420, a record level since at least the credit crisis, according to 451 Research’s M&A KnowledgeBase. Acquisitions last month by many of the major tech bellwethers – including Microsoft, Cisco, HP, IBM, Amazon and eBay – helped push deal volume about 40% higher than the average monthly total for the past three years.

It wasn’t just the big buyers, either. A number of smaller acquirers also stepped back into the market in July. Yahoo put up its first print of 2015 at the end of July, after inking 19 acquisitions last year. (The search giant had made 11 purchases by this time last year.) Additionally, Groupon, Callidus and Zillow all got on the board for the first time this year with July transactions. Meanwhile, both Time Inc and Accenture announced three deals last month.

The almost unprecedented activity translated into only marginal spending, however. Acquirers spent just $22.7bn on TMT transactions across the globe last month, according to the KnowledgeBase . While that roughly matches the average monthly spending for the post-recession period of 2010-14, it is the second-lowest monthly spending total for this year’s record romp, and is less than half the average value of deals announced monthly in the first half of 2015.

Of course, the July activity comes on the heels of record-setting spending in the April-June quarter. (See our full report on the blockbuster Q2, where the value of acquisitions announced hit an astounding $200bn, the highest quarterly level in 15 years.) While spending last month fell short of other recent months, it nonetheless keeps 2015 on track for a new post-bubble annual record. So far this year, TMT dealmakers have spent $345bn on transactions, just $70bn less than the record years of 2006 and 2007.

2015 monthly deal flow

Period Deal volume Deal value
January 2015 358 $11bn
February 2015 335 $48bn
March 2015 339 $61bn
April 2015 364 $46bn
May 2015 303 $122bn
June 2015 372 $33bn
July 2015 420 $23bn

Source: 451 Research’s M&A KnowledgeBase