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THE ANNUAL REVIEW 2010 - PEI Media

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page 126 private equity annual review <strong>2010</strong><br />

“Expect to see the completion of large sponsor-backed<br />

IPOs in 2011 as solid fundamental performance will<br />

replace deleveraging stories”<br />

healthcare sea change<br />

Dan Mendelson, chief executive officer,<br />

Avalere Health<br />

Private equity professionals wondered<br />

last year just how the outcome<br />

of the mid-term elections<br />

in the US would affect the fate of<br />

healthcare reform in the US, and<br />

how that in turn would change<br />

the private equity opportunity in<br />

the sector.<br />

“Full repeal of the Healthcare<br />

Reform Bill won’t happen. That<br />

said, dominance in the House will<br />

enable Republicans to shape the<br />

substance and pace of reform. Many important payment systems,<br />

including rates for Medicare Advantage health plans, will be<br />

modified through Republican engagement in regulation … the<br />

implementation of cost control measures will continue.<br />

“Reform is meant to create local health care delivery systems<br />

that are more efficient and force a focus on healthcare quality.<br />

Republicans will influence these developments but are unlikely<br />

to disrupt them.<br />

“Because of the changes, attractive investment opportunities<br />

going forward included companies specialising in cost reductions,<br />

evidence-based medicine and reimbursement management. As<br />

government push cost and risk onto providers, there will be<br />

opportunities for consolidation in local provider markets. Finally,<br />

government reimbursement reduction has hit certain healthcare<br />

sub-sectors disproportionately hard over the last few years. Many<br />

of these sub-sectors have nowhere to go but up.”<br />

nothing ventured<br />

Ted Mott, chief executive officer, Oxford Capital<br />

Partners<br />

UK pensions are underfunded by some £2 trillion and need to<br />

take a bit more risk – in terms of investing in earlier growth stage<br />

businesses – to be in a position to benefit from great returns.<br />

“Part of the solution is for UK pension funds to increase<br />

their exposure to earlier growth stage businesses, often those<br />

which are venture-backed by experienced professional teams.<br />

European emerging companies are today on a par with the best<br />

in the US or Asia. These ‘sunrise’ businesses have the potential<br />

to deliver the huge growth which is unachievable from their<br />

established ‘sunset’ cousins. Consider the likes of Autonomy,<br />

Sage, Shire Pharmaceuticals and Vodafone, all of which were<br />

venture-backed start-ups in recent years; businesses in which<br />

pension schemes could have had earlier and more profitable<br />

participation.<br />

“For the majority of pension schemes, a small allocation to<br />

venture investment could help to transform the fund’s future<br />

performance. What’s more, it could also transform the fortunes<br />

of the country, too; we need our best early stage businesses –<br />

many of which are starved of cash – to be encouraged to grow,<br />

to lift the economy out of the mire.”<br />

watch the fund size<br />

Mike Chalfen, partner, Advent Venture Partners Funds<br />

often find they can raise more<br />

capital than they had initially<br />

planned, and while this sounds<br />

like a good thing, general partners<br />

should be careful not to fundraise<br />

beyond their mandate.<br />

“A fund that raises more<br />

capital than it originally plans<br />

might be forced by the sheer<br />

weight of capital to look for larger<br />

investments, possibly more than<br />

an investee needs, probably at<br />

higher prices, often in larger companies – in other words to change<br />

their strategy. If that fund’s team has little experience of these<br />

larger deals, deployment pace for the new, larger fund can be slow.<br />

“This scenario highlights a conflict that is common across the<br />

industry: does a GP’s asset gathering strategy (which drives fees)<br />

distort the investment strategy (which drives returns)? It’s certainly<br />

a question that any investor contemplating committing capital to<br />

a private equity fund should ask.<br />

“The top of the private equity market in 2006-2007 saw the creation<br />

of too many bloated funds. The current private equity overhang is<br />

clearly to be regretted for most stakeholders relying on investment<br />

returns as opposed to firm income to create wealth.” n

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