Finance

Medline is financing its record LBO with roughly $17 billion from debt markets — and it could set the stage for a surge of massive buyouts

Medical supplies
Medline provides and manufactures medical supplies. Nico Woehrle/Getty Images
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Medline Industries' record-breaking buyout by a trio of private investors earlier this month has investment bankers sharpening their pencils.

The healthcare supplier's near $34 billion sale to Blackstone, Carlyle, and Hellman & Friedman will feature roughly $17 billion in debt financing, and the rest in equity, sources familiar with the sale told Insider. Bankers are expected to spread the debt among the high-yield bond and leveraged loan markets, and may also tap multiple currencies such as dollars and euros to support the acquisition.

Medline's buyout is the largest private-equity purchase in healthcare, and the largest overall since the financial crisis of 2008, according to Refinitiv data.

Given its sheer size, dealmakers view the financing as a litmus test, of sorts. Not only will Medline's financing measure the depth of an investor base eyeing higher-yielding opportunities, but if successful, the debt for Medline may set the stage for a surge in gargantuan buyouts.

Spokespersons for Carlyle, Hellman & Friedman, and Blackstone declined to comment. A spokesperson for Medline did not respond to a request for comment before press time.

"Our own M&A pipeline in the last couple of months has really taken off, so we're looking at a very active third and fourth quarter," Ted Swimmer, the head of corporate finance and capital markets at Citizens told Insider. "I also think companies would like to explore opportunities ahead of any potential tax change at the end of this year."  

Indeed, a proposal from the Biden administration to hike capital gains tax could spur companies to advance any potential sales plans to avoid forking out the extra tax costs. And with $1.6 trillion in cash at their disposal, according to Preqin data, private equity firms are well-placed to put that money to work.

'Disruptions create opportunities'

While the Fed's loose monetary policy has kept borrowing costs low and enabled companies to binge on cheap debt, buyout titans like Blackstone and KKR waited patiently for markets to heal last year before ramping up their M&A plans.

With recovery now seemingly in full swing, however, it appears private equity is ready to pull the trigger on larger purchases.

"It's an extremely frothy market. Funds have liquidity, and they're actively looking to buy," said Gary Blitz, the co-CEO of AON's M&A and transaction solutions arm, who also focuses on tax-based insurance.

Thoma Bravo cut an $8 billion equity check to fund its $12 billion purchase of tech firm Proofpoint, Insider reported last month. The roughly $3.4 billion in debt financing to support that deal is currently on investors' desks in the syndicated loan market, sources have said.

The tech-focused investor also penned a $2.3 billion loan from direct lending firm Owl Rock Capital to fund its $3.75 billion buyout of Calypso Technology, sources told Insider in April.

Medline has also obtained a $1 billion commitment from Abu Dhabi Investment Authority and an investment from Singapore's sovereign wealth fund GIC, alongside the private equity firms, Bloomberg reported earlier this month.

"After a scenario of volatility, you typically see lots of M&A. Sometimes, disruption creates opportunities for companies looking to restructure or sell," David Moffitt, the co-head of US credit management at asset manager Investcorp, told Insider.

Credit markets, meanwhile, remain accommodative.

Investors are clamoring for more funding opportunities linked to M&A as these deals typically offer greater returns.

And big buyouts like Medline traditionally involve significant sums of new money in the bond and loan markets.

"Credit is loose everywhere and evaluations are ridiculous," said Christopher Zook, chairman and CIO at CAZ Investments. "Sponsors can get any amount of capital they want and leverage it however they want."

Importantly, however, buyout funds are injecting significant equity into these investments. Medline's getting 50% in equity, while Thoma Bravo's $12 billion Proofpoint purchase was funded with roughly 80% in equity.

But not since energy company TXU's $45 billion buyout by KKR in 2007, has the capital markets seen a deal the size of Medline's. In fact, the largest healthcare-linked buyout was also pre-crisis, when Bain and KKR bought HCA for roughly $32 billion in 2006, Refinitiv data showed.

"This is the largest we've seen in a long time," Citizens' Swimmer said on Medline. "But I think the financing is going to get done well. It shows the depth of the bank market to take on a transaction this big and I think it'll potentially give more sellers the motivation and understanding that you can do large transactions." 

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Aaron Weinman is a correspondent at Insider who covers dealmaking, people, and culture on Wall Street. He spends most of his time penning Insider's newsletter "10 Things on Wall Street," and some time chasing scoops about the big banks, investment firms, and people that cobble together billion-dollar transactions. You can sign up for his newsletter here. Previously, Aaron covered leveraged capital markets for Refinitiv's LPC and IFR. Before that, he covered the Latin American capital markets for LatinFinance. Aaron's a graduate of La Trobe University in Melbourne, Australia, and he also holds a Master of Communication from Deakin University in Melbourne, Australia. He welcomes your confidential tips and leaks by: * Phone: +1 (929) 335-1560 (Signal or Whatsapp) * Email: aweinman@bjinnox.com Aaron is also on Twitter and LinkedIn. Here's some of his recent work: SoftBank-backed View went from investor darling to the worst SPAC ever. Insiders say the glassmaker has struggled with cash burn for years, while many lived in fear of being fired Bankers are "livid" at having to hand over their phones for the SEC's texting probe. Some have 'no idea' what might pop up Wall Street's dirty little secret: Bankers are betting on Elon Musk, not Twitter Leaked screenshots: JPMorgan is tracking office attendance using 'dashboards' and 'reports' — and some employees are threatening to quit Inside the flurry of luxury spending spawned by Wall Street's record bonus season Credit Suisse is shaking up its operations as it moves past the Archegos scandal. Here's what's happening in investment banking and capital markets Goldman Sachs pushed rivals to expletive-ridden tirades as it soared to the top of the M&A ranks Vici Properties' $17 billion deal for MGM took just five months to iron out. Here's what went down Inside the WarnerMedia-Discovery media marriage: The bankers and lawyers who played key roles, and how it came together Automation is coming for bond syndicate desks, and bankers worry it could make them obsolete Thoma Bravo just cut one of the largest equity checks ever for a $12 billion cybersecurity firm. Here's the details What Wall Street bankers really thought about JPMorgan's $4.2 billion European Super League deal