2017 US MERGER ENFORCEMENT YEAR IN REVIEW Michael Bernstein, Francesca Pisano, Dylan Young, Titilayo Rasaki, Jamie Long arnoldporter.com Table of Contents Overview _______________________________________3 2017 By the Numbers ___________________________3 Litigations and Challenges to Deals ________________5 The Authorities Challenged Several Consummated Transactions _____________________5 A Number of Transactions Were Abandoned in the Face of Litigation _________________________6 Authorities Continued to Win in Court _____________7 State Enforcement Agencies Also Challenged Transactions ________________________9 More Challenges are Pending ___________________10 Notable Mergers Closed Without Conditions _________11 Divestitures & Consent Decrees ___________________12 Minority Interests ______________________________12 The Failing Firm Defense ________________________13 Entry Considerations ___________________________14 Information Sharing Concerns ___________________15 Local/Regional Competitive Impact _______________16 Pharmaceuticals & Medical Devices ______________17 Industrial Transactions __________________________18 Standard for Enforcing Final Judgments ___________19 The Authorities Actively Enforced the Hart-Scott-Rodino Rules __________________________20 Takeaways from 2017 and Expectations for 2018 ______22 © Arnold & Porter Kaye Scholer LLP 2018 All Rights Reserved | 2 Overview — 2017 Merger Enforcement Year in Review 2017 was a year of transition for the antitrust agencies with new leadership for the Antitrust Division of the Department of Justice (DOJ) and the Federal Trade Commission (FTC). These leadership changes took time with DOJ spending most of the year without a confirmed Assistant Attorney General until Makan Delrahim was confirmed on September 27, 2017. While Commissioner Maureen Ohlhausen took over as acting Chair of the FTC shortly after the inauguration, President Trump nominated the permanent Chair and three Commissioners only recently. As of the time of publication, the FTC still is operating with only two sitting Commissioners. However, these transitions did not mean inaction. Antitrust enforcers have remained vigilant—through 2017 both the FTC and DOJ closely scrutinized transactions and intervened in an attempt to stop multiple transactions. States, like California and Washington, also exerted their antitrust enforcement authority, attempting to block transactions that the FTC chose not to take action against. And, the new leadership at DOJ has signaled an increased aggressiveness in evaluating vertical transactions and skepticism in accepting conduct remedies. While we likely need to wait until later this year to see if this represents a true policy shift, what else the new leadership at DOJ and the FTC have in store, and whether states will become more aggressive against transactions to fill any perceived voids by the federal authorities, 2017 provided a number of clues as to the future of antitrust policy in the coming years. 2017 By the Numbers Merger activity continued to be strong and, as a result, 2017 remained a busy year for both the FTC and DOJ. While there was a slight drop-off in formal actions this past year, 2017 still saw near-record enforcement activity. | 3 Figure 1. Formal Actions Taken by U.S. Federal Antitrust Authorities 2017* * These figures exclude filings made in opposition to mergers under review by other authorities (e.g., state attorneys general or FCC), one gun jumping challenge brought by the DOJ, and two challenges by the DOJ (acting on behalf of the FTC) enforcing the Hart-Scott-Rodino Act’s filing requirements. In 2017, the DOJ and FTC litigated six transactions and resolved an additional five merger challenges that were pending at the start of the year, for a total of eleven active litigations through the course of the year. Figure 2. Federal Court Challenges* * These figures exclude filings made in opposition to mergers under review by other authorities (e.g., state attorneys general or the FCC), one gun jumping challenge brought by the DOJ, and two challenges by the DOJ (acting on behalf of the FTC) enforcing the HSR Act’s filing requirements. These figures include one FTC district court victory currently under appeal. | 4 Litigations and Challenges to Deals After years of vigorous merger enforcement by the Obama administration, we continued to see much of the same in 2017. The DOJ and FTC continued to challenge deals in court—and win. Transactions abandoned in the face of litigation provided additional victories for the authorities. Notably, the DOJ and FTC challenged several consummated deals (including one that received HSR approval), demonstrating the aggressiveness and seriousness with which the authorities are pursuing transactions they believe are likely to substantially lessen competition. Even the states got in on the action by independently challenging mergers in the hospital and energy sectors. While investigations for many of these transactions began under the Obama administration, most of these cases were filed by the Trump administration, which demonstrates that current authorities are just as serious about merger enforcement as their predecessors. The Authorities Challenged Several Consummated Transactions Enforcement actions after a transaction has closed are relatively rare. But, 2017 saw a number of such challenges—including cases brought by new leadership at the DOJ and FTC. Importantly, these cases also highlight that even the expiration of the HSR waiting period may not mean the end of antitrust scrutiny. Otto Bock HealthCare/Freedom Innovations On December 20, 2017, roughly three months after the parties closed the transaction, the FTC issued an administrative complaint challenging the acquisition of Freedom Innovations, a manufacturer of lower limb prosthetics, by Otto Bock, a global provider of limb prosthetics, orthotics, mobility solutions, and medical care.1 The FTC alleged that the acquisition reduced competition in the US market for microprocessor prosthetic knees, which adapt stiffness or positioning of the knee in response to different walking patterns and ground conditions.2 In particular, the FTC claimed that the merger eliminated a significant and disruptive competitor in Freedom Innovations, which offered significant discounts and product upgrades that benefit amputees.3 Moreover, the FTC claimed that timely entry by other competitors was unlikely because development of a microprocessor knee can take longer than two years.4 While the case is pending, Otto Bock agreed to stop integration of the two companies and hold separate the Freedom Innovations business.5 Parker-Hannifin/Clarcor Nearly nine months after the HSR waiting period expired and seven months after Parker-Hannifin Corporation closed its $4.3 billion acquisition of Clarcor Inc., DOJ challenged the transaction in the District of Delaware alleging that the acquisition substantially lessened competition for aviation fuel filtration systems.6 While the | 5 reason for the delayed challenge was not publicly disclosed, it is possible that customer complaints arose after HSR clearance.7 In bringing its challenge, DOJ alleged that the parties were the only two domestic suppliers of the products at issue and that the transaction would result in higher prices, lower quality of service, and less innovation.8 DOJ further alleged new and foreign entry was unlikely to mitigate any competitive issues due to the rigorous qualification process mandated in US aviation.9 DOJ buttressed these allegations by pointing to internal Parker-Hannifin documents stating that there was a “notable area of overlap” between the two companies and stating that Parker-Hannifin was “preparing for the possibility” that it may have to “divest Clarcor’s aviation ground fuel filtration” business.10 Parker-Hannifin filed an answer on October 18, 2017 arguing that the acquisition was procompetitive and entry was likely.11 Shortly thereafter Parker-Hannifin agreed to divest the business unit that included Clarcor’s aviation fuel filtration assets.12 TransDigm Group Incorporated/Takata Corporation On February 22, 2017, TransDigm Group Incorporated acquired two Takata Corporation subsidies, SCHROTH Safety Products GmbH and Takata Protection Systems, Inc. (collectively “SCHROTH”), for $90 million.13 The transaction was not reportable under the HSR Act due to the structure of the deal.14 Ten months after the deal closed, the DOJ filed suit to force a divestiture alleging that prior to the merger, TransDigm’s AmSafe subsidiary was the only meaningful competitor to SCHROTH in the market for commercial aviation restraint systems.15 The DOJ also pointed to high barriers preventing new competitors from entering the market, such as technical expertise and complex certification requirements.16 To resolve the DOJ’s concerns, TransDigm agreed to divest the entirety of SCHROTH to a consortium of private equity funds.17 Mallinckrodt ARD Inc./Novartis AG In January 2017, Mallinckrodt paid $100 million to settle FTC allegations that it illegally maintained a US pharmaceutical monopoly by acquiring the US rights to a potential entrant’s product.18 Mallinckrodt has long sold Synacthen, the only US adrenocorticotropic hormone (ACTH) drug used to treat infantile spasms, nephrotic syndrome, and other disorders.19 Outside the U.S., Novartis AG sold a synthetic ACTH drug at a lower price point.20 Novartis accepted bids for the US rights to its ACTH drug in 201321 and Mallinckrodt won the bidding process, beating several competitors. The FTC alleged under a monopolist theory that these other bidders were interested in bringing the drug into the US to compete with Mallinckrodt and that Mallinckrodt’s purchase harmed competition by preventing such entry.22 “Even without alleging that Synacthen was ‘likely’ to clear all regulatory and other hurdles to reaching the market, the Commission nevertheless alleged that the acquisition violated Section 2 of the Sherman Act.”23 Mallinckrodt settled the dispute by paying $100 million and agreeing to license the US rights to synthetic ACTH to an approved licensee.24 The FTC originally approved Marathon Pharmaceuticals, but Marathon spun off its ACTH business to West Therapeutic Development over the course of 2017.25 The FTC approved West as a replacement sublicensee on July 14, 2017.26 A Number of Transactions Were Abandoned in the Face of Litigation Protracted antitrust investigations and litigation can add significant burdens and delays to closing a transaction. After long investigations and the threat of litigation, a number of parties abandoned their merger when confronted with the possibility of litigation to enjoin the transaction. DraftKings/FanDuel DraftKings and FanDuel, which both offer daily, weekly, and season-long sports fantasy contests in various sports, announced their merger in November of 2016.27 The FTC filed suit to block the transaction in June 2017, alleging that the combined firm would have controlled more than 90% of the US market for paid “daily fantasy sports” (DFS) contests.28 The parties argued that neither company was profitable at the time of the | 6 merger29 and the businesses competed with “many fantasy sports, sports entertainment, and other gaming and recreation companies.”30 However, the FTC’s challenge hinged upon the distinction between paid DFS contests where customers build a new fantasy team each day as opposed to paid season-long fantasy sports (SLFS) contests.31 The FTC alleged that DFS consumers are unlikely to view SLFS contests as a meaningful substitute to paid DFS, due to differences in contest duration, limitations on the number of entrants, athlete exclusivity in SLFS contests, and differences in entry fees and other financial incentives.32 For instance, the FTC alleged that SLFS participants play primarily for social reasons whereas DFS participants are more motivated by instant gratification and large prizes.33 Moreover, with respect to the parties’ arguments about their lack of profits, the FTC noted that they were “relatively young companies…striving toward profitability.”34 Further, the FTC’s complaint used internal DraftKings documents to describe the company’s strategy as trying to “fight tooth and nail to attract customers” and to “put a ‘foot on [FanDuel’s] throat and press down hard,’ and ‘don’t let up until they stop breathing.’”35 Just about a month after the FTC and the Attorneys General of California and DC filed for a preliminary injunction, the parties abandoned the transaction.36 Deere/Precision Planting On August 31, 2016, the DOJ filed suit to enjoin Deere & Company’s (Deere) proposed acquisition of Precision Planting LLC, a subsidiary of Monsanto Company (Monsanto), despite having previously cleared the transaction under the HSR Act.37 Deere manufactured a broad line of heavy equipment, including planters, while Precision Planting manufactured precision equipment components to retrofit conventional planters and other agricultural equipment.38 DOJ alleged that Deere and Precision Planting both sold “high-speed precision planting systems” (HPPS)39 with a post-transaction US market share of 86%.40 The complaint alleged the transaction could lead to higher prices and less innovation in precision planting technology.41 Although the parties contended that HPPS was not an appropriate relevant market and that the parties’ products were different in terms of “price, compatibility, features, and grower demand”42 such that they were not significant competitors, they abandoned the transaction on May 1, 2017 before the case went to trial.43 Later in 2017, Monsanto sold Precision Planting to AGCO, a global agricultural equipment manufacturer, after obtaining necessary regulatory clearances. Authorities Continued to Win in Court As in prior years, the authorities continued to notch substantial victories in the courtroom, with the FTC and DOJ each winning a case at trial as well as a case on appeal for a total of four victories in 2017. Sanford Health/Mid Dakota On June 22, 2017, the FTC and North Dakota filed a complaint seeking a temporary restraining order and preliminary injunction to block Sanford Health’s proposed merger with Mid Dakota Clinic, P.C. (MDC).44 The FTC alleged that Sanford Health and MDC are each other’s closest rivals in the four-county Bismarck- Mandan region of North Dakota and would create a group of physicians with at least 75 to 85 percent share in the provision of adult primary care, physician care, pediatric services, obstetrics, and gynecology and a monopoly in general surgery.45 On December 14, 2017, the Court granted a preliminary injunction, temporarily blocking Sanford Health’s proposed acquisition of Mid Dakota Clinic.46 The Court concluded that the proposed transaction was anticompetitive, relying heavily on the FTC’s expert witness testimony that the transaction would increase concentration in the provision of the four medical services in the Bismarck-Mandan region.47 The two hospital networks argued that the transaction would allow the combined entity to add new services in the areas of reproductive medicine, urogynecology, pediatric endocrinology, pediatric gastroenterology, and pediatric neurology, as well as increased clinical trials.48 However, the Court was not persuaded the | 7 claimed efficiencies would offset the potential price increase predicted by the FTC’s expert.49 The parties have appealed the district court order.50 Energy Solutions/Waste Control Specialists On June 21, 2017, the US District Court for the District of Delaware enjoined the proposed $367 million acquisition of Waste Control Specialists (WCS), a domestic provider of low-level radioactive waste disposal services, by EnergySolutions, a global nuclear services company.51 DOJ challenged the transaction, alleging that EnergySolutions and WCS were the only two providers of low-level radioactive waste disposal in 36 states,52 with entry highly unlikely because of regulatory barriers.53 The District Court agreed with DOJ and found that the parties offer “reasonably interchangeable” services and products, such that the acquisition would substantially lessen competition.54 The parties attempted to demonstrate that WCS was a failing firm by showing that it never made an operating profit due to high fixed costs associated with regulatory mandates, a reduction in the volume of low-level radioactive waste, and rising costs.55 However, DOJ argued that WCS had not defaulted on its debt, was current on lease payments and payroll, had executed several long-term contracts, invested in future growth opportunities, and had a revolving credit facility with its parent company, Valhi.56 Without reaching the question of whether WCS was actually failing, the Court rejected the defense when it agreed with DOJ’s argument that WCS did not demonstrate EnergySolutions was the only available purchaser (especially in light of the fact that WCS engaged with only one other potential bidder, did not actually inform that bidder of the sales process, and ended discussions with that potential bidder before a bid was made).57 Following the court decision, EnergySolutions and WCS abandoned the acquisition, and WCS continues to seek a new buyer.58 Anthem/Cigna On April 28, 2017, almost two years after the merger was announced, the DC Circuit Court of Appeals upheld the District Court’s decision to enjoin the merger between health insurance providers Anthem and Cigna.59 The DOJ filed suit to block the merger, alleging that the transaction would lessen competition in (1) national health insurance accounts, (2) at least 35 local commercial markets, and (3) public exchanges in several locations.60 The District Court blocked the merger on February 8, 2017, finding—without reaching the other claims—that the merger would likely reduce competition in the health insurance markets for national accounts and for large group employers in Richmond, Virginia.61 Anthem appealed this decision and argued that the District Court failed to adequately consider the parties’ efficiencies defense, which claimed that the merger would result in $2.4 billion of medical cost savings, 98% of which would be passed on to customers.62 The Court of Appeals rejected this argument and concluded that Anthem’s cost saving calculations were speculative —they assumed the combined company would actually succeed in renegotiating for lower provider rates, and pass the savings from lower provider rates along to customers.63 Therefore, the Court of Appeals held that it was not an abuse of discretion for the District Court to fail to credit Anthem’s efficiencies argument.64 On May 12, 2017, Anthem terminated the proposed transaction.65 Advocate/NorthShore While the US District Court for the Northern District of Illinois originally denied the preliminary injunction sought by the FTC to stop the merger of two hospital systems in the Chicago area, the FTC appealed that decision to the Seventh Circuit and eventually prevailed on remand.66 This fight centered on the geographic definition for inpatient hospital services.67 The FTC alleged that the transaction would allow Advocate to control more than half of the general acute care inpatient hospital services in northern Cook County and southern Lake County, Illinois.68 While the District Court was troubled that the FTC’s expert witness excluded from the proposed geographic market nearby “destination hospitals” to which some patients from the Chicago area would travel, the Seventh Circuit | 8 found that the geographic market definition should focus on insurers rather than patients, because “insured patients are usually not sensitive to retail hospital prices, while insurers respond to both prices and patient preferences.”69 Thus, the Seventh Circuit focused on testimony by insurers that supported the FTC’s argument that Advocate and NorthShore hospitals were necessary for insurance networks to compete for employer plan contracts in the Chicago area.70 On remand, the District Court applied the Circuit Court’s reasoning regarding an insurer-centric analysis and upheld the FTC expert’s market definition.71 While the defendants had argued that the FTC expert still relied upon measures of patient substitution, the District Court concluded that the Circuit Court decision did not mean that patient choices are irrelevant, but that the data must be interpreted through the lens of an insurer.72 Advocate and NorthShore abandoned their attempted merger after the adverse ruling, and the FTC dismissed the administrative complaint on March 20, 2017.73 Aetna/Humana Aetna and Humana, two of the nation’s largest health insurance providers, entered a merger agreement on July 2, 2015 for $37 billion.74 Over a year later, the DOJ filed suit in the District Court for the District of Columbia to block the merger.75 DOJ alleged that the merger would reduce competition in the Medicare Advantage market, arguing that Humana is the second largest and Aetna is the fourth largest insurer in that market.76 The DOJ also alleged that the merger would reduce competition on the public healthcare exchanges in at least a hundred counties.77 The trial began on December 5, 2016 and on January 23, 2017, the District Court granted an injunction to prevent the merger, finding that the transaction would likely harm competition in both the Medicare Advantage market and in the individual market on the exchanges.78 State Enforcement Agencies Also Challenged Transactions Even where the FTC or DOJ declines to take action, state attorneys general, as well as private litigants, may bring claims that a transaction violates the antitrust laws. While it is not common for states to go it alone, these cases serve as an important reminder that companies should consider whether a transaction raises state-specific issues and whether there are risks that a state may bring a challenge (even if the federal authorities do not). Franciscan Health System/WestSound Orthopedics & The Doctors Clinic On August 31, 2017, the State of Washington filed suit in federal court to force contract rescission and profit disgorgement, along with other penalties, in connection with Franciscan Health System’s July 2016 acquisition of WestSound Orthopedics.79 Washington alleged that the acquisition of WestSound’s assets had reduced price competition, quality of care, and consumer choice in the orthopedic care market in Washington (specifically on the Kitsap peninsula)80 and presented evidence that Franciscan described the merger as “eliminat[ing]…the competitive threat” of WestSound.81 In the complaint, Washington also challenged as per se price fixing a separate agreement between Franciscan Health System and a second medical practice, The Doctor’s Clinic (TDC),82 under which Franciscan acquired ancillary surgical imaging and lab services in exchange for TDC receiving Franciscan’s negotiated reimbursement rates with healthcare payers.83 Washington treated the TDC transaction as a conspiracy to fix prices rather than a merger because it argued that TDC remained an independent entity, with separate liability insurance, protocols, directors, employers, and records whereas WestSound did not.84 Washington cited internal emails from Franciscan executives that appear to acknowledge that customers will be harmed by the TDC agreement.85 Notably, neither of the agreements was HSR reportable, and the FTC has not weighed in on the matter.86 The case is scheduled for trial on March 19, 2019. | 9 Valero/Plains All American Pipeline, L.P. While the FTC investigated Valero Energy Corporation’s proposed acquisition of two northern California bulk petroleum terminals from Plains All American Pipeline, L.P., and took no action,87 the State of California filed suit on July 10, 2017. Valero, a diversified energy company that refines crude oil,88 was attempting to acquire what California alleged was the “only independent terminal owner in the Bay Area.”89 As a result, California argued the transaction would allow Valero to restrict access to the terminals or coordinate with other vertically integrated refiners to increase fuel prices.90 The US District Court for the Northern District of California, while rejecting the state’s motions for a temporary restraining order and preliminary injunction against the acquisition, stated that California had raised “serious questions” about the possible anticompetitive effect of the transaction.91 The parties subsequently abandoned the transaction, and on October 12, 2017, a federal court in the Northern District of California entered a stipulated order that enjoined Valero from seeking to acquire these terminals for a period of ten years.92 More Challenges are Pending Two additional transactions were challenged in the latter half of 2017 in cases that remain pending. While the outcomes are yet to be determined, these cases demonstrate that the new administrations at the FTC and DOJ are just as willing as their predecessors to litigate. Tronox/Cristal On December 5, 2017, the FTC filed an administrative action to enjoin Tronox Limited’s $1.67 billion acquisition of Cristal.93 The FTC did not, however, seek a preliminary injunction. In a separate federal court complaint alleging that the FTC has not sought a preliminary injunction in order to exhaust the remaining time before the underlying agreement expires,94 Tronox claimed that the FTC stated it was waiting for the EU to finish its review of the transaction.95 On the substance, the FTC alleged that the acquisition would merge two of the three largest manufacturers of titanium dioxide (TiO2), and result in a combined 80% share of the North American “chloride process” TiO2 market.96 In its complaint, the FTC alleged not only that the transaction would enhance the likelihood of coordinated effects, but also that Tronox would be able to restrict supply of TiO2, which the FTC argues Tronox already does and would do more effectively given the market power it would have post-transaction.97 Trial is scheduled to begin on May 8, 2018.98 AT&T/Time Warner On November 20, 2017, DOJ filed suit to enjoin AT&T’s $108 billion acquisition of Time Warner Inc.99 Although AT&T and Time Warner do not compete with each other, the DOJ has claimed that this vertical transaction would lead to increased prices for Time Warner’s networks to video distribution providers that compete with AT&T and to slow the adoption of new distribution models.100 The case is pending before the District Court of the District of Columbia, with trial set for March 2018. | 10
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