Cano reveals $4.4bn SPAC merger; Muddy Waters wages attack against MultiPlan; GHO’s Envision buys Two Labs

The primary care provider for seniors surprises the market with plans to merge with a SPAC sponsored by real estate investor Barry Sternlicht.

Good morning!

We’ve got another shocking SPAC announcement to talk about this morning.

Cano Health, a primary care provider serving seniors in the Medicare Advantage market, has agreed to merge with Jaws Acquisition Corp., a SPAC sponsored by real estate investor Barry Sternlicht.

The transaction values Cano at an enterprise value of $4.4 billion, implying a 3.1x multiple of estimated 2021 revenues of $1.45 billion, an announcement said. The deal includes an $800 million PIPE.

To many, the valuation is likely jaw-dropping (no pun intended). Cano received final bids in a sale process from a small group of large buyout funds in late October, I wrote. At the time, the sell-side was hoping to fetch a valuation of close to $2 billion, whereas sponsors in the mix were anticipated to bid in the low $1 billion range. There was a big debate over what real EBITDA was worth at that time, sources told me.

The outcome not only blows any previous value expectations out of the water, but looks like a clear homerun for InTandem Capital Partners. The firm backed Cano in January 2017, buying the pair of initial primary care clinics that formed the platform for roughly $30 million, Cano CEO and Founder Marlow Hernandez told Inc. magazine in 2019.

Cano, more broadly, joins a string of new generation primary care businesses with value-based care models making public debuts. That includes players such as 1Life Healthcare (One Medical) or Oak Street Health.

What’s your take on such primary care models and are there any other any SPAC deals brewing we should know about?

In other shocking news… Short seller Muddy Waters waged a huge attack against MultiPlan late Wednesday, claiming the business is on the brink of losing its largest customer. Hellman & Friedman-backed MultiPlan, a provider of cost containment solutions to healthcare payers, agreed to merge with Churchill Capital Corp. III in an $11 billion deal this summer. 

Pharma commercialization: GHO Capital-backed Envision Pharma Group is getting into the business of pharma commercialization through the acquisition of Two Labs, the London-based healthcare private equity firm told PE Hub. Check out my story for financial details and more.

The deal comes after GHO earlier this year boosted its stake in Envision, buyout out Ardian’s stake in a transaction valuing the business at $750 million-plus.

That’s it for me today. As always, write to me at with any tips, feedback or just to say hello.