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WELL Health Technologies Corp T.WELL

Alternate Symbol(s):  WHTCF | T.WELL.DB

WELL Health Technologies Corp. is a practitioner-focused digital healthcare company. The Company develops technologies, services, and support available, which ensures healthcare providers are empowered to positively impact patient outcomes. Its business units include Canadian Patient Services, WELL Health USA Patient Services and SaaS and Technology Services. WELL Health USA Patient and Provider Services includes Primary Circle Medical, Primary WISP, Specialized CRH Medical, and Specialized Provider Staffing. Its healthcare and digital platform includes front and back-office management software applications that help physicians run and secure their practices. Its focused markets include the gastrointestinal market, women's health, primary care and mental health. Its solutions enable 34,000 healthcare providers between the United States and Canada and power owned and operated healthcare’s in Canada with 165 clinics supporting primary care, specialized care and diagnostic services.


TSX:WELL - Post by User

Post by retiredcfon Sep 08, 2024 7:53am
262 Views
Post# 36213618

Globe & Mail

Globe & MailExtracts from a weekend article. GLTA

In the commodity boom years of the 1990s and early 2000s, the real action went through boutique brokerages. There were dozens, flush with money from retail investors eager to get in on the frenzy.

Deals happened quickly, typically through a vehicle now called a capital pool company (CPC). Entrepreneurs would list a shell company, raise cash and use it to buy a private business.

“It was quick, efficient and cheap,” said Darrin Hopkins, a senior wealth adviser at iA Private Wealth in Calgary who estimates he took 130 companies public this way over the past 30 years. “The prospectus was maybe 12 pages long. You did a qualifying transaction in a month, drilled a couple of oil wells and you’re off to the races.”

It wasn’t just resources. Boardwalk Real Estate Investment Trust , the sixth-largest REIT on the TSX, started as a CPC. So did Well Health Technologies Corp., Canada’s largest owner of outpatient health clinics.

At the same time, domestic pension funds drastically cut their exposure to Canadian stocks, from 28 per cent of assets in 2000 to about 4 per cent today, after federal budget changes in 2005 that scrapped foreign investment limits.

The pension retreat has resulted in an extraction of capital from Canadian stocks to the tune of $1-trillion. “That’s one-quarter of the Canadian market – gone,” said Dan Daviau, CEO of Canaccord Genuity Group Inc., the country’s largest independent investment dealer. “We’ve lost so much money out of our public markets that it just becomes a supply-demand imbalance.”


When the commodity supercycle fizzled in the early 2010s, it took with it the underlying force that sustained the Canadian small-cap mosaic. Dozens of small brokerages that had financed junior energy and mining plays failed or were bought by big banks.

As the banks consolidated their grip over the Canadian wealth management business, the appetite for small caps withered. The crash soured a generation of investors who were overexposed to resource plays. Regulatory changes made it difficult for advisers, especially those working for banks, to recommend junior names to clients. “They’re making so much money on structured products and mutual funds,” Mr. Hopkins said. “The banks don’t need that hassle.”

Valuations reflect that imbalance. The average stock on the S&P/TSX Composite Index trades at about 14 times forward earnings. The S&P 500 Index, meanwhile, trades at 21 times. The gap between the two indexes is about as large as it has ever been and reflects the fact that highly valued technology companies account for a third of the U.S. index, about four times that sector’s share of its Canadian counterpart.

There is also a lack of domestic growth capital for companies that evolve past the startup stage, says Ms. Nankivell, who previously led fund investments and global scaling for Business Development Bank of Canada’s venture capital unit.

The estrangement of the small-cap sector from mainstream investing can’t be pinned on the commodity crash alone. Retail investors returned to the space with enthusiasm with the legalization of recreational cannabis in 2018 and when tech valuations vaulted in 2020-21. The buzz was short lived, however, as many new issues cratered in value.

“We hollowed out oil and gas, we hollowed out mining, and then investors got burned on cannabis and speculative technology,” said Neil Selfe, CEO of Toronto mergers and acquisitions advisory firm Infor Financial Group.

With that, the small-cap alienation was complete. Just seven CPCs have started trading on the TSX Venture so far this year. Last year there were 30. In 2007, there were 180.

The investing world came to demand size and profitability above all. U.S. Big Tech owns the moment. Nobody is paying attention to our small caps. That is, except foreign acquirers.

“A lot of the good companies are just saying, ‘Enough is enough, let’s go private,’ ” says Rob Laidlaw, CEO of Toronto digital media company VerticalScope Holdings Inc., which went public on the TSX in 2021.

The most recent crop of Canadian tech stocks, meanwhile, are also finding themselves in the sights of foreign acquisitors. During the pandemic, they cashed in on furious demand by public investors for young, fast-growing tech companies. That didn’t last. Every one of the 20 that went public on the TSX from mid-2020 to late 2021 eventually traded below their issue prices. Some collapsed to pennies a share in the selloff that began in the fall of 2021.

Many were too underdeveloped to matter to public markets investors unwilling to fund continued losses of young firms with illiquid floats. “A whole bunch of companies went public that shouldn’t have,” said Ian Giffen, lead director of education software vendor D2L Inc., which went public in 2021. “They weren’t ready.” (Then again, risk-taking venture capitalists also got nervous, prompting widespread cost cuts by private and public tech companies in 2022 and 2023.)

Most spent their brief time as listed companies underappreciated by Canadian investors. U.S. private investors, on the other hand, saw value. Magnet Forensics Inc., Nuvei Corp. and Q4 Inc. have all been bought or taken off the market by U.S. private equity firms. Other, more seasoned Canadian-listed software companies, including Absolute Software Corp., mdf commerce Inc. and TrueContext Corp., have also recently agreed to buyouts.

The trend is likely to continue. Private equity and venture capital firms are sitting on a record US$2.6-trillion in dry powder, according to S&P Global Market Intelligence and market research firm Preqin. “They are crawling all over each other, looking for Canadian deal flow,” said Mark Borkowski, president of Mercantile Mergers & Acquisitions Corp. “They call every day.”

A U.S. private equity buyout doesn’t mean those companies are lost. Most of the recent deals don’t involve physical relocation, though many redomicile in Delaware. Some could go public again when the funds exit their investments.

But that doesn’t mean there isn’t a cost. “Every time one of these Canadian success stories gets bought by U.S. private equity, the big high-paying jobs start to move to the U.S.,” says VerticalScope’s Mr. Laidlaw. “There’s an incredible brain drain going on, whether it’s crypto, AI, software.”

That drain is a bigger concern when a company is scooped up by a strategic acquirer, as was the case for Copperleaf. That offer, from past suitor IFS AB, landed when Copperleaf stock was trading more than 30 per cent below its 2021 IPO price. “Public markets didn’t see the value that we saw,” IFS CEO Mark Moffat said. “It created an opportunity for us.”

Copperleaf had hoped to raise awareness with the IPO, “but the Canadian market doesn’t give you the same exposure” as a U.S. listing would, former CEO Judi Hess said.

Instead, Copperleaf was punished by a market that suddenly turned against money-losing, illiquid early-stage companies, a cruel twist given that Copperleaf had been profitable for years until increasing spending pre-IPO to accelerate growth. “To do the right thing from a business perspective, they had to be investing. That simply wasn’t rewarded in the short term,” says Maria Pacella, managing partner with Pender Ventures, an arm of Vancouver’s PenderFund Capital Management Ltd., Copperleaf’s largest outside investor.

There are lots of other small Canadian tech companies trading at discounts. RBC’s Mr. Treiber noted two other potential takeout candidates: Coveo Solutions Inc., which trades at less than half its IPO price, and D2L Inc., off by more than 20 per cent.

It defeats the purpose of being listed publicly if a company cannot maintain a reasonable valuation. It makes you a takeover target. It raises your cost of capital. It weakens your ability to use your stock as currency to acquire companies, which for some was a key reason to go public. And it makes it hard to justify the huge time and expense, not to mention meeting the ever-expanding list of governance best practices and regulatory requirements involved with running a listed company.

“It’s frustrating,” said Mr. Laidlaw, who has seen Verticalscope shares drop 60 per cent since the IPO. “We’re paying $1-million to $2-million a year to be public. You do that to access capital and investors, and it’s really not there.”

Extraordinary regulatory requirements mean everything takes longer and costs more. It takes an average of 18 years to bring a Canadian mine from first drill to production. And the CPC program is no longer a fast, efficient and cheap back door to public markets, says Mr. Hopkins, who has facilitated just one CPC listing in the past year-and-a-half.

The latest irritant in entrepreneurial circles was the federal government’s increase to the taxable portion of capital gains this year. The fear is that the tax hike may discourage investing in Canadian public companies at a time when capital is scarce for most small companies.

“Every time you make an adjustment like that, you start to change that dynamic of where companies want to grow up,” said Tom Liston, a tech investor who sits on the board of Well Health. “The costs have gone up and most of the advantages of being a public company have disappeared.”


The fallout

Canada’s innovation and productivity gap is one of our biggest public policy issues. The Canadian economy is smaller than it was in 2019, after adjusting for inflation and immigration, according to RBC Economics.

There are many reasons Canada has fallen behind most other major economies. One culprit is the failure to produce giant, world-class publicly traded technology companies. No other Canadian company has come close to Shopify Inc., which went public in 2015 and last week sported a $125-billion market capitalization. That is about 50 times the value of Lightspeed Commerce Inc., the next most valuable Canadian tech company to go public since.

“Canadians come up with the ideas, they start companies, but few large-scale innovative firms exist in the country,” the University of Calgary’s Mr. Tingle wrote in a recent research paper.

Many of the most promising companies leave before they have a chance to attain scale. One study found that of 164 acquisitions of Canadian technology firms between 2004 and 2012, just one featured a Canadian buyer (domestic-buying-domestic activity has picked up moderately since then). Each year there is attrition from the public markets and not enough junior companies in the pipeline replacing them. Canada’s public exchanges lose around 60 operating companies on average each year.

Once a company is taken private, chances are it won’t return to the public markets. When it comes time for that investor to exit, it is almost always through a sale to a strategic acquirer or another private equity firm. Over the past five calendar years, IPOs accounted for just 5 per cent of U.S. private equity exits, according to S&P Global Market Intelligence. An IPO is never a clean exit for private equity, which usually requires another year or two after issue to sell their stakes in an orderly fashion, leaving their gains at the mercy of market swings.

Companies that remain public, meanwhile, are limited in growth options if they lack access to reasonably priced capital. “Companies won’t take the risk, won’t start that new factory, or develop that new product, unless they’re comfortable that they will have enough money,” Mr. Daviau says.

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