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Valuation Trading Multiples & Precedent Transactions: Acute Care Hospital Operators

Valuation benchmarks for Acute Care Hospital Operators. Access public trading comps, EV/EBITDA acquisition multiples, and private market data for pitch books and valuation analysis.

1.1 - Acute Care Hospital Operators Market Context & Valuation Drivers

Companies in this trading comparable group are for‑profit hospital operators delivering acute inpatient and outpatient medical services across multi‑facility networks. They monetize through patient service revenue reimbursed by commercial insurers, government payors, and self‑pay. Grouped together as valuation benchmarks, they share similar care models, capital intensity, reimbursement dynamics, and scale-driven operating leverage from centralized administration, brand, and clinical service lines.

Typical capabilities include 24/7 emergency departments, inpatient and ambulatory surgical suites, diagnostic imaging (MRI, CT, X‑ray) and advanced laboratories, comprehensive oncology and cardiology programs, women’s health and maternity services, hospital pharmacy operations, and, in some cases, behavioral health facilities. Operators augment care delivery with outpatient centers, telehealth, referral management, and revenue cycle, supply chain, and clinical quality systems that drive throughput, case mix optimization, and cost control.

Primary customer segments include insured and self-pay patients, commercial insurers and managed care plans, government health programs, and physician referral networks. Key valuation drivers are same-facility admissions and outpatient visit growth, case mix and average length of stay, occupancy rates and bed utilization, payer mix stability, revenue growth, and EBITDA margin expansion. Outcomes also include market share within catchment areas and quality metrics impacting reimbursement.

2. Valuation Analysis: Public Trading Comps & Multiples for Acute Care Hospital Operators companies

2.1 - Public Peer Groups & Median Valuation Multiples for Acute Care Hospital Operators sector

Description: Companies in this trading comparable group are for‑profit hospital operators delivering acute inpatient and outpatient medical services across multi‑facility networks. They monetize through patient service revenue reimbursed by commercial insurers, government payors, and self‑pay. Grouped together as valuation benchmarks, they share similar care models, capital intensity, reimbursement dynamics, and scale-driven operating leverage from centralized administration, brand, and clinical service lines.
Aster DM Healthcare logo

Aster DM Healthcare

Website β€’ HQ: United Arab Emirates
  • Enterprise value: $●●●m
  • Market Cap: $●●●m
  • EV/Revenue: ●.●x
  • EV/EBITDA: ●●.●x
  • Description: Provider of healthcare services offering a wide range of medical facilities including hospitals, clinics, diagnostic centers, and pharmacies across the GCC and India. Specializing in primary, secondary, tertiary, and quaternary care, the company focuses on delivering high-quality healthcare through a network of medical professionals and state-of-the-art infrastructure.
  • Key Products:
  • Hospital Services: Comprehensive range of inpatient and outpatient services across various specialties including surgery, oncology, cardiology, and more
  • Diagnostic Services: Advanced laboratory and imaging services offering over 2,500 tests and diagnostics
  • Pharmacy Services: Extensive network of pharmacies providing prescription and over-the-counter medications
  • Telemedicine Services: Virtual consultations with healthcare professionals for remote medical advice and treatment
  • Specialty Clinics: Specialized clinics for focused healthcare needs such as diabetes care, orthopedics, and women's health.
Spire Healthcare Group logo

Spire Healthcare Group

Website β€’ HQ: United Kingdom
  • Enterprise value: $●●●m
  • Market Cap: $●●●m
  • EV/Revenue: ●.●x
  • EV/EBITDA: ●●.●x
  • Description: Provider of private healthcare services, operating hospitals and clinics that offer inpatient and outpatient care, diagnostics, day cases, and specialist services, including orthopaedics, gynaecology, cardiology, neurology, oncology, and general surgery.
  • Key Products:
  • Orthopaedic Services: Treatment of musculoskeletal conditions including joint replacement and spinal surgery
  • Diagnostic Imaging: Advanced imaging services such as MRI, CT scans, and X-rays
  • Oncology Services: Comprehensive cancer care, including chemotherapy and radiotherapy
  • Cardiology Services: Heart health services including diagnostics, treatments, and surgeries
  • General Surgery: Various surgical procedures covering multiple specialties.
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Revenue growth
Median
15.7%
2025E
16.0%
2026E
EBITDA margin
Median
28.2%
2025E
28.6%
2026E
Cash EBITDA margin
Median
27.6%
2025E
28.0%
2026E
EV/Revenue
Median
8.4x
2025E
6.8x
2026E
EV/EBITDA
Median
28.9x
2025E
24.4x
2026E
EV/Cash EBITDA
Median
29.0x
2025E
25.5x
2026E
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2.3 - Precedent M&A Transactions & Implied Enterprise Values for the Acute Care Hospital Operators secto

Selected M&A transactions

Date Target Description Buyer(s) Relevance EV EV/Revenue EV/EBITDA
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3. Potential Strategic Acquirers for Acute Care Hospital Operators

3.1 Top Strategic Buyers in Acute Care Hospital Operators

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3.2 - Strategic Buyer Groups & Adjacent Industry and Verticals to the Acute Care Hospital Operators sector

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Buyer group 1: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ

●● companies
Description: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ
Key Products: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ
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Buyer group 2: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ

●● companies
Description: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ
Key Products: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ
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Buyer group 3: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ

●● companies
Description: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ
Key Products: β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ, β–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆβ–ˆ
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4. Financial Sponsors & Private Equity in Acute Care Hospital Operators

4.1 - Buyout Funds active in Acute Care Hospital Operators

Buyout Funds investing in Acute Care Hospital Operators companies

50+ funds
Description: Buyout funds focused on Acute Care Hospital Operators companies globally.

4.2 - 4.2 - Growth Capital & Late-Stage Investorsin Acute Care Hospital Operators sector

Growth Equity Funds in Acute Care Hospital Operators companies

40+ funds
Description: Growth equity funds focused on Acute Care Hospital Operators companies globally.
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Valuation FAQ: Acute Care Hospital Operators

What is the current median EV/Revenue multiple for Acute Care Hospital Operators?

Based on our index of public trading comparables, the median Enterprise Value to Revenue (EV/Rev) multiple for the Acute Care Hospital Operators sector is currently ●.●x. High-growth peers in the top quartile are trading at ●●.●x. View full data.

What is the average EV/EBITDA multiple for companies in this sector?

Profitable companies in the Acute Care Hospital Operators sector trade at a median EV/EBITDA multiple of ●●.●x. This represents a change vs the 5-year historical average. Our platform tracks EBITDA multiples for Acute Care Hospital Operators and other key peer groups.

How have valuation multiples for Acute Care Hospital Operators trended over the last 5 years?

Valuations have adjusted since 2021. The sector saw peak multiples of ●●.●x EV/Revenue, settling to a 5-year average of ●.●x today. Access our Historical Trends chart for granular monthly data.

What are recent M&A transaction multiples in the Acute Care Hospital Operators space?

Recent precedent transactions indicate implied enterprise values ranging from ●.●x to ●●.●x Revenue. Private market deals often trade at a liquidity discount compared to public peers. Unlock the full list of precedent transactions.

Which public companies are used as trading comps for Acute Care Hospital Operators?

The primary trading comparable group includes Acute Care Hospital Operators. Key constituents used for benchmarking include large-cap leaders and specialized mid-cap players. See the full list of companies in the Public Trading Comps section.

How do I value a private company in the Acute Care Hospital Operators sector?

Valuing a private Acute Care Hospital Operators company typically involves applying current EV/Revenue and EV/EBITDA multiples from public peers to the private company's financial metrics. A discount for lack of marketability (DLOM) of 20-30% is often applied. Our private company valuation database provides the exact multiples needed for this calculation.

What are the Acute Care Hospital Operators industry valuation multiples for 2025?

For 2025, the Acute Care Hospital Operators industry is trading at a median EV/Revenue multiple of ●.●x. This reflects current market sentiment, interest rates, and growth expectations. Access our platform to see how these multiples have changed from 2024 to 2025.

What is the difference between trading comps and transaction multiples for Acute Care Hospital Operators?

Trading comps look at how public markets value similar companies today, while transaction multiples (or precedent transactions) look at the price paid in past M&A deals. Transaction multiples often include a "control premium," typically resulting in higher valuations than trading comps. Our database tracks both trading multiples and M&A transaction multiples.

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