Tue, Dec 11, 2018

Healthcare Services Sector Update - November 2018

Download the Report

The S&P Healthcare Services Index increased 5.2% over the last month, outperforming the S&P 500, which increased 1.8% over the same period.

Over the past month, the best performing sectors were Healthcare Staffing (up 21.6%), led by AMN Healthcare (NYSE:AMN), Healthcare Consulting (up 19.3%) and Skilled Nursing (up 14.4%). The poorest performing sectors were Behavioral Health (down 17.3%), Clinical Laboratories (down 4.6%) and Assisted / Independent Living (down 3.1%). The current average LTM revenue and LTM EBITDA multiples for the Healthcare Services industry overall are 2.26x and 15.1x, respectively.

The sectors with the highest valuation multiples include:

  • HCIT (4.46x LTM Revenue, 34.4x LTM EBITDA)
  • Consumer Directed Health / Wellness (5.54x LTM Revenue, 27.9x LTM EBITDA)
  • Hospital Vendors (1.72x LTM Revenue, 24.6x LTM EBITDA)
  • Contract Research Orgs (3.32x LTM Revenue, 18.1x LTM EBITDA)


Corporate Finance and Restructuring

M&A advisory, restructuring and insolvency, debt advisory, strategic alternatives, transaction diligence and independent financial opinions.

Healthcare Investment Banking

Healthcare expertise for middle-market M&A transactions.

Mergers and Acquisitions (M&A) Advisory

Kroll’s investment banking practice has extensive experience in M&A deal strategy and structuring, capital raising, transaction advisory services and financial sponsor coverage.


Transaction Advisory Services

Kroll’s Transaction Advisory Services platform offers corporate and financial investors with deep accounting and technical expertise, commercial knowledge, industry insight and seamless analytical services throughout the deal continuum.

Fairness and Solvency Opinions

Duff & Phelps Opinions is a global leader in Fairness Opinions and Special Committee Advisory, ranking #1 for total number of fairness opinions in the U.S., EMEA (Europe, the Middle East and Africa), Australia and Globally in 2023 according to LSEG (FKA Refinitiv).

Financial Sponsors Group

Dedicated coverage and access to M&A deal-flow for financial sponsors.


Distressed M&A and Special Situations

Kroll professionals have advised hundreds of companies, investors and other stakeholders at all stages of distressed transactions and special situations.

Private Capital Markets – Debt Advisory

Kroll has extensive experience raising capital for middle-market companies to support a wide range of transactions.