Fairness opinions › Bankers

BofA Securities: healthcare fairness opinions

14 opinions in healthcare transactions, 2011-2026 — 12 to the target board, 2 to the acquirer. Each links to the filing and the full summary of analyses.

Opinions
14
2011-2026
Typical DCF discount rate
9.0%–11.0%
median of low / high · n=13
Terminal method
perpetuity growth 8 · exit multiple 5
Median disclosed fee
$10.0M
n=13

Deals

AnnouncedTargetAcquirerSegment EVEV/EBITDAEV/RevDCF rate
2026-05-06 Cross Country Healthcare Knox Lane Outsourced Services $437M16.3x0.41x9.0%–11.0%
2025-09-22 Premier Patient Square Capital Outsourced Services $2.6B10.9x2.68x8.5%–10.5%
2025-02-06 Nevro Globus Medical Medical Devices and Supplies $250M0.61x12.0%–14.8%
2024-12-03 Cross Country Healthcare Aya Healthcare Outsourced Services $615M12.1x0.46x9.8%–11.8%
2024-06-18 Silk Road Medical Boston Scientific Medical Devices and Supplies $1.2B5.47x11.7%–14.5%
2024-06-03 Stericycle Waste Management Outsourced Services $7.2B15.1x2.63x8.5%–10.0%
2021-09-02 Hill-Rom Holdings Baxter International Medical Devices and Supplies $12B17.6x3.89x7.0%–9.0%
2021-02-24 PRA Health Sciences ICON Pharmaceutical Services $12B19.2x3.12x7.5%–10.0%
2017-08-02 PharMerica KKR Pharmacy / Infusion $1.4B9.6x0.60x8.0%–9.0%
2016-12-22 Network Medical Management Apollo Medical Holdings Physician Groups $345M9.5x1.13x14.0%–16.0%
2016-12-22 Apollo Medical Holdings Network Medical Management Managed Care $85.5M1.49x14.0%–16.0%
2016-06-07 LDR Holding Zimmer Biomet Holdings Medical Devices and Supplies $1.0B5.55x9.5%–11.5%
2015-05-21 Omnicare CVS Health Pharmacy / Infusion $12B15.8x1.87x8.0%–9.5%
2011-11-07 American Dental Partners JLL Partners Professional Services $398M8.1x1.36x11.5%–13.5%

Segments: Outsourced Services (4) · Medical Devices and Supplies (4) · Pharmacy / Infusion (2) · Pharmaceutical Services (1) · Physician Groups (1) · Managed Care (1) · Professional Services (1)

Discount rates BofA Securities has used

DealDiscount rateTerminalGrowth / exitImplied per share
Cross Country Healthcare 2026 9.0%–11.0% perpetuity growth 3.0%–4.0% $11.55–$16.30
Premier 2025 9.0%–10.8% perpetuity growth 1.0%–2.0% $26.90–$34.10
Nevro 2025 12.0%–14.8% perpetuity growth 2.0%–3.0% $4.65–$8.00
Cross Country Healthcare 2024 9.8%–11.8% perpetuity growth 3.0%–4.0% $12.05–$17.55
Silk Road Medical 2024 11.7%–14.5% perpetuity growth 4.0%–5.0% $15.45–$25.15
Stericycle 2024 8.5%–10.0% perpetuity growth 3.0%–4.0% $46.25–$76.00
Hill-Rom Holdings 2021 7.0%–9.0% exit multiple 10.0x–15.0x $130.50–$208.25
PRA Health Sciences 2021 7.5%–10.0% exit multiple 13.0x–16.5x $141.00–$193.00
PharMerica 2017 7.5%–8.5% exit multiple 7.5x–9.5x $24.40–$34.50
Network Medical Management 2016 8.5%–9.5% perpetuity growth 3.0%–4.0% $7.60–$9.20
Apollo Medical Holdings 2016 17.5%–19.0% perpetuity growth 3.0%–4.0% $7.60–$9.20
LDR Holding 2016 9.5%–11.5% exit multiple 3.5x–4.5x $30.17–$41.29
American Dental Partners 2011 11.0%–13.0% exit multiple 5.0x–6.0x $15.50–$21.00

Peer companies BofA Securities selects most often

Diplomat Pharmacy, Inc. (4) · McKesson Corporation (3) · AMN Healthcare Services, Inc. (2) · Cardinal Health, Inc. (2) · Owens & Minor, Inc. (2) · IQVIA Holdings Inc. (2) · Treace Medical Concepts, Inc. (2) · NuVasive, Inc. (2) · AmerisourceBergen Corporation (2) · DaVita Inc. (2) · Envision Healthcare Corporation (2) · MEDNAX Inc (2) · Team Health Holdings Inc. (2) · American Renal Associates LLC (2) · ExamWorks, Inc. (2)

Precedent transactions BofA Securities cites most often

Sage Products LLC / Stryker Corporation (3) · Soliant Health, Inc. / The Vistria Group, LP (2) · Medical Solutions L.L.C. / Centerbridge Partners, L.P. / Caisse de Dépôt et Placement du Québec (2) · Oxford Global Resources, LLC / H.I.G. Capital, LLC (2) · Soliant Health, Inc. / Olympus Partners, L.P. (2) · Advanced Medical Personnel Services, Inc. / AMN (2) · MedPartners HIM, LLC / AMN (2) · Professional Placement Resources, LLC / Medical Solutions L.L.C. (2) · Medical Solutions L.L.C. / TPG Growth LLC (2) · B. E. Smith, Inc. / AMN (2) · Nursefinders, Inc. / AMN (2)

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