Select Medical acquired by WCAS, et. al.: fairness opinion by Goldman Sachs
Deal terms
Implied value per share by method vs. $16.50 offer
Ranges as disclosed in the banker’s summary of analyses; the red line marks the per-share consideration.
Opinion of Goldman Sachs to the special committee
Discounted cash flow assumptions
Unlevered free cash flows for fiscal years 2026 through 2035; enterprise value adjusted for total debt and cash, divided by fully diluted shares using treasury stock method.
Selected precedent transactions (9)
| Date | Target | Acquirer | Multiple |
|---|---|---|---|
| 2017-12 | Kindred Healthcare, Inc. | Humana Inc., Welsh, Carson, Anderson & Stowe XII, L.P. and TPG Global, LLC | 8.2x EV/LTM Adjusted EBITDA |
| 2015-06 | Reliant Hospital Partners, LLC | HealthSouth Corporation | 9.8x EV/LTM Adjusted EBITDA |
| 2015-06 | Revera Inc. | Genesis HealthCare LLC | 7.9x EV/LTM Adjusted EBITDA |
| 2014-11 | Centerre Healthcare Corporation | Kindred Healthcare, Inc. | 11.2x EV/LTM Adjusted EBITDA |
| 2013-04 | Kindred Healthcare, Inc. | Vibra Healthcare, LLC | 6.4x EV/LTM Adjusted EBITDA |
| 2011-02 | RehabCare Group, Inc. | Kindred Healthcare, Inc. | 7.7x EV/LTM Adjusted EBITDA |
| 2010-08 | Vista Healthcare, LLC | Kindred Healthcare, Inc. | 6.7x EV/LTM Adjusted EBITDA |
| 2010-06 | Regency Hospital Company, L.L.C. | Select Medical Holdings Corporation | 7.6x EV/LTM Adjusted EBITDA |
| 2009-11 | Triumph HealthCare Holdings, Inc. | RehabCare Group, Inc. | 6.2x EV/LTM Adjusted EBITDA |
| Multiple | Low | Median | High | Range applied | Implied per share |
|---|---|---|---|---|---|
| EV / LTM Adjusted EBITDA | 6.2x | — | 11.2x | 6.2x–11.2x | $9.99–$29.87 |
Other analyses
| Analysis | Summary | Implied per share |
|---|---|---|
| Historical Stock Trading Analysis | $16.50 represented a premium of ~18% to the undisturbed closing price of $14.01 on November 24, 2025; ~21% to the 30-trading day VWAP of $13.63; and ~24% to the 60-trading day VWAP of $13.29. | — |
| Illustrative Present Value of Future Share Price Analysis | Applied EV/NTM EBITDA multiples of 6.0x to 8.0x to implied year-end 2026-2028 estimates, subtracted net debt, added cumulative dividends, and discounted to December 31, 2025 at a 12.2% cost of equity. | $14.04–$25.72 |
| Premia Paid Analysis | 18 all-cash acquisitions of U.S. public healthcare targets (excluding biotech/pharma) announced January 1, 2020 through February 27, 2026 with enterprise values of $1-5 billion; premiums to last undisturbed close showed minimum 12%, median 28%, mean 32%, maximum 77%. Applied a 12%-77% premium range to the $14.01 unaffected price. | $15.69–$24.80 |
Engagement letter dated December 20, 2025; transaction fee estimated at approximately $11 million, all contingent on consummation. Expense reimbursement and indemnification also provided.
Management projections
| Projection year | Year 1 | Year 2 | Year 3 | Year 4 | Year 5 | CAGR |
|---|---|---|---|---|---|---|
| Revenue | $6.0B | $6.3B | $6.6B | $6.9B | $7.2B | 4.7% |
| Revenue growth | 5.0% | 5.1% | 4.6% | 4.8% | 4.2% | |
| EBITDA | $597M | $664M | $730M | $801M | $828M | 8.5% |
| EBITDA growth | 22.6% | 11.2% | 9.9% | 9.7% | 3.4% | |
| EBITDA margin | 10% | 11% | 11% | 12% | 11% | |
| Implied EV / EBITDA | 6.5x | 5.9x | 5.3x | 4.9x | 4.7x |
Year-1 growth is against LTM at announcement ($5.7B revenue, $487M EBITDA); later years are year over year.
Management prepared the "Forecasts" in Fall 2025 covering fiscal years 2026-2030, later extended through 2035, reviewed and approved by the Special Committee for Goldman Sachs' use. Total revenues grow from $5,722 million in 2026E to $8,066 million in 2035E, with adjusted EBITDA rising from $531 million (9.3% margin) in 2026E to $876 million (10.9% margin) in 2035E. Unlevered free cash flow grows from $157 million in 2026E to $480 million in 2035E, assuming a 21% tax rate, D&A of $146-150 million per year and capital expenditures of $237 million in 2026 declining to $175 million thereafter. Only the 2026-2030 portion was made available to the Buyer Consortium for due diligence.
Process notes
Other Hospitals fairness opinions
- LifePoint Health / Apollo Global Management 2018 · 7.5x EV/EBITDA
- Kindred Healthcare / Humana/TPG/WCAS 2017 · 8.0x EV/EBITDA
- Health Management Associates / Community Health Systems 2013 · 9.1x EV/EBITDA
- Vanguard Health Systems / Tenet Healthcare 2013 · 8.1x EV/EBITDA