Sector multiples
Care & Healthcare Services Valuation Multiples
UK care and healthcare services businesses attract institutional interest because demand is structural and revenue is contracted with local authorities, ICBs or private-pay families. Multiples move up sharply for well-rated providers with occupancy above sector average and diversified funder mix.
Written by Tony Vaughan, Founder, BusinessValuation.co.uk. Last reviewed July 2026. Back to the full multiples guide.
H2 2026 guidance range
Under £1m adjusted EBITDA
4.0x–6.0x
£1m+ adjusted EBITDA
5.0x–8.0x
Typical buyer pool: Care consolidators, healthcare-focused private equity, real estate investors on OpCo/PropCo structures, and larger provider groups.
What pushes a deal toward the top of the band
- CQC 'Good' or 'Outstanding' rating across all locations, with no active enforcement action
- Occupancy consistently above 90% with a balanced private-pay and local-authority mix
- Diversified funder base with no single local authority above 30%
- Directly employed workforce with agency usage below sector benchmark
- Freehold or long-leasehold estate in areas with demographic tailwind
What pushes a deal toward the bottom
- CQC 'Requires Improvement' or worse at any registered location
- Occupancy below 80% with declining trend
- Heavy dependency on one local authority or on agency staffing
- Short-dated leases in secondary locations
- Rota, safeguarding or medication-management systems that would not survive a diligence visit
Using this range for your business
The sector sets the band. Where inside the band your specific business lands is decided by the eight value drivers we cover in the eight factors that affect business value: earnings quality, growth trajectory, customer concentration, recurring revenue share, gross margin and margin stability, sector tailwind, absolute scale of EBITDA, and owner reliance.
The headline enterprise value from a multiple is not the cash that arrives in your account on completion day. Debt, debt-like items, working-capital true-up, deferred consideration and tax all sit between the multiple and the net cash proceeds. We cover that gap in why EBITDA alone is not enough.
Interactive tool
Where do I sit inside my sector's band?
Score your business against the eight value drivers. The tool plots your position inside the H2 2026 range for your sector. Guidance only, not a valuation.
Care & Healthcare Services
Your indicative position
0 of 8 drivers scored
Care & Healthcare Services • Under £1m adjusted EBITDA • published range 4.0x–6.0x
Answer all eight drivers to see your position inside the 4.0x–6.0x band.
Guidance only. This tool positions your business inside the published sector band; it does not widen the band or produce a valuation. A valuation requires normalised earnings, evidenced comparables and a worked equity bridge.
Sector comparison
Compare two adjacent sectors, driver by driver
Pick a sector on the left and one of its adjacent sectors on the right. The eight value drivers map to each sector's H2 2026 EBITDA multiple band so you can see which drivers matter most in each buyer pool.
Locked to this sector page.
Why adjacent: same soft-services and workforce-heavy buyer pool; overlapping contract logic.
Care & Healthcare Services
H2 2026 guidance band
Under £1m EBITDA
4.0x–6.0x
£1m+ EBITDA
5.0x–8.0x
Typical buyer pool: Care consolidators, healthcare-focused private equity, real estate investors on OpCo/PropCo structures, and larger provider groups.
Facilities Management & Cleaning
H2 2026 guidance band
Under £1m EBITDA
3.0x–5.0x
£1m+ EBITDA
4.0x–6.0x
Typical buyer pool: National FM consolidators, private equity buy-and-build platforms, and international soft-services groups.
Earnings quality
Clean, evidenced adjusted EBITDA survives diligence and defends the top of the band. Rough add-backs get discounted.
High impactMoves the multiple by a meaningful fraction of the sector band.
MaterialMaterial input but rarely the swing factor on its own.
Growth trajectory
Three-year revenue and EBITDA trend. Growth pulls the multiple toward the top of the band; decline pulls it to the bottom.
MaterialMaterial input but rarely the swing factor on its own.
MaterialMaterial input but rarely the swing factor on its own.
Customer concentration
Top-customer share of revenue. Buyers discount hard for concentration risk, particularly without long contracts.
High impactMoves the multiple by a meaningful fraction of the sector band.
High impactMoves the multiple by a meaningful fraction of the sector band.
Recurring / contracted revenue
Share of revenue under multi-year contract or genuine repeat pattern. Recurring revenue re-rates the multiple upward.
High impactMoves the multiple by a meaningful fraction of the sector band.
High impactMoves the multiple by a meaningful fraction of the sector band.
Gross margin & stability
Level and consistency of gross margin. Above-benchmark, stable margin signals pricing power and lifts the multiple.
MaterialMaterial input but rarely the swing factor on its own.
MaterialMaterial input but rarely the swing factor on its own.
Sector tailwind
Whether the sub-sector is attracting active buyer competition right now. Hot sub-sectors clear at the top of the band.
High impactMoves the multiple by a meaningful fraction of the sector band.
MaterialMaterial input but rarely the swing factor on its own.
Absolute scale of EBITDA
The buyer pool widens as adjusted EBITDA crosses £1m and again at £3m, typically re-rating the band by half a turn upward.
High impactMoves the multiple by a meaningful fraction of the sector band.
High impactMoves the multiple by a meaningful fraction of the sector band.
Owner reliance
A business that runs without the owner sells for more. Second-line management is credited; owner-run books are discounted.
MaterialMaterial input but rarely the swing factor on its own.
High impactMoves the multiple by a meaningful fraction of the sector band.
Guidance only. Emphasis reflects how much each driver typically moves the multiple within the published sector band; it does not widen the band or produce a formal valuation.
Related sectors: adjacent buyer pools and valuation bands
Sectors that share buyers, deal mechanics or a neighbouring multiple range with care & healthcare services. Useful if your business straddles categories, or if you want to see where an adjacent buyer pool would price you.
All sectors in the H2 2026 guide
Care & Healthcare Services multiples FAQ
The questions owners ask most often when reading the sector range.
What is a typical EBITDA multiple for a UK care & healthcare services business?
H2 2026 guidance ranges are 4.0x–6.0x for businesses under £1m of adjusted EBITDA and 5.0x–8.0x for businesses at or above £1m. The sector sets the band; where inside the band a specific business lands is decided by recurring revenue share, customer concentration, management depth and margin quality.
Why do smaller businesses in this sector sell for lower multiples?
Smaller businesses trade below their larger sector peers because buyers price in higher owner dependency, thinner second-line management, less contracted revenue and a smaller pool of willing acquirers. As adjusted EBITDA moves through the £1m mark the buyer pool widens to include institutional and private equity capital, and the band typically re-rates upward by half a turn to a full turn.
How do I move my business toward the top of the band?
Work on the specific drivers listed above under 'What pushes a deal toward the top of the band'. In most cases the fastest gains come from lengthening contracts, reducing customer concentration below 20%, and building genuine second-line management so the buyer sees a business that runs without you.
Is this a valuation of my business?
No. These are indicative sector guidance ranges for UK owner-managed businesses with adjusted EBITDA broadly between £100k and £5m. A valuation requires the earnings to be normalised, the multiple to be evidenced against comparable recent UK transactions, and the equity bridge worked. That is the free indicative valuation, delivered in two to three weeks with no obligation.
Get a free, confidential indicative valuation
A written range for your care & healthcare services business built on your actual numbers, direct with Tony Vaughan. Two to three week turnaround. No obligation.