High Multiple

Occupational Health Business — Business Valuation Multiple

EBITDA Valuation Guide · Small & Mid-Sized Businesses

Actual EBITDA multiples can vary materially based on EBITDA size, growth, recurring revenue, margins, customer concentration, owner dependence, geography and other company-specific factors.

Min

3.5×

Typical

5×

Max

6.5×

Revenue Model

Recurring

Capital Intensity

Low

3.5×Typical EBITDA Range6.5×

A typical multiple of 5× EBITDA reflects mid-market transactions in the $1–$50M revenue range.

Overview

Occupational health businesses typically trade at 3.5×–6.5× EBITDA. Recurring contracts with large employers, health surveillance and wellbeing programmes, and regulatory compliance demand support valuations. Mental health and employee assistance programme integration has become an increasingly important revenue stream. Clinician recruitment, NHS competition for specialist talent, and contract renewal concentration are the key risks.

Key Value Drivers

  • Recurring OH contract base with large employers
  • Health surveillance and wellbeing programmes
  • Specialist clinical referral capability
  • Regulatory compliance demand
  • Mental health and EAP service integration

Key Risks

  • Clinician recruitment and retention
  • Competition for specialist talent
  • Contract renewal concentration
  • Insurance and clinical governance
  • Remote working reducing on-site demand

Disclaimer: All multiples are indicative estimates only and are not formal valuations or investment advice. They should not be relied upon for financial decision-making without independent professional advice.