GLOBAL RESEARCH ARCHIVE
1Q26 Results: +$26m Adj EBITDA, FY26 EBITDA Guidance Raised By +$30m
Research evidence excerpt
1Q26 Results: +$26m Adj EBITDA, FY26 EBITDA Guidance Raised By +$30m
TD Cowen P3 Health Partners
Global Research May 14, 2026
VALUATION METHODOLOGY AND RISKS
Valuation Methodology
Health Care Facilities & Services:
We value mature healthcare providers on the basis of EV/EBITDA. Legacy healthcare facilities
and services companies have traded at a 10-yr median EV/EBITDA multiple of 9.3x, with a
peak of 12.0x in 2021 and a trough of 5.9x in 2012. Emerging, high-growth providers tend to be
unprofitable and therefore are valued primarily on a forward EV/Sales multiple. We supplement
both EV/EBITDA and EV/Sales valuation methodologies with discounted cash flow analysis.
We make investment recommendations on certain early stage, pre-revenue companies based
upon an assessment of their business model, technology, probability of market success,
and the potential market opportunity, balanced by an assessment of applicable risks. Such
companies may not be assigned a price target.
Investment Risks
Mature FFS providers continue to face higher staffing costs and turnover while reimbursement
generally lags, creating margin pressure. While demand and patient volume growth has
recently recovered, the sustainability of this rebound is still a question. Broadly, the CMS has
generally issued more onerous reimbursement and regulatory provisions for home health and
Medicare Advantage.
Our emerging, high growth coverage universe bears the following investment risk: highly-
valued thematic or story stocks underperform when a fundamental aspect of the story "breaks"
or when broader equity market valuations correct, often during recessions. Underperformance
in such periods is exacerbated for unprofitable and/or highly-levered companies.
Risks To The Price Target
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