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Is National Healthcare (NHC) a takeover target?

A leveraged buyout at today's price plus 30% ($267.98 a share) would return about 1% a year to a private-equity buyer over 5 years; the most a buyer could pay for a 20% return is $137.02 a share (−34% against today's $206.14). Historically 3.5% of companies with its figures were bought within a year (0.69× the average).

Share price$206.14
Offer at +30%$267.98
Buyer's IRR1%
Most for 20%$137.02
EV / EBITDA18.3×
Buyout debt5.5× EBITDA

The buyout, step by step

EntryAmountHow
Offer price a share$267.98today's $206.14 plus 30%
× shares16.0 million
= Equity value$4.3B
+ Debt refinanced$502M
− Cash$66.8M
+ Other claims$6.3Mpreferred stock, minority interests
= Enterprise value$4.7B23.1× EBITDA of $204M
Fees$94.4M2% of the price
New debt$1.1B5.5× EBITDA at 7.65% a year; the limit that binds: 5.5× EBITDA
Buyer's own money$3.7B77% of the cost

5 years under the buyer

National Healthcare: buyout debt left, year by yearNational Healthcare: buyout debt left, year by year$1.1BEntry$1.1BYear 1$995MYear 2$916MYear 3$825MYear 4$724MYear 5
Free cash flow after interest and tax repays the debt; a shortfall is borrowed.
YearRevenueEBITDAInterestFree cash flowDebt left
Year 1$1.7B$215M$85.9M$58.3M$1.1B
Year 2$1.8B$226M$81.4M$68.9M$995M
Year 3$1.8B$236M$76.1M$79.6M$916M
Year 4$1.9B$244M$70.0M$90.5M$825M
Year 5$2.0B$252M$63.1M$101M$724M

The exit and the buyer's return

ExitAmount
Exit multiple18.3× EBITDAtoday's trading multiple, before any premium
Enterprise value at exit$4.6B
− Debt left$724M
= Buyer's equity$3.9B
Money multiple1.05×on $3.7B put in
Buyer's yearly return (IRR)1.0%

Price against return

What the buyer makes at other premiums over today's $206.14; the IRR reaches 20% at $137.02 a share.

PremiumPrice a shareBuyer's IRR
10%$226.755.1%
20%$247.372.9%
30%$267.981.0%
40%$288.60−0.7%
50%$309.21−2.3%

The figures used

FigureAmount
Revenue, last 12 months$1.6B
EBITDA, last 12 months$204M12.9% of revenue
Depreciation and amortization$49.1M
Capital spending$42.3M
Debt$502M
Cash$66.8M
Share price$206.14on Oct 30, 2026

Fixed rules, the same as the interactive view's starting point: the shares are bought at today's price plus 30%, the company's debt is refinanced and fees take 2%. New debt is the least of 5.5× EBITDA, 65% of the price and the amount whose interest EBITDA covers 2 times, at 7.65% a year (SOFR 3.89% plus the high-yield B spread 3.26% plus 0.5%, rates of Oct 15, 2026). Revenue grows 5.6% in the first year — the company's own rate, held between −3% and +8% — fading to 3% by year 5; the EBITDA margin, depreciation and capital spending stay at today's share of revenue; working capital takes 10% of each year's added revenue; tax is 23% of profit after interest. Every dollar of free cash flow repays debt. After 5 years the buyer sells at today's multiple of EBITDA.

What a takeover could cost

Takeovers in its sector paid a median premium of 35% over the share price before the deal (the middle half 22% to 45%), according to the 15 merger proxies and tender-offer responses on EDGAR that state a premium. At the median, National Healthcare would cost about $278.29 a share, $4.4B for all its shares.

Premium%Price a shareAll shares
Low end (a quarter of deals paid less)22%$251.49$4.0B
Median35%$278.29$4.4B
High end (a quarter paid more)45%$298.90$4.8B

The odds, from history

Historically 3.5% of companies with its figures were bought within a year (0.69× the average). Its figures put it in decile 3 of 10 (10 = the most likely to be bought). The odds come from a model of every merger proxy, tender-offer response and going-private statement filed on EDGAR since 2011, set against each company's size, margins, debt, cash flow and growth the year before.

National Healthcare's latest quarter

National Healthcare, Q3 2026: revenue $408M (+7% year over year), operating margin 10.0%, net earnings $13.6M, operating cash flow $99.2M. The chart follows the revenue to costs, profit and cash.

Questions

Is National Healthcare being acquired?

No headline, 8-K or 13D about a sale is on file in the last year.

Could private equity buy National Healthcare?

A leveraged buyout at today's price plus 30% ($267.98 a share) would return about 1% a year to a private-equity buyer over 5 years; the most a buyer could pay for a 20% return is $137.02 a share (−34% against today's $206.14).

What would a takeover of National Healthcare cost?

Takeovers in its sector paid a median premium of 35% over the share price before the deal (the middle half 22% to 45%), according to the 15 merger proxies and tender-offer responses on EDGAR that state a premium. At the median, National Healthcare would cost about $278.29 a share, $4.4B for all its shares.

Open the interactive view →

Updated Nov 8, 2026. Read automatically from SEC filings and public data; errors are possible. Not investment advice.