Deal Flow
Letter · prints on one page
Transaction tear sheetData as of Nov 7, 2026
M&A · Healthcare · Services-Commercial Physical & Biological Research

Elliott Investment Management, Patient Square Capital and Veritas Capital to acquire Syneos Health, Inc.

Announced May 10, 2023 · Closed Sep 28, 2023

Deal value$7.10BEV $6.96B
Premium24.0%To unaffected price
EV / Adj. EBITDA11.7x1.3x EV / Revenue
ConsiderationAll cash$43.00 per share

Transaction

Acquirer
Elliott Investment Management, Patient Square Capital and Veritas Capital
Target
Syneos Health, Inc.
Buyer type
Private equity
Offer price per share
$43.00
Enterprise value
$6.96B
Status
Closed Sep 28, 2023

Deal protections

Break fee (target pays)
$115M · 1.6%
Reverse fee (buyer pays)
$275M · 3.9%
Go-shop
No-shop
Financing
Committed · UBS, RBC Capital Markets, BMO Capital Markets, HSBC, Wells Fargo, Citigroup +2

Advisors

To the acquirer
Not disclosed
To the target
Centerview, BofA Securities

Sector context · Healthcare

Comparable deals
80 in the prior 24 months
Premium
24.0% vs. 50.0% sector median
EV / Adj. EBITDA
11.7x vs. 21.1x sector median
Break fee
1.6% vs. 3.5% sector median

Timeline

  1. AnnouncedMay 10, 2023
  2. Proxy filedJun 15, 2023
  3. Definitive proxyJun 27, 2023
  4. Shareholder voteAug 2, 2023
  5. ClosedSep 28, 2023
Sources
  • 8-K · May 10, 2023

Adj. EBITDA is operating income + D&A + impairment, restructuring, deal costs and stock compensation, less any large gain on a sale, last twelve months, from the target's filings. Calculated by Castle, so it can differ from a bank's adjusted figure.

Prepared with Castle from public SEC EDGAR filings. Figures are extracted automatically; verify against the source documents. Not investment advice.