Amma, Spain's fifth largest group is for sale. Meanwhile, French pan-European group Orpea and Spain's largest group SARquavitae are bidding for the sixth largest, Sanyres. Analysts expect 10x EBITDA multiples after Geriatros' sale in 2015 to PAI. Smaller care operations like La Saleta and Vitalia are also on the block. Sources close to SAR are denying that it, too, is for sale.