2026 Healthcare M&A Outlook: Deal Dynamics and Sectors to Watch

December 17, 2025 | Insights

Our expectation for 2026 is for a modest increase in healthcare PE and M&A deal activity building throughout the year as deal timelines remain elongated. In formulating our outlook predictions for 2026, we reviewed our banking team’s qualitative experiences in the market – including the “new normal” of extended buy-side diligence and shift in the pricing expectations of both institutional and founder-owner sellers. The lending market remains decidedly risk-on, with spreads at or near historic lows and yield-to-maturity at its lowest point since 2022.

Turning to sector-focused outlooks, our predictions are wide-ranging and driven by the confluence of three key forces shaping US healthcare: runaway medical cost inflation, AI disruption, and ongoing regulatory volatility. These trends are by no means novel, but they interact with ecosystem financial health and investor risk appetite in nuanced ways to push investor appetite for various healthcare subsectors in new directions.

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    CONTACT INFORMATION

    Rebecca Springer - Bailey & Company

    Rebecca Springer

    Senior Director, Market Development

    Collin Anderson

    Senior Analyst, Market Development

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    ABOUT BAILEY & COMPANY

    Bailey & Company is a Nashville-based merchant banking platform focused on middle market healthcare companies in the healthcare services, healthcare technology, payer services and pharma services/medtech/life sciences sectors. As one of the largest independent, sector-focused investment banking and investing platforms in the country, Bailey & Company supports strong management teams that have built scalable platforms by providing strategic insights, world-class advice and access to one of the most diverse networks of industry experts. For more information see: www.bnco.com

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