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Healthcare ITM&A Valuation Benchmarks
Median multiples, deal-size medians, named acquirers, and per-bracket multiples — based on 483real M&A transactions in the healthcare it space.
State of Healthcare ITM&A in 2026
The healthcare it M&A market is currently trading at a median 16.47× EBITDA (interquartile range 11×–21.1×) and 3.6× revenue (interquartile range 1.92×–6.8×), based on 483 disclosed transactions at a median deal size of $150M. The market trend is currently growing.
Recent (2018+) deals are pricing at 17.25× EBITDA — a step UP from the all-time median of 16.47×. Multiples have expanded as institutional capital has entered the space.
Active acquirers include Hims & Hers Health, Inc., Infosys Limited, Blue Cross Blue Shield of New Jersey, RadNet, Inc.. Recent named transactions: Eucalyptus (2026, $1,150M); Optimum Healthcare IT, LLC (2026, $465M); HealthEZ (2026, $360M, 21.1× EBITDA).
Premium multiples in healthcare it are driven by recurring saas revenue above 70% with nrr above 105% (lifts to 7-12x revenue); ehr integration breadth (epic + cerner + athena + greenway) — every hospital becomes addressable; hitrust / soc 2 type ii certification (pe platform requirement, not nice-to-have).
What depresses multiples: implementation-services revenue above 40% (services drag multiple toward 1-2x); single-customer concentration above 25% of arr (pe platforms heavily discount this); on-prem deployment majority (modern buyer pool is cloud-native; 2-3 turn discount).
All figures based on disclosed deals only. Source: SEC filings, EDGAR 8-K/S-4, and verified press releases (483 deals total, 214 with EBITDA, 438 with revenue). Quality grade: green.
Median multiples
| Metric | p25 | Median | p75 | Sample |
|---|---|---|---|---|
| EV / EBITDA | 11× | 16.47× | 21.1× | 214 deals |
| EV / Revenue | 1.92× | 3.6× | 6.8× | 438 deals |
| Deal size (EV) | — | $150M | — | 483 deals |
Recent (2018+) median: 17.25× EBITDA, 4.4× revenue. Data quality: green.
Recent named M&A deals in healthcare it
Most-recent disclosed transactions. Click any deal for full detail (multiples, financials, source).
Sourced from SEC filings, EDGAR 8-K/S-4, and verified press releases.
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What drives premium multiples
- ●Recurring SaaS revenue above 70% with NRR above 105% (lifts to 7-12x revenue)
- ●EHR integration breadth (Epic + Cerner + Athena + Greenway) — every hospital becomes addressable
- ●HITRUST / SOC 2 Type II certification (PE platform requirement, not nice-to-have)
What depresses multiples
- ●Implementation-services revenue above 40% (services drag multiple toward 1-2x)
- ●Single-customer concentration above 25% of ARR (PE platforms heavily discount this)
- ●On-prem deployment majority (modern buyer pool is cloud-native; 2-3 turn discount)
Methodology details: how ExitValue computes valuation ranges · full healthcare it calculator