ExitValue.ai

EXITVALUE RESEARCH · Q4 2026 EDITION · UPDATED NOVEMBER 2026

ExitValue M&A Multiples Index – Q4 2026

A recurring, citable read on what private businesses actually sell for. We track median EV/EBITDA & EV/Revenue multiples by sub-vertical (each with a sample size) across 21,352 real M&A transactions, with medians for 83 sub-verticals, sourced from SEC filings, EDGAR, and verified M&A reporting. All figures are aggregate population medians, not a number for any one business. Free to cite with attribution.

Key findings

  • 84.5% of deals had strategic (operator/corporate) buyers; 9.2% private equity.
  • Deal activity peaked in 2021 (1,028 disclosed transactions that year).
  • The most common disclosed deal size was $50M-$250M (26.3% of deals with a disclosed value).
  • The single most acquisitive buyer in the disclosed set was U.S. Physical Therapy, Inc. (43 deals).
  • The busiest sector by deal count was SaaS (1,443 transactions).
  • Across 31 sub-verticals with a publishable lower-middle-market median, EBITDA-based multiples ranged from 3.6x to 13.0x EV/EBITDA (each backed by n ≥ 10 disclosed deals).

Latest movements

Notable year-over-year shifts in aggregate median multiples, refreshed as new disclosed deals clear our sample-size floor. Each is an aggregate population median (with n), not a figure for any single business.

  • +16% (all sizes) 2021–2025 (SaaS) ▲ SaaS median EV/EBITDA rose 16% across all deal sizes, from 30.5x in 2021 to 35.3x in 2025 (n=16, disclosed deals 2018-2026).

    Jun 21, 2026 · n=16 · disclosed deals 2018-2026 · Source: ExitValue.ai M&A Multiples Index (Q4 2026)

M&A deal volume by year

Disclosed transactions per year across all tracked industries.

2015
857
2016
796
2017
835
2018
915
2019
718
2020
670
2021
1,028
2022
659
2023
563
2024
587
2025
546
2026
151

Most active sectors

Industries by disclosed deal count. Each links to its buyer pool and M&A activity.

Who’s buying

Strategic operators drive 84.5% of disclosed deals; private equity and PE-backed platforms 9.2%. The most active disclosed acquirers:

U.S. Physical Therapy, Inc.
43
CRH Medical Corporation
30
Addus HomeCare Corporation
19
RadNet, Inc.
17
Quipt Home Medical Corp.
17
Nova Leap Health Corp.
16
Acadia Healthcare Company, Inc.
15
Amedisys, Inc.
13
Optum, Inc.
13
DaVita, Inc.
13
Civitas Solutions, Inc.
13
DentalCorp
12

Deal-size distribution

Among the 21,350 deals with a disclosed transaction value.

Under $10M (17.5%)
3,741
$10M-$50M (24.1%)
5,156
$50M-$250M (26.3%)
5,605
$250M-$1B (17.9%)
3,813
$1B+ (14.2%)
3,035

Median M&A multiples by sub-vertical

Median EV/EBITDA (or EV/Revenue where EBITDA disclosure is thin) for lower-middle-market deals, from disclosed transactions 2018–2026 (a licensed M&A database, SEC EDGAR filings and verified press releases). Every cell requires n ≥ 10 disclosed deals – no estimated or imputed values. The precise figure for a specific business adjusts for margins, growth, customer concentration, and owner-dependence (run the calculator).

Sub-verticalSize band (EV)Median multipleMiddle 50%n
IT Services$5M–$25M0.89x revenue0.35x–1.36x28
Specialty Contractor$5M–$25M0.72x revenue0.54x–0.97x27
Physical Therapy$5M–$25M2.25x revenue1.95x–2.80x26
Home Healthunder $5M4.7x EBITDA3.9x–6.3x25
Healthcare IT$5M–$25M2.60x revenue1.31x–5.10x24
Pharmacy$25M–$100M1.68x revenue0.78x–4.29x22
Ambulatory Surgery Center$5M–$25M8.1x EBITDA5.5x–11.4x20
Gaming$25M–$100M2.66x revenue0.95x–4.25x18
Industrial Equipment$25M–$100M8.4x EBITDA6.2x–11.3x18
Food Manufacturing$25M–$100M1.42x revenue0.56x–2.67x16
Wholesale Distribution$25M–$100M6.2x EBITDA4.8x–8.8x16
Medical Practice Specialty$5M–$25M5.9x EBITDA5.1x–8.2x15
Metal Fabrication$5M–$25M0.92x revenue0.66x–1.12x14
Plastics$25M–$100M1.42x revenue1.06x–2.13x14
SaaS$5M–$25M10.7x EBITDA8.2x–17.8x14
Specialty Retail$5M–$25M0.77x revenue0.57x–1.25x14
Medical Devices$25M–$100M13.0x EBITDA10.3x–23.3x13
Oil Gas Services$25M–$100M4.0x EBITDA2.3x–9.1x13
Trucking$25M–$100M0.64x revenue0.31x–1.40x13
Advertising Agency$5M–$25M1.20x revenue0.74x–1.56x12
Consumer Products$5M–$25M0.76x revenue0.47x–1.40x12
Durable Medical Equipment$5M–$25M5.0x EBITDA4.7x–5.7x12
Laboratory Services$5M–$25M1.42x revenue0.83x–2.50x12
Mental Health$5M–$25M0.90x revenue0.55x–1.37x12
Hospice$5M–$25M1.30x revenue0.80x–2.00x11
Medical Practice Primary Careunder $5M3.6x EBITDA3.4x–4.6x11
Aerospace$5M–$25M0.77x revenue0.61x–1.02x10
Apparel$25M–$100M1.71x revenue0.58x–2.94x10
Consulting$5M–$25M1.31x revenue0.95x–1.83x10
Dental Practice$5M–$25M7.0x EBITDA6.5x–8.3x10
Electronics$25M–$100M9.1x EBITDA6.7x–18.4x10

31 sub-verticals with a publishable lower-middle-market median. Platform/mega-deal-only verticals are excluded. Each row links to its full size-bracket breakdown.

Attribution: cite as “ExitValue.ai M&A Multiples Index (Q4 2026), aggregate median multiples from 21,352 disclosed transactions.”

Cite this report

Free to reference with attribution. Suggested citation:

ExitValue.ai. (2026). The State of SMB & Mid-Market M&A. Retrieved from https://exitvalue.ai/research

Or embed a key stat on your site (copy & paste):

<a href="https://exitvalue.ai/research?utm_source=embed" style="display:inline-block;border:1px solid #e2e8f0;border-radius:10px;padding:14px 18px;font-family:system-ui,sans-serif;color:#0f172a;text-decoration:none;max-width:420px">
  <strong style="font-size:22px;color:#0d9488">84.5%</strong> of disclosed M&A deals had strategic buyers, 9.2% private equity.
  <span style="display:block;margin-top:6px;font-size:12px;color:#64748b">Source: ExitValue.ai M&A Research – 21,352 transactions analyzed</span>
</a>

Methodology & limitations

Aggregate activity (volume, sector mix, buyer-type mix, deal-size distribution) is computed across 21,352 M&A transactions in the ExitValue.ai database. Named acquirers reflect the 2,686 publicly-disclosed transactions sourced from SEC 8-K/S-4 filings, fairness opinions, and verified press releases.

  • Source window: multiples reflect disclosed deals from 2018 onward; activity counts span the full database. Named-acquirer and multiple data come from a licensed M&A database, SEC EDGAR filings and verified press releases.
  • Sample-size floor: every published multiple cell requires n ≥ 10 disclosed deals; “Latest movements” entries require n ≥ 15 in both compared years. No estimated, imputed, or fabricated values are ever shown.
  • Aggregate medians only: all figures here are population medians (with interquartile spread). They are not a valuation for any specific business. A real company’s multiple adjusts for margins, growth, customer concentration, and owner-dependence – the calculator produces that adjusted figure.
  • Coverage: deal counts reflect transactions with a disclosed value or financials; true market volume is larger. Outliers (EV/EBITDA outside 0.5x–60x; EV/Revenue outside 0.05x–25x) are excluded, as are catch-all “other” sub-verticals.
  • Refresh: activity and multiples refresh weekly; “Latest movements” update as new disclosed deals clear the sample-size floor.

Full methodology.

What’s your business worth in this market?

Get a valuation range and sellability score, benchmarked against these real transactions.

Value your business →