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gain
ReachouttoyourSVBpointofcontacttoaccesstothefullversionofthereport.
PublishedJuly29,2025
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eeArevenuecycleplatform
thatcanprocessasmany
appealsinanhourasmanualreviewerscaninaweek,or
thatreducesdenialsby10%,mightnotmakeforpunchy
headlines,butitcouldbethedifferencebetweenahospitalstayingopenorclosing.The
areasgettingthemostvalue
fromAIhavebeenprioritiesforhealthcareforyears,andAIismakingarealdifference.”
Areweinaninvestmentslump?Orareweseeingaresurgence?
Isthereathreateningmid-stagebarbellorhaveearlyroundsbeentakingcompaniesfurther?Istheexitmarketsuddenlyhealthyorarepublic
marketstakinghits?
Itlookslikeallofthatistrue.Allatonce.
Privatemarketsarelookingbetterthantheyhaveinyears.Afterthedizzyingheightsof2021andthesubsequentplunge,we’removing
towardssomethingthatlookslikeareasonableslopeforinvestment.
Valuationsaremakingmoresense.There’slesshypeaboutAIchangingthefaceofhealthcare,andmorefocusonpowerfultoolsmakinga
differenceinunseenways.Arevenuecycleplatformthatcanprocessasmanyappealsinanhourasmanualreviewerscaninaweek,orthat
reducesdenialsby10%,mightnotmakeforpunchyheadlines,
butitcouldbethedifferencebetweenahospitalstayingopenor
closing.TheareasgettingthemostvaluefromAIhavebeenprioritiesforhealthcareforyears,andAIismakingarealdifference.
Investorsarenolongersatisfiedwithpromises;theydemand
concreteplans,strongmarketpresenceandrobustclinical
evidence.CompaniesthatraisedaSeriesAwiththegoalofreaching
preclinicalmilestonesarefacingafundingenvironmentwantingPhase1databeforebackingaSeriesB.
Dataandinterviewsshowapotentiallydangerousemergingbarbell
trend.Thescaleofearly-stageroundshasballooned.WithbiggerseedandSeriesAraisesandmultipleextensionrounds,early-stage
companiesareraisingenoughtobringthemfurtherthanweexpect.
IstheSeriesBchallengeasymptomofatoughermarket,orsimplya
reflectionofstartupsstrategicallyraisingenoughintheirSeriesAto
reachcriticalvalueinflectionspointsbeforeseekingadditionalcapital?
Publicmarketscanalsobedeceptive,especiallyifyoufocuson
industryindices.Manycompaniesthatexitedinthefrothy2021marketlikelyshouldn’thave,andtheycontinuetodragdowntheoverall
healthcaremetrics.Butbeneaththesurface,newentrantswithsolidfundamentalsarenotjustsurvivingbutthrivinginpublicmarketsevenastheyweatherthebroadereconomicstorms.
BigPharmaisespeciallyreliantontheinnovationecosystem.
Expiringexclusivityrightsmeantheydesperatelyneedtorefillpipelinesandfindnewblockbusters,andforthattheyneedaresearchand
startuppipelineexploringnoveltherapeutics.Corporateventurecapital(CVC)firmsandcorporate-affiliatedgroupsareexploringthe
possibilitiesthatcomefromfundingstartupsearlier.DatashowsthatbiopharmastartupscangetsubstantialbenefitsfromCVCinvestment,makingthesescoutinginvestmentsapotentialbigwin-winforboth
sides.
Inthefaceofsomuchuncertainty,venturecapital(VC)ismorecriticalthanever.Theinnovationitfuelsandthestartupsitempowersare
buildingthetechnologies,toolsandtherapiesthatarethefutureof
healthcare.It’sanexcitingtime.We’veweatheredstormsbefore.We’reproudtoplayourroleandtosupportthisvitalindustryinadynamic,
rapidlychangingworld.
JackieSpencer
HeadofRelationshipManagementforLifeScience&HealthcareBanking
jspencer@
svb》SBianck。nvaley
2
ADivisionofFirstcitizensBank
HEALTHCAREINVESTMENTS&EXITS|MID-YEARREPORT2025
ReportPreview
Trending
1.Fundraisingistakingahit.We’recurrentlytrending
fortheworstfundraisingyearsince2015.
2.AIisdrivingahealthtech
surge.Healthtechisnearlyathirdofallhealthcare
investmentin20251todate.
InvestorSentiment
Raisingfundsisnotwhatitusetobe.Amidtheregulatoryandgeopoliticalturmoil,
overallfundraisingappearstobe
headingforthelowestvolumesinmorethan10years.Thatisnottosaythat
everyoneisstruggling.Thelarger,moreestablishedfundmanagersmaynotevennoticethesedownwardtrendingtotals.
MacroOutlook
“Inthefirsthalfof2025,theUSequitymarketdigestedanimmenseamountofheadlineriskandeventuallylookedthroughthenoise.
TheS&P500hascrossednewall-timehighs,corporateearningsareprojectedtorisefurther,andunemploymentisstillverylow.Policy
uncertaintymightdelaybusinessdecisionsinthenear-term,butin
ourviewthesechallengesmayproveshort-livedifgovernmentpolicycrystallizesandcorporationsadjusttothenewrulesoftheroad.”
PhilNeuhart
SVP,DirectorofMarketandEconomicResearch
蛋Firsrctizensweath.
3.Chinaisbecomingago-toforbiopharmaresearch.
Lessthan$1BinspendingonChinesebiopharmain2022hassuddenlygrowntomorethan$3Binthefirsthalf
of2025alone.
Biopharma
Investmentisdownrelativeto2024,andsentimentisstrugglingtobuild
momentum.PoorpublicperformanceandreturnsrelativetobenchmarksliketheS&P500makesithardforgeneraliststostay
committedtothespace.StrongM&A
activityandpotentialratecutsinthe
secondhalfoftheyearcouldbethe
catalysttopositivelyshiftthesentiment.
Healthtech
AIisdrivinganewresurgenceinhealthtechinvesting.Whilethepreviouspeakswere
largelydrivenbyvirtualandhybridcare
companies,thecurrentboomiscomingfromadministrativetoolsforboththe
front-andback-officethatare
integratingAI.Functionslikerevenue
cyclemanagementandpatient
communicationhaveclearerROIand
.
performancemetrics,makingthemmoreappealingtoanindustrythat’sseenalotofAIhypeovertheyears
Dx/Tools
Withstrongcommercialdynamics,minimalresidualdisease(MRD)testsarecontinuingtomakeasplashintheDx/Toolsspace.
Similarlystrongperformancesinthe
publicmarketbringanopportunityfor
optimismthatexitmarkets—whichhavebeengrindingforward—couldseesomepositiveactivityinthesecondhalfof2025.AIcontinuestoplayanimportantrole,
accountingforhalfofallinvestmentintheDx/Toolsspace.
Device
Consistencyisthewatchwordsofar
indeviceinvestment,whichhasseen
investmenttotalsbetween$3Band$4Bineveryhalfsince2022.Thatmightbeabouttochangethough,ifneuromodulation
andAI-enabledremotesurgerycontinuetoattractattentionandmoney.Afew
strongexitswouldn’thurteither,but
macroeconomicsmightbeabarrierthereasdevicecompanieslooklikelytobe
amongthehardesthitbytariffs.
3
Notes:1)All2025dataisasof06/30/2025.
ADivisionofFirstcitizensBank
HEALTHCAREINVESTMENTS&EXITS|MID-YEARREPORT2025
Source:PitchBookData,Inc.andSVBproprietarydata.
》ank
vbSBC。nvaley
ADivisionofFirstcitizensBankHEALTHCAREINVESTMENTS&EXITS|MID-YEARREPORT20254
ReportPreview
HealthcareInvestmentsandExitsMid-year2025reportTogetthefullreport,reachouttoyourSVBpointofcontact
What’sinside:
svb》SBianck。nvaley
ADivisionofFirstcitizensBank
Allnon-SVBnamedcompaniesareindependentthirdpartiesandarenotaffiliatedwithSiliconValleyBank,adivisionofFirst-CitizensBank&TrustCompany.
5
ReportPreview
LeadAuthorsAcknowledgments
JackieSpencer
HeadofRelationship
ManagementforLifeScience
&HealthcareBanking
jspencer@
TylerDean
SeniorVicePresident
Biotech,Tools,&Diagnostics
RelationshipManagement
tdean@
JackieSpencerleadstheUSRelationshipManagementteamforLifeScienceandHealthcareAcceleratorandGrowth.Jackieandherteamarefocusedonprovidingbankingandfinancingsolutionstoinnovative
companiesinthesector.SincejoiningSVBin2007,Jackiehasworkedacrossboththetechnologyandhealthcarepracticesfromemergingmarkettolate-stagecorporatefinance.
JackiegraduatedfromSt.Mary’sCollegeofCaliforniawithhonors,receivingabachelor’sinfinance.
TylerDeanisaSeniorVicePresidentonthebiopharmaandDx/ToolspracticeforBostonandthegreater
Northeast.HeandtheLifeScienceandHealthcareteamprovideinsights,advice,venturefinancingandbankingsolutionstohelpascompaniesscalefromSeriesAandbeyond.HejoinedSVBin2022andpreviouslyhelda
varietyofrolesfocusedoncapitalmarkets,relationshipmanagementandventuredebtfinancing.
TylergraduatedfromBrighamYoungUniversityinUtahwithadegreeinfinance.
MarketInsightsTeamAuthors
AlexanderLennox-Miller
SeniorResearcher
MarketInsights
alennoxmille@
TimotLamarre
Researcher
MarketInsights
tlamarre@
Thankyoutothefollowingforlendingtheirsubject-matterexpertisetothisreport:
sonofiventuresFSPRIME
TimLew
DirectorofBusiness
DevelopmentforStartupBanking–LifeScience
tlew@
TimLewleadsbusinessdevelopmentforearly-stagelifescienceeffortsintheSanFrancisco
BayArea.Inthisrole,hementorsandadvises
startupsatthebeginningstagesoftheirjourney,connectingthemtothelargerSVBecosystem
andacceleratingthemtotheirnextseriesgoalsviacompanybuildingandfundraisingstrategies.
Timholdsamaster’sofscienceinbiologyfromUCSantaBarbaraandanMBAfromtheUNC
Kenan-FlaglerBusinessSchool.
⃞ATLASVENTURE
contributors
ArianaDaCruz
SeniorVicePresident
VentureCapitalRelationshipManagementLifeScience&Healthcare
AOgnibene@
RaysaBousleiman
SeniorVicePresident
VentureCapitalRelationshipManagementLifeScience&Healthcare
rbousleiman@
©2025First-CitizenscBank&aTrusytCompany.SiliconValleyBank,adivisionofFirst-CitizensBank&TrustCompany.MemberFDIC.
ADivisionofFirstcitizensBank6
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Disclaimers
TheviewsexpressedinthisreportaresolelythoseoftheauthorsanddonotnecessarilyreflecttheviewsofSVB.
First-CitizensBank&TrustCompanyisnotlicensedtoundertakebankingbusinessinanycountryoutsidetheUnitedStates,ortoundertakeanyotherregulatedactivityinanycountryoutsidetheUnitedStates.
Thismaterial,includingwithoutlimitationtothestatisticalinformationherein,isprovidedforinformationalpurposesonly.Thematerialisbasedinpartoninformationfromthird-partysourcesth
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