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ReachouttoMeganScheffeloryourSVBpointof
contacttogainaccesstothefullversionofthereport.
PublishedJanuary8,2026
ReportPreview
Itwasayearofbookends,
andit’sreallyhardtobein
themiddle.ASeriesAcanstillcomefromagoodteamandastrongidea,but
SeriesBandCarehardertoraisethanever.Asmall
numberofcompaniescanhavesuccessacrossthe
board,butformost
startups,anearlyround
needstobringthemacrossthechasmintoreal
evidenceofsuccess.”
svb》SBianck。nvaley
ADivisionofFirstcitizensBank
Privatehealthcaremarketshavesplitthisyear.AI-relateddealsdominatedheadlinesandfundraising.Meanwhile,therestofthemarketstruggledtoraisecapital,hinderedbylackofliquidity,
profitabilityandexits.
AIinvestingrepresentednearly50%offundraisingandisreasonforrenewedoptimism,buttherearestrugglesacrosstheboardin
privatemarkets.Biopharmainvestingisdownby19%,nearly$5Byearoveryear(YoY).Dx/Toolsisdown15%,atabout$2.2B.Brightspotshaveappearedinpublicandsecondarymarkets,butfewercompaniesarereachingpointswherethoseoptionsareavailable.
Itwasayearofbookends,andit’sreallyhardtobeinthemiddle.ASeriesAcanstillcomefromagoodteamandastrongidea,but
SeriesBandCarehardertoraisethanever.Asmallnumberof
companiescanhavesuccessacrosstheboard,butformost
startups,anearlyroundneedstobringthemacrossthechasmintorealevidenceofsuccess.
Evenourterminologyisstartingtolookoutofdate.Themega-deal—aroundmorethan$100M—hasbeenthestandardforan
impressivefundingroundfordecades.Betweenmonetaryinflation
anddealtrends,it’sjustnottheheadlineitusedtobe.Raising
$100Mormoreisabouttwiceascommonthisyearasitwasin2019.HealthcareAIcompanieshadtoraisethreetimesthatamountin
2025—morethan$300M—tobeinthesametoppercentilethatamega-dealrepresentedjustsixyearsago.
Thesearchforprofitabilityhasbroughtaboutanewwaveof
monetizationbeyondlicensesandsoftware-as-a-service(SaaS).
OpenEvidencehasmadeanameforitselfthroughad-supportedservices,securingamassiveshareofclinicalusers.Othersarefindingindustrysponsorswillingtopaytobringclinicaldecisionsupportorpatientservicestousers.
Willthosebeenoughfortoolsthathavestruggledforprofitability?There’sanotheravenuethat’sbecomingmoreandmoreappealing:
datasales.Atoolwithaccesstothesearchesandpreferencesof
thousandsofprovidersormillionsofpatientscertainlyhas
somethingofvalue.Andsoftwareuseragreementscanhideallkindsofpermissions,evenifacompanyisn’tsellinganydatarightnow.
Evenhowwedefineproductspacesischanging.“Longevity”has
meantalotofdifferentthingsoverthelastfewyears,butsomesoliddefinitionshavefinallystartedtoemerge.Ifyou’renotfamiliarwithconceptslike“geroscience,”“consumerhealthspan”or“intrinsic
capacity,”makesureyoucheckoutourspotlight.
Now,longevityandhealthspanisamulti-billion-dollarspace.It’s
spearheadedbyaswathofdealswherea$1BSeriesAisn’teven
closetothebiggestdealinthespaceoverthelastthreeyears.It’scrossingthebreadthofhealthcare,fromconsumerproducts,digitaltherapeuticsandclinicalhealthtechtocutting-edgetherapeutics.
Thenextbigquestioniswhereliquiditywillcomefrom.Fundraisinghasdroppedaslimitedpartners(LPs)waitforreturnsandquestionthevalueofventureinvesting.Exitshavecontinuedtofade,asevenM&A—themostreliableexitasIPOshavestalled—hasfallenoff.Venturecapital(VC)firmsarestillsittingondrypowder,butthe
startupecosystemreliesonreinvestment.
It’salwaysfascinatingtowatchmarketdynamicsevolveandshift.
And,asalways,VCisattheleadingedge.Keepingtrackofthesechangesandseeingwherethey’llleadisdifficultatthebestoftimes.We’reexcitedtobeheretohelp.
MeganScheffel
HeadofLifeSciencesandHealthcare
mscheffel@
HEALTHCAREINVESTMENTSANDEXITS|H120262
ReportPreview
InvestorSentiment
Therearesignsofrenewedopportunityaspublicmarketsbegintorebound.M&Aisslowlyaccelerating,especiallyin
biopharmaaslarge-capleadersrefocusonpipelineinnovation.Mostofall,
fundamentalsarereasserting
themselves,creatingabetterbackdropfordifferentiated,well-capitalized
companies.
Trending
1.Healthcareinvestmentis,increasingly,AI.
Projectedtohit$22B,AIis46%ofallhealthcareinvestment.
2.VCisgettingbacktobasics.
Dealcountsaredown7%asinvestorsinsistonfundamentals.
3.Livingbetter,notforever.
Healthspanandlongevityinvestmentgrew2.3xYoY.
MacroOutlook
“Sayingthatthere’sfrothinartificialintelligenceisn’toutsidetheconsensusatthispoint.Thatsaid,thetechnologicalimpactcanstillbedramaticand
haveapositiveimpactonproductivityandcompanymargins.Itisstilltoo
earlytomeasureAI’simpactprecisely,butcompanyadoptionisontheriseandwillcontinuetogrow.MuchlikethePCandinternetboomofthe’90s,
twothingscanbetrue:First,thatfrothoftenformsaroundanew
technologicalbreakthroughandsecond,thatthesamebreakthroughcanbemassivelyimpactfultoboththeeconomyandusers.”
PhilNeuhart
SVP,DirectorofMarketandEconomicResearch
蛋rirsrctizensweath.
Biopharma
Overallbiopharmainvestmenttookahit,butmetricsonindividualdeals
stayedconsistent.VCsarestillwillingtoprovidestrongbackingto
companieswithsolidfundamentals
andstrongclinicalevidence.Earlier-stagecompaniesarebeingforcedtomaketheirmoneylastuntilthey’reoutofthepre-clinicalstage.
svby
》
siliconvalleyBank
ADivisionofFirstcitizensBank
Healthtech
Afterabigfirsthalf,healthtechslightlybeatits2024totalbeforetheendof
theyear.AIdrovehealthtech
investment,withprovideroperationstoolstakingoverasthesinglebiggestareaofAIfocus.Whilealternativecareinvestmenthasdroppedoff
significantly—makinguplessthan
10%oftotalhealthtechinvestmentin2025—selectspecialtyalternative
caresolutionsarestillpullinginbig
deals.
Dx/Tools
Revenueandreimbursementissues
keepcomingupasthebiggestissuesinDx/Toolsinvestment.Ingeneral,
late-stagecompaniesstruggled,withmajordownturnsindealvolume,totalamountinvested,valuations,anddealsizes.Theredoesn’tseemtobea
secrettosuccessintheDx/Tools
spacebeyondhavingstrong
fundamentals.TheQ4flurryof
acquisitionsgivescautiousoptimismforthisspaceas2026approaches.
Device
Betweenbrain-computerinterfaces,
surgicalroboticsandAI-assisted
imaging,therewereafewbrightspotsasinvestmentinthedevicessector
remainedsmallbutconsistent.Big
Fivetechcompaniesandcorporate
capitalstayedactiveinthespace,withAmazon,GoogleandNvidiaallputtingmoneyinthisyear.
HEALTHCAREINVESTMENTSANDEXITS|H12026
3
4
ADivisionofFirstcitizensBankHEALTHCAREINVESTMENTSANDEXITS|H12026
ReportPreview
HealthcareInvestmentsandExitsH12026report
Togetthefullreport,reachouttoMeganScheffel(
mscheffel@
)oryourSVBpointofcontact
What’sinside:
ReportPreview
LeadAuthors
MeganScheffel
HeadofLifeScienceandHealthcare
mscheffel@
Meganleadsanationwideteamdedicatedtoservingtheunique
needsofinnovativelifescienceandhealthcarecompaniesatall
stagesofgrowth.With25+yearsofexperiencefinancing
innovation,shedevelopscreativecapitalsolutionsforclients,
connectsinvestorsandstakeholderstohigh-impactopportunities,andmanagesadynamicandcomplexbankingP&L.
MeganjoinedSVBin1997.Priortohercurrentleadershiprole,sheservedasGlobalSeniorCreditOfficer,leadingateamresponsibleforinternationaldeals,includingholisticandspecializeddebt
financings.
Meganisactiveinsupportingentrepreneurialorganizationsand
eventsthroughouttheWashington,D.C.,area,wheresheresides.Sheholdsabachelor’sdegreeinbusinessadministration,
specializinginfinance,fromtheUniversityofColoradoinBoulder.
MattDonne,Ph.D.
ManagingDirector
LifeScienceandHealthcareVentureCapitalRelationshipManagement
mdonne@
MattmanagesrelationshipswithVCfirmsfocusedonhealthcareandlifescienceinvestmentsandsupportsfoundersacrossthe
ecosystem.Heisalsoresponsibleforconductingdata-driven
analysesontheglobalhealthcareinnovationeconomythatSVB
serves.PriortoSVB,Mattheldvariousleadershipandbusiness
operationsrolesatbiotechstartupsintheBayAreaafterspendingthebeginningofhiscareerasascientist.
MattholdsaPh.D.indevelopmentalandstemcellbiologyfrom
UCSF,aMasterofScienceinbiomedicalsciencesandstemcellbiologyfromSFState,andabachelor’sfromWesleyanUniversity.
Mattisalsotheco-founderofthewell-attendedLifeScienceHikersgroup,abicoastalcommunityofmorethan2,500biotech
professionalswhomeetmonthlyforhikesandnetworking.
BillBurkoth
SeniorManagingDirectorLifeScienceand
Healthcare
bburkoth@
BillleadscoverageforlifescienceandhealthcareclientsontheEastCoast.Inthisrole,Billleveragesamorethan25-yearVC
career,bringingdeepexpertiseinleadingandmanagingequityinvestmentsacrossthelifesciencesinnovationecosystem.
PriortoSVB,BillservedasManagingPartnerandportfoliomanagerforlifesciencesstrategyatForestRoad.Beforethat,hefounded
andledPfizerVenturesasSeniorPartner,wherehespentnearly20yearsdirectinglifescienceventureinvestmentsonbehalfofPfizerInc.Earlier,heheldvariousbusinessdevelopmentrolesatseveralbiotechnologycompanies.
Billearnedabachelor’sdegreeinchemistryfromWhitmanCollegeandanMBAfromColumbiaBusinessSchool.HelivesintheNewYorkmetropolitanareawithhiswifeandtwosons.
contributors
DennisHe
ManagingDirectorLifeScience
dhe@
NinaKandilian
SeniorVicePresident
HealthcareVentureCapitalRelationshipManagement
nkandilian@
svb
.com
MarketInsightsTeamAuthors
AlexanderLennox-Miller
SeniorResearcher
MarketInsights
alennoxmille@
AnjalikaKomatireddy
Researcher
MarketInsights
akomatireddy@
svb》SBanck。nvaey()LIGgNE
ReportAcknowledgments
Thankyoutothefollowingforlendingtheirsubject-matterexpertisetothisreport:
SNewLimit
ADivisionofFirstcitizensBankAllnon-SVB-namedcompaniesareindependentthirdpartiesandarenotaffiliatedwithSiliconValleyBank,adivisionofFirst-CitizensBank&TrustCompany.HEALTHCAREINVESTMENTSANDEXITS|H120265
ReportPreview
Disclaimers
TheviewsexpressedinthisreportaresolelythoseoftheauthorsanddonotnecessarilyreflecttheviewsofSVB.
SiliconValleyBank,adivisionofFirst-CitizensBank&TrustCompany,andFirst-CitizensBank&TrustCompanyisnotlicensedtoundertakebankingbusinessinanycountryoutsidetheUnitedStates,ortoundertakeanyotherregulatedactivityinanycountryoutsidetheUnitedStates.
Thismaterial,includingwithoutlimitationtothestatisticalinformationherein,isprovidedforinformationalpurposesonly.Thematerialisbasedinpartoninformationfromthird-partysourcesthatwebelievetobereliablebutwhichhasnotbeenindependentlyverifiedbyus,and,assuch,wedonotrepresenttheinformationisaccurateor
complete.Theinformationshouldnotbeviewedastax,accounting,investment,legalorotheradvice,norisittobereliedoninmakinganinvestmentorotherdecision.
Youshouldobtainrelevantandspecificprofessionaladvicebeforemakinganyinvestmentdecision.Nothingrelatingtothematerialshouldbeconstruedasasolicitation,offerorrecommendationtoacquireordisposeofanyinvestment,ortoengageinanyothertransaction.
Allnon-SVBnamedcom
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