Six were megamergers in the first half — more than in all of 2025 — and two-thirds of Q2 deals involved independent systems seeking a partner from strength, pursuing complementary capabilities ahead of reimbursement pressure.

Scale alone is no longer the pitch. For healthcare sellers, account intelligence decays fast: decision centers, priorities and vendor rosters reset in a deal. Re-map target accounts early, and sell the capability gap the partnership was created to fill.

The implication is that account plans now expire faster than the planning cycle. Re-map target accounts on a deal announcement, not an annual refresh: new owners mean new priorities, new vendor rosters and a new decision center within months. Build campaigns around the capability gap the transaction was created to fill — the service line, market or technology the combined system still lacks — because that is where budget and urgency concentrate after a deal closes. ABM lists, contact data and persona assumptions built before the deal should be treated as drafts, and your first outreach after a close should speak to the new strategy, not the old org chart.