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Latest Rankings Updated April 28, 2026 April 28, 2026

Top 25 Lower Middle Market Investment Banks

Axial’s league table rankings feature the top-performing investment banks and M&A advisory firms in the lower middle market ($2.5M - $250M Revenue), based on how well they serve their clients and deliver results.

Deals Evaluated
3,000+
Across All Sectors
Investment Banks Evaluated
400+
Across North America

Investment Bank Rankings

View Past League Tables
Rank Firm Joined HQ
1 The Advisory 2024 Beverly Hills, CA
2 Mariner 2025 Overland Park, KS
3 Hill View Partners 2022 Providence, RI
4 Ecomswap 2025 New York, NY
5 Madison Street Capital 2011 Austin, TX
6 Meritage Partners, Inc. 2010 Newport Beach, CA
7 CRI M&A Advisors 2012 Montgomery, AL
8 ACT Capital Advisors 2009 Mercer Island, WA
9 Peakstone Group 2010 Chicago, IL
10 Vertess Healthcare Advisors, LLC 2015 Fort Worth, TX
11 Young America Capital, LLC 2009 Mamaroneck, NY
12 MidCap Advisors 2009 New York, NY
13 IT ExchangeNet 2015 Cleveland, OH
14 Founder M&A 2024 Burleson, TX
15 TREP Advisors 2021 Sarasota, FL
16 Revenue Rocket Consulting Group 2021 Bloomington, MN
17 Vision Point Capital 2023 Tampa, FL
18 Palmer Advisors 2024 New York, NY
19 True North M&A 2022 Minneapolis, MN
20 Caber Hill Advisors 2014 Chicago, IL
21 A Neumann Associates, LLC 2009 Atlantic Highlands, NJ
22 SC&H Capital 2010 Columbia, MD
23 Embarc Advisors 2020 West Hollywood, CA
24 Structured Partners 2025 St Petersburg, FL
25 Now Capital Partners 2023 Murray, UT
1 Vesticor Advisors 2013 Lansing, MI
2 Hill View Partners 2022 Providence, RI
3 TREP Advisors 2021 Sarasota, FL
4 Plethora Businesses 2009 Orange, CA
5 Ad Astra Equity Advisors 2016 Kansas City, MO
6 Brentwood Growth 2021 Hingham, MA
7 Founder M&A 2024 Burleson, TX
8 FOCUS Investment Banking 2009 Vienna, VA
9 CRI M&A Advisors 2012 Montgomery, AL
10 Madison Street Capital 2011 Austin, TX
11 SF&P Advisors 2016 Boca Raton, FL
12 Meritage Partners 2010 Newport Beach, CA
13 ACT Capital Advisors 2009 Mercer Island, WA
14 Business Acquisition and Merger Associates 2009 Charlotte, NC
15 Flatirons Capital Advisors 2015 Louisville, CO
16 Gleason Advisors 2017 Pittsburgh, PA
17 Apogee Equity Partners 2023 Columbia, SC
18 A Neumann Associates 2009 Atlantic Highlands, NJ
19 Tower Partners 2016 Columbia, MD
20 SDR Ventures 2010 Greenwood Village, CO
21 Peakstone Group 2010 Chicago, IL
22 True North M&A 2022 Minneapolis, MN
23 Good Hope Advisors 2019 Metro New York City, NJ
24 BMI Mergers & Acquisitions 2011 Philadelphia, PA
25 The Hatteras Group 2011 Morganton, NC
1 Solganick & Co. 2012 Los Angeles, CA
2 SGCM Advisors 2024 New York, NY
3 IT ExchangeNet 2015 Cleveland, OH
4 Cornhusker Capital 2011 Omaha, NE
5 Peakstone Group 2010 Chicago, IL
6 Revenue Rocket Consulting Group 2021 Bloomington, MN
7 Telegraph Hill Advisors 2021 San Francisco, CA
8 MidCap Advisors 2009 New York, NY
9 STS Worldwide 2016 Alpharetta, GA
10 Capital Canada Limited 2010 Toronto, ON
11 Premara Group 2020 Lehi, UT
12 Excendio Advisors 2020 New York, NY
13 Young America Capital 2009 Mamaroneck, NY
14 Madison Street Capital 2011 Austin, TX
15 Peak Technology Partners 2019 Menlo Park, CA
16 Bentley Associates 2010 New York, NY
17 IBG / Fox & Fin 2009 Scottsdale, AZ
18 Sunfield Advisors 2016 Raleigh, NC
19 BlackRose Group 2012 Lafayette, LA
20 The Fortia Group 2022 Dublin, Leinster
21 Oberon Securities 2009 New York, NY
22 Briggs Capital 2009 Dedham, MA
23 Northbound Group 2020 St Louis Park, MN
24 Nextoria 2022 London, England
25 Corum Group 2009 Bothell, WA
1 Vertess Healthcare Advisors 2015 Fort Worth, TX
2 ASA Ventures Group 2020 Englewood, CO
3 The Bloom Organization 2023 Miami, FL
4 Paragon Ventures 2010 Wayne, PA
5 Mertz Taggart 2015 Fort Myers, FL
6 M&A Healthcare Advisors 2021 Calabasas, CA
7 American HealthCare Capital 2011 Marina Del Rey, CA
8 SovDoc 2025 Los Angeles, CA
9 TREP Advisors 2021 Sarasota, FL
10 Polaris Healthcare Partners 2022 Charlotte, NC
11 Olympic M&A 2024 Louisville, KY
12 TUSK Practice Sales 2018 Charlotte, NC
13 Vertex Holdings 2021 Sheridan, WY
14 Young America Capital 2009 Mamaroneck, NY
15 Merritt Healthcare Advisors 2020 Ridgefield, CT
16 Now Capital Partners 2023 Murray, UT
17 Northbound Group 2020 St Louis Park, MN
18 Fleetridge Pacific 2012 San Diego, CA
19 Lawrence, Evans & Co. 2009 Columbus, OH
20 Cornhusker Capital 2011 Omaha, NE
21 Bridgepoint Investment Banking 2011 Omaha, NE
22 Ad Astra Equity Advisors 2016 Kansas City, MO
23 Capstone Partners 2010 Boston, MA
24 Xite Healthcare 2024 Richardson, TX
25 Integral Capital Advisors 2023 Los Angeles, CA

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Healthcare 1862
Valuation Comparables

Valuation benchmarks from executed LOIs on Axial.

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Ranking Methodology

A data-driven framework that measures how well investment banks serve their clients at every stage of the deal process.

Client Quality

Investor demand for the advisor's engagements, measured by the breadth of investor fit and strength of investor interest.

Investor Targeting

The advisor's precision in identifying the right investors for each engagement, balancing selectivity and reach.

Process Effectiveness

The advisor's ability to progress investors from initial interest through NDA execution and CIM delivery.

Deal Performance

How effectively the advisor converts investor interest into closed transactions, measured by IOI, LOI, and close rates.

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