A total of 14 M&A transactions involving health care revenue cycle vendors were completed in the 12 months ended March 31 for a combined $310 million in deal value, according to Greenberg Advisors, an M&A advisory firm that compiled the report from information in its database.

The activity reflects a growing, highly fragmented, industry and includes service and technology companies generating EBITDA margins of 20% to 30% in some cases, says Brian Greenberg, CEO at Greenberg Advisors.

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