
Cost pressures are amongst the top concerns for mid-market leaders, according to the latest CBIZ Mid-Market Pulse. CBIZ, Inc. In fact, mid-market companies are entering 2026 with a renewed focus on cost discipline and operational resilience.
“Mid-market leaders are being deliberate about every discretionary dollar spent,” says Jerry Grisko, President and CEO of CBIZ. “In times of rising costs and tight credit markets, they focus on managing costs, supporting their people, and select investments aimed at improving customer service and productivity. This kind of disciplined approach is what defines successful middle-market companies and helping our clients identify the most impactful investment opportunities is where CBIZ provides real value.”
Key takeaways:
- 62% of leaders said rising healthcare and employee benefit costs harm their business.
- 59% reported negative effects from tariffs and international trade policy.
- 36% said that cost of capital and access to financing remain significant challenges.
- 44% said AI and digital transformation benefited their business, compared with 7% who reported harm.
- Reaction to the One Big Beautiful Bill Act remains divided, as companies work to understand how new tax provisions and compliance changes will affect their operations.
- Construction, healthcare, and consumer products companies continue to experience the greatest strain from labor and supply chain costs.




















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