Commentary on the recent M&A movements in Orthopedics

Tides Turn for These Orthopedic Firms (MorningStar) With the announcement that  Zimmer (ZMH) plans to acquire Biomet, the competitive dynamics in the orthopedic implant market have shifted. In general, we expect the reduction in competition should help the large, top-tier firms, including  Johnson & Johnson (JNJ), Zimmer, and  Stryker (SYK). However, this dynamic will make it even more challenging for smaller midtier companies, such as Smith & Nephew (SNN) and MicroPort, to hang onto their hospital customers. We see this shift as the industry's countermove to health-care provider consolidation and hospital efforts to reduce the number of vendors in return for greater volume discounts.Some things have not changed, including the sources of economic moats for orthopedic implant makers. These moats remain grounded primarily in very high switching costs for surgeons, and secondarily in intangibles, such as intellectual property and close relationships with orthopedic surgeons. Zimmer's acquisition of Biomet removes one midtier competitor from the mix, and we think this consolidation ultimately moves the orthopedic industry one step closer to the rational oligopoly that character...


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