Medtech firms splitting into ‘haves’ and ‘have-nots’: EY

Core Insights - Medical device firms are increasingly divided into "haves" and "have-nots," with a trend of investors concentrating funds into fewer companies [1] Funding Trends - Medtech firms raised a total of $8.7 billion in venture capital investment, marking a 20% increase year-over-year, despite a 47% decline in total funding rounds to 237 [2] - The presence of numerous hundred-million-dollar venture financing rounds indicates a shift towards larger investments in select companies [3] Mergers and Acquisitions - M&A spending in the medtech sector decreased year-over-year, with deal volume dropping 41% to 61 mergers, while the average deal size increased to $636 million, driven by significant acquisitions like Stryker's $4.9 billion purchase of Inari Medical [4] - Most acquisitions targeted assets nearing profitability, and eight medtech companies went public, suggesting a renewed interest in IPOs after a prolonged slowdown [5] Market Conditions - Dealmaking faced challenges due to uncertainty surrounding tariff policies, which affected valuations and deal closures [6] - M&A activity began to recover in the latter half of the year as tariff issues were addressed, with companies focusing on larger venture rounds and later-stage assets [6] - The impact of tariffs is currently less pronounced, with companies making varied decisions on manufacturing and sales strategies [7]