U.S. medical technology
California is one of the leading medical technology regions in the United States. Southern California holds 36 companies and Northern California is home to 34 companies. Johnson & Johnson from the United States and Siemens from Germany are among the world’s leading medical technology companies. The United States remains the largest medtech market in the world, however, the European market has slowly closed the gap. The United States had 285 companies in 2009 while Europe had 158 companies. In 2014, while the number of European companies stood at 170, the U.S. had a total number of 244 companies.
However, the United States still spends significantly more on research and development than the European industry. In 2014, the U.S. spent 11.4 billion U.S. dollars on R&D, while European companies spent 2.9 billion U.S. dollars. Mergers and acquisitions have become widespread within the medical technology industry. One of the largest M&As in the 2014-2015 period was between Danaher and Pall, both located in the United States, a deal worth 13.8 billion U.S. dollars. Customers – patients, health systems, and payers- are becoming more influential in the medical technology market. Increased health care costs are encouraging payers to seek out companies that can provide the most cost-efficient solutions.