Stryker is considering structuring the takeover as a tax inversion, allowing the Kalamazoo, Michigan-based company to move its legal address to the U.K., where Smith & Nephew is based. The $16 billion-plus transaction would give Stryker future access to the cash it’s been accumulating overseas without being hit by repatriation taxes. Even without an inversion structure, the deal would offer benefits and may help the businesses gain back pricing power after hospital consolidation squeezed margins at orthopedic-implant makers.
The challenge is that Stryker’s competitors had a similar idea and moved more quickly. Zimmer Holdings Inc. agreed in April to buy Biomet Inc. for $13.4 billion, which will reduce the orthopedic-reconstruction market to four major manufacturers from five. It will be harder for Stryker, which has been barred from making an offer since May under U.K. takeover rules, to make the case to antitrust regulators for further consolidation, according to Wells Fargo & Co.
“You have a different hurdle rate now given that the industry will likely be more consolidated than it was six or 12 months ago,” Jason McGorman, an analyst for Bloomberg Intelligence, said in a phone interview. “Whether or not that means it’s a larger antitrust risk, that’s something we’re going to look at.”
The rationale for a deal hasn’t changed though, he said. “Longer term, Stryker would have greater access to that cash and be able to use it more efficiently.”
Stryker has avoided U.S. tax on about $7 billion in accumulated foreign earnings, the sixth-highest among medical-device makers in the Standard & Poor’s 500 Index, according to data compiled by Bloomberg. It paid a 17 percent effective tax rate in 2013, according to its annual filing.
A Financial Times report May 28 said Stryker was preparing a takeover offer for the maker of artificial hips and knees, sending Smith & Nephew’s stock to a then-record price of 993.50 pence. Stryker Chief Executive Officer Kevin Lobo confirmed that his company was in the early stages of evaluating a deal.