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08/2026

Monogram Technologies acquired by ZIMMER BIOMET

UNITED STATES Life Sciences / Medical Devices EV 100M - 350M USD

Context

Zimmer Biomet acquires Monogram Technologies, an AI-driven orthopedic robotics company, to strengthen its leadership position in the fast-growing orthopedic surgical robotics segment. The transaction, closed in October 2025, integrates Monogram's semi-autonomous and fully autonomous technologies into Zimmer Biomet's existing portfolio. The strategic logic rests on several drivers. First, Monogram's CT-based technology complements Zimmer Biomet's ROSA platform, which uses an imageless approach, enabling the group to address diverse surgeon preferences in surgical techniques (with or without CT, robotic or non-robotic, manual or autonomous). Second, the acquisition positions Zimmer Biomet as the first and only player in orthopedics to offer a complete range from simplified navigation to fully autonomous robotics. This transaction aims to improve adoption of Zimmer Biomet's robotic knee solutions in the United States, a segment where the group seeks to regain market share. Monogram's integration also enables expansion of the customer base reached through a broader product offering and strengthens the group's global knee portfolio. The payment structure includes a cash upfront and CVRs (contingent value rights) tied to achievement of product development, regulatory, and revenue milestones through 2030, aligning Monogram shareholders' interests with long-term commercial success.

Monogram Technologies, which reported an EBITDA margin of in 2025, is valued in this transaction at an EV/EBITDA multiple of , a level to compare with the average currently observed in the Healthcare & Pharma sector (14.3x).

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Target

Monogram Technologies Inc. is an American next-generation orthopedic robotics company, built on artificial intelligence and surgical autonomy technologies. The company has developed a surgeon-guided, semi-autonomous robotic system for total knee arthroplasty (TKA), AI-navigated and using CT-based (computed tomography) pre-operative planning. This technology received FDA 510(k) clearance in March 2025 and represents a differentiated approach in the orthopedic robotics landscape. Monogram is also developing a fully autonomous version of its system, currently in clinical trials since July 2025, with the potential to significantly improve safety, efficiency, and outcomes of joint replacement procedures. The company aims to become the first provider of a fully autonomous robotic solution for orthopedic procedures, a strategic position in a fast-growing segment. Monogram Technologies was listed on NASDAQ prior to its acquisition, with a market capitalization reflecting its status as a technology development company in early commercialization phase. Its approach combines advanced medical imaging, AI algorithms, and precision robotics to assist surgeons in joint reconstruction interventions.

Ent. Value

Equity Value

Multiples

EV / Revenue

EV / EBITDA

EV / EBIT

Historical Financials (USD)

Year
Rev
EBITDA
EBIT
2025
2024

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REFERENCES

Valuation range: EV 100M - 350M USD

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Authors: This transaction was contributed by a verified mynth contributor and cross-checked against available transaction documents and official company communications.

Press release: view release

Target: monogram technologies

Acquirer: zimmer biomet