REAL-TIME GLOBAL RESEARCH
US Mkt Stable, OUS in Guide; Focused on Profit, FCF, and Execution; Buy, $40 PT
Research evidence excerpt
US Mkt Stable, OUS in Guide; Focused on Profit, FCF, and Execution; Buy, $40 PT
Enovis Corp (ENOV)
Equity Research
July 13, 2026
ASC Share Above Market Driven By Differentiated Products
ENOV has the newest Knee implant (Empowr) and streamlined instrumentation with less trays, easier
contracting that bypasses the bigger hosps and GPOs contracting process. ENOV believes their ASC
business is above the industry penetration rates driven by their more modernized portfolio, product
differentiation, and contracting. ~25% of ENOV primary US Knees goes into ASCs. Ultimately ASCs
penetration can be as high as 50-60%.
The initial large joint ASC adoption had gone quickly from 0 to 10%. Then COVID hit and slowed that
trend as extra demand was met in hospitals. Growth should continue given favorable economics for
some surgeon owners, as well as the pace of hospital capex to build out ASCs. Some ASCs participate
in GPOs, and some are affiliated with hospitals, while some are independent. ASC pricing is a bit lower
than the hospital setting, but it also has a lower cost to serve with simpler instruments. There’s also
lots of discussions in OUS markets for ASCs.
We believe ENOV is positioned to win in ASCs because of its focus. The Empowr 3D Knee is better
suited for ASCs given it’s better for more active patients, feels more natural and responsive to patients,
and also has simpler and smaller instrument trays. ENOV’s OaraScore outpatient arthroplasty risk
assessment score is a predictive risk assessment tool for ASC and outpatient patients’ selection.
In Shoulders, it is ~15% ASCs but the market data is tough to come by given very limited disclosures.
ARVIS is also geared towards ASCs given its small footprint, workflow enhancement, and low cost.
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