In a scope where continuous innovations are seen each day, the cyberspace can be seen as the tech-entrepreneurs’ playground for delivering new solutions to customers. Digital start-ups who interact through the cyberspace operate with little to no restriction despite having limiting resource. In 2008 a man named Satoshi Nakamoto developed a new technology called blockchain. The new breed of firms providing blockchain solutions have been painted to live in a borderless world with little technical restrictions. Exploring the effects that blockchain brings to their internationalisation has brought our attention to study the early internationalisation of blockchain born globals and their business ecosystem. The deductive and qualitative approach gave the results from four different companies that were involved in blockchain technology. By using previous theory on internationalisation and a deductive approach a conceptual synthesis was developed. The synthesis was later applied in the case-companies to observe the results. The findings have shown that the firms implementing blockchain in the core offering has resulted in an accelerated internationalisation. The major factors contributing to this quick internationalisations is the spread of knowledge between buyers and sellers, trough the cyberspace. However, the authors were unable to find a relationship between the accelerated internationalisation and to the extent in which a firm has implemented blockchain in its core offering. The finding has given the authors prominent answers to the research question and has highlighted the complexity of the subject. The, authors conclude the thesis by displaying the importance of cyberspace in the business ecosystem; how it attracts customers and the importance of the company’s business model. Blockchain technology proved to have effects on the process of internationalisation due to superior technological performance, but also its hype.

Notre thèse a pour point de départ une situation de management empirique représentée par un Cercle de réflexions prospectives, que nous appelons PSP (Prospective Stratégique Participative), menée par BASF Agro sur une période de plus de dix ans avec l’ensemble des acteurs de la filière agro-alimentaire. Les acteurs du Cercle ont une relation marchande et décident d’explorer des opportunités de collaboration sur un mode communautaire. Ils expandent ensemble un espace de conception où interagissent les savoirs et les relations dans un processus d’innovation. Nous aboutissons à l’hypothèse que la PSP joue le rôle d’une plateforme ouverte de fabrique de la stratégie (open strategizing platform) et de fonctionnement des affaires entre les acteurs qui sert à réfléchir et concevoir ensemble des stratégies nouvelles. La PSP est un dispositif de gestion dont la vision simplifiée de l’organisation (la configuration de référence implicite) est un écosystème d’affaires, et pas seulement une organisation classique. Notre analyse est basée sur une étude de cas longitudinale de dix-sept ans / Our thesis has to point of departure a situation of empirical management represented by a circle of foresight thinking, which we call FPS (Foresight Participatory Strategic), conducted by BASF Agro over a period of more than ten years with all the actors involved in the food chain. The players in the circle have a merchant relationship and decide to explore opportunities for collaboration on a community way. They expanded together a design space or interact the knowledge and relationships in a process of innovation. We have ended up with the assumption that the FPS plays the role of an open-strategizing platform and for the operation of business between the actors which is used to reflect and devise all the new strategies. The FPS is a management innovation which the configuration of implicit reference is a business ecosystem, and not just a typical organization. Our analysis is based on a longitudinal case study of seventeen years

The Internet of Things (IoT) concludes a network of physical objects equipped withdigital technologies to interact with people and other objects. IoT brings challenges,one way for organisations to address these challenges is by business ecosystems accordingto the analogy of natures ecosystem. This study defines an IoT oriented businessecosystem as an IoT ecosystem, because of the definitions used in the market varies.The purpose of this study was to investigate the critical factors for a working IoTecosystem, as well as propose how these factors can be applied in practice, since thisis absent in the market. A customized research design was conducted for this studyto manage the 17 semi-structured interviews at IBM. The interviews were divided initerations with di↵erent themes, where the result of each iteration was the base forthe decision of the next iteration theme. The result of this study reflected severalcritical perspectives of how to create an IoT ecosystem with partnership, end-userand scalability were recurrent. The conclusion of this were six critical factors of howan organisation can initiate an IoT ecosystem anchored with a product, as well as atool of how to apply these factors in practice. / Internet of Things (IoT) är ett koncept som innebär att fysiska objekt är utrustademed digital teknologi för att kunna vara uppkopplade mot internet, vilket möjliggörinteraktion med både människor och andra uppkopplade objekt. Med IoT följermånga utmaningar, ett sätt för organisationer att adressera några av dem är genoma affärsekosystem enligt analogi med naturens ekosystem. Det finns olika definitioner avkonceptet IoT ekosystem på marknaden som förklarar innebörden, därför definieraskonceptet i denna studie som ett affärsekosystem med utformning för IoT. Syftet med studien var att undersöka de kritiska faktorerna för ett fungerande IoT ekosystem samt att föreslå hur dessa faktorer kan användas i praktiken, då dettasaknas på marknaden. Forskningsmetoden i studien anpassades efter dess syfte, medinsamling av data från 17 stycken semistrukturerade intervjuer på IBM. Intervjuernavar indelade i iterationer med olika teman där resultat av varje iteration låg tillgrund för val av nästa iterationstema. Resultatet av studien på visade efter fyraiterationer, flera kritiska perspektiv för att skapa ett IoT ekosystem där partnerskap, slutanvändare och skalbarhet var återkommande. Slutsatsen blev sex kritiska faktorer för hur en organisation kan inleda ett IoT ekosystem kring en produkt, samt ettverktyg för hur dessa faktorer kan appliceras i en organisation i praktiken.

Manufacturers have begun to realize that in order to have factories which are adapted to the contemporary conditions required for having state of the art manufacturing, the fixed network cables should be replaced by wireless communication with higher capacity. Cellular connectivity has this ability, but to be able to deliver it to manufacturing factories, they would benefit from establishing a suitable ecosystem design for the technology. The purpose of this research paper is to investigate how infrastructure developing telecom companies can work to establish this business ecosystem for cellular connectivity in manufacturing factories and make sure they remain competitive over time. The purpose was fulfilled using a qualitative case study consisting of 20 semi-structured interviews, conducted at a case company. The case study was complemented with a quantitative study to understand the status of current relationships in the ecosystem. Results of the study indicate that: • As cellular connectivity for manufacturing factories is in an early stage of its life cycle, it is of more importance to convince customers of the technology’s benefits, in order to get a market pull, rather than promoting the own product. • A competitive advantage may not be yielded through getting a minimum viable product to the market in the sense of learning about components and complements. However, the minimum viable product should give rise to an opportunity to establish key relationships and experience across the entire ecosystem. • Relationships to all business partners in the ecosystem are considered important. However, the relationships differ in strength, as they are at different maturity stages and needs various amounts of attention and resources. Accordingly, some effort needs to be put into all relationships, but making sure to understand the optimal amount of attention and resources for each relationship may facilitate the choosing of appropriate effort levels. / Tillverkande fabriker har börjat inse att de fasta nätverkskablarna borde ersättas med trådlös kommunikation med högre kapacitet, för att deras fabriker ska vara anpassade till dagens förhållanden som krävs för toppmodern tillverkning. Cellulär uppkoppling har denna förmåga, men för att leverera tekniken till tillverkande fabriker borde en lämplig ekosystem-design etableras. Syftet med denna studie är att undersöka hur infrastrukturutvecklande telekomföretag kan arbeta för att etablera detta ekosystem för cellulär uppkoppling i tillverkande fabriker samt se till att vara konkurrenskraftiga över tid. Syftet uppnåddes genom en kvalitativ fallstudie bestående av 20 halvstrukturerade intervjuer som genomfördes på ett företag. Fallstudien kompletterades med en kvantitativ studie för att förstå statusen på nuvarande relationer i ekosystemet. Studiens resultat påvisar att: • Eftersom cellulär uppkoppling för fabriker är i ett tidigt skede av sin livscykel så är det av större betydelse att övertyga kunder om teknikens fördelar för att expandera marknaden snarare än att främja företagets egen produkt. • Vart eftersom tekniken mognar är det viktigt att ha en differentieringsstrategi, för att få en tillfredsställande marknadsandel. En konkurrensfördel uppnås inte garanterat genom komponenter och komplement via att företaget får ut en tidig fungerande produkt på marknaden. Den tidigt fungerande produkten bör dock ge upphov till en möjlighet att etablera viktiga relationer och erfarenheter över hela ekosystemet. • Affärsrelationer till alla parter i ekosystemet anses vara viktiga. Relationerna skiljer sig åt i styrka, eftersom de befinner sig i olika mognadsfaser och behöver olika mängder uppmärksamhet och resurser. Följaktligen måste en viss ansträngning sättas in i alla relationer, men förståelse av den optimala mängden uppmärksamhet och resurser för varje relation kan underlätta valet av lämpliga insatsnivåer.

In an increasingly digitised world, the connectivity and data within machines is becoming more important, giving possibilities to analyse and improve the business of the actors involved. The digitalisation within the earthmoving industry has so far been lagging compared to other industries but is now starting to gain more traction within the industry. With the increased interest in digitalisation within the industry, questions arise as to how this might affect the involved actors within the ecosystem. The purpose of this thesis aims to investigate how data from the earthmoving contractors’ operations can be used within the earthmoving ecosystem. In order to do so, all actors involved in the capturing, sharing and usage of data have been mapped, as well as the offering back towards the earthmoving contractor. The study used a case study approach of embedded design in order to get an in-depth understanding of the specific business ecosystem while investigating the involved actors. The study used an explorative approach due to the novel nature of the phenomenon of ecosystems in terms of data in the earthmoving context. What the study has shown is that the positions and links between actors within the ecosystem has changed due to the increased data coming from the earthmoving contractors’ operations, and the offerings back towards the contractors have changed as well. Actors within the ecosystem are becoming increasingly dependent on each other to deliver their value propositions and issues of unalignment can negatively affect the value proposition to the end user, the earthmoving contractor. The end user, which is also the actor generating the data is therefore the one seeing least direct benefits of it. / I en allt mer digitaliserad värld ges nya möjligheter att analysera och utveckla företags affärsmodeller tack vare data från uppkopplade maskiner. Digitaliseringen inom maskinentreprenadbranschen har hittills legat efter jämfört med många andra branscher, men börjar nu att få mer intresse riktat mot sig. Till följd av detta ökade intresse följer frågor hur denna digitalisering kan komma att påverka de olika aktörerna inom ekosystemet. Syftet med detta arbete är att undersöka hur data som genereras av maskinentreprenörer kan användas av olika aktörer inom ekosystemet. För att göra detta har en kartläggning genomförts som tydliggör vilka aktörer som är inblandade i insamlandet, delandet och användandet av data, samt vad deras erbjudande till maskinentreprenörerna består av. Arbetet har utförts som en casestudie med flera analysenheter för att få en djup förståelse av affärsekosystemet, samtidigt som enskilda aktörer har undersökts. Studien har utförts med en explorativ ansats, till följd av det ännu ganska outforskade fenomenet kring ekosystem och data inom maskinentreprenadindustrin. Vad studien har visat är att det ökade dataflödet från maskinentreprenörerna har lett till förändringar inom ekosystemet, genom förändrade positioner och länkar mellan aktörer. Studien har även visat på förändringen av erbjudanden tillbaka till maskinentreprenören. Aktörer inom ekosystemet har blivit allt mer beroende av varandra för att leverera ett värdeerbjudande och brist på ömsesidig anpassning kan leda till ett ofullständigt värdeerbjudande som levereras till slutkunden, i detta fall maskinentreprenören. Detta har även visat sig leda till att aktören som genererar datan är den aktör som ser minst nytta med den.

Abstract Radio spectrum is a scarce natural resource whose efficient management has been the source of contentious debate for over a century. The mobile communication ecosystem has created a tremendous business that is reliant on the availability of spectrum for wireless networks. The growth of mobile communications has increased the rivalry between the different wireless ecosystems that compete over gaining access rights to radio spectrum. Due to the scarcity of unallocated spectrum bands without incumbent users, sharing-based governance models for spectrum management have gained increasing attention in regulation, industry and academia. Spectrum sharing allows two or more wireless systems to operate in the same spectrum band. These systems often come from different wireless ecosystems that have conflicting goals. Spectrum sharing, and specifically the development of new sharing-based governance models for more efficient management of the scarce resource, is a strategic management topic that calls for the development of rules and conditions by regulators that are agreeable to all involved stakeholders. This thesis presents a novel framework for the development of upcoming sharing-based spectrum governance models that bring together stakeholders from different wireless business ecosystems with conflicting goals. The framework is built upon the theoretical basis of governance models, stakeholder analysis, and business ecosystems. Spectrum management is here seen as governance of common pool resources, and the tool of stakeholder analysis from strategic management is formally introduced into the development of new sharing-based spectrum governance models where different business ecosystems collide. The developed three-step stakeholder analysis is applied to two case studies for mobile communications including the future use of the ultra-high frequency (UHF) band, and the licensed shared access (LSA) concept. For the UHF band case study, the thesis identifies the stakeholders, analyses their relations and saliences to reach long-term compromises between broadcasting and mobile communication ecosystems. For the LSA case study, the thesis identifies the stakeholders and their relations, and develops management actions through a work flow for the main phases and stakeholders’ tasks. It then presents the world’s first live field trial with mobile communication systems, where the conflicting requirements of all stakeholders were considered. The developed stakeholder analysis model formally introduces the strategic management of stakeholders into the spectrum management domain, and it provides regulators, industry and academia a new tool for reaching long-term compromises in spectrum management through sharing. / Tiivistelmä Radiotaajuudet muodostavat rajallisen luonnonvaran, jonka tehokas hallinta on ollut vuosikymmenten ajan kiistanalainen keskustelunaihe. Matkaviestinnän ekosysteemi on luonut suurta liiketoimintaa saamalla käyttöönsä radiotaajuuksia, joilla matkaviestinverkot voivat toimia. Matkaviestinnän kasvu on lisännyt eri langattomien järjestelmien ekosysteemien välistä kilpailua radiotaajuuksien saatavuudesta. Taajuuksien yhteiskäyttöön perustuvat hallintamallit ovat herättäneet kasvavaa kiinnostusta taajuushallinnoissa, teollisuudessa ja tutkimusmaailmassa, koska lähes kaikki radiotaajuudet on jo annettu erilaisten langattomien järjestelmien käyttöön. Taajuuksien yhteiskäyttö mahdollistaa kahden tai useamman radiojärjestelmän toiminnan samalla taajuusalueella. Usein nämä järjestelmät edustavat erilaisia langattomia ekosysteemejä, joilla on ristiriitaiset tavoitteet. Taajuuksien yhteiskäyttö ja siihen liittyvien hallintamallien kehittäminen rajallisen luonnonvaran tehokkaamman käytön mahdollistamiseksi on strategisen johtamisen aihealue, joka edellyttää, että taajuushallinnot kehittävät säännöt ja ehdot, jotka ovat hyväksyttäviä sidosryhmille. Tämä väitöskirja esittelee uuden viitekehityksen taajuuksien yhteiskäyttöön perustuvien taajuuksien hallintamallien kehittämiselle tuomalla yhteen eri sidosryhmät, jotka edustavat erilaisia langattomia liiketoimintaekosysteemejä, joilla on ristiriitaiset tavoitteet. Kehitetyn viitekehyksen teoriapohja koostuu hallintomalleista, sidosryhmäanalyysistä sekä liiketoiminnan ekosysteemeistä. Tässä työssä taajuuksien hallinta nähdään yhteisresurssien (common pool resource, CPR) hallintana, ja strategisen johtamisen työkaluista sidosryhmäanalyysi on valittu taajuuksien yhteiskäyttömallien kehittämiseen erilaisten liiketoiminta-ekosysteemien kohtauspisteessä. Työssä kehitettyä kolmiaskelista sidosryhmäanalyysiä sovelletaan kahteen matkaviestinnän tapaustutkimukseen sisältäen UHF-taajuuden tulevaisuuden käytön sekä taajuuksien lisensioidun yhteiskäytön (licensed shared access, LSA). UHF-taajuuden tapaustutkimuksessa väitöskirjassa tunnistetaan sidosryhmät ja analysoidaan niiden riippuvuuksia ja painoarvoja pitkän tähtäimen kompromissin löytämiseksi yleisradioliikenteen ja matkaviestinnän ekosysteemien välille. LSA-tapaustutkimukselle väitöskirjassa tunnistetaan sidosryhmät ja niiden riippuvuudet sekä kehitetään johtamismalleja työnkulkukaavion avulla. Lisäksi työssä esitellään maailman ensimmäinen todellisella matkaviestinjärjestelmällä tehty kokeilu, joka ottaa huomioon eri sidosryhmien ristiriitaiset vaatimukset. Työssä kehitetty malli on ensimmäinen strategisen johtamisen sidosryhmäanalyysin sovellus taajuuksien hallintaan ja tuo taajuushallinnoille, teollisuudelle ja tutkimusmaailmalle uuden työkalun pitkän tähtäimen kompromissien löytämiseen taajuuksien hallinnalle yhteiskäytön avulla.

The modern financial industry includes fast-changing technology, new regulations, and markets where companies at times find themselves at disadvantage. This study focuses on how organizations can build competitive advantage, particularly by drawing on the open innovation concept. We conceptualize its relationship to competitive advantage as a strategy of using and developing dynamic capabilities in business ecosystems. This view is empirically analysed through qualitative data from four organizational actors in the financial technology (fintech) sector, using semi-structured interviews and a case study approach. The results of the study show that there is a so-called fintech business ecosystem where collaboration and openness generate new opportunities and new innovations. It also shows that the capabilities networking and scanning, investment processes and an open, agile organizational culture are essential to gain advantage of the opportunities in the business ecosystem. In building competitive advantage from open innovation process, these capabilities provide speed and are necessary to find external resources that can effectively be united with internal key resources, creating unique resource combinations. This indicates that companies should focus on activities that enable these capabilities.

Over the years, information technology has created opportunities to improve and extend businesses and to start conducting business in new ways. With the evolution of IT, all businesses and industries are becoming increasingly digitized. This process, or coevolution, of IT and business coming together is called digital transformation. One of the recent trends in this digital transformation is the use of application programmable interfaces (APIs). APIs are standardized digital communication interfaces, used for communication and exchange of information between systems, services and devices (such as computers, smartphones and connected machines). API communication is one of the foundational building blocks in recent disruptive technology trends such as mobile and cloud computing. The purpose of this study is to gain an understanding of the business impact that is created in digital transformation related to the use of APIs. To investigate this novel area, an exploratory study is performed where a frame of reference with an exploratory framework is created based on established academic literature. The exploratory framework consists of three main parts which cover the research questions, including Business Drivers, Business Model Change & Innovation and Challenges & Limitations related to API-enabled digital transformation. The framework is used to gather empirical data consisting of two types, interviews (primary data) and contemporary reports (secondary data). Interviews are performed with API-utilizing companies, consulting firms and IT solution providers and contemporary reports are published by consulting and technology research and advisory firms. Two main business drivers are identified in the study. The first is Understanding & Satisfying Customer Needs which is derived from companies experiencing stronger and changing demands for automated, personalized value-adding services. This requires higher degree of integration across channels and organizations. The second driver is Business Agility, which derives from higher requirements on adapting to changing environments while maintaining operational efficiency. Cost Reduction is also mentioned as a third and secondary driver, as a positive side-effect in combination with the other drivers. The identified impact on business models is that business model innovation is mostly happening in the front-end of business model towards customers. Several examples also exist of purely API-enabled businesses that sell services or manage information exchanges over APIs. The challenges and limitations identified are mostly classic challenges of using IT in businesses and not specific to use of APIs, where the general consensus is that IT and business need to become more integrated, and that strategy and governance for API-initiatives need to be established.

Purpose The purpose of the study is to understand how partner alignment can be created in a business ecosystem to work towards sustainability in the construction industry. The following research questions will therefore be studied: RQ1. What incentives are important for the subcontractors in a business ecosystem to reach partner alignment in a construction context? RQ2. What factors are required to create norms in the business ecosystem to reach partner alignment in a construction context? RQ3. How can the relationship between incentives and norms in a business ecosystem affect partner alignment in a construction context? Method Through a qualitative, abductive, single case study, we aimed to find answers to the research questions presented above. The data collection was completed in three different waves, where the second phase was where the main data was collected through 25 semi-structured interviews. We aimed to understand the current situation in the first wave, understand the subcontractors view in the second wave and validate the result in the third wave. The analysis of the data was completed through a thematic analysis, where we transcribed and coded the data with themes mainly originated from the previously studied literature. Findings Our findings resulted in two frameworks showing (1) recommendations important to perform in diverse stages of a collaboration in order to use incentives and norms in the best way possible. The aim is to reach partner alignment in a business ecosystem in the construction industry and thereby influence the subcontractors to work towards sustainability. Further, it is shown in framework number (2) how both incentives and norms have an important role, where incentives are important for short-term motivation to confirm good behavior and will be significant in the beginning of a relationship. Norms on the other hand, evolve over time and clarify an expected behavior, but the implementation should still start in the beginning of the collaboration.  Theoretical implications We contribute to the literature by applying the ecosystem concept in the construction industry, where a project-based partnering structure has previously dominated. Further, we create a greater understanding for what is required to achieve aligned partners in a construction context and how the combination of incentives and norms can contribute to this. Lastly, we give a more thorough analysis of the interaction between incentives and norms and how they relate to each other.  Managerial implications We provide managerial guidelines of how to establish partner alignment and encourage subcontractors in a business ecosystem to work with sustainability. We provide recommendations of motivation drivers, in terms of incentives and norms, and drivers significant to implement in certain phases of a collaborative setting. We further describe the relationship between incentives and norms, and state that incentive confirms good behavior and creates short-term motivation, while norms clarifies an expected behavior.  Keywords Partner alignment, business ecosystem, collaborative strategies, sustainability, construction, incentives, norms, shared values / Syfte Syftet med studien är att förstå hur deltagarna i ett ekosystem kan enas för att jobba mot en hållbar byggindustri. Följande forskningsfrågor kommer därmed studeras: RQ1. Vilka incitament är viktiga för underentreprenörerna i ett ekosystem för att uppnå enade deltagare kring hållbarhet i byggbranschen? RQ2. Vilka faktorer krävs för att skapa normer i ett ekosystem för att uppnå enade deltagare kring hållbarhet i byggbranschen? RQ3. Hur kan relationen mellan incitament och normer i ett ekosystem påverka deltagarnas samtycke kring hållbarhet i byggbranschen? Metod Genom en kvalitativ, abduktiv, fallstudie, strävade vi efter att besvara forskningsfrågorna presenterade ovan. Datainsamlingen genomfördes i tre olika faser, där den andra fasen utgjorde insamlingen av data som slutligen möjliggjorde att vi kunde besvara forskningsfrågorna. Fasen utgjordes av 25 semistrukturerade intervjuer, varav 20 respondenter tillhörde externa företag och fem respondenter tillhörde fallstudiens studerade företag. Målet med första fasen var att förstå den nuvarande situationen, för att sedan förstå underentreprenörernas syn i den andra fasen och slutligen validera resultatet i den tredje fasen. Analysen av data genomfördes med en tematisk analys, där vi transkriberade och kodade data, med teman som huvudsakligen härstammar från den tidigare studerade litteraturen. Resultat Vårt bidrag resulterade i två modeller som visar (1) rekommendationer för olika faser av ett samarbete, för att incitament och normer ska användas på bästa möjliga sätt. Målet är att uppnå enade deltagare i ett ekosystem i byggindustrin and därigenom influera underentreprenörer till att tänka hållbart. Vidare visar modell (2) relationen mellan incitament och normer och hur båda har en betydande roll. Incitament är viktigt för kortsiktig motivation, för att bekräfta ett önskvärt beteende och kommer ha stor betydelse framförallt i början av ett samarbete. Normer utvecklas över tid och tydliggör ett förväntat beteende men där implementeringen bör fortfarande ske i samarbetets startskede. Teoretiska bidrag Vi bidrar till litteraturen genom att applicera ett ekosystemperspektiv i byggbranschen, där en projekt-baserat partnering struktur tidigare har dominerat. Vidare skapar vi en större förståelse för vad som krävs för att skapa enade deltagare kring hållbarhet i ett bygg-kontext och hur kombinationen av incitament och normer kan bidra till det. Slutligen ger vi en grundlig analys av hur interaktionen mellan incitament och normer kan ha betydelse för att uppnå hållbarhet. Praktiska bidrag Vi presenterar riktlinjer för hur en företagsledning kan skapa enade deltagare och uppmuntra underentreprenörer i ett ekosystem till att jobba med hållbarhet i åtanke. Vidare presenterar vi rekommendationer för motivationsfaktorer, i termer av incitament och normer, och vilka som bör implementeras i vilken fas av ett samarbete. Slutligen beskriver vi relationen mellan incitament och normer, och konstaterar att incitament bekräftar önskvärda beteenden och skapar kortsiktig motivation, medan normer tydliggör ett förväntat beteende. Nyckelord Ekosystem, samarbetsstrategier, hållbarhet, bygg, incitament, normer, värderingar

MedTech firms experience barriers when entering the healthcare sector, although their solutions could solve healthcare challenges. The study provides a conceptual framework for MedTech firms' business environment including institutional alignments and misalignments. These insights support MedTech firms' business model development when aiming for successful commercialization. The research is conducted with a multiple case study analyzing MedTech firms' and healthcare organizations' perspective regarding the business environment and relationship dynamics. The study generated three main findings. Firstly, an organizational and institutional logic analysis outlined essential problem areas where MedTech firms and healthcare organizations align differently. Secondly, suggestions on how the MedTech firm can respond to the identified problem areas through their business model are presented. Thirdly, the study provides an example of how social- and business literature can be connected to understand complex business environments. In contrast to a majority of prior research, the study is designed for the MedTech firm's perspective where the final result answering how the business model can be improved based on healthcare organizational and business insights.