Zimmer Biomet Announces First Quarter 2026 Financial Results
Rhea-AI Summary
Zimmer Biomet (NYSE: ZBH) reported Q1 2026 net sales of $2.087 billion, up 9.3% reported, 6.8% constant currency and 2.9% organic constant currency. GAAP net earnings were $238.1 million and adjusted net earnings $409.4 million. Diluted EPS was $1.22 and adjusted diluted EPS $2.09. The company generated $359.4 million operating cash flow and $245.9 million free cash flow, repurchased $250 million of shares, and raised 2026 adjusted EPS and FCF expectations.
Positive
- Net sales +9.3% reported to $2.087B
- Adjusted EPS $2.09, +15.5%
- Operating cash flow $359.4M in Q1
- Completed $250M share repurchase in Q1
- Clinical milestone completed mBôs enrollment in India
- FDA 510(k) clearance and first case for G7 Acetabular System
Negative
- Organic growth modest at 2.9% on organic constant currency
- GAAP EPS $1.22, below adjusted EPS of $2.09
- Paragon 28 acquisition impact reduces organic growth ~100bps
News Market Reaction – ZBH
In the Apr 28 session, ZBH declined 10.57%, reflecting a significant negative market reaction. Argus tracked a trough of -7.6% from its starting point during tracking. Our momentum scanner triggered 110 alerts that day, indicating very high trading interest and price volatility. Trading volume was very high at 3.9x the daily average, suggesting heavy selling pressure.
Data tracked by StockTitan Argus on the day of publication.
Key Figures
Previous Earnings Reports
| Date | Event | Sentiment | 24h Move | Catalyst |
|---|---|---|---|---|
| Feb 10 | Q4/FY 2025 earnings | Positive | +1.9% | Strong Q4 and full-year growth with cash generation and new buyback authorization. |
| Nov 05 | Q3 2025 earnings | Positive | -15.2% | Solid sales growth and Monogram/Paragon 28 integrations with guidance maintained. |
| Aug 07 | Q2 2025 earnings | Positive | +8.0% | Strong Q2 growth, robotics acquisition and raised 2025 revenue and EPS guidance. |
| May 05 | Q1 2025 earnings | Positive | -11.6% | Modest sales growth and guidance update following Paragon 28 acquisition. |
| Feb 06 | Q4/FY 2024 earnings | Positive | -5.1% | Higher Q4 and full-year sales plus Paragon 28 acquisition plans and 2025 outlook. |
24h Move is the share-price change in the day after each event; other market factors may also have contributed.
Across the last five earnings releases, ZBH often delivered fundamentally positive updates, but price reactions skewed negative, with an average move of -4.41% and three divergences where shares fell despite growth and guidance detail.
Recent earnings history shows steady growth and active portfolio expansion. Q4 2024 and FY 2024 delivered higher sales and set 2025 guidance. Through 2025, ZBH reported rising quarterly net sales (e.g., Q2 at $2.077B, Q3 at $2.001B, Q1 at $1.909B) and repeatedly highlighted acquisitions such as Paragon 28 and Monogram Technologies. Q4 2025 results showed full-year sales of $8.232B and adjusted EPS of $8.20 with new buybacks and initial 2026 guidance. Today’s Q1 2026 earnings continue that trajectory with higher revenue, EPS and raised adjusted EPS guidance.
Key Terms
total knee arthroplasty medical
510(k) clearance regulatory
AI-generated analysis. How Rhea-AI works. Not financial advice.
- First quarter net sales of
$2.087 billion 9.3% on a reported basis,6.8% on a constant currency1 basis and2.9% on an organic constant currency1 basis - First quarter diluted earnings per share were
$1.22 34.1% ; adjusted1 diluted earnings per share were$2.09 15.5% - Company updates full-year 2026 financial guidance
Diluted earnings per share were
"We are off to a solid start to the year — strategically, operationally and financially," said Ivan Tornos, Chairman, President and CEO of Zimmer Biomet. "Our first quarter results reflect healthy end markets, continued momentum from our recently launched products and disciplined execution across the business. Given our progress and with our go-to-market transformation proceeding as planned, we are raising our adjusted EPS guidance and free cash flow expectations for the year. We remain confident that our strategy will position Zimmer Biomet for consistent, durable growth over the longer term."
1 Reconciliations of these measures to the corresponding | |||||||||||
Recent Highlights
- Completed
$250 million - Named Dr. Jonathan M. Vigdorchik as Chief Science, Technology and Medical Affairs Officer to oversee the strategy, delivery and management of the company's global end-to-end technology portfolio, including AI, robotics, smart implants and data.
- Completed enrollment in the multi-center clinical study in
India of mBôs, a first-of-its-kind, surgeon-guided, autonomous robotic total knee arthroplasty system acquired from Monogram Technologies. This marks a key development milestone and helps ensure future regulatory and commercialization pathways remain on track. - First case completed using the G7®TM Acetabular System, a next-generation implant engineered to address challenging primary and revision hip replacement surgeries, following
U.S. Food and Drug Administration (FDA) 510(k) clearance in February 2026. - Released new data and showcased a broad portfolio of innovations at the 2026 American Academy of Orthopaedic Surgeons (AAOS) annual meeting, including the full commercial launch of ROSA® Knee with OptimiZe.
- Named to FORTUNE's 2026 list of America's Most Innovative Companies and to Ethisphere's list of the World's Most Ethical Companies for the second straight year.
- Launched Phantom® Curved TTC Nail System, a next-generation solution from Paragon 28 subsidiary to support hindfoot fusion procedures.
Geographic and Product Category Sales
The following sales table provides results by geography and product category for the three-month period ended March 31, 2026, as well as the percentage change compared to the prior year period, on both a reported basis and a constant currency basis. Percentage change is also presented on an organic constant currency basis to exclude the impact on net sales from the April 2025 acquisition of Paragon 28, Inc. ("Paragon 28").
NET SALES - THREE MONTHS ENDED MARCH 31, 2026 | ||||||||||||||||||
(in millions, unaudited) | ||||||||||||||||||
Organic | ||||||||||||||||||
Constant | Constant | |||||||||||||||||
Net | Currency | Currency | ||||||||||||||||
Sales | % Change | % Change | % Change | |||||||||||||||
Geographic Results | ||||||||||||||||||
$ | 1,209.4 | 8.6 | % | 8.6 | % | 3.2 | % | |||||||||||
International | 877.4 | 10.3 | 4.2 | 2.5 | ||||||||||||||
Total | $ | 2,086.7 | 9.3 | % | 6.8 | % | 2.9 | % | ||||||||||
Product Categories | ||||||||||||||||||
Knees | ||||||||||||||||||
$ | 469.2 | 2.2 | % | 2.2 | % | 2.2 | % | |||||||||||
International | 359.4 | 7.6 | 1.3 | 1.3 | ||||||||||||||
Total | 828.6 | 4.5 | 1.8 | 1.8 | ||||||||||||||
Hips | ||||||||||||||||||
277.5 | 5.0 | 5.0 | 5.0 | |||||||||||||||
International | 246.6 | 6.5 | 1.0 | 1.0 | ||||||||||||||
Total | 524.1 | 5.7 | 3.2 | 3.2 | ||||||||||||||
S.E.T. * | 562.2 | 19.5 | 17.4 | 1.6 | ||||||||||||||
Technology & Data, Bone Cement and Surgical | 171.8 | 14.6 | 11.7 | 11.7 | ||||||||||||||
Total | $ | 2,086.7 | 9.3 | % | 6.8 | % | 2.9 | % | ||||||||||
* Sports Medicine, Extremities, Trauma, Craniomaxillofacial and Thoracic | ||||||||||||||||||
Amounts reported in millions are computed based on the actual amounts. As a result, the sum of the components reported in millions may not equal the total amount reported in millions due to rounding. Percentages presented are calculated from the underlying unrounded amounts.
Financial Guidance
The Company is updating its full-year 2026 financial guidance as follows:
Projected Year Ending December 31, 2026 | ||
Previous Guidance | Updated Guidance | |
2026 Reported Revenue Change | ||
Foreign Currency Exchange Impact | +0.5 % | +0.5 % |
2026 Constant Currency Revenue Change | ||
2026 Organic Constant Currency Revenue Change(1) | ||
Adjusted Diluted EPS(2) | ||
(1) | Excludes the projected impact of the Paragon 28 acquisition through the one-year anniversary of the acquisition date, which is estimated to be approximately 100bps. |
(2) | This measure is a non-GAAP financial measure for which a reconciliation to the most directly comparable GAAP financial measure is not available without unreasonable efforts. See "Forward-Looking Non-GAAP Financial Measures" below, which identifies the information that is unavailable without unreasonable efforts and provides additional information. It is probable that this forward-looking non-GAAP financial measure may be materially different from the corresponding GAAP financial measure. |
Conference Call
The Company will conduct its first quarter 2026 investor conference call today, April 28, 2026, at 8:30 a.m. ET. The audio webcast can be accessed via Zimmer Biomet's Investor Relations website at https://investor.zimmerbiomet.com. It will be archived for replay following the conference call.
About the Company
Zimmer Biomet is a global medical technology leader with a comprehensive portfolio designed to maximize mobility and improve health. We seamlessly transform the patient experience through our innovative products and suite of integrated digital and robotic technologies that leverage data, data analytics and artificial intelligence.
With 90+ years of trusted leadership and proven expertise, Zimmer Biomet is positioned to deliver the highest quality solutions to patients and providers. Our legacy continues to come to life today through our progressive culture of evolution and innovation.
For more information about our product portfolio, our operations in 25+ countries and sales in 100+ countries or about joining our team, visit www.zimmerbiomet.com or follow on LinkedIn at www.linkedin.com/company/zimmerbiomet or X / Twitter at www.x.com/zimmerbiomet.
Website Information
We routinely post important information for investors on our website, www.zimmerbiomet.com, in the "Investor Relations" section. We use this website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD. Accordingly, investors should monitor the Investor Relations section of our website, in addition to following our press releases, SEC filings, public conference calls, presentations and webcasts.
The information contained on, or that may be accessed through, our website or any other website referenced herein is not incorporated by reference into, and is not a part of, this document.
Note on Non-GAAP Financial Measures
This press release and our commentary in our investor conference call today include non-GAAP financial measures that differ from financial measures calculated in accordance with
Net sales change information for the three-month period ended March 31, 2026 is presented on a GAAP (reported) basis and on a constant currency basis. Net sales change for this period is also presented on an organic constant currency basis to exclude the impact on net sales from the April 2025 acquisition of Paragon 28. Constant currency percentage changes exclude the effects of foreign currency exchange rates. They are calculated by translating current and prior-period sales at the same predetermined exchange rate. The translated results are then used to determine year-over-year percentage increases or decreases. Projected revenue change information for the year ending December 31, 2026, is also presented on an organic constant currency basis. In addition to excluding the projected effects of foreign currency exchange rates, projected 2026 organic constant currency revenue change also excludes the projected impact on net sales from the April 2025 acquisition of Paragon 28 through the one-year anniversary of the acquisition date in April 2026.
Net earnings and diluted earnings per share for the three-month periods ended March 31, 2026 and 2025 are presented on a GAAP (reported) basis and on an adjusted basis. These adjusted financial measures exclude the effects of certain items, which are detailed in the reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures presented later in the press release.
Free cash flow is an additional non-GAAP measure that is presented in this press release. Free cash flow is computed by deducting additions to instruments and other property, plant and equipment from net cash provided by operating activities.
Reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures are included in this press release. This press release also contains supplemental reconciliations of additional non-GAAP financial measures that the Company presents in other contexts. These additional non-GAAP financial measures are computed from the most directly comparable GAAP financial measure as indicated in the applicable reconciliation.
Management uses non-GAAP financial measures internally to evaluate the performance of the business. Additionally, management believes these non-GAAP measures provide meaningful incremental information to investors to consider when evaluating the performance of the Company. Management believes these measures offer the ability to make period-to-period comparisons that are not impacted by certain items that can cause dramatic changes in reported income but that do not impact the fundamentals of our operations. The non-GAAP measures enable the evaluation of operating results and trend analysis by allowing a reader to better identify operating trends that may otherwise be masked or distorted by these types of items that are excluded from the non-GAAP measures. In addition, constant currency revenue change, adjusted operating profit, adjusted diluted earnings per share and free cash flow are used as performance metrics in our incentive compensation programs.
Forward-Looking Non-GAAP Financial Measures
This press release and our commentary in our investor conference call today also include certain forward-looking non-GAAP financial measures for the year ending December 31, 2026. We calculate forward-looking non-GAAP financial measures based on internal forecasts that omit certain amounts that would be included in GAAP financial measures. For instance, we exclude the impact of restructuring and other cost reduction initiatives; acquisition, integration, divestiture and related; and certain legal and tax matters. We have not provided quantitative reconciliations of these forward-looking non-GAAP financial measures (other than projected 2026 organic constant currency revenue change) to the most directly comparable forward-looking GAAP financial measures because the excluded items are not available on a prospective basis without unreasonable efforts. For example, the timing of certain transactions is difficult to predict because management's plans may change. In addition, the Company believes such reconciliations would imply a degree of precision and certainty that could be confusing to investors. It is probable that these forward-looking non-GAAP financial measures may be materially different from the corresponding GAAP financial measures.
Cautionary Note Regarding Forward-Looking Statements
This press release contains forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including statements regarding financial guidance, statements regarding macro pressures, including the impact of such pressures on our business, and any statements about our forecasts, expectations, plans, intentions, commitments, strategies or prospects. All statements other than statements of historical or current fact are, or may be deemed to be, forward-looking statements. Such statements are based upon the current beliefs, expectations and assumptions of management and are subject to significant risks, uncertainties and changes in circumstances that could cause actual outcomes and results to differ materially from the forward-looking statements. These risks, uncertainties and changes in circumstances include, but are not limited to: competition; pricing pressures; dependence on new product development, technological advances and innovation; changes in customer demand for our products and services caused by demographic changes, obsolescence, development of different therapies or other factors; our ability to attract, retain, develop and maintain adequate succession plans for the highly skilled employees, senior management, independent agents and distributors we need to support our business; the transformation of our sales and distribution network in the
Note: Amounts reported in millions within this press release are computed based on the actual amounts. As a result, the sum of the components reported in millions may not equal the total amount reported in millions due to rounding. Certain columns and rows within tables may not add due to the use of rounded numbers. Percentages presented are calculated from the underlying unrounded amounts.
ZIMMER BIOMET HOLDINGS, INC. | |||||||
CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS | |||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025 | |||||||
(in millions, except per share amounts, unaudited) | |||||||
2026 | 2025 | ||||||
Net Sales | $ | 2,086.7 | $ | 1,909.1 | |||
Cost of products sold, excluding intangible asset amortization | 576.2 | 549.8 | |||||
Intangible asset amortization | 162.1 | 151.0 | |||||
Research and development | 103.4 | 110.6 | |||||
Selling, general and administrative | 849.9 | 758.8 | |||||
Restructuring and other cost reduction initiatives | 6.3 | 36.0 | |||||
Acquisition, integration, divestiture and related | 15.6 | 10.6 | |||||
Operating expenses | 1,713.5 | 1,616.8 | |||||
Operating Profit | 373.2 | 292.3 | |||||
Other (expense) income, net | (3.0) | 2.9 | |||||
Interest expense, net | (68.8) | (66.2) | |||||
Earnings before income taxes | 301.3 | 229.0 | |||||
Provision for income taxes | 63.0 | 46.5 | |||||
Net Earnings | 238.3 | 182.6 | |||||
Less: Net earnings attributable to noncontrolling interest | 0.2 | 0.6 | |||||
Net Earnings of Zimmer Biomet Holdings, Inc. | $ | 238.1 | $ | 182.0 | |||
Earnings Per Common Share | |||||||
Basic | $ | 1.22 | $ | 0.92 | |||
Diluted | $ | 1.22 | $ | 0.91 | |||
Weighted Average Common Shares Outstanding | |||||||
Basic | 195.0 | 198.9 | |||||
Diluted | 195.8 | 199.7 | |||||
The condensed consolidated statement of earnings for the three-months ended March 31, 2026, reported in this press release are based on an initial assessment that the Company will not record a goodwill impairment charge in the first quarter 2026. The Company is finalizing its estimated fair value assessment of such goodwill, and therefore the determination of whether an impairment charge will be recorded, and the amount of any such charge, is not complete and subject to change. If an impairment charge is recorded, our GAAP net earnings information related to the first quarter of 2026 in this release will differ from what is reported in this release. The final determination regarding any impairment, and the impact on results if there is an impairment, will be included in the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2026.
ZIMMER BIOMET HOLDINGS, INC. | ||||||||
CONDENSED CONSOLIDATED BALANCE SHEETS | ||||||||
(in millions, unaudited) | ||||||||
March 31, | December 31, | |||||||
2026 | 2025 | |||||||
Assets | ||||||||
Cash and cash equivalents | $ | 424.2 | $ | 591.9 | ||||
Receivables, net | 1,728.6 | 1,704.4 | ||||||
Inventories | 2,246.8 | 2,286.4 | ||||||
Other current assets | 562.9 | 537.3 | ||||||
Total current assets | 4,962.5 | 5,119.9 | ||||||
Property, plant and equipment, net | 2,211.7 | 2,207.1 | ||||||
Goodwill | 9,931.8 | 9,947.1 | ||||||
Intangible assets, net | 4,547.6 | 4,717.3 | ||||||
Other assets | 1,067.9 | 1,100.3 | ||||||
Total Assets | $ | 22,721.6 | $ | 23,091.7 | ||||
Liabilities and Stockholders' Equity | ||||||||
Current liabilities | $ | 1,688.4 | $ | 1,996.6 | ||||
Current portion of long-term debt | 1,175.9 | 587.1 | ||||||
Other long-term liabilities | 880.6 | 870.2 | ||||||
Long-term debt | 6,295.1 | 6,932.0 | ||||||
Stockholders' equity | 12,681.6 | 12,705.8 | ||||||
Total Liabilities and Stockholders' Equity | $ | 22,721.6 | $ | 23,091.7 | ||||
ZIMMER BIOMET HOLDINGS, INC. | ||||||||
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS | ||||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025 | ||||||||
(in millions, unaudited) | ||||||||
2026 | 2025 | |||||||
Cash flows provided by (used in) operating activities | ||||||||
Net earnings | $ | 238.3 | $ | 182.6 | ||||
Depreciation and amortization | 270.0 | 254.4 | ||||||
Share-based compensation | 24.2 | 19.6 | ||||||
Changes in operating assets and liabilities, net of acquired assets and | ||||||||
Income taxes | (7.4) | (15.6) | ||||||
Receivables | 14.5 | (18.8) | ||||||
Inventories | (20.9) | (3.0) | ||||||
Accounts payable and accrued liabilities | (183.0) | (36.4) | ||||||
Other assets and liabilities | 23.5 | (0.1) | ||||||
Net cash provided by operating activities | 359.4 | 382.8 | ||||||
Cash flows provided by (used in) investing activities | ||||||||
Additions to instruments | (77.2) | (59.7) | ||||||
Additions to other property, plant and equipment | (36.3) | (44.6) | ||||||
Net investment hedge settlements | (0.3) | 1.0 | ||||||
Acquisition of intangible assets | (39.0) | (2.4) | ||||||
Other investing activities | (6.2) | (0.3) | ||||||
Net cash used in investing activities | (159.0) | (106.0) | ||||||
Cash flows provided by (used in) financing activities | ||||||||
Proceeds from senior notes | - | 1,748.1 | ||||||
Redemption of senior notes | - | (863.0) | ||||||
Dividends paid to stockholders | (46.9) | (47.8) | ||||||
Proceeds from employee stock compensation plans | 12.3 | 16.7 | ||||||
Business combination contingent consideration payments | (69.0) | (17.4) | ||||||
Debt issuance costs | - | (16.1) | ||||||
Repurchase of common stock | (250.1) | (229.8) | ||||||
Other financing activities | (15.6) | (15.2) | ||||||
Net cash (used in) provided by financing activities | (369.2) | 575.4 | ||||||
Effect of exchange rates on cash and cash equivalents | 1.1 | 7.0 | ||||||
Change in cash and cash equivalents | (167.7) | 859.1 | ||||||
Cash and cash equivalents, beginning of year | 591.9 | 525.5 | ||||||
Cash and cash equivalents, end of period | $ | 424.2 | $ | 1,384.5 | ||||
ZIMMER BIOMET HOLDINGS, INC. | ||||||||||||||||||||||||
RECONCILIATION OF REPORTED NET SALES % CHANGE TO | ||||||||||||||||||||||||
CONSTANT CURRENCY AND ORGANIC CONSTANT CURRENCY % CHANGE | ||||||||||||||||||||||||
(unaudited) | ||||||||||||||||||||||||
For the Three Months Ended | ||||||||||||||||||||||||
March 31, 2026 vs. 2025 | ||||||||||||||||||||||||
Organic | ||||||||||||||||||||||||
Foreign | Constant | Paragon | Constant | |||||||||||||||||||||
Exchange | Currency | 28 | Currency | |||||||||||||||||||||
% Change | Impact | % Change | Impact | % Change | ||||||||||||||||||||
Geographic Results | ||||||||||||||||||||||||
8.6 | % | - | % | 8.6 | % | 5.4 | % | 3.2 | % | |||||||||||||||
International | 10.3 | 6.1 | 4.2 | 1.7 | 2.5 | |||||||||||||||||||
Total | 9.3 | % | 2.5 | % | 6.8 | % | 3.9 | % | 2.9 | % | ||||||||||||||
Product Categories | ||||||||||||||||||||||||
Knees | ||||||||||||||||||||||||
2.2 | % | - | % | 2.2 | % | - | % | 2.2 | % | |||||||||||||||
International | 7.6 | 6.3 | 1.3 | - | 1.3 | |||||||||||||||||||
Total | 4.5 | 2.7 | 1.8 | - | 1.8 | |||||||||||||||||||
Hips | ||||||||||||||||||||||||
5.0 | - | 5.0 | - | 5.0 | ||||||||||||||||||||
International | 6.5 | 5.5 | 1.0 | - | 1.0 | |||||||||||||||||||
Total | 5.7 | 2.5 | 3.2 | - | 3.2 | |||||||||||||||||||
S.E.T. | 19.5 | 2.1 | 17.4 | 15.8 | 1.6 | |||||||||||||||||||
Technology & Data, Bone | 14.6 | 2.9 | 11.7 | - | 11.7 | |||||||||||||||||||
Total | 9.3 | % | 2.5 | % | 6.8 | % | 3.9 | % | 2.9 | % | ||||||||||||||
ZIMMER BIOMET HOLDINGS, INC. | ||||||||||||||||||||||||||||||||
RECONCILIATION OF REPORTED TO ADJUSTED RESULTS | ||||||||||||||||||||||||||||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025 | ||||||||||||||||||||||||||||||||
(in millions, except per share amounts, unaudited) | ||||||||||||||||||||||||||||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 | ||||||||||||||||||||||||||||||||
Cost of products | Intangible asset | Restructuring | Acquisition, | Other | Provision for | Net Earnings | Diluted | |||||||||||||||||||||||||
As Reported | $ | 576.2 | $ | 162.1 | $ | 6.3 | $ | 15.6 | $ | (3.0) | $ | 63.0 | $ | 238.1 | $ | 1.22 | ||||||||||||||||
Inventory and manufacturing-related | (13.3) | - | - | - | - | 3.6 | 9.7 | 0.05 | ||||||||||||||||||||||||
Intangible asset amortization(2) | - | (162.1) | - | - | - | 34.2 | 127.9 | 0.65 | ||||||||||||||||||||||||
Restructuring and other cost reduction | - | - | (6.3) | - | - | 1.0 | 5.3 | 0.03 | ||||||||||||||||||||||||
Acquisition, integration, divestiture and | - | - | - | (15.6) | - | 1.4 | 14.2 | 0.07 | ||||||||||||||||||||||||
Other charges(5) | - | - | - | - | 0.8 | 0.2 | 0.6 | - | ||||||||||||||||||||||||
Other certain tax adjustments(6) | - | - | - | - | - | (13.5) | 13.5 | 0.07 | ||||||||||||||||||||||||
As Adjusted | $ | 562.9 | $ | - | $ | - | $ | - | $ | (2.2) | $ | 89.9 | $ | 409.4 | $ | 2.09 | ||||||||||||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2025 | ||||||||||||||||||||||||||||||||||||
Cost of | Intangible | Research and | Restructuring | Acquisition, | Interest | Provision | Net | Diluted | ||||||||||||||||||||||||||||
As Reported | $ | 549.8 | $ | 151.0 | $ | 110.6 | $ | 36.0 | $ | 10.6 | $ | (66.2) | $ | 46.5 | $ | 182.0 | $ | 0.91 | ||||||||||||||||||
Inventory and manufacturing-related | (6.2) | - | - | - | - | - | 2.1 | 4.1 | 0.02 | |||||||||||||||||||||||||||
Intangible asset amortization(2) | - | (151.0) | - | - | - | - | 28.2 | 122.8 | 0.61 | |||||||||||||||||||||||||||
Restructuring and other cost | - | - | - | (36.0) | - | - | 7.2 | 28.8 | 0.14 | |||||||||||||||||||||||||||
Acquisition, integration, divestiture | - | - | - | - | (10.6) | - | 1.9 | 8.7 | 0.04 | |||||||||||||||||||||||||||
European Union Medical Device | - | - | (4.4) | - | - | - | 0.9 | 3.5 | 0.02 | |||||||||||||||||||||||||||
Other charges(5) | - | - | - | - | - | 4.8 | 2.7 | 2.1 | 0.01 | |||||||||||||||||||||||||||
Other certain tax adjustments(6) | - | - | - | - | - | - | (9.2) | 9.2 | 0.05 | |||||||||||||||||||||||||||
As Adjusted | $ | 543.6 | $ | - | $ | 106.2 | $ | - | $ | - | $ | (61.4) | $ | 80.3 | $ | 361.2 | $ | 1.81 | ||||||||||||||||||
(1) | Inventory and manufacturing-related charges include excess and obsolete inventory charges on certain product lines we intend to discontinue by 2032, inventory step-up expense, and other inventory and manufacturing-related charges or gains. Inventory step-up expense represents the incremental expense of inventory sold recognized at its fair value after business combination accounting is applied versus the expense that would have been recognized if sold at its cost to manufacture. Since only the inventory that existed at the business combination date was stepped-up to fair value, we believe excluding the incremental expense provides investors useful information as to what our costs may have been if we had not been required to increase the inventory's book value to fair value. The excess and obsolete inventory charges on product lines we intend to discontinue were |
(2) | We exclude intangible asset amortization as well as deferred tax rate changes on our intangible assets from our non-GAAP financial measures because we internally assess our performance against our peers without this amortization. Due to various levels of acquisitions among our peers, intangible asset amortization can vary significantly from company to company. |
(3) | In December 2019, 2021 and 2023, and in February and December 2025, we initiated global restructuring programs that included a reorganization of key businesses and an overall effort to reduce costs in order to accelerate decision-making, focus the organization on priorities to drive growth and, in the case of the December 2021 program, to prepare for the spinoff of ZimVie Inc. ("ZimVie"). Restructuring and other cost reduction initiatives also include other cost reduction and optimization initiatives that have the goal of reducing costs or across the organization. The costs include employee termination benefits; contract terminations for facilities and sales agents; and other charges, such as consulting fees, project management expenses, retention period salaries and benefits and relocation costs. |
(4) | The acquisition, integration, divestiture and related gains and expenses we have excluded from our non-GAAP financial measures resulted from various acquisitions, post-separation costs we have incurred related to ZimVie and gains related to a transition services agreement for services we provide to ZimVie and a transition manufacturing and supply agreement for products we supply to ZimVie for a limited period. In the three-month periods ended March 31, 2026 and 2025, this line item includes |
(5) | We have incurred other various expenses from specific events or projects that we consider highly variable or that have a significant impact to our operating results that we have excluded from our non-GAAP measures. These include gains and losses from changes in fair value on our equity investments, impairment of instruments related to certain product lines we intend to discontinue, among other various costs. In addition, in February 2025 we issued senior notes in order to have the necessary cash-on-hand to acquire Paragon 28 once regulatory approval was received. We have excluded from our non-GAAP financial measures the interest on this debt related to the principal amount of the estimated purchase price and acquisition-related costs up through the acquisition date. Interest expense subsequent to the acquisition date has not been excluded. |
(6) | Other certain tax adjustments are primarily related to significant and discrete tax adjustments. The primary adjustments include benefits of |
(7) | The European Union Medical Device Regulation imposes significant additional premarket and postmarket requirements. The new regulations provided a transition period until May 2021 for previously-approved medical devices to meet the additional requirements. For certain devices, this transition period was extended until May 2024. A conditional extension of the transition period has been implemented until December 2027 and 2028 depending on the legacy medical device's risk class. We are excluding from our non-GAAP financial measures the incremental costs incurred to establish initial compliance with the regulations related to our previously-approved medical devices. The incremental costs primarily relate to temporary personnel and third-party professionals necessary to supplement our internal resources. Starting January 1, 2026, we do not expect to incur any significant incremental costs related to these new regulations. |
ZIMMER BIOMET HOLDINGS, INC. | |||||||
RECONCILIATION OF NET CASH PROVIDED BY OPERATING | |||||||
ACTIVITIES TO FREE CASH FLOW | |||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025 | |||||||
(in millions, unaudited) | |||||||
Three Months Ended March 31, | |||||||
2026 | 2025 | ||||||
Net cash provided by operating activities | $ | 359.4 | $ | 382.8 | |||
Additions to instruments | (77.2) | (59.7) | |||||
Additions to other property, plant and equipment | (36.3) | (44.6) | |||||
Free cash flow | $ | 245.9 | $ | 278.5 | |||
ZIMMER BIOMET HOLDINGS, INC. | ||||||||
RECONCILIATION OF GROSS PROFIT & MARGIN | ||||||||
TO ADJUSTED GROSS PROFIT & MARGIN | ||||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025 | ||||||||
(in millions, unaudited) | ||||||||
Three Months Ended March 31, | ||||||||
2026 | 2025 | |||||||
Net Sales | $ | 2,086.7 | $ | 1,909.1 | ||||
Cost of products sold, excluding intangible asset amortization | 576.2 | 549.8 | ||||||
Intangible asset amortization | 162.1 | 151.0 | ||||||
Gross Profit | $ | 1,348.4 | $ | 1,208.3 | ||||
Inventory and manufacturing-related charges | 13.3 | 6.2 | ||||||
Intangible asset amortization | 162.1 | 151.0 | ||||||
Adjusted gross profit | $ | 1,523.8 | $ | 1,365.5 | ||||
Gross margin | 64.6 | % | 63.3 | % | ||||
Inventory and manufacturing-related charges | 0.6 | 0.3 | ||||||
Intangible asset amortization | 7.8 | 7.9 | ||||||
Adjusted gross margin | 73.0 | % | 71.5 | % | ||||
ZIMMER BIOMET HOLDINGS, INC. | ||||||||
RECONCILIATION OF OPERATING PROFIT & MARGIN TO ADJUSTED OPERATING PROFIT & MARGIN | ||||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025 | ||||||||
(in millions, unaudited) | ||||||||
Three Months Ended | ||||||||
2026 | 2025 | |||||||
Operating profit | $ | 373.2 | $ | 292.3 | ||||
Inventory and manufacturing-related charges | 13.3 | 6.2 | ||||||
Intangible asset amortization | 162.1 | 151.0 | ||||||
Restructuring and other cost reduction initiatives | 6.3 | 36.0 | ||||||
Acquisition, integration, divestiture and related | 15.6 | 10.6 | ||||||
European Union Medical Device Regulation | - | 4.4 | ||||||
Adjusted operating profit | $ | 570.5 | $ | 500.5 | ||||
Operating profit margin | 17.9 | % | 15.3 | % | ||||
Inventory and manufacturing-related charges | 0.6 | 0.3 | ||||||
Intangible asset amortization | 7.8 | 7.9 | ||||||
Restructuring and other cost reduction initiatives | 0.3 | 1.9 | ||||||
Acquisition, integration, divestiture and related | 0.7 | 0.6 | ||||||
European Union Medical Device Regulation | - | 0.2 | ||||||
Adjusted operating profit margin | 27.3 | % | 26.2 | % | ||||
ZIMMER BIOMET HOLDINGS, INC. | ||||||||
RECONCILIATION OF EFFECTIVE TAX RATE TO ADJUSTED EFFECTIVE TAX RATE | ||||||||
FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025 | ||||||||
(unaudited) | ||||||||
Three Months Ended March 31, | ||||||||
2026 | 2025 | |||||||
Effective tax rate | 20.9 | % | 20.3 | % | ||||
Tax effect of adjustments made to earnings before taxes(1) | 1.6 | 1.9 | ||||||
Other certain tax adjustments (2) | (4.5) | (4.0) | ||||||
Adjusted effective tax rate | 18.0 | % | 18.2 | % | ||||
(1) Includes inventory and manufacturing-related charges; intangible asset amortization; restructuring and other cost reduction initiatives; acquisition, integration, divestiture and related; litigation; European Union Medical Device Regulation; and other charges | ||||||||
(2) Other certain tax adjustments are primarily related to significant and discrete tax adjustments. The primary adjustments include benefits of |
ZIMMER BIOMET HOLDINGS, INC. | |||||||
RECONCILIATION OF DEBT TO NET DEBT | |||||||
AS OF MARCH 31, 2026 and DECEMBER 31, 2025 | |||||||
(in millions, unaudited) | |||||||
March 31, 2026 | December 31, 2025 | ||||||
Debt, both current and long-term | $ | 7,471.0 | $ | 7,519.1 | |||
Cash and cash equivalents | (424.2) | (591.9) | |||||
Net debt | $ | 7,046.8 | $ | 6,927.2 | |||
Media | Investors |
Troy Kirkpatrick | David DeMartino |
614-284-1926 | 646-531-6115 |
Kirsten Fallon | Zach Weiner |
781-779-5561 | 908-591-6955 |
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SOURCE Zimmer Biomet Holdings, Inc.