STOCK TITAN

CONMED (NYSE: CNMD) boosts Q1 2026 profit as margins expand

Filing Impact
(High)
Filing Sentiment
(Neutral)
Form Type
10-Q

Rhea-AI Filing Summary

CONMED Corporation reported higher profitability for the quarter ended March 31, 2026, despite slightly lower sales. Net sales were $317.0 million versus $321.3 million a year earlier, mainly because gastroenterology product revenue fell to $9.5 million from $25.0 million as the company exited that portfolio.

Net income more than doubled to $13.8 million from $6.0 million, and diluted EPS rose to $0.45 from $0.19, helped by stronger gross margins and lower selling and administrative costs. Gross margin expanded to 57.9% from 55.3%, aided by a benefit from terminating the Gore VIABIL biliary stent distribution agreement and lower supply-chain consulting costs. Operating cash flow declined to $13.5 million from $41.5 million, reflecting working-capital swings and higher incentive payments. The company generated $7.0 million from selling certain gastroenterology assets, repurchased $37.0 million of stock, and ended the quarter with $35.0 million in cash and $860.9 million of total debt, including $800.0 million of 2.250% convertible notes due 2027 that it plans to refinance.

Positive

  • Profitability improved significantly: Net income rose to $13.8 million from $6.0 million and diluted EPS increased to $0.45 from $0.19, driven by higher gross margins and lower selling and administrative expense as a percentage of sales.
  • Margin expansion: Gross margin increased to 57.9% from 55.3%, helped by the Gore VIABIL agreement termination benefit, favorable product mix and currency, and the absence of prior-year supply-chain consulting costs.

Negative

  • Leverage and near-term refinancing need: Total debt reached $860.9 million, including $800.0 million of 2.250% convertible notes maturing in 2027, and the company plans to obtain incremental financing to address this maturity.
  • Weaker operating cash flow: Net cash provided by operating activities declined to $13.5 million from $41.5 million year over year, reflecting working-capital movements and higher incentive compensation payments.

Insights

Margins and earnings improved sharply, but cash flow and leverage warrant attention.

CONMED delivered stronger profitability in Q1 2026 even as net sales dipped 1.3% to $317.0M. Gross margin rose to 57.9%, helped by a $1.9M benefit from ending the Gore VIABIL distribution agreement and lower consulting costs versus Q1 2025.

Net income increased to $13.8M from $6.0M, and diluted EPS reached $0.45. Operating expenses benefited from a $3.9M gain on the sale of gastroenterology assets and the absence of $12.2M of CEO advisory compensation booked last year, partially offset by $7.5M in optimization costs and higher R&D.

Free cash generation was softer, with operating cash flow at $13.5M versus $41.5M a year ago due to working-capital movements and incentive payouts. Debt remains sizable at $860.9M, including $800.0M of 2.250% convertible notes maturing in 2027, for which the company intends to secure incremental financing.

Net sales $317.0M Three months ended March 31, 2026 vs $321.3M in 2025
Net income $13.8M Three months ended March 31, 2026 vs $6.0M in 2025
Diluted EPS $0.45 Three months ended March 31, 2026 vs $0.19 in 2025
Gross margin 57.9% Q1 2026, up from 55.3% in Q1 2025
Operating cash flow $13.5M Net cash provided by operating activities, Q1 2026 vs $41.5M in 2025
Gastroenterology sales $9.5M Q1 2026 vs $25.0M in Q1 2025 amid portfolio exit
Total debt $860.9M March 31, 2026, including $800.0M of 2.250% convertible notes
Share repurchases $37.0M Cash used to repurchase 857,591 shares in Q1 2026
2.250% convertible notes financial
"On June 6, 2022, we issued $800.0 million aggregate principal amount of 2.250% convertible notes"
contingent consideration financial
"Non-cash adjustments to fair value of contingent consideration liability"
Contingent consideration is an additional payment agreed when one company buys another that will be paid later only if specific future targets are met, such as revenue, profit, or regulatory milestones. It matters to investors because it shifts risk between buyer and seller and affects the acquiring company's future cash flow and reported value — like promising a bonus after results are proven.
cash flow hedge financial
"We account for these forward contracts as cash flow hedges"
A cash flow hedge is an accounting label for a contract or arrangement used to offset expected future swings in a company’s cash payments or receipts — for example from variable-rate interest, foreign currency sales, or forecasted purchases. It matters to investors because it aims to smooth future cash and earnings volatility: gains or losses on the hedge are held out of current profit and reported separately until the underlying transaction affects results, much like buying insurance to steady future bills.
constant currency financial
"Net sales on a "constant currency" basis is a non-GAAP measure"
Constant currency is a way of measuring financial results that removes the effects of changes in currency exchange rates. It allows for a clearer comparison of a company's performance over time by showing what the numbers would look like if exchange rates had stayed the same. This helps investors understand whether growth comes from actual business improvements or just currency fluctuations.
Term SOFR financial
"Interest rates are at the Term Secured Overnight Financing Rate ("Term SOFR")"
Term SOFR is a benchmark interest rate that reflects the cost of borrowing money over a specific period, based on actual transactions in the financial markets. It is used by lenders and borrowers to set the interest rates on loans and financial contracts, helping to ensure rates are fair and transparent. For investors, understanding term SOFR helps gauge borrowing costs and the overall direction of interest rates in the economy.
Medical Device Regulations technical
"Research and development expense includes costs to comply with the European Union's Medical Device Regulations"
Medical device regulations are the rules and standards set by governments to ensure that medical devices, such as diagnostic tools or implantable equipment, are safe and effective for use. For investors, these regulations matter because they can influence the approval process, market access, and overall success of medical device companies, affecting their growth and profitability. Compliance with these rules helps prevent costly delays or recalls, impacting a company's financial health.
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period endedCommission File Number
March 31, 2026001-39218
CONMED CORPORATION
(Exact name of the registrant as specified in its charter)
Delaware16-0977505
(State or other jurisdiction of incorporation or organization)(I.R.S. Employer Identification No.)
11311 Concept BlvdLargo,Florida33773
(Address of principal executive offices)(Zip Code)
(727) 392-6464
(Registrant's telephone number, including area code)

Securities registered pursuant to Section 12(b) of the Act
Title of each classTrading SymbolName of each exchange on which registered
Common Stock, $0.01 par valueCNMDNYSE
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports) and (2) has been subject to such filing requirements for the past 90 days.

Yes    No

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  

Yes    No

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company or an emerging growth company.  See the definitions of "large accelerated filer", "accelerated filer", "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act (Check one).

Large accelerated filer     Accelerated filer     Non-accelerated filer

Smaller reporting company     Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes No

The number of shares outstanding of registrant's common stock, as of April 27, 2026 is 30,109,194 shares.



CONMED CORPORATION
QUARTERLY REPORT ON FORM 10-Q
FOR THE QUARTER ENDED MARCH 31, 2026
PART I FINANCIAL INFORMATION
Item NumberPage
   
Item 1.
Financial Statements (unaudited)
 
   
 
– Consolidated Condensed Statements of Comprehensive Income for the three months ended March 31, 2026 and 2025
1
   
 
– Consolidated Condensed Balance Sheets as of March 31, 2026 and December 31, 2025
2
   
– Consolidated Condensed Statements of Shareholders' Equity for the three months ended March 31, 2026 and 2025
3
 
– Consolidated Condensed Statements of Cash Flows for the three months ended March 31, 2026 and 2025
4
   
 
– Notes to Consolidated Condensed Financial Statements
5
   
   
Item 2.
Management's Discussion and Analysis of Financial Condition and Results of Operations
19
   
Item 3.
Quantitative and Qualitative Disclosures About Market Risk              
25
   
Item 4.
Controls and Procedures
25
   
PART II OTHER INFORMATION
   
Item 1.
Legal Proceedings
25
Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
25
Item 5.
Other Information
26
Item 6.
Exhibits
27
   
   
Signatures
28


Table of Contents
PART I FINANCIAL INFORMATION
Item 1.
CONMED CORPORATION
CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME
(Unaudited, in thousands except per share amounts)
 
 Three Months Ended
 March 31,
 20262025
Net sales$317,046 $321,256 
Cost of sales133,599 143,504 
Gross profit183,447 177,752 
Selling and administrative expense141,699 148,847 
Research and development expense16,333 12,947 
  Operating expenses158,032 161,794 
Income from operations25,415 15,958 
Interest expense7,060 8,286 
Income before income taxes
18,355 7,672 
Provision for income taxes
4,527 1,636 
Net income
$13,828 $6,036 
Comprehensive income
$15,436 $7,501 
Per share data: 
Net income
 
Basic$0.45 $0.19 
Diluted0.45 0.19 
Weighted average common shares
Basic30,588 30,973 
Diluted30,621 31,151 

 See notes to consolidated condensed financial statements.
1

Table of Contents
CONMED CORPORATION
CONSOLIDATED CONDENSED BALANCE SHEETS
(Unaudited, in thousands except share and per share amounts)
 
March 31,
2026
December 31,
2025
ASSETS 
Current assets: 
Cash and cash equivalents$35,030 $40,817 
Accounts receivable, net228,661 247,830 
Inventories366,106 355,544 
Prepaid expenses and other current assets40,794 28,669 
Total current assets670,591 672,860 
Property, plant and equipment, net111,964 113,331 
Goodwill806,858 807,011 
Other intangible assets, net573,804 582,051 
Other assets151,725 150,496 
Total assets$2,314,942 $2,325,749 
LIABILITIES AND SHAREHOLDERS' EQUITY 
Current liabilities: 
Current portion of long-term debt$711 $712 
Accounts payable105,416 93,648 
Accrued compensation and benefits60,886 82,139 
Other current liabilities125,703 138,542 
Total current liabilities292,716 315,041 
Long-term debt860,157 834,230 
Deferred income taxes81,376 79,530 
Other long-term liabilities63,020 63,851 
Total liabilities1,297,269 1,292,652 
Commitments and contingencies
Shareholders' equity: 
Preferred stock, par value $0.01 per share;
 
authorized 500,000 shares; none outstanding
  
Common stock, par value $0.01 per share;
100,000,000 shares authorized; 31,299,194 shares
issued in 2026 and 2025, respectively
313 313 
Paid-in capital508,494 503,200 
Retained earnings602,594 588,766 
Accumulated other comprehensive loss(44,687)(46,295)
Less: 1,155,488 and 328,097 shares of common stock
in treasury, at cost, in 2026 and 2025, respectively
(49,041)(12,887)
Total shareholders’ equity1,017,673 1,033,097 
Total liabilities and shareholders’ equity$2,314,942 $2,325,749 

 See notes to consolidated condensed financial statements.
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CONMED CORPORATION
CONSOLIDATED CONDENSED STATEMENTS OF SHAREHOLDERS' EQUITY
(Unaudited, in thousands except per share amounts)
 Common StockPaid-in
Capital
Retained
Earnings
Accumulated
Other
Comprehensive
Loss
Treasury
Stock
Shareholders’
Equity
 SharesAmount
Balance at December 31, 2025
31,299 $313 $503,200 $588,766 $(46,295)$(12,887)$1,033,097 
Common stock issued under employee plans  (208) 1,233 1,025 
Stock-based compensation  5,502    5,502 
Repurchases of common stock (a)
(37,387)(37,387)
Comprehensive income:
Cash flow hedging gain, net
3,061 
Pension liability, net213 
Foreign currency translation adjustments(1,666)
Net income13,828 
Total comprehensive income15,436 
Balance at March 31, 2026
31,299 $313 $508,494 $602,594 $(44,687)$(49,041)$1,017,673 
(a) Inclusive of excise taxes
 Common StockPaid-in
Capital
Retained
Earnings
Accumulated
Other
Comprehensive
Loss
Treasury
Stock
Shareholders’
Equity
 SharesAmount
Balance at December 31, 2024
31,299 $313 $476,575 $560,277 $(58,857)$(15,627)$962,681 
Common stock issued under employee plans  (1,340) 1,117 (223)
Stock-based compensation  13,863    13,863 
Dividends on common stock ($0.20 per share)
(6,186)(6,186)
Comprehensive income:
Cash flow hedging loss, net
(3,669)
Pension liability, net268 
Foreign currency translation adjustments4,866 
Net income6,036 
Total comprehensive income7,501 
Balance at March 31, 2025
31,299 $313 $489,098 $560,127 $(57,392)$(14,510)$977,636 

See notes to consolidated condensed financial statements.

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CONMED CORPORATION
CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
 Three Months Ended
 March 31,
 20262025
Cash flows from operating activities: 
Net income
$13,828 $6,036 
Adjustments to reconcile net income to net cash provided by operating activities:
 
Depreciation4,174 4,235 
Amortization of deferred debt issuance costs1,276 1,443 
Amortization14,663 14,018 
Stock-based compensation5,502 13,863 
Deferred income taxes1,535 (2,659)
Gain on sale of a product line
(3,916) 
Non-cash adjustments to fair value of contingent consideration liability
722 3,962 
Increase (decrease) in cash flows from changes in assets and liabilities:  
Accounts receivable18,606 18,984 
Inventories(12,269)(7,475)
Accounts payable10,480 (7,317)
Accrued compensation and benefits(21,153)(8,181)
Other assets(17,215)(5,422)
Other liabilities(2,761)10,047 
Net cash provided by operating activities
13,472 41,534 
Cash flows from investing activities: 
Proceeds from sale of a product line
7,000  
Purchases of property, plant and equipment(2,892)(3,779)
Other 850 
Net cash provided by (used in) investing activities
4,108 (2,929)
Cash flows from financing activities: 
Payments on term loan (14,588)
Payments on revolving line of credit(155,000)(166,000)
Proceeds from revolving line of credit180,000 166,000 
Repurchases of common stock
(37,017) 
Payments related to contingent consideration(11,364)(7,166)
Dividends paid on common stock (6,180)
Other, net828 (464)
Net cash used in financing activities
(22,553)(28,398)
Effect of exchange rate changes on cash and cash equivalents(814)819 
Net increase (decrease) in cash and cash equivalents
(5,787)11,026 
Cash and cash equivalents at beginning of period40,817 24,459 
Cash and cash equivalents at end of period$35,030 $35,485 
Non-cash financing activities:
Dividends payable$ $6,186 
See notes to consolidated condensed financial statements.
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CONMED CORPORATION
NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS
(Unaudited, in thousands except per share amounts)

Note 1 - Operations

CONMED Corporation (“CONMED”, the “Company”, “we” or “us”) is a medical technology company that provides devices and equipment for surgical procedures.  The Company’s products are used by surgeons and other healthcare professionals in a variety of specialties including orthopedics, general surgery, gynecology, and thoracic surgery.

During the quarter ended March 31, 2026, the Company sold certain assets related to our gastroenterology product lines for $7.0 million. We recorded a gain of $3.9 million on this sale to selling and administrative expense.


Note 2 - Interim Financial Information

The accompanying unaudited consolidated condensed financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for annual financial statements. The information herein reflects all normal recurring material adjustments, which are, in the opinion of management, necessary to fairly state the results for the periods presented. The consolidated condensed financial statements herein consist of all wholly-owned domestic and foreign subsidiaries with all significant intercompany transactions eliminated. Results for the period ended March 31, 2026 are not necessarily indicative of the results that may be expected for the year ending December 31, 2026.

The consolidated condensed financial statements and notes thereto should be read in conjunction with the consolidated financial statements and notes for the year ended December 31, 2025 included in our Annual Report on Form 10-K.

Use of Estimates

The preparation of the consolidated condensed financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and judgments which affect the reported amounts of assets, liabilities and related disclosures of contingent assets and liabilities at the date of the consolidated condensed financial statements and the reported amount of revenue and expenses during the reporting period. While there has been uncertainty and disruption in the global economy and financial markets, we are not aware of any specific event or circumstance that would require an update to our estimates or judgments or a revision of the carrying value of our assets or liabilities as of April 30, 2026, the date of issuance of this Quarterly Report on Form 10-Q. These estimates may change as new events occur and additional information is obtained. Actual results could differ materially from these estimates under different assumptions or conditions.

Note 3 - New Accounting Pronouncements
    
Recently Issued Accounting Standards, Not Yet Adopted
    
In September 2025, the Financial Accounting Standards Board ("FASB") issued Accounting Standards Update ("ASU") 2025-06 - Intangibles-Goodwill and Other-Internal-Use Software (Subtopic 350-40): Targeted Improvements to the Accounting for Internal-Use Software. The standard removes all references to software development stages. It also requires that an entity capitalizes software when both: (1) management has authorized and committed funding to the project and (2) it is probable that the project will be completed and the software is used to perform the intended function. This ASU may be adopted prospectively, retrospectively, or on a modified transition approach based on the status of the project and whether software costs were capitalized before the date of adoption. It is effective for annual periods beginning after December 15, 2027 and interim periods within fiscal years beginning after December 15, 2027 with early adoption permitted. We are currently evaluating the impact this ASU will have on our consolidated financial statements.

In November 2024, the FASB issued ASU 2024-03 - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40) as clarified by ASU 2025-01. The standard requires disaggregation of certain expense captions into specified categories in disclosures within the footnotes on an annual and interim basis. Any relevant expense caption presented on the face of the income statement within continuing operations are required to be disaggregated by the following natural expense categories: (1) purchases of inventory, (2) employee compensation, (3) depreciation, and (4) intangible asset
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amortization. This ASU can be adopted prospectively or retrospectively and is effective for annual periods beginning after December 15, 2026 and interim periods within fiscal years beginning after December 15, 2027. We expect this ASU to only impact our disclosures with no impact to the consolidated financial statements.


Note 4 - Revenues
    
The following tables present revenue disaggregated by primary geographic market where the products are sold, by product line and timing of revenue recognition:
Three Months EndedThree Months Ended
March 31, 2026March 31, 2025
 Orthopedic SurgeryGeneral SurgeryTotalOrthopedic SurgeryGeneral SurgeryTotal
Primary Geographic Markets
United States$55,933 $117,122 $173,055 $53,016 $130,746 $183,762 
Europe, Middle East & Africa38,485 30,652 69,137 35,207 28,469 63,676 
Asia Pacific30,837 11,121 41,958 29,123 14,589 43,712 
Americas (excluding the United States)22,408 10,488 32,896 20,944 9,162 30,106 
Total sales from contracts with customers$147,663 $169,383 $317,046 $138,290 $182,966 $321,256 
Timing of Revenue Recognition
Goods transferred at a point in time$136,784 $166,490 $303,274 $127,548 $180,517 $308,065 
Services transferred over time10,879 2,893 13,772 10,742 2,449 13,191 
Total sales from contracts with customers$147,663 $169,383 $317,046 $138,290 $182,966 $321,256 

Contract liability balances related to the sale of extended warranties to customers are as follows:

March 31, 2026December 31, 2025
Contract liability$23,405 $21,967 
    
Revenue recognized during the three months ended March 31, 2026 and March 31, 2025 from amounts included in contract liabilities at the beginning of the periods were $5.3 million and $5.0 million, respectively. There were no material contract assets as of March 31, 2026 and December 31, 2025.

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Note 5 - Comprehensive Income

Comprehensive income consists of the following:
 
Three Months Ended March 31,
 20262025
Net income
$13,828 $6,036 
Other comprehensive income (loss):
Cash flow hedging gain (loss), net of income tax (income tax expense (benefit) of $980 and $(1,173) for the three months ended March 31, 2026 and 2025, respectively)
3,061 (3,669)
Pension liability, net of income tax (income tax expense of $69 and $86 for the three months ended March 31, 2026 and 2025, respectively)
213 268 
Foreign currency translation adjustment(1,666)4,866 
Comprehensive income
$15,436 $7,501 

Accumulated other comprehensive loss consists of the following:

Cash Flow
Hedging
Gain (Loss)
Pension
Liability
Cumulative
Translation
Adjustments
Accumulated
Other
Comprehensive
Loss
Balance, December 31, 2025$(905)$(14,287)$(31,103)$(46,295)
Other comprehensive income (loss) before reclassifications, net of tax3,001  (1,666)1,335 
Amounts reclassified from accumulated other comprehensive income (loss) before taxa
80 282  362 
Income tax (20)(69) (89)
Net current-period other comprehensive income (loss)
3,061 213 (1,666)1,608 
Balance, March 31, 2026$2,156 $(14,074)$(32,769)$(44,687)

Cash Flow
Hedging
Gain (Loss)
Pension
Liability
Cumulative
Translation
Adjustments
Accumulated
Other
Comprehensive
Loss
Balance, December 31, 2024$4,297 $(16,880)$(46,274)$(58,857)
Other comprehensive gain (loss) before reclassifications, net of tax
(2,786) 4,866 2,080 
Amounts reclassified from accumulated other comprehensive income (loss) before taxa
(1,165)354  (811)
Income tax 282 (86) 196 
Net current-period other comprehensive income (loss)
(3,669)268 4,866 1,465 
Balance, March 31, 2025$628 $(16,612)$(41,408)$(57,392)
(a) The cash flow hedging gain (loss) and pension liability accumulated other comprehensive loss components are included in sales or cost of sales and as a component of net periodic pension cost, respectively. Refer to Note 6 and Note 12, respectively, for further details.

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Note 6 - Fair Value Measurement
 
 We enter into derivative instruments for risk management purposes only. We operate internationally and, in the normal course of business, are exposed to fluctuations in interest rates, foreign exchange rates and commodity prices. These fluctuations can increase the costs of financing, investing and operating the business. We use forward contracts, a type of derivative instrument, to manage certain foreign currency exposures.
 
By nature, all financial instruments involve market and credit risks. We enter into forward contracts with major investment grade financial institutions and have policies to monitor the credit risk of those counterparties. While there can be no assurance, we do not anticipate any material non-performance by any of these counterparties.
 
Foreign Currency Forward Contracts. We hedge forecasted intercompany sales denominated in foreign currencies through the use of forward contracts.  We account for these forward contracts as cash flow hedges.  To the extent these forward contracts meet hedge accounting criteria, changes in their fair value are not included in current earnings but are included in accumulated other comprehensive loss.  These changes in fair value will be recognized into earnings as a component of sales or cost of sales when the forecasted transaction occurs.  

We also enter into forward contracts to exchange foreign currencies for United States dollars in order to hedge our currency transaction exposures on intercompany receivables designated in foreign currencies.  These forward contracts settle each month at month-end, at which time we enter into new forward contracts.  We have not designated these forward contracts as hedges and have not applied hedge accounting to them.  

The following table presents the notional contract amounts for forward contracts outstanding:

As of
FASB ASC Topic 815 DesignationMarch 31, 2026December 31, 2025
Forward exchange contractsCash flow hedge$246,984 $239,588 
Forward exchange contractsNon-designated56,877 49,459 

The remaining time to maturity as of March 31, 2026 is within two years for hedge designated foreign exchange contracts and approximately one month for non-hedge designated forward exchange contracts.

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Statement of comprehensive income presentation

Derivatives designated as cash flow hedges

Foreign exchange contracts designated as cash flow hedges had the following effects on accumulated other comprehensive income (loss) ("AOCI") and net earnings on our consolidated condensed statements of comprehensive income and our consolidated condensed balance sheets:

Amount of Gain (Loss) Recognized in AOCI
Consolidated Condensed Statements of Comprehensive Income
Amount of Gain (Loss) Reclassified from AOCI
Three Months Ended March 31,
Total Amount of Line Item Presented
Derivative Instrument20262025Location of amount reclassified2026202520262025
Foreign exchange contracts$3,961 $(3,677)Net Sales$317,046 $321,256 $(1,000)$1,851 
 Cost of Sales133,599 143,504 920 (686)
Pre-tax gain (loss)
$3,961 $(3,677)$(80)$1,165 
Tax expense (benefit)
960 (891)(20)282 
Net gain (loss)
$3,001 $(2,786)$(60)$883 


At March 31, 2026, $1.7 million of net unrealized gain on forward contracts accounted for as cash flow hedges, and included in accumulated other comprehensive loss, are expected to be recognized in earnings in the next twelve months.

Derivatives not designated as cash flow hedges

Net losses from derivative instruments not accounted for as hedges and gains (losses) on our intercompany receivables on our consolidated condensed statements of comprehensive income were:

Three Months Ended March 31,
Derivative Instrument
Location on Consolidated Condensed Statements of Comprehensive Income
20262025
 
Net loss on currency forward contracts
Selling and administrative expense$(714)$(789)
Net gain (loss) on currency transaction exposures
Selling and administrative expense$(329)$141 

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Balance sheet presentation

We record these forward foreign exchange contracts at fair value. The following tables summarize the fair value for forward foreign exchange contracts outstanding at March 31, 2026 and December 31, 2025:

March 31, 2026Location on Consolidated Condensed Balance SheetAsset Fair ValueLiabilities Fair ValueNet
Fair
Value
Derivatives designated as hedged instruments:   
Foreign exchange contracts
Prepaid expenses and other current assets
$5,276 $(3,086)$2,190 
Foreign exchange contracts
Other assets
972 (316)656 
$6,248 $(3,402)$2,846 
Derivatives not designated as hedging instruments:   
Foreign exchange contractsOther current liabilities7 (424)(417)
Total derivatives$6,255 $(3,826)$2,429 

December 31, 2025Location on Consolidated Condensed Balance SheetAsset Fair ValueLiabilities Fair ValueNet
Fair
Value
Derivatives designated as hedged instruments:  
Foreign exchange contracts
Other current liabilities
$4,389 $(5,223)$(834)
Foreign exchange contracts
Other long-term liabilities
46 (407)(361)
$4,435 $(5,630)$(1,195)
Derivatives not designated as hedging instruments:  
Foreign exchange contracts
Other current liabilities
 (307)(307)
Total derivatives$4,435 $(5,937)$(1,502)

Our forward foreign exchange contracts are subject to a master netting agreement and qualify for netting in the consolidated condensed balance sheets.
 
Fair Value Disclosure. FASB guidance defines fair value and establishes a framework for measuring fair value and related disclosure requirements. This guidance applies when fair value measurements are required or permitted. The guidance indicates, among other things, that a fair value measurement assumes that the transaction to sell an asset or transfer a liability occurs in the principal market for the asset or liability or, in the absence of a principal market, the most advantageous market for the asset or liability. Fair value is defined based upon an exit price model.

Valuation Hierarchy. A valuation hierarchy was established for disclosure of the inputs to the valuations used to measure fair value. This hierarchy prioritizes the inputs into three broad levels as follows. Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities. Level 2 inputs are quoted prices for similar assets and liabilities in active markets, quoted prices for identical or similar assets in markets that are not active, inputs other than quoted prices that are observable for the asset or liability, including interest rates, yield curves and credit risks, or inputs that are derived principally from or corroborated by observable market data through correlation. Level 3 inputs are unobservable inputs based on our own assumptions used to measure assets and liabilities at fair value. A financial asset or liability’s classification within the hierarchy is determined based on the lowest level input that is significant to the fair value measurement. There have been no significant changes in the assumptions.
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Valuation Techniques. Assets and liabilities carried at fair value and measured on a recurring basis as of March 31, 2026 consist of forward foreign exchange contracts and contingent consideration. The Company values its forward foreign exchange contracts using quoted prices for similar assets. The most significant assumption is quoted currency rates. The value of the forward foreign exchange contract assets and liabilities were valued using Level 2 inputs and are listed in the table above.  

The Company values contingent consideration from its acquisitions of In2Bones, Global Inc. ("In2Bones") and Biorez, Inc. ("Biorez") using Level 3 inputs. The contingent consideration was recorded at fair value at the date of acquisition based on the consideration expected to be transferred, estimated as the probability-weighted future cash flows, discounted back to present value. The fair value of contingent consideration is measured using projected payment dates, discount rates, revenue volatilities and projected revenues. The recurring Level 3 fair value measurements of contingent consideration for which the liabilities are recorded include the following significant unobservable inputs as of March 31, 2026:

Assumptions
Unobservable InputIn2BonesBiorez
Discount rate6.91%12.27%
Revenue volatility17.35%20.24%
Projected year of payment
2026
2026

Adjustments to the fair value of contingent consideration for In2Bones were driven principally by the level of In2Bones revenue. Adjustments to the fair value of contingent consideration for Biorez mainly relate to the passage of time. Changes in the fair value of contingent consideration liabilities for the three months ended March 31, 2026 and 2025 are as follows:

In2BonesBiorez
2026202520262025
Balance as of January 1,$2,160 $11,196 $59,248 $61,021 
Payments
  (11,364)(7,166)
Changes in fair value of contingent consideration(1,987)(987)2,709 4,949 
Balance as of March 31,$173 $10,209 $50,593 $58,804 
    
Contingent consideration of $50.8 million and $61.4 million is included in other current liabilities in the consolidated condensed balance sheet at March 31, 2026 and December 31, 2025, respectively.

The carrying amounts reported in our consolidated condensed balance sheets for cash and cash equivalents, accounts receivable, accounts payable and variable long-term debt approximate fair value.  

Note 7 - Inventories

Inventories consist of the following:

March 31,
2026
December 31,
2025
Raw materials$112,336 $109,630 
Work-in-process41,184 33,263 
Finished goods212,586 212,651 
Total$366,106 $355,544 
 
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Note 8 - Earnings Per Share

Basic earnings per share (“basic EPS”) is computed by dividing net income by the weighted average number of common shares outstanding for the reporting period. Diluted earnings per share (“diluted EPS”) gives effect to all dilutive potential shares.

The following tables set forth the computation of basic and diluted earnings per share for the three months ended March 31, 2026 and 2025:

Three Months Ended March 31,
20262025
Net income
$13,828 $6,036 
Basic weighted average shares outstanding
30,588 30,973 
Stock-based awards
33 178 
Diluted weighted average shares outstanding
30,621 31,151 
Net income (per share)
Basic
$0.45 $0.19 
Diluted
0.45 0.19 

The shares used in the calculation of diluted EPS exclude stock options, stock appreciation rights, restricted stock units, and performance share units to purchase shares where the exercise price was greater than the average market price of common shares for the period and the effect of the inclusion would be anti-dilutive. Such shares aggregated approximately 4.3 million for the three months ended March 31, 2026 and 3.4 million for the three months ended March 31, 2025.


Note 9 - Goodwill and Other Intangible Assets

The changes in the net carrying amount of goodwill for the three months ended March 31, 2026 are as follows:

Balance as of December 31, 2025$807,011 
Foreign currency translation(153)
Balance as of March 31, 2026$806,858 
Assets and liabilities of acquired businesses are recorded at their estimated fair values as of the date of acquisition.  Goodwill represents costs in excess of fair values assigned to the underlying net assets of acquired businesses. 

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Other intangible assets consist of the following:

 March 31, 2026December 31, 2025
Weighted Average Amortization Period (Years)Gross
Carrying
Amount
Accumulated
Amortization
Gross
Carrying
Amount
Accumulated
Amortization
Intangible assets with definite lives:22
Customer and distributor relationships24$370,017 $(225,850)$370,068 $(221,904)
Sales representation, marketing and promotional rights25149,376 (85,500)149,376 (84,000)
Developed technology18317,904 (68,031)317,904 (65,281)
Patents and other intangible assets1587,546 (58,202)87,029 (57,685)
Intangible assets with indefinite lives:    
Trademarks and tradenames86,544 — 86,544 — 
$1,011,387 $(437,583)$1,010,921 $(428,870)

Customer and distributor relationships, trademarks and tradenames, developed technology and patents and other intangible assets primarily represent allocations of purchase price to identifiable intangible assets of acquired businesses. Sales representation, marketing and promotional rights represent intangible assets created under our agreement with Musculoskeletal Transplant Foundation.

Amortization expense related to intangible assets which are subject to amortization totaled $8.7 million for both the three months ended March 31, 2026 and 2025, and is included as a reduction of revenue (for amortization related to our sales representation, marketing and promotional rights) and in selling and administrative expense (for all other intangible assets) in the consolidated condensed statements of comprehensive income.
 
The estimated intangible asset amortization expense remaining for the year ending December 31, 2026 and for each of the five succeeding years is as follows:
 
Amortization included in expenseAmortization recorded as a reduction of revenueTotal
Remaining, 2026
$22,025 $4,500 $26,525 
202730,475 6,000 36,475 
202833,935 6,000 39,935 
202933,133 6,000 39,133 
203034,611 6,000 40,611 
203136,058 6,000 42,058 

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Note 10 - Long-Term Debt

Long-term debt consists of the following:

 March 31, 2026December 31, 2025
Revolving line of credit$25,000 $ 
Term loan, net of deferred debt issuance costs of $190 and $218 in 2026 and 2025, respectively
39,810 39,782 
2.250% convertible notes, net of deferred debt issuance costs of $5,010 and $6,073 in 2026 and 2025, respectively
794,990 793,927 
Finance leases
1,068 1,233 
Total debt860,868 834,942 
Less:  Current portion711 712 
Total long-term debt$860,157 $834,230 

Eighth Amended and Restated Senior Credit Agreement

On June 10, 2025, we entered into an eighth amended and restated senior credit agreement consisting of: (a) a $100.0 million term loan facility and (b) a $650.0 million revolving credit facility. The revolving credit facility will terminate and the loans outstanding under the term loan facility will expire on June 10, 2030. The term loan was payable in quarterly installments increasing over the term of the facility with the remaining outstanding balance due at maturity. During 2025, we made $60 million in prepayments on the term loan facility resulting in the elimination of such quarterly payments. Proceeds from the term loan facility and borrowings under the revolving credit facility were used to repay the then existing senior credit agreement. Interest rates are at the Term Secured Overnight Financing Rate ("Term SOFR") (3.688% at March 31, 2026) plus an interest rate margin of 1.125% (4.813% at March 31, 2026). For borrowings where we elect to use the alternate base rate, the initial base rate is the greatest of (i) the Prime Rate, (ii) the New York Federal Reserve Bank Rate plus 0.50% or (iii) the one-month Term SOFR plus 1.00%, plus, in each case, an interest rate margin.

There were $40.0 million in borrowings outstanding on the term loan facility as of March 31, 2026. There were $25.0 million in borrowings outstanding under the revolving credit facility as of March 31, 2026. Our available borrowings on the revolving credit facility at March 31, 2026 were $623.4 million with approximately $1.6 million of the facility set aside for outstanding letters of credit. The carrying amounts of the term loan and revolving credit facility approximate fair value.
    
The eighth amended and restated senior credit agreement is collateralized by substantially all of our personal property and assets. The eighth amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of certain financial ratios and restrict dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. It also includes a minimum liquidity covenant that commences 91 days prior to the earliest scheduled maturity date of the Company’s convertible notes. This covenant requires the Company to maintain liquidity of at least $75 million plus the aggregate principal amount of the early maturing debt so long as the aggregate principal amount of such early maturing debt exceeds $200 million. We were in full compliance with these covenants and restrictions as of March 31, 2026. We are also required, under certain circumstances, to make mandatory prepayments with net cash proceeds from the incurrence of certain additional indebtedness, certain asset sales, or insurance proceeds or condemnation awards, in each case, subject to certain exceptions and reinvestment rights.

2.250% Convertible Notes

On June 6, 2022, we issued $800.0 million aggregate principal amount of 2.250% convertible notes (the "2.250% Notes"). Interest is payable semi-annually in arrears on June 15 and December 15 of each year, commencing December 15, 2022. The 2.250% Notes will mature on June 15, 2027, unless earlier repurchased or converted. The 2.250% Notes represent subordinated unsecured obligations and are convertible under certain circumstances, as defined in the indenture, into a combination of cash and CONMED common stock, with the principal required to be paid in cash. The 2.250% Notes may be converted at an initial conversion rate of 6.8810 shares of our common stock per $1,000 principal amount of the 2.250% Notes (equivalent to an initial conversion price of approximately $145.33 per share of common stock). Holders of the 2.250% Notes may convert the 2.250% Notes at their option at any time on or after March 15, 2027 through the second scheduled trading day preceding the maturity date. Holders of the 2.250% Notes will also have the right to convert the 2.250% Notes prior to March 15, 2027, but only upon the occurrence of specified events. The conversion rate is subject to anti-dilution adjustments if certain
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events occur. A portion of these proceeds were used to repurchase and extinguish a portion of our then-outstanding 2.625% Convertible Notes (the "2.625% Notes"), pay off our then outstanding balance on our revolving line of credit, pay down of $60.0 million of our then outstanding term loan and partially pay for the In2Bones Global, Inc. acquisition. In addition, approximately $115.6 million of the proceeds were used to pay the cost of certain convertible notes hedge transactions related to the 2.250% Notes.

For the three months ended March 31, 2026 and 2025, we have recorded interest expense on the 2.250% Notes of $4.5 million at the contractual coupon rate of 2.250%.

The estimated fair value of the 2.250% Notes was approximately $776.8 million as of March 31, 2026 based on a market approach which represents a Level 2 valuation in the fair value hierarchy. The estimated fair value was determined based on the estimated or actual bids and offers of the 2.250% Notes in an over-the-counter market transaction on the last business day of the period.

Convertible Notes Hedge Transactions

In connection with the offering of the 2.250% Notes, we entered into convertible notes hedge transactions with a number of financial institutions (each, an “option counterparty”). The convertible notes hedge transactions cover, subject to anti-dilution adjustments substantially similar to those applicable to the 2.250% Notes, the number of shares of our common stock underlying the 2.250% Notes. Concurrent with entering into the convertible notes hedge transactions, we also entered into separate warrant transactions with each option counterparty whereby we sold to such option counterparty warrants to purchase, subject to customary anti-dilution adjustments, the same number of shares of our common stock.

The convertible notes hedge transactions are expected generally to reduce the potential dilution upon conversion of the 2.250% Notes and/or offset any cash payments we are required to make in excess of the principal amount of converted 2.250% Notes, as the case may be, in the event that the market price per share of our common stock, as measured under the terms of the convertible notes hedge transactions, is greater than the strike price of the convertible notes hedge transactions, which initially corresponds to the conversion price of the 2.250% Notes and is subject to anti-dilution adjustments substantially similar to those applicable to the conversion rate of the 2.250% Notes. If, however, the market price per share of our common stock, as measured under the terms of the warrant transactions, exceeds the strike price ($251.53) of the warrants, there would nevertheless be dilution to the extent that such market price exceeds the strike price of the warrants, unless we elect to settle the warrants in cash.

The scheduled maturities of long-term debt outstanding at March 31, 2026 are as follows:

Remaining, 2026
$ 
2027
800,000 
2028
 
2029
 
2030
65,000 
2031
 
The above amounts exclude deferred debt issuance costs and finance leases.

We believe that our existing cash and cash equivalents, cash flows generated from operations, and borrowings available under the eighth amended and restated senior credit agreement will be sufficient to meet our future cash requirements for at least the next twelve months from the filing of this quarterly report on Form 10-Q. We intend to secure incremental financing to fund the maturity of the $800.0 million 2.250% Notes due June 15, 2027. There can be no assurance we will be able to obtain such financing on acceptable terms.

Note 11 - Guarantees

We provide warranties on certain of our products at the time of sale and sell extended warranties. The standard warranty period for our capital equipment is generally one year and our extended warranties typically vary from one to three years. Liability under service and warranty policies is based upon a review of historical warranty and service claim experience. Adjustments are made to accruals as claim data and historical experience warrant.

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Changes in the liability for standard warranties for the three months ended March 31, are as follows:

 20262025
Balance as of January 1,$1,323 $1,445 
Provision for warranties299 96 
Claims made(226)(151)
Balance as of March 31,$1,396 $1,390 
 
Costs associated with extended warranty repairs are recorded as incurred and amounted to $1.3 million and $1.0 million for the three months ended March 31, 2026 and 2025, respectively.

Note 12 - Pension Plan

Net periodic pension cost consists of the following: 

Three Months Ended March 31,
 20262025
Service cost$123 $164 
Interest cost on projected benefit obligation818 882 
Expected return on plan assets(1,154)(1,091)
Net amortization and deferral282 354 
Net periodic pension cost$69 $309 
 
We do not expect to make any pension contributions during 2026. Non-service pension cost/(benefit) was immaterial for the three months ended March 31, 2026 and 2025.

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Note 13 - Business Segment
We account and report for our business as a single operating segment entity engaged in the development, manufacturing and sale on a global basis of surgical devices and related equipment. The Company derives revenue globally and manages the business on a consolidated basis due to shared infrastructure and resources. Our chief operating decision maker ("CODM"), the President and Chief Executive Officer, evaluates the various global product portfolios on a net sales basis and evaluates profitability, investment, cash flow metrics and allocates resources on a consolidated worldwide basis.
Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine and lower extremities instrumentation and implants, small bone, large bone and specialty powered surgical instruments as well as imaging systems for use in minimally invasive surgical procedures and fees related to sales representation, promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic procedures, clinical insufflation, smoke evacuation devices, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines' net sales are as follows:
Three Months Ended March 31,
 20262025
Orthopedic surgery$147,663 $138,290 
General surgery169,383 182,966 
Consolidated net sales$317,046 $321,256 
The following table includes significant segment expenses:
Three Months Ended March 31,
20262025
Net sales
$317,046 $321,256 
Cost of sales (a)
133,599 143,504 
Salesforce and commission expense
58,217 57,432 
Marketing expense
18,114 15,874 
Distribution expense
13,255 12,033 
General and administrative expense
32,395 32,655 
Stock-based compensation expense
5,502 13,863 
Amortization expense
7,261 7,172 
Non-cash adjustments to fair value of contingent consideration liability722 3,962 
Research and development expense (b)
16,333 12,947 
Interest expense
7,060 8,286 
Provision for income taxes
4,527 1,636 
Other segment items(c)
6,233 5,856 
Net income
$13,828 $6,036 
(a)Cost of sales in 2026 includes a benefit from the early termination of our distribution agreement with W.L. Gore & Associates, Inc.

(b) Research and development expense includes costs to comply with the European Union's Medical Device Regulations.

(c)Other segment items consist of (i) consulting fees, legal fees, and other costs related to operational optimization in 2026 and 2025; (ii) cash compensation costs related to advisory services provided by our former Chief Financial Officer and Chief Executive Officer in 2026 and 2025, respectively; (iii) a gain from the sale of certain assets related to gastroenterology products in 2026; (iv) third party services pertaining to review of potential issues with certain royalty payments to surgeons involved in design teams in 2025; and (v) gain on the sale of a product line in 2025.

Total assets for the Company's single operating segment are the same as presented on the Company's consolidated balance sheet, which is used to measure segment performance.

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Note 14 - Legal Proceedings

In the ordinary course of business, we are involved in various legal actions involving product liability, employment, intellectual property and commercial disputes, stockholder related matters, environmental proceedings, tax disputes, and governmental proceedings and investigations. We do not expect that the resolution of any pending claims, investigations or reports of alleged misconduct will have a material adverse effect on our financial condition, results of operations or cash flows. There can be no assurance, however, that future claims, investigations, or reports of alleged misconduct, or the costs associated with responding to such claims, investigations or reports of alleged misconduct, especially when not covered by insurance, will not have a material adverse effect on our financial condition, results of operations or cash flows.

We record reserves sufficient to cover probable and estimable losses associated with pending claims. If the reasonable estimate of a probable loss is a range, and no amount within the range is a better estimate than any other, the minimum amount of the range is recorded. In most cases, significant judgment is required to estimate the amount and timing of a loss to be recorded and actual results may differ from these estimates. The amounts accrued are based on the full amount of the estimated loss before considering insurance proceeds and do not include an estimate for legal fees expected to be incurred in connection with the loss contingency.

For further description of our legal proceedings, reference is made to Note 13, “Legal Proceedings” in the Notes to Consolidated Financial Statements in our Annual Report on Form 10-K for the year ended December 31, 2025.

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Item 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
 AND RESULTS OF OPERATIONS
 
Forward-Looking Statements
 
In this Quarterly Report on Form 10-Q, we make forward-looking statements about our financial condition, results of operations and business. Forward-looking statements are statements made by us concerning events that may or may not occur in the future. These statements may be made directly in this document or may be “incorporated by reference” from other documents. Such statements may be identified by the use of words such as “anticipates”, “expects”, “estimates”, “intends” and “believes” and variations thereof and other terms of similar meaning.

Forward-looking statements involve known and unknown risks, uncertainties and other factors, including those that may cause our actual results, performance or achievements or industry results, to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include those identified under “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2025 and the following, among others:

general economic and business conditions, including, without limitation, a potential economic downturn, supply chain challenges and constraints, including the availability and cost of materials, the effects of inflation, and increased interest rates;
trade protection measures, tariffs and other border taxes, and import or export licensing requirements;
compliance with and changes in laws and regulatory requirements;
the failure of any enterprise-wide software programs or information technology systems, or potential disruption associated with updating or implementing new software programs or information technology systems;
the risk of an information security breach, including a cybersecurity breach;
pandemics and health crises, and the responses thereto by governments and hospitals;
the possibility that United States or foreign regulatory and/or administrative agencies may initiate enforcement actions against us or our distributors;
the introduction and acceptance of new products;
the ability to advance our product lines, including challenges and uncertainties inherent in product research and development, and the uncertain impact, outcome and cost of ongoing and future clinical trials and market studies;
competition;
changes in customer preferences;
changes in technology;
cyclical customer purchasing patterns due to budgetary, staffing and other constraints;
environmental compliance risks, including lack of availability of sterilization with Ethylene Oxide (“EtO”) or other compliance costs associated with the use of EtO;
the quality of our management and business abilities and the judgment of our personnel, as well as our ability to attract, motivate and retain employees at all levels of the Company;
the availability, terms and deployment of capital;
current and future levels of indebtedness and capital spending;
changes in foreign exchange and interest rates;
the ability to evaluate, finance and integrate acquired businesses, products and companies;
changes in business strategy;
the impact of divestitures of products or product portfolios;
the risk of a lack of allograft tissues due to reduced donations of such tissues or due to tissues not meeting the appropriate high standards for screening and/or processing of such tissues;
the ability to defend and enforce intellectual property, including the risks related to theft or compromise of intellectual property in connection with our international operations;
the risk of patent, product and other litigation, as well as the cost associated with such litigation; and
weather related events which may disrupt our operations.

See “Management’s Discussion and Analysis of Financial Condition and Results of Operations” below and “Risk Factors” and “Business” in our Annual Report on Form 10-K for the year ended December 31, 2025 for a further discussion of these factors. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. We do not undertake any obligation to publicly release any revisions to these forward-looking statements to reflect events or circumstances after the date of this Quarterly Report on Form 10-Q or to reflect the occurrence of unanticipated events.
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Amounts reported in millions within this Quarterly Report on Form 10-Q are computed based on the amounts in thousands. As a result, the sum of the components 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.

Overview

CONMED Corporation is a medical technology company that provides devices and equipment for surgical procedures. The Company’s products are used by surgeons and other healthcare professionals in a variety of specialties including orthopedics, general surgery, gynecology, and thoracic surgery.

Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine and lower extremities instrumentation and implants, small bone, large bone and specialty powered surgical instruments as well as imaging systems for use in minimally invasive surgery procedures and service fees related to the promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic procedures, clinical insufflation, smoke evacuation devices, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines as a percentage of consolidated net sales are as follows:
 
 Three Months Ended March 31,
 20262025
Orthopedic surgery47 %43 %
General surgery53 %57 %
Consolidated net sales100 %100 %

A significant amount of our products are used in surgical procedures with approximately 85% of our revenues derived from the sale of single-use products. Our capital equipment offerings also facilitate the ongoing sale of related single-use products and accessories, thus providing us with a recurring revenue stream. We manufacture substantially all of our products in facilities located in the United States and Mexico. We market our products both domestically and internationally directly to customers and through distributors. International sales approximated 45% and 43% of our consolidated net sales during the three months ended March 31, 2026 and 2025, respectively.

Business Environment
    
In recent years, the Company has experienced higher manufacturing and operating costs as well as ongoing supply chain challenges. We continue to monitor our spending and expenses in light of these factors. We engaged a consulting firm during the past year to evaluate and propose improvements in our manufacturing operations. In addition, our results of operations are being impacted by tariffs placed on imported goods to the United States as well as exporting of products to other countries. During the first quarter of 2026, the Supreme Court ruled tariffs paid under the International Emergency Economic Powers Act ("IEEPA") were illegal. We are following the process to submit refund claims for such payments however this requires review and approval from the U.S. Customs and Border Protection agency and therefore we have not recorded any receivables related to these potential refunds at this time. See "Item 1A. Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, 2025 for more information.

The Company has not been materially impacted by the conflicts in Ukraine and the Middle East. The Company has no direct operations in these regions with our business limited to selling to third party distributors. Total revenues and accounts receivable associated with sales to third party distributors in these regions are not material to the consolidated condensed financial statements. We will continue to monitor and adjust, if necessary, our business strategy in response to the conflicts in these regions.

On December 5, 2025, we announced our intent to exit our gastroenterology product lines as part of our portfolio optimization strategy. This included the termination of our distribution agreement with W.L. Gore & Associates, Inc. ("Gore") for the Gore® VIABIL® biliary stent effective January 1, 2026 and the subsequent sale of certain assets related to our gastroenterology product lines during the three months ended March 31, 2026. We subsequently sold the remaining gastroenterology product lines during April 2026.

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Critical Accounting Policies

Preparation of our financial statements requires us to make estimates and assumptions which affect the reported amounts of assets, liabilities, revenues and expenses. Note 1 to the Consolidated Financial Statements in our Annual Report on Form 10-K for the year ended December 31, 2025 describes the significant accounting policies used in preparation of the Consolidated Financial Statements. On an ongoing basis, we evaluate the critical accounting policies used to prepare our consolidated financial statements, including, but not limited to, those related to goodwill and intangible assets, contingent consideration and our pension benefit obligation.

Consolidated Results of Operations

The following table presents, as a percentage of net sales, certain categories included in our consolidated condensed statements of comprehensive income for the periods indicated:

 Three Months Ended March 31,
 20262025
Net sales100.0 %100.0 %
Cost of sales42.1 44.7 
Gross profit57.9 55.3 
Selling and administrative expense44.7 46.3 
Research and development expense5.2 4.0 
Income from operations8.0 5.0 
Interest expense2.2 2.6 
Income before income taxes
5.8 2.4 
Provision for income taxes
1.4 0.5 
Net income
4.4 %1.9 %

Net Sales

The following table presents net sales by product line for the three months ended March 31, 2026 and 2025:

Three Months Ended
% Change
20262025As ReportedImpact of Foreign CurrencyConstant Currency
Orthopedic surgery$147.7 $138.3 6.8 %-2.3 %4.5 %
General surgery169.3 183.0 -7.4 %-1.1 %-8.5 %
   Net sales$317.0 $321.3 -1.3 %-1.6 %-2.9 %
Single-use products$270.0 $276.3 -2.3 %-1.6 %-3.9 %
Capital products47.0 45.0 4.6 %-1.5 %3.1 %
   Net sales$317.0 $321.3 -1.3 %-1.6 %-2.9 %

Net sales decreased 1.3% in the three months ended March 31, 2026 compared to the same period a year ago due to the exit from many products in the gastroenterology product line during the quarter. Gastroenterology sales were $9.5 million and $25.0 million during the three months ended March 31, 2026 and March 31, 2025, respectively. This decrease was partially offset by sales growth in Orthopedic surgery.

Orthopedic surgery sales increased 6.8% in the three months ended March 31, 2026, primarily due to growth in our procedure-specific and BioBrace® product offerings.

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General surgery sales decreased 7.4% in the three months ended March 31, 2026 primarily due to the exit from many products in the gastroenterology product line during the quarter.

Cost of Sales

Cost of sales decreased to $133.6 million in the three months ended March 31, 2026 as compared to $143.5 million in the three months ended March 31, 2025. Gross profit margins increased 260 basis points to 57.9% in the three months ended March 31, 2026 as compared to 55.3% in the three months ended March 31, 2025.

The 260 basis point increase in gross profit margins during the three months ended March 31, 2026 was primarily due to a $1.9 million benefit resulting from the termination of our distribution agreement with W.L. Gore & Associates, Inc. for the Gore® VIABIL® biliary stent; the favorable impact of foreign currency exchange rates and product mix. In addition, during the three months ended March 31, 2025 we incurred costs of $3.4 million for the engagement of consultants to evaluate and propose improvements to our supply chain and manufacturing operations.

Selling and Administrative Expense

Selling and administrative expense decreased to $141.7 million in the three months ended March 31, 2026 as compared to $148.8 million in the three months ended March 31, 2025. Selling and administrative expense as a percentage of net sales decreased 160 basis points to 44.7% in the three months ended March 31, 2026 as compared to 46.3% in the three months ended March 31, 2025. The decrease in selling and administrative expense as a percentage of sales for the three months ended March 31, 2026 was primarily driven by:

$12.2 million of cash and stock-based compensation costs related to advisory services provided by our former Chief Executive Officer in the three months ended March 31, 2025;
a $3.9 million benefit resulting from the gain on the sale of certain assets related to gastroenterology products; and
a decrease of $3.2 million in costs related to fair value adjustments to contingent consideration ($0.7 million of expense for the three months ended March 31, 2026 compared to $4.0 million of expense for the three months ended March 31, 2025), see Note 6

The decrease in selling and administrative expense as a percentage of sales was partially offset by $7.5 million of consulting fees, legal fees and other costs related to operational optimization during three months ended March 31, 2026; $3.3 million of cash and stock-based compensation costs related to advisory services provided by our former Chief Financial Officer in the three months ended March 31, 2026; and increased investment into our key growth drivers.

General and administrative costs and amortization expense in the three months ended March 31, 2026 were in line with the three months ended March 31, 2025 as a percentage of sales.

Research and Development Expense

Research and development expense increased to $16.3 million in the three months ended March 31, 2026 as compared to $12.9 million in the three months ended March 31, 2025. As a percentage of net sales, research and development expense increased 120 basis points to 5.2% in the three months ended March 31, 2026 as compared to 4.0% in the three months ended March 31, 2025. The increase in research and development expense as a percentage of sales was mainly driven by increased investments into our key growth drivers as well as $1.2 million in costs to comply with the European Union's Medical Device Regulations in the three months ended March 31, 2026.

Interest Expense

Interest expense decreased to $7.1 million in the three months ended March 31, 2026 from $8.3 million in the three months ended March 31, 2025. The weighted average interest rates on our borrowings decreased to 2.62% in the three months ended March 31, 2026 as compared to 2.90% in the three months ended March 31, 2025. The decrease in interest expense in the three months ended March 31, 2026 was driven by lower weighted average borrowings outstanding and lower weighted average interest rates during 2026.

Provision for Income Taxes

The Company's tax provision for interim periods is determined using an estimate of its annual effective tax rate applied to its year-to-date earnings, and also adjusting for discrete items arising in that quarter. In each quarter, the Company updates its
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estimate of the annual effective tax rate and if the estimated annual effective tax rate changes, the Company would make a cumulative adjustment in that quarter.

Income tax expense has been recorded at an effective tax rate of 24.7% for the three months ended March 31, 2026 compared to 21.3% for the three months ended March 31, 2025. The higher effective tax rate for the three months ended March 31, 2026 was primarily the result of a lower discrete benefit from changes in unrecognized tax benefits related to acquired federal research credits recorded in 2026 as compared to the same period for 2025. A reconciliation of the United States statutory income tax rate to our effective tax rate is included in our Annual Report on Form 10-K for the year ended December 31, 2025 under Note 8 to the consolidated financial statements.

Non-GAAP Financial Measures

Net sales on a "constant currency" basis is a non-GAAP measure. The Company analyzes net sales on a constant currency basis to better measure the comparability of results between periods. To measure percentage sales growth in constant currency, the Company removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of net sales.

Because non-GAAP financial measures are not standardized, it may not be possible to compare this financial measure with other companies' non-GAAP financial measures having the same or similar names. This adjusted financial measure should not be considered in isolation or as a substitute for reported net sales growth, the most directly comparable GAAP financial measure. This non-GAAP financial measure is an additional way of viewing net sales that, when viewed with our GAAP results, provides a more complete understanding of our business. The Company strongly encourages investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.

Liquidity and Capital Resources

Our liquidity needs arise primarily from capital investments, working capital requirements and payments on indebtedness under the eighth amended and restated senior credit agreement. We have historically met these liquidity requirements with funds generated from operations, borrowings under our revolving credit facility and issuances of debt in the capital markets. In addition, we have historically used term borrowings, including borrowings under the eighth amended and restated senior credit agreement and borrowings under separate loan facilities, in the case of real property purchases, to finance our acquisitions, including payments of contingent consideration. We also have the ability to raise funds through the sale of stock or we may issue debt through a private placement or public offering.

Operating cash flows

Our net working capital position was $377.9 million at March 31, 2026.  Net cash provided by operating activities was $13.5 million and $41.5 million in the three months ended March 31, 2026 and March 31, 2025, respectively, generated on net income of $13.8 million and $6.0 million for the three months ended March 31, 2026 and 2025, respectively. Net income in the three months ended March 31, 2026 included a $3.9 million gain on the sale of certain assets related to gastroenterology products. In addition, below is a summary of significant changes in assets and liabilities in the three months ended March 31, 2026:

An increase in cash flows from accounts receivable due to timing of sales and cash receipts;
A decrease in cash flows from inventory as we increased inventory to mitigate supply chain challenges;
An increase in cash flows from accounts payable due to the timing of payments;
A decrease in cash flows from accrued compensation and benefits as a result of higher incentive compensation payments during the period; and
A decrease in cash flows from other assets due to the timing of payments on prepaid contracts and increases in field inventory.

Investing cash flows

Net cash provided by investing activities in the three months ended March 31, 2026 increased $7.0 million from the same period a year ago mainly driven by cash proceeds of $7.0 million from the sale of certain assets related to gastroenterology products. Capital expenditures were $2.9 million in the three months ended March 31, 2026 compared to $3.8 million in the same period a year ago.

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Financing cash flows

Net cash used in financing activities in the three months ended March 31, 2026 was $22.6 million compared to net cash used in financing activities of $28.4 million during 2025. Below is a summary of the significant financing activities impacting the change during the three months ended March 31, 2026 compared to 2025:

During the three months ended March 31, 2026, we paid $37.0 million for repurchases of common stock.
During the three months ended March 31, 2026, we had $25.0 million in net borrowings on our revolving line of credit and we did not have any net borrowings during the three months ended March 31, 2025.
During the three months ended March 31, 2026, we paid $11.4 million in contingent consideration related to the Biorez acquisition compared to $7.2 million related to the Biorez acquisition in the same period a year ago.
During the three months ended March 31, 2025, we repaid $14.6 million on our term loan.
During the three months ended March 31, 2025, we paid $6.2 million in dividends.

Other Liquidity Matters

Our cash balances and cash flows generated from operations may be used to fund strategic investments, business acquisitions, including contingent consideration payments, working capital needs, research and development, common stock repurchases and payments of dividends to our shareholders. Management believes that cash flow from operations, including cash and cash equivalents on hand and available borrowing capacity under our eighth amended and restated senior credit agreement, will be adequate to meet our anticipated operating working capital requirements, debt service, funding of capital expenditures, and common stock repurchases in the foreseeable future. In addition, management believes we could access capital markets, as necessary, to fund future business acquisitions.

We are also being impacted by the macro-economic environment and we are experiencing higher manufacturing and operating costs caused by inflationary pressures and ongoing supply chain challenges. We continue to monitor our spending and expenses in light of these factors. However, we may need to take further steps to reduce our costs, or to refinance our debt. See “Item 1A. Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, 2025, for further discussion.

There were $40.0 million in borrowings outstanding on the term loan facility as of March 31, 2026. There were $25.0 million in borrowings outstanding under the revolving credit facility as of March 31, 2026. Our available borrowings on the revolving credit facility at March 31, 2026 were $623.4 million with approximately $1.6 million of the facility set aside for outstanding letters of credit.

The eighth amended and restated senior credit agreement is collateralized by substantially all of our personal property and assets. The eighth amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of certain financial ratios and restrict dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. It also includes a minimum liquidity covenant that commences 91 days prior to the earliest scheduled maturity date of the Company’s convertible notes. This covenant requires the Company to maintain liquidity of at least $75 million plus the aggregate principal amount of the early maturing debt so long as the aggregate principal amount of such early maturing debt exceeds $200 million. We were in full compliance with these covenants and restrictions as of March 31, 2026. We are also required, under certain circumstances, to make mandatory prepayments with net cash proceeds from the incurrence of certain additional indebtedness, certain asset sales, or insurance proceeds or condemnation awards, in each case, subject to certain exceptions and reinvestment rights.

On June 6, 2022, we issued $800.0 million aggregate principal amount of 2.250% Convertible Notes due 2027 (the "2.250% Notes"). Interest is payable semi-annually in arrears on June 15 and December 15 of each year, commencing December 15, 2022. The 2.250% Notes will mature on June 15, 2027, unless earlier repurchased or converted. We intend to secure incremental financing to fund the maturity of the 2.250% Convertible Notes. There can be no assurance we will be able to obtain such financing on acceptable terms. If we are unable to service our indebtedness, we will be forced to adopt an alternative strategy that may include actions such as foregoing acquisitions, reducing or delaying capital expenditures, selling assets, restructuring or refinancing our indebtedness or seeking additional equity capital.

See Note 10 for further information on our financing agreements and outstanding debt obligations.

Our Board of Directors has authorized a $150.0 million share repurchase program. Through March 31, 2026, we repurchased a total of 0.9 million shares of common stock aggregating $37.4 million under this program. The program calls for shares to be purchased in the open market or in private transactions from time to time. We may suspend, modify or discontinue the program at any time. The Company expects to repurchase at least $25.0 million in shares annually with $61.8 million
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planned for 2026. We have financed the repurchases and may finance additional repurchases through operating cash flow and from available borrowings under our revolving credit facility. With the authorization of the share repurchase program, we have suspended our dividend payments and the Board of Directors will consider whether to declare dividends and the amount of such dividends from time to time in the future.

New Accounting Pronouncements

See Note 3 to the consolidated condensed financial statements for a discussion of new accounting pronouncements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no significant changes in our primary market risk exposures or in how these exposures are managed during the three months ended March 31, 2026.  Reference is made to Item 7A. of our Annual Report on Form 10-K for the year ended December 31, 2025 for a description of Qualitative and Quantitative Disclosures About Market Risk.
 
Item 4.  Controls and Procedures
 
As of the end of the period covered by this report, an evaluation was carried out by CONMED Corporation’s management, with the participation of our Chief Executive Officer and Interim Principal Financial Officer, of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934).  Based upon that evaluation, our Chief Executive Officer and Interim Principal Financial Officer concluded that these disclosure controls and procedures were effective as of the end of the period covered by this report.  In addition, no change in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934) occurred during the quarter ended March 31, 2026 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.


PART II OTHER INFORMATION

Item 1. Legal Proceedings

Reference is made to Item 3 of the Company’s Annual Report on Form 10-K for the year ended December 31, 2025 and to Note 14 of the Notes to Consolidated Condensed Financial Statements included in Part I of this Report for a description of certain legal matters.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

There were no unregistered sales of equity securities during the period covered by this report.

Issuer Purchases of Equity Securities

The following table provides information on the Company's common stock repurchases during the first quarter of 2026:

Total Number of Shares Purchased
Average Price Paid Per Share (1)
Total Number of Shares Purchased as Part of Publicly Announced Program (2)
Approximate Dollar Amount of Shares That May Yet be Purchased Under the Program (1)
January 1, 2026 to January 31, 2026
— $— — $150,000,000 
February 1, 2026 to February 28, 2026
814,487$43.47 814,487$114,597,069 
March 1, 2026 to March 31, 2026
43,104$46.03 43,104$112,612,890 
   Total
857,591$43.60 857,591

(1) Average price paid per share includes cash paid for commissions and excise tax.
(2) In October 2025, our Board of Directors authorized a $150.0 million share repurchase program with no expiration.
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Item 5.  Other Information
 
Departure of Directors or Certain Officers; Election of Directors; Appointment of Certain Officers; Compensatory

On April 29, 2026, Mr. Andrew Moller, Vice President, Corporate Controller and interim Principal Financial Officer of CONMED Corporation (the “Company”) notified the Company that he will depart the Company effective May 31, 2026 to pursue an opportunity with another company.

    Mr. Moller’s departure did not arise from any disagreement on any matter relating to the operations, policies, financial results or accounting practices of the Company.

If the Company has not appointed a Chief Financial Officer on or before June 1, 2026, then Mr. Patrick J. Beyer, the Company’s President and Chief Executive Officer has been appointed the Company’s interim Principal Financial Officer following Mr. Moller’s departure and will serve until the Company appoints a new Chief Financial Officer.

Biographical information about Mr. Beyer is contained in the Company’s proxy statement for its 2026 annual meeting of stockholders filed with the Securities and Exchange Commission on April 7, 2026.

There are no arrangements or understandings with any other person pursuant to which Mr. Beyer was appointed interim Principal Financial Officer. He also has no family relationships with any director, executive officer or any person nominated or chosen by the Company to become a director or executive officer of the Company. Additionally, there are no related party transactions involving Mr. Beyer or any member of his immediate family required to be disclosed pursuant to Item 404(a) of Regulation S-K.

Rule 10b5-1 Director and Officer Trading Arrangements

On February 5, 2026, Matthew Schabacker, Vice President and General Manager, U.S. Advanced Surgical, adopted a trading plan with respect to 19,005 stock options and 2,945 performance stock units granted to Mr. Schabacker as equity compensation (the "Schabacker Plan"). The Schabacker Plan is intended to satisfy the affirmative defense of Rule 10b5-1(c), under the Securities Exchange Act of 1934, and terminates on July 31, 2028.

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Item 6. Exhibits

Exhibit Index
Exhibit No.Description of Exhibit
10.1*
Form of Stock Option Award Agreement
10.2*
Form of Restricted Stock Unit Award Agreement
10.3*
Form of Performance Stock Unit Award Agreement
31.1*
Certification of Patrick J. Beyer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Securities Exchange Act, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
  
31.2*
Certification of Andrew Moller pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
  
32.1*
Certifications of Patrick J. Beyer and Andrew Moller pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
101.INS*
XBRL Instance Document - the instance document does not appear in the Interactive Data File because its XBRL tags are embedded within the Inline XBRL document.
101.SCH*
XBRL Taxonomy Extension Schema Document
101.CAL*
XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF*
XBRL Taxonomy Extension Definition Linkbase Document
101.LAB*
XBRL Taxonomy Extension Label Linkbase Document
101.PRE*
XBRL Taxonomy Extension Presentation Linkbase Document
104*
Cover Page - Interactive Data File - the cover page XBRL tags are embedded within the Inline XBRL document (included in Exhibit 101)
*
Filed herewith
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SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized on the date indicated below.

 CONMED CORPORATION
 
  
 
By: /s/ Andrew Moller
 
Andrew Moller
 
Interim Principal Financial Officer
VP, Corporate Controller
 
 Date:  
 April 30, 2026
28

FAQ

How did CONMED (CNMD) perform financially in Q1 2026?

CONMED generated net sales of $317.0 million in Q1 2026, down slightly from $321.3 million a year earlier. Net income rose to $13.8 million from $6.0 million, and diluted EPS increased to $0.45 from $0.19 as margins improved and expenses fell.

What drove CONMED’s margin and earnings improvement in Q1 2026?

Gross margin expanded to 57.9% from 55.3%, supported by a $1.9 million benefit from terminating the Gore VIABIL biliary stent agreement, favorable mix and currency. Lower selling and administrative costs and a $3.9 million gain on gastroenterology asset sales also boosted earnings.

How did CONMED’s orthopedic and general surgery businesses perform in Q1 2026?

Orthopedic surgery net sales grew to $147.7 million, up 6.8%, helped by procedure-specific and BioBrace offerings. General surgery sales declined to $169.3 million, down 7.4%, primarily due to exiting many products in the gastroenterology line during the quarter.

What changes did CONMED make to its gastroenterology product lines?

CONMED exited many gastroenterology products, reducing quarterly gastroenterology sales to $9.5 million from $25.0 million. It sold certain gastroenterology-related assets for $7.0 million, recording a $3.9 million gain, and completed the sale of remaining gastroenterology product lines in April 2026.

What is CONMED’s debt position and plan for its 2027 convertible notes?

Total debt was $860.9 million, including $800.0 million of 2.250% convertible notes maturing June 15, 2027. Management stated it intends to secure incremental financing to fund this maturity, while maintaining liquidity under its $650.0 million revolving credit facility.

How much stock did CONMED repurchase in the first quarter of 2026?

CONMED repurchased 857,591 shares of common stock in Q1 2026 at an average price of $43.60, spending roughly $37.0 million. Under its $150.0 million authorization, about $112.6 million remained available for additional repurchases as of March 31, 2026.