Top-line Growth and Days-Adjusted Performance
Reported Q1 sales of $589 million, up 5% year-over-year. Company organic revenue +3% and days-adjusted organic growth +6% (selling days headwind ~240 bps). Reported results included a +420 bps FX tailwind and a -210 bps headwind related to the Dr. Comfort divestiture.
Recon Segment Outperformance
Recon delivered strong performance: company days-adjusted Recon growth +8% and organic Recon +6%. U.S. Recon grew 8% organically, led by extremities at +10% and hips & knees at +6%. International Recon grew 3% organic with double-digit growth in Extremities. Nebula rollout is unlocking hip opportunities; ARG and other new systems are driving shoulder and extremities share gains.
Prevention & Recovery (P&R) Momentum in Specific Categories
P&R reported +1% organic growth (3% on a days-adjusted basis). Global bracing grew ~3% (days-adjusted) and bone stimulation delivered high single-digit growth, reflecting pockets of strength within the segment as portfolio reshaping continues.
Improved Margins and EPS Growth
Adjusted gross margin of 62%, with an underlying improvement of ~40 basis points driven by favorable mix, productivity, and synergies. Adjusted EBITDA margin was 17.6% (underlying down ~10 bps due to higher R&D and expense phasing). Adjusted EPS was $0.89, representing ~10% underlying growth versus prior year. Effective tax rate ~21%; interest expense ~$9 million (flat).
Cash Flow Progress and Capital Discipline
Free cash flow improved by $16 million year-over-year in Q1. Management reiterates expectation of free cash flow conversion >25% for 2026. CapEx is being invested to support Recon growth (instrumentation comprises ~half of CapEx) and is expected to be roughly in line with prior year as a percentage of sales.
Innovation Launches and ASC Traction
Robust innovation pipeline with recent launches: Arvis (AAOS showcase and early shoulder cases, including first OUS shoulder in South Africa) and Nebula instrument sets driving conversions. ASC penetration is growing (primary knees >25% in ASCs, shoulders in the teens), and Arvis's flexible commercial model (purchase/lease/fee-per-case) positions the company to accelerate ASC adoption and competitive conversions.