Q1 Results Ahead of Plan and Expectations
Reported Q1 sales of $2.0 billion with organic sales growth of +2.1% and adjusted EPS of $1.48 (+11% YoY), both ahead of plan and Street expectations; company reiterated full-year organic sales and free cash flow guidance and now expects EPS toward the high end of $6.40–$6.60.
Strong Margin Performance
Gross margin of 56.4%, an improvement of +80 basis points YoY; adjusted operating income of $392 million and operating margin of 19.5%; company targets full-year operating margin of 21.0%–21.5% (up 50–100 bps vs prior year).
Segment-Level Growth
MedSurg: $1.2B sales, organic +1.2% (Advanced Wound Care +2.1%, Acera contributed $28M). Dental Solutions: $354M sales, organic +3.4%. Health Information Systems: $342M sales, organic +4.7% (strength in revenue cycle management and performance management).
Acquisitions and Portfolio Actions Showing Early Benefit
Acera acquisition immediately contributed $28M to reported sales and integration is tracking to plan; company completed sale of P&F (purification and filtration) and continues active portfolio optimization.
Separation and ERP Progress
Exited ~50% of transition service agreements (TSAs) and on pace to exit >90% by end of 2026; migrated ~75% of >1,200 system applications with successful ERP cutover in Asia Pacific (including China); reduced distribution centers to 54 worldwide.
SKU Rationalization and Innovation Pipeline
More than 50% through SKU rationalization (100 bps headwind in Q1, expected to finish by year-end); company expects ~20 new product launches over next two years targeted at growth-driver areas to fuel future organic growth.
Transform for the Future Savings Program
Multiyear program targeting $500 million of savings through system streamlining, automation, and global footprint optimization; program already delivering benefits and expected to deliver more meaningfully in 2027 and beyond.
Improved Supply Chain and Backorder Reduction
Supply chain actions and ERP/distribution changes improved manufacturing performance and reduced backorders across the portfolio, supporting stronger customer fulfillment.
Balance Sheet and Capital Return Actions
Ended Q1 with $561 million cash and equivalents, net debt of $4.5 billion; repurchased ~923,000 shares for $67 million in Q1 (share buyback authorization up to $1 billion); free cash flow ahead of expectations for the quarter.
Health Information Systems Momentum with Autonomous Coding
RCM business and autonomous coding offering gaining traction (international expansion tailwind); management sees compelling economics (productivity gains, reduced FTE cost, improved revenue capture) and believes AI-enabled autonomous coding adoption will expand meaningfully over the strategic period.