Revenue and Organic Growth
Net sales of $2.087 billion, up 9.3% on a reported basis and up 2.9% on an organic constant currency basis (ex-Paragon 28). U.S. sales grew 3.2% and International sales grew 2.5% in Q1 2026.
Adjusted EPS and GAAP EPS Outperformance
Adjusted EPS of $2.09, up ~15% year-over-year (from $1.81 prior year adjusted); GAAP diluted EPS of $1.22 vs. $0.91 in prior year quarter.
Margin and Profitability Metrics
Adjusted gross margin of 73% (higher than Q1 2025) and adjusted operating margin of 27.3%. Company raised full-year adjusted EPS guidance to $8.40–$8.55 (from $8.30–$8.45).
Free Cash Flow and Cash Generation
Operating cash flow of $359 million and free cash flow of $246 million in Q1. Ended quarter with approximately $424 million in cash and cash equivalents. Free cash flow growth guidance raised to 9%–11% (from 8%–10%).
Technology and Digital Offerings Driving Growth
Technology, data, bone cement and surgical business grew nearly 12% in the quarter; ROBOT/technology sales strong (TMINI referenced growing ~30% in remarks) with ROSA and TMINI momentum and robust adoption of OrthoGrid (strongest quarter to date).
Monogram and Robotic Roadmap
Completed enrollment in 102‑patient Monogram clinical study; expecting U.S. semiautonomous Monogram launch in early 2027 and fully autonomous version in late 2027/early 2028; targeting to hire >200 robotic clinical sales reps by end of 2027.
Paragon 28 and M&A Integration
Paragon 28 contributed ~100 basis points to reported sales growth in 2026, with first quarter growth accelerating ~200 basis points sequentially from Q4 2025 and trending back toward double-digit growth.
Share Repurchase and Capital Allocation
Repurchased $250 million of shares in Q1; fully diluted shares outstanding 195.8 million. Company continues to assume up to $750 million of share repurchases for the year.
Operational Improvements and Strategic Hires
Progress on SKU rationalization, lowering days of inventory and expanding manufacturing into lower‑cost geographies; appointed Dr. Jonathan (Chief Science, Technology & Medical Affairs) to lead AI/robotics/software strategy.