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Zimmer Biomet Holdings (ZBH)
NYSE:ZBH
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Zimmer Biomet Holdings (ZBH) AI Stock Analysis

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ZBH

Zimmer Biomet Holdings

(NYSE:ZBH)

Rating:74Outperform
Price Target:
$116.00
▲(13.10% Upside)
Zimmer Biomet Holdings demonstrates strong financial performance and positive earnings call outcomes, which are the most significant factors driving the score. Technical analysis shows bullish momentum, though caution is advised due to potential overbought conditions. The valuation suggests a high P/E ratio, indicating potential overvaluation. Recent corporate events are favorable, enhancing strategic positioning.
Positive Factors
Financial Performance
ZBH posted a solid quarter, beating on the top and bottom line with bright spots including DD performance in SET, MSD strength in OUS knees, and ongoing traction in US hips, led by a strong Z1 Hip Stem ongoing launch.
Management Confidence
Management's confidence in the 2H'25 ramp, including 'scratching' 6% 3Q organic growth is likely reassuring investors in the achievability of the full-year.
Product Launches
ZBH continues to call for a stronger 2H, with new product launches reaching scale, softer ERP comps, commercial investments taking hold, a benefit from the Q3 timing of an emerging markets tender, and contribution from the Paragon 28 acquisition.
Negative Factors
Knee Segment Performance
The U.S. Knee segment continues to show weakness, weighing down overall performance.
Market Share Loss
ZBH lost ~20 bps of knee share.
Organic Growth Challenges
Skepticism remains regarding the organic growth ramp required in the second half.

Zimmer Biomet Holdings (ZBH) vs. SPDR S&P 500 ETF (SPY)

Zimmer Biomet Holdings Business Overview & Revenue Model

Company DescriptionZimmer Biomet Holdings, Inc., together with its subsidiaries, operates in the musculoskeletal healthcare business in the Americas, Europe, the Middle East, Africa, and the Asia Pacific. The company designs, manufactures, and markets orthopaedic reconstructive products, such as knee and hip products; S.E.T. products, including sports medicine, biologics, foot and ankle, extremities, and trauma products; spine products comprising medical devices and surgical instruments; and face and skull reconstruction products, as well as products that fixate and stabilize the bones of the chest toss facilitate healing or reconstruction after open heart surgery, trauma, or for deformities of the chest. It also offers dental products that include dental reconstructive implants, and dental prosthetic and regenerative products, as well as robotic, surgical and bone cement products. The company's products and solutions are used to treat patients suffering from disorders of, or injuries to, bones, joints, or supporting soft tissues. It serves orthopedic surgeons, neurosurgeons, oral surgeons, dentists, hospitals, stocking distributors, healthcare dealers, and other specialists, as well as agents, healthcare purchasing organizations, or buying groups. The company was formerly known as Zimmer Holdings, Inc. and changed its name to Zimmer Biomet Holdings, Inc. in June 2015. Zimmer Biomet Holdings, Inc. was founded in 1927 and is headquartered in Warsaw, Indiana.
How the Company Makes MoneyZimmer Biomet generates revenue primarily through the sale of orthopedic products, which includes joint reconstruction devices, trauma products, and spinal implants. The company's revenue model is based on direct sales to hospitals and healthcare providers, as well as through distribution partnerships. Key revenue streams include the sale of reconstructive products, which is the largest segment, followed by dental and spine products. Additionally, Zimmer Biomet benefits from ongoing product innovation and the introduction of advanced technologies, such as robotic-assisted surgical systems. Strategic partnerships with healthcare institutions and participation in global healthcare initiatives further bolster their market presence and earnings potential.

Zimmer Biomet Holdings Earnings Call Summary

Earnings Call Date:Aug 07, 2025
(Q2-2025)
|
% Change Since: 12.52%|
Next Earnings Date:Oct 29, 2025
Earnings Call Sentiment Positive
The earnings call reflects a predominantly positive outlook for Zimmer Biomet, with notable achievements in organic sales growth, strategic acquisitions, and positive guidance updates. Despite some challenges such as international order delays and tariff impacts, the company demonstrated strong performance in core areas and expressed high confidence in future growth driven by new product launches and strategic priorities.
Q2-2025 Updates
Positive Updates
Solid Quarterly Performance
Zimmer Biomet delivered a solid quarter with sales growth of 2.8% on an organic constant currency basis, despite headwinds such as an 80 basis point selling day impact and international order delays.
Strong U.S. Hips and Knees Growth
U.S. Hips business grew 5.2% and U.S. Knees increased by 1.7%, showcasing strong domestic performance in these segments.
Updated Guidance and Confidence
Zimmer Biomet raised its 2025 adjusted EPS guidance to $8.10 to $8.30 from $7.90 to $8.10 and narrowed its organic constant currency revenue growth expectations to 3.5% to 4.5%.
Monogram Technologies Acquisition
Zimmer Biomet announced the acquisition of Monogram Technologies, a company with advanced AI-driven robotic capabilities, expected to be neutral to adjusted EPS from 2025 through 2027 and accretive thereafter.
Positive Pricing and Cash Flow Improvements
Consolidated pricing was positive, marking another quarter of positive pricing. Operating cash flows were $378 million, with free cash flow of $248 million, indicating strong cash management.
Negative Updates
International Order Delays
There were significant delays in international orders, which moved into the third quarter, impacting the quarterly performance.
Operating Margin Decline
Adjusted operating margin was down year-over-year, primarily due to increased commercial investments and the integration of Paragon 28.
Tariff Headwinds
Zimmer Biomet anticipated about a $40 million tariff headwind to operating profit in 2025, though this was an improvement from previous estimates.
Company Guidance
During the Zimmer Biomet Second Quarter 2025 Earnings Call, the company provided updated guidance for the fiscal year. Zimmer Biomet anticipates full-year organic constant currency revenue growth in the range of 3.5% to 4.5%, excluding the contribution from Paragon 28, and expects Paragon 28 to contribute 270 basis points to sales growth. The company revised its full-year adjusted earnings per share (EPS) guidance to $8.10 to $8.30, up from the previous range of $7.90 to $8.10. This updated guidance is driven by expected second-half sales acceleration, enhanced operational efficiency, reduced tariff impacts, and a favorable foreign exchange environment due to a weakening U.S. dollar. The guidance reflects confidence in new product introductions and strategic acquisitions, such as Monogram Technologies, which are expected to enhance Zimmer Biomet's position in the orthopedic market.

Zimmer Biomet Holdings Financial Statement Overview

Summary
Zimmer Biomet Holdings exhibits solid financial health with consistent revenue growth and strong cash flow generation. While profitability margins have faced some pressure, the company maintains a stable balance sheet with manageable leverage. The positive cash flow trends and efficient cost management position the company well for future growth, though attention to improving net profit margins could enhance overall financial performance.
Income Statement
78
Positive
Zimmer Biomet Holdings has shown consistent revenue growth with a TTM increase of 1.76%. The gross profit margin remains strong at 68.83% TTM, indicating efficient cost management. However, the net profit margin has decreased to 10.51% TTM from 11.77% in the previous year, suggesting some pressure on profitability. The EBIT and EBITDA margins are stable, reflecting solid operational performance.
Balance Sheet
75
Positive
The company's debt-to-equity ratio is at a manageable level of 0.53 TTM, showing a slight increase from the previous year, which indicates a moderate leverage position. Return on equity has decreased to 6.40% TTM, reflecting a decline in profitability relative to shareholder equity. The equity ratio remains healthy, indicating a strong capital structure.
Cash Flow
80
Positive
Zimmer Biomet Holdings has demonstrated a positive free cash flow growth rate of 5.57% TTM, indicating improved cash generation capabilities. The operating cash flow to net income ratio is robust at 0.88 TTM, showing strong cash conversion. The free cash flow to net income ratio is also strong at 0.86 TTM, highlighting efficient cash management.
BreakdownTTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income Statement
Total Revenue7.83B7.68B7.39B6.94B6.83B7.02B
Gross Profit5.39B5.49B5.31B4.92B4.87B4.90B
EBITDA2.27B2.25B2.21B2.21B2.16B969.70M
Net Income823.40M903.80M1.02B231.40M401.60M-137.40M
Balance Sheet
Total Assets22.87B21.37B21.50B21.07B23.46B24.42B
Cash, Cash Equivalents and Short-Term Investments556.90M525.50M415.80M375.70M378.10M802.10M
Total Debt7.57B6.20B5.77B5.70B7.07B8.13B
Total Liabilities10.33B8.89B9.01B9.04B10.79B12.22B
Stockholders Equity12.53B12.47B12.48B12.02B12.66B12.19B
Cash Flow
Free Cash Flow1.42B1.14B1.19B1.07B1.35B1.09B
Operating Cash Flow1.66B1.50B1.58B1.28B1.50B1.20B
Investing Cash Flow-1.94B-888.10M-778.90M-529.20M-503.60M-613.80M
Financing Cash Flow396.70M-484.50M-763.50M-843.80M-1.31B-421.80M

Zimmer Biomet Holdings Technical Analysis

Technical Analysis Sentiment
Positive
Last Price102.56
Price Trends
50DMA
94.51
Positive
100DMA
96.81
Positive
200DMA
101.86
Positive
Market Momentum
MACD
2.29
Negative
RSI
66.34
Neutral
STOCH
91.59
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ZBH, the sentiment is Positive. The current price of 102.56 is above the 20-day moving average (MA) of 97.03, above the 50-day MA of 94.51, and above the 200-day MA of 101.86, indicating a bullish trend. The MACD of 2.29 indicates Negative momentum. The RSI at 66.34 is Neutral, neither overbought nor oversold. The STOCH value of 91.59 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for ZBH.

Zimmer Biomet Holdings Risk Analysis

Zimmer Biomet Holdings disclosed 28 risk factors in its most recent earnings report. Zimmer Biomet Holdings reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Zimmer Biomet Holdings Peers Comparison

Overall Rating
UnderperformOutperform
Sector (57)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
78
Outperform
$15.84B32.029.20%2.07%6.28%61.96%
74
Outperform
$20.35B25.026.52%0.94%4.11%-14.43%
73
Outperform
$152.87B61.3311.71%21.45%36.19%
72
Outperform
$146.01B50.5414.25%0.87%11.36%-15.66%
70
Outperform
$8.18B23.258.62%17.43%775.48%
57
Neutral
£5.33B4.79-44.55%2.32%28.89%-10.08%
45
Neutral
$7.59M-235.41%0.36%-17.20%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ZBH
Zimmer Biomet Holdings
102.56
-8.06
-7.29%
BSX
Boston Scientific
103.05
24.57
31.31%
SSKN
Strata Skin Sciences
1.79
-0.97
-35.14%
SNN
Smith & Nephew Snats
36.29
6.48
21.74%
SYK
Stryker
381.61
41.75
12.28%
GMED
Globus Medical
60.25
-8.89
-12.86%

Zimmer Biomet Holdings Corporate Events

M&A TransactionsBusiness Operations and Strategy
Zimmer Biomet Merges with Monogram Technologies
Neutral
Jul 14, 2025

On July 11, 2025, Zimmer Biomet Holdings entered into a merger agreement with Monogram Technologies Inc., a Delaware corporation specializing in AI-driven orthopedic robotic systems. The merger will result in Monogram becoming a wholly-owned subsidiary of Zimmer Biomet, with Monogram’s shares being converted into cash and contingent value rights. This strategic acquisition is valued at approximately $168 million and is expected to enhance Zimmer Biomet’s position in the orthopedic industry by integrating Monogram’s innovative technologies. However, the transaction is subject to various risks, including regulatory approvals and potential competing offers, which could impact the anticipated benefits and timing of the merger.

The most recent analyst rating on (ZBH) stock is a Buy with a $130.00 price target. To see the full list of analyst forecasts on Zimmer Biomet Holdings stock, see the ZBH Stock Forecast page.

Private Placements and FinancingBusiness Operations and Strategy
Zimmer Biomet Holdings Enters New Credit Agreements
Positive
Jun 30, 2025

On June 27, 2025, Zimmer Biomet Holdings, Inc. entered into a new five-year revolving credit agreement and a 364-day revolving credit agreement, replacing their previous credit agreements. The five-year agreement provides a $1.5 billion unsecured revolving facility, with the possibility of increasing by up to $500 million, and will be used for general corporate purposes. This move is expected to enhance the company’s financial flexibility and support its strategic initiatives, potentially impacting its market positioning and stakeholder interests.

The most recent analyst rating on (ZBH) stock is a Buy with a $130.00 price target. To see the full list of analyst forecasts on Zimmer Biomet Holdings stock, see the ZBH Stock Forecast page.

Shareholder MeetingsBusiness Operations and Strategy
Zimmer Biomet Approves Amendments at Annual Meeting
Neutral
Jun 3, 2025

Zimmer Biomet Holdings, Inc. held its annual meeting on May 29, 2025, where shareholders approved significant amendments to the 2009 Stock Incentive Plan (SIP) and the company’s Restated Certificate of Incorporation. The amendments to the SIP include an increase in available shares, extension of the plan’s term, and new provisions for independent contractors, among others. The amendment to the Certificate of Incorporation limits the personal liability of certain officers for monetary damages under specific circumstances. These changes are expected to enhance corporate governance and align with best practices, potentially impacting the company’s operational and strategic positioning.

The most recent analyst rating on (ZBH) stock is a Buy with a $130.00 price target. To see the full list of analyst forecasts on Zimmer Biomet Holdings stock, see the ZBH Stock Forecast page.

Executive/Board ChangesBusiness Operations and Strategy
Zimmer Biomet Appoints Kevin Thornal as Group President
Positive
May 27, 2025

On May 27, 2025, Zimmer Biomet Holdings announced the appointment of Kevin Thornal as Group President, Global Businesses and the Americas, effective July 1, 2025. Thornal, who previously served as CEO of Nevro Corp., brings extensive experience in the medical technology, orthopedics, and diagnostics industries. His leadership is expected to enhance Zimmer Biomet’s commercial execution and stakeholder value, as the company aims to address unmet needs in musculoskeletal health and expand its product pipeline.

The most recent analyst rating on (ZBH) stock is a Buy with a $135.00 price target. To see the full list of analyst forecasts on Zimmer Biomet Holdings stock, see the ZBH Stock Forecast page.

Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Aug 14, 2025