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Zimmer Biomet Holdings (ZBH)
NYSE:ZBH

Zimmer Biomet Holdings (ZBH) AI Stock Analysis

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ZB

Zimmer Biomet Holdings

(NYSE:ZBH)

Rating:70Outperform
Price Target:
$102.00
▲(10.68%Upside)
Zimmer Biomet's solid financial performance is a key strength, supported by strategic cash flow management and stable leverage. However, technical indicators point to bearish momentum, and valuation metrics suggest moderate investment appeal. The newly appointed executive leadership could provide future growth opportunities, balancing the current challenges from tariffs and lowered EPS guidance.
Positive Factors
Financial Performance
The company posted a decent quarter, beating both top and bottom line expectations, with strong performance in US hips and OUS knees.
Mergers and Acquisitions
Zimmer Biomet's acquisition of Paragon 28 is expected to boost top-line growth by approximately 270 basis points for the fiscal year 2025.
Product Innovation
The Oxford cementless partial knee is a key product launch as the only cementless partial on the market, which can save 10-15 minutes per procedure.
Negative Factors
Earnings Guidance
Management lowered EPS guidance due to tariff impact, which implies a selling day adjusted deceleration from 1Q to 2Q, putting more pressure on a second-half weighted growth ramp.
Tariffs Impact
Zimmer Biomet anticipates a $60-$80 million headwind to operating profit due to potential tariffs, particularly impacting the second half of the year.
US Knee Segment
Zimmer Biomet is facing weak growth in the US knee segment, which has led to the implementation of sales force optimization measures.

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 makes money through the sale of its extensive range of medical devices and related products. The company's revenue model is driven by several key streams, including the sale of joint replacement implants such as knee, hip, and shoulder systems, which are its primary revenue contributors. Additionally, Zimmer Biomet earns revenue from surgical and operating room equipment, dental products, and spine and trauma devices. The company leverages significant partnerships with hospitals, healthcare providers, and distributors to expand its market reach. Factors contributing to its earnings include innovation in product development, strategic acquisitions, and a global distribution network that ensures product availability and support to customers across various regions.

Zimmer Biomet Holdings Earnings Call Summary

Earnings Call Date:May 05, 2025
(Q1-2025)
|
% Change Since: -9.98%|
Next Earnings Date:Aug 05, 2025
Earnings Call Sentiment Neutral
Zimmer Biomet reported solid performance in key product segments and successfully integrated the Paragon 28 acquisition. However, the company faces challenges from tariff impacts and lower than expected U.S. Knees growth, leading to a downward revision in EPS and free cash flow guidance.
Q1-2025 Updates
Positive Updates
Solid First Quarter Performance
Zimmer Biomet reported a 2.3% sales growth on a constant currency basis, with notable growth in U.S. Hips up nearly 4% and mid-single digit growth in S.E.T.
Positive Pricing Trend
Consolidated pricing was positive for the fifth consecutive quarter, marking a 10 basis points increase, contributing to the overall revenue.
Successful Integration of Paragon 28
The Paragon 28 acquisition was successfully integrated with minimal disruption, retaining key leadership and the U.S. sales channel, expected to contribute 270 basis points to 2025 sales growth.
Strong Free Cash Flow
Zimmer Biomet generated $279 million in free cash flow, demonstrating robust cash generation and working capital improvements.
Continued Innovation and Product Launches
The company is focusing on new product introductions, including the Persona OsseoTi Cementless Knee and Oxford Partial Cementless Knee, with significant training efforts underway.
Negative Updates
Tariff Impact on Financials
Tariffs are expected to be a $60 million to $80 million headwind in 2025, particularly impacting the second half of the year.
Adjusted EPS Guidance Revision
2025 adjusted EPS guidance was lowered to $7.90 to $8.10 from the previous $8.15 to $8.35, due to tariffs and Paragon 28 acquisition dilution.
Challenges in U.S. Knee Segment
U.S. Knees growth was only 0.2%, with the company acknowledging the need for better execution and commercial leadership changes.
Reduction in Free Cash Flow Guidance
2025 free cash flow guidance was reduced to $750 million to $850 million, affected by tariffs and one-time costs from the Paragon 28 acquisition.
Company Guidance
During Zimmer Biomet's First Quarter 2025 Earnings Conference Call, management provided guidance on several key metrics. The company reported a constant currency sales growth of 2.3% for the quarter, with standout results in U.S. Hips, which grew nearly 4%, and mid-single-digit growth in their S.E.T. segment. Despite a challenging quarter with one less selling day, Zimmer Biomet maintained its full-year organic constant currency revenue growth expectations of 3% to 5%, excluding contributions from its recent Paragon 28 acquisition, which is anticipated to contribute 270 basis points to sales growth. Adjusted EPS guidance was updated to $7.90 to $8.10, down from the previous $8.15 to $8.35, due to tariff impacts and modest dilution from the Paragon 28 acquisition. The company also highlighted its focus on innovation, diversification, and operational excellence as strategic priorities for 2025.

Zimmer Biomet Holdings Financial Statement Overview

Summary
Zimmer Biomet Holdings demonstrates consistent revenue and profit growth. The balance sheet shows stable leverage and robust cash flows support strategic initiatives. However, there is room for improvement in return on equity.
Income Statement
85
Very Positive
Zimmer Biomet Holdings has shown strong performance with consistent revenue growth, particularly evident in the TTM period. Gross profit margin remains robust at over 70%, reflecting efficient cost management. The net profit margin has improved significantly from previous years, indicating enhanced profitability. EBIT and EBITDA margins also demonstrate solid operating performance, underscoring cost efficiency and operational strength.
Balance Sheet
72
Positive
The balance sheet presents a stable financial position with a manageable debt-to-equity ratio, indicating balanced leverage. Zimmer Biomet has a healthy equity ratio, demonstrating a solid capital structure. However, the return on equity shows a moderate performance, suggesting room for improvement in generating returns from shareholders' equity.
Cash Flow
78
Positive
Cash flow analysis reflects positive trends, with a strong operating cash flow to net income ratio, indicating efficient cash generation from operations. Free cash flow has grown over the periods, supporting future investments and debt reduction. The company maintains a prudent approach to capital expenditures, bolstering its cash flow position.
Breakdown
TTMDec 2024Dec 2023Dec 2022Dec 2021Dec 2020
Income StatementTotal Revenue
7.70B7.68B7.39B6.94B6.83B7.02B
Gross Profit
5.47B5.49B5.31B4.92B4.87B4.90B
EBIT
1.31B1.29B1.28B1.06B860.30M723.30M
EBITDA
2.30B2.25B2.21B2.21B2.16B969.70M
Net Income Common Stockholders
913.40M903.80M1.02B231.40M401.60M-137.40M
Balance SheetCash, Cash Equivalents and Short-Term Investments
1.38B525.50M415.80M375.70M378.10M802.10M
Total Assets
22.18B21.37B21.50B21.07B23.46B24.42B
Total Debt
7.18B6.20B6.00B5.70B7.08B8.13B
Net Debt
5.79B5.68B5.58B5.32B6.70B7.32B
Total Liabilities
9.78B8.89B9.01B9.04B10.79B12.22B
Stockholders Equity
12.40B12.47B12.48B12.02B12.66B12.20B
Cash FlowFree Cash Flow
1.35B1.14B1.20B1.10B1.35B1.09B
Operating Cash Flow
1.65B1.50B1.58B1.28B1.50B1.20B
Investing Cash Flow
-799.10M-888.10M-778.90M-529.20M-503.60M-613.80M
Financing Cash Flow
141.00M-484.50M-763.50M-843.80M-1.31B-421.80M

Zimmer Biomet Holdings Technical Analysis

Technical Analysis Sentiment
Negative
Last Price92.16
Price Trends
50DMA
96.69
Negative
100DMA
102.03
Negative
200DMA
104.44
Negative
Market Momentum
MACD
-1.26
Negative
RSI
43.47
Neutral
STOCH
45.19
Neutral
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For ZBH, the sentiment is Negative. The current price of 92.16 is below the 20-day moving average (MA) of 92.88, below the 50-day MA of 96.69, and below the 200-day MA of 104.44, indicating a bearish trend. The MACD of -1.26 indicates Negative momentum. The RSI at 43.47 is Neutral, neither overbought nor oversold. The STOCH value of 45.19 is Neutral, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Negative 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 (54)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
SNSNN
80
Outperform
$12.85B31.057.82%3.14%4.58%55.99%
SYSYK
78
Outperform
$144.19B50.9214.26%0.89%10.76%-15.22%
BSBSX
72
Outperform
$147.56B73.089.65%19.35%14.31%
ZBZBH
70
Outperform
$18.23B20.427.31%1.05%3.30%-2.39%
68
Neutral
$7.97B44.064.63%32.26%112.87%
54
Neutral
$9.18M-151.23%3.30%31.84%
54
Neutral
$5.34B3.27-45.10%3.30%16.80%0.02%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ZBH
Zimmer Biomet Holdings
92.16
-13.59
-12.85%
BSX
Boston Scientific
101.49
25.18
33.00%
SSKN
Strata Skin Sciences
2.20
-0.94
-29.94%
SNN
Smith & Nephew Snats
29.31
4.79
19.54%
SYK
Stryker
377.12
31.64
9.16%
GMED
Globus Medical
58.86
-8.16
-12.18%

Zimmer Biomet Holdings Corporate Events

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.