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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)

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Outperform 73 (OpenAI - 5.2)
Rating:73Outperform
Price Target:
$104.00
▲(9.73% Upside)
Action:Upgraded
Date:06/30/26
Overall score reflects a solid underlying financial profile with strong margins and supportive cash generation, but weakened recent net profitability/ROE and negative TTM free cash flow growth. Technicals are a major positive with the stock trading above all key moving averages and positive MACD, though momentum is nearing overbought. Valuation (P/E ~24 with ~1% yield) is a modest headwind, while the latest earnings call was constructive with raised EPS and free cash flow guidance despite acknowledged commercial transition and pricing/margin pressures.
Positive Factors
High Gross and EBITDA Margins
Sustained high gross and EBITDA margins reflect durable cost structure and pricing power in orthopedic implants and consumables. These margins provide a persistent earnings buffer to fund R&D, robotics investment and share repurchases while absorbing modest pricing erosion over the next several quarters.
Negative Factors
Compressed Net Margin and Declining ROE
Eroding net margins and a falling ROE signal declining bottom-line efficiency despite healthy operating margins. Lower returns on equity constrain reinvestment capacity and may limit long-term EPS leverage, making earnings more sensitive to pricing and interest cost pressures.
Read all positive and negative factors
Positive Factors
Negative Factors
High Gross and EBITDA Margins
Sustained high gross and EBITDA margins reflect durable cost structure and pricing power in orthopedic implants and consumables. These margins provide a persistent earnings buffer to fund R&D, robotics investment and share repurchases while absorbing modest pricing erosion over the next several quarters.
Read all positive factors

Zimmer Biomet Holdings Key Performance Indicators (KPIs)

Any
Any
Revenue by Geography
Revenue by Geography
Breaks down revenue across different regions, revealing where the company is strongest and where it may face risk or growth potential due to local economic conditions or market share shifts.
Chart InsightsU.S. revenue has been the primary growth engine—fueled by knee/hip product adoption and robotics/capital momentum—while International shows steadier but more fragile gains. Management confirms strong Q4 U.S. organic trends but warns a major U.S. salesforce transition, pricing erosion and choppy APAC/EMEA pockets could temper 2026 organic growth; Paragon 28 and a Q1 FX tailwind will lift reported sales early, so watch execution on the U.S. rep rollout and international go‑to‑market changes to judge whether underlying momentum sustains.
Data provided by:The Fly

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

Zimmer Biomet Holdings Business Overview & Revenue Model

Company Description
Zimmer Biomet Holdings, Inc. engages in the design, manufacture, and marketing of orthopedic reconstructive products. The firm also offers sports medicine, biologics, extremities, and trauma products, spine, craniomaxillofacial, and thoracic produ...
How the Company Makes Money
Zimmer Biomet primarily makes money by selling orthopedic medical devices and related surgical products to healthcare providers (e.g., hospitals and ambulatory surgery centers) and distributors worldwide. Its core revenue stream comes from reconst...

Zimmer Biomet Holdings Earnings Call Summary

Earnings Call Date:Apr 28, 2026
(Q1-2026)
|
% Change Since: |
Next Earnings Date:Aug 05, 2026
Earnings Call Sentiment Positive
The call presented more positive developments than negative ones: solid top‑line growth (reported and organic), an EPS beat and raised EPS and free cash flow guidance, strong cash generation, accelerating performance from strategic acquisitions (Paragon 28) and clear momentum in technology and robotics (Monogram enrollment complete, ROSA/TMINI adoption). Offsetting items include short‑term disruption from the U.S. salesforce transformation and legacy knee transitions, some international go‑to‑market disruption, a one‑time tariff benefit that partially pulled forward upside, and higher interest expense tied to acquisition debt. On balance the company appears to be executing on its strategic priorities while managing expected transitional headwinds.
Positive Updates
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.
Negative Updates
U.S. Knees Underperformance and Legacy Product Pressure
U.S. knee growth only 2.2% in Q1; pressure from phasing out legacy knee implants (NextGen, Vanguard) and disruptions tied to go‑to‑market changes. Company lost two large accounts in the quarter and cited West Coast Kaiser strike impact.
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Q1-2026 Updates
Negative
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.
Read all positive updates
Company Guidance
Zimmer Biomet maintained full‑year 2026 guidance calling for organic constant‑currency revenue growth of 1%–3% (reported sales 2.5%–4.5% with Paragon 28 contributing ~100 bps to reported growth and excluded from organic), with growth “roughly consistent” through the year, an assumed up to 100 bps of price erosion, and an approximate 50 bps FX tailwind to revenue (Q2 neutral at current rates). They now expect 2026 adjusted EPS of $8.40–$8.55 (up from $8.30–$8.45) and raised free cash flow growth to 9%–11% (from 8%–10%), while continuing to assume up to $750 million of share repurchases and leaving interest expense, tax rate and year‑end shares guidance unchanged. On margins they forecast full‑year operating margin down slightly less than 50 bps vs. 2025 (Q2 ~‑200 bps YoY, with Q3 about +50 bps sequential from Q2) and expect adjusted gross margin modestly lower around ~71% for the year.

Zimmer Biomet Holdings Financial Statement Overview

Summary
Solid profitability profile with strong gross margin (~69.7%) and EBITDA margin (~26.9%), plus supportive cash generation (TTM FCF ~$1.84B and FCF > net income). Offsetting this, net margin has compressed to ~8.6% and ROE has softened to ~4.0%, and TTM free cash flow growth is sharply negative—signaling weaker recent efficiency and cash flow momentum despite moderate leverage (debt-to-equity ~0.59).
Income Statement
74
Positive
Balance Sheet
68
Positive
Cash Flow
70
Positive
BreakdownTTMDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue8.41B8.23B7.68B7.39B6.94B6.83B
Gross Profit5.89B5.07B5.49B5.31B4.92B4.87B
EBITDA2.21B2.22B2.25B2.22B1.49B1.65B
Net Income761.30M705.20M903.80M1.02B231.40M401.60M
Balance Sheet
Total Assets22.72B23.09B21.37B21.50B21.07B23.46B
Cash, Cash Equivalents and Short-Term Investments424.20M591.90M525.50M415.80M375.70M378.10M
Total Debt7.47B7.52B6.20B5.77B5.70B7.07B
Total Liabilities10.04B10.39B8.89B9.01B9.04B10.79B
Stockholders Equity12.67B12.70B12.47B12.48B12.02B12.66B
Cash Flow
Free Cash Flow1.84B1.47B1.14B1.19B1.07B1.35B
Operating Cash Flow1.67B1.70B1.50B1.58B1.28B1.50B
Investing Cash Flow-2.03B-1.98B-888.10M-778.90M-529.20M-503.60M
Financing Cash Flow-618.60M326.00M-484.50M-763.50M-843.80M-1.31B

Zimmer Biomet Holdings Technical Analysis

Technical Analysis Sentiment
Positive
Last Price94.78
Price Trends
50DMA
86.03
Positive
100DMA
89.32
Positive
200DMA
91.05
Positive
Market Momentum
MACD
1.14
Negative
RSI
62.17
Neutral
STOCH
76.19
Neutral
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 94.78 is above the 20-day moving average (MA) of 88.95, above the 50-day MA of 86.03, and above the 200-day MA of 91.05, indicating a bullish trend. The MACD of 1.14 indicates Negative momentum. The RSI at 62.17 is Neutral, neither overbought nor oversold. The STOCH value of 76.19 is Neutral, 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 32 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 (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
73
Outperform
$17.67B24.316.01%1.05%9.23%-14.66%
72
Outperform
$12.82B20.8211.79%2.28%6.30%52.96%
71
Outperform
$53.09B48.5710.55%13.81%22.90%
68
Neutral
$66.54B18.6014.82%17.44%74.36%
68
Neutral
$107.36B22.299.92%2.76%8.43%3.17%
67
Neutral
$126.42B37.9715.10%0.95%8.84%16.34%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
ZBH
Zimmer Biomet Holdings
94.08
1.03
1.11%
BSX
Boston Scientific
44.65
-58.83
-56.85%
EW
Edwards Lifesciences
91.79
14.98
19.50%
MDT
Medtronic
83.57
-2.84
-3.29%
SNN
Smith & Nephew Snats
31.08
2.40
8.37%
SYK
Stryker
331.45
-55.20
-14.28%

Zimmer Biomet Holdings Corporate Events

Business Operations and StrategyPrivate Placements and Financing
Zimmer Biomet Expands Liquidity With New Credit Facilities
Positive
Jun 29, 2026
On June 26, 2026, Zimmer Biomet entered into a new $1.5 billion five-year unsecured revolving credit facility and a new $1.25 billion 364-day unsecured revolving credit facility with JPMorgan Chase as administrative agent, both for general corpora...
Business Operations and StrategyExecutive/Board ChangesShareholder Meetings
Zimmer Biomet Shareholders Reaffirm Board, Leadership and Oversight
Positive
May 27, 2026
At its annual meeting of shareholders held on May 22, 2026, Zimmer Biomet shareholders elected ten directors to one-year terms ending at the 2027 annual meeting, reaffirming the current board slate and leadership structure. Investors also ratified...
Business Operations and StrategyStock Buyback
Zimmer Biomet Expands 2026 Share Repurchase Program
Positive
May 12, 2026
On May 12, 2026, Zimmer Biomet announced it now expects to repurchase up to $1 billion of its common stock during fiscal 2026, raising its planned buybacks by $250 million compared with prior capital allocation assumptions. All purchases will be e...
Business Operations and StrategyExecutive/Board Changes
Zimmer Biomet Announces CFO Departure and Interim Successor
Neutral
Apr 28, 2026
Zimmer Biomet announced a leadership change on April 28, 2026, as Chief Financial Officer and Executive Vice President – Finance, Operations and Supply Chain Suketu Upadhyay departed the company effective the same day to pursue another profe...
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: Jun 30, 2026