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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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Neutral 64 (OpenAI - 5.2)
Rating:64Neutral
Price Target:
$89.00
▼(-6.10% Downside)
Action:ReiteratedDate:04/29/26
The score is supported most by a solid underlying financial base (strong gross/EBITDA margins and moderate leverage) and a constructive earnings update with raised EPS and free-cash-flow guidance. The main offset is weak technical positioning (price below key moving averages with bearish momentum signals), while valuation support is limited by the lack of a usable P/E and only a modest dividend yield.
Positive Factors
High gross and EBITDA margins
Sustained high gross and EBITDA margins reflect scale in implant and instrument manufacturing and pricing power in musculoskeletal devices. Durable operating profitability supports reinvestment in R&D, robotics, and M&A, and provides cushion versus modest net margin pressures over the medium term.
Negative Factors
Net margin compression and lower ROE
Declining net margin and ROE indicate that operating profitability gains are not translating fully to bottom‑line returns. This reduces capital efficiency, limits retained earnings for reinvestment, and makes the firm more sensitive to interest costs or pricing pressure over the medium term.
Read all positive and negative factors
Positive Factors
Negative Factors
High gross and EBITDA margins
Sustained high gross and EBITDA margins reflect scale in implant and instrument manufacturing and pricing power in musculoskeletal devices. Durable operating profitability supports reinvestment in R&D, robotics, and M&A, and provides cushion versus modest net margin pressures over the medium term.
Read all positive factors

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

Zimmer Biomet Holdings Business Overview & Revenue Model

Company Description
Zimmer 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 re...
How the Company Makes Money
Zimmer Biomet primarily makes money by selling orthopedic medical devices and associated surgical solutions to hospitals, health systems, and other healthcare providers. Its revenue is largely generated from the sale of implantable products used i...

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 is the clear growth engine—accelerating on new-product adoption, robotics placements and meaningful market-share gains in knees—while International results are more volatile and drove the recent drag (Eastern Europe/LatAm/S.E.T.). Management’s trimmed revenue outlook reflects that dichotomy: domestic tech and implant momentum can lift margins and upside, but emerging‑market softness and a persistent U.S. revision slowdown are the primary risks to sustaining organic growth.
Data provided by:The Fly

Zimmer Biomet Holdings Earnings Call Summary

Earnings Call Date:Apr 28, 2026
(Q1-2026)
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% Change Since: |
Next Earnings Date:Aug 04, 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.
Read all updates
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
Strong scale and profitability at the gross/EBITDA level (TTM revenue $8.41B, ~69.7% gross margin, ~26.9% EBITDA margin) with moderate leverage (debt-to-equity ~0.59). Offsetting this, net margin has compressed to ~8.6% (down vs. 2023–2024), ROE has softened to ~4.0%, and TTM free cash flow growth is sharply negative, indicating weaker recent efficiency and cash-flow momentum.
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 Liabilities7.98B10.39B8.89B9.01B9.04B10.79B
Stockholders Equity14.74B12.71B12.47B12.48B12.02B12.66B
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
93.30
Positive
100DMA
91.84
Positive
200DMA
94.69
Positive
Market Momentum
MACD
0.86
Negative
RSI
58.76
Neutral
STOCH
57.62
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 91.19, above the 50-day MA of 93.30, and above the 200-day MA of 94.69, indicating a bullish trend. The MACD of 0.86 indicates Negative momentum. The RSI at 58.76 is Neutral, neither overbought nor oversold. The STOCH value of 57.62 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
72
Outperform
$46.04B30.4610.55%13.81%22.90%
72
Outperform
$12.68B10.7511.79%2.28%6.30%52.96%
67
Neutral
$80.16B17.4215.40%17.44%74.36%
67
Neutral
$97.77B28.299.54%2.76%6.88%9.06%
64
Neutral
$15.93B18.515.78%1.05%9.23%-14.66%
63
Neutral
$109.33B42.2215.22%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
82.33
-14.87
-15.30%
BSX
Boston Scientific
53.93
-48.94
-47.57%
EW
Edwards Lifesciences
79.96
5.16
6.90%
MDT
Medtronic
76.15
-7.02
-8.44%
SNN
Smith & Nephew Snats
29.95
2.14
7.70%
SYK
Stryker
285.47
-98.90
-25.73%

Zimmer Biomet Holdings Corporate Events

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: Apr 29, 2026