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Zimmer Biomet Holdings, Inc

Zimmer Biomet Announces First Quarter 2026 Financial Results

  • First quarter net sales of $2.087 billion increased 9.3% on a reported basis, 6.8% on a constant currency1 basis and 2.9% on an organic constant currency1 basis
  • First quarter diluted earnings per share were $1.22, an increase of 34.1%; adjusted1 diluted earnings per share were $2.09, an increase of 15.5%
  • Company updates full-year 2026 financial guidance

WARSAW, Ind. , April 28, 2026 /PRNewswire/ -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) today reported financial results for the quarter ended March 31, 2026.  The Company reported first quarter net sales of $2.087 billion, an increase of 9.3% over the prior year period, an increase of 6.8% on a constant currency1 basis and an increase of 2.9% on an organic constant currency1 basis.  Net earnings for the first quarter were $238.1 million, or $409.4 million on an adjusted1 basis.

Diluted earnings per share were $1.22 for the first quarter, an increase of 34.1%, and adjusted1 diluted earnings per share were $2.09, an increase of 15.5%.  Zimmer Biomet generated $359.4 million in operating cash flow and $245.9 million of free cash flow in the first quarter.

"We are off to a solid start to the year — strategically, operationally and financially," said Ivan Tornos, Chairman, President and CEO of Zimmer Biomet. "Our first quarter results reflect healthy end markets, continued momentum from our recently launched products and disciplined execution across the business. Given our progress and with our go-to-market transformation proceeding as planned, we are raising our adjusted EPS guidance and free cash flow expectations for the year. We remain confident that our strategy will position Zimmer Biomet for consistent, durable growth over the longer term."










1 Reconciliations of these measures to the corresponding U.S. generally accepted accounting principles measures are included in this press release.

Recent Highlights

Geographic and Product Category Sales
The following sales table provides results by geography and product category for the three-month period ended March 31, 2026, as well as the percentage change compared to the prior year period, on both a reported basis and a constant currency basis.  Percentage change is also presented on an organic constant currency basis to exclude the impact on net sales from the April 2025 acquisition of Paragon 28, Inc. ("Paragon 28").

NET SALES - THREE MONTHS ENDED MARCH 31, 2026



(in millions, unaudited)













































Organic











Constant




Constant




Net







Currency




Currency




Sales



% Change




% Change




% Change



Geographic Results















United States

$

1,209.4




8.6


%



8.6


%



3.2


%

International


877.4




10.3





4.2





2.5



Total

$

2,086.7




9.3


%



6.8


%



2.9


%

Product Categories















Knees















United States

$

469.2




2.2


%



2.2


%



2.2


%

International


359.4




7.6





1.3





1.3



Total


828.6




4.5





1.8





1.8



Hips















United States


277.5




5.0





5.0





5.0



International


246.6




6.5





1.0





1.0



Total


524.1




5.7





3.2





3.2



S.E.T. *


562.2




19.5





17.4





1.6



Technology & Data, Bone Cement and Surgical


171.8




14.6





11.7





11.7



Total

$

2,086.7




9.3


%



6.8


%



2.9


%
















* Sports Medicine, Extremities, Trauma, Craniomaxillofacial and Thoracic





Amounts reported in millions are computed based on the actual amounts.  As a result, the sum of the components reported in millions may not equal the total amount reported in millions due to rounding.  Percentages presented are calculated from the underlying unrounded amounts.

Financial Guidance

The Company is updating its full-year 2026 financial guidance as follows:

Projected Year Ending December 31, 2026



Previous Guidance

Updated Guidance

2026 Reported Revenue Change

2.5% - 4.5%

2.5% - 4.5%

Foreign Currency Exchange Impact

+0.5 %

+0.5 %

2026 Constant Currency Revenue Change

2.0% - 4.0%

2.0% - 4.0%

2026 Organic Constant Currency Revenue Change(1)

1.0% - 3.0%

1.0% - 3.0%

Adjusted Diluted EPS(2)

$8.30 - $8.45

$8.40 - $8.55


(1)

Excludes the projected impact of the Paragon 28 acquisition through the one-year anniversary of the acquisition date, which is estimated to be approximately 100bps.

(2)

This measure is a non-GAAP financial measure for which a reconciliation to the most directly comparable GAAP financial measure is not available without unreasonable efforts.  See "Forward-Looking Non-GAAP Financial Measures" below, which identifies the information that is unavailable without unreasonable efforts and provides additional information.  It is probable that this forward-looking non-GAAP financial measure may be materially different from the corresponding GAAP financial measure.

Conference Call

The Company will conduct its first quarter 2026 investor conference call today, April 28, 2026, at 8:30 a.m. ET.  The audio webcast can be accessed via Zimmer Biomet's Investor Relations website at https://investor.zimmerbiomet.com.  It will be archived for replay following the conference call. 

About the Company

Zimmer Biomet is a global medical technology leader with a comprehensive portfolio designed to maximize mobility and improve health.  We seamlessly transform the patient experience through our innovative products and suite of integrated digital and robotic technologies that leverage data, data analytics and artificial intelligence. 

With 90+ years of trusted leadership and proven expertise, Zimmer Biomet is positioned to deliver the highest quality solutions to patients and providers.  Our legacy continues to come to life today through our progressive culture of evolution and innovation.

For more information about our product portfolio, our operations in 25+ countries and sales in 100+ countries or about joining our team, visit www.zimmerbiomet.com or follow on LinkedIn at www.linkedin.com/company/zimmerbiomet or X / Twitter at www.x.com/zimmerbiomet.  

Website Information

We routinely post important information for investors on our website, www.zimmerbiomet.com, in the "Investor Relations" section.  We use this website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD.  Accordingly, investors should monitor the Investor Relations section of our website, in addition to following our press releases, SEC filings, public conference calls, presentations and webcasts. 

The information contained on, or that may be accessed through, our website or any other website referenced herein is not incorporated by reference into, and is not a part of, this document.

Note on Non-GAAP Financial Measures

This press release and our commentary in our investor conference call today include non-GAAP financial measures that differ from financial measures calculated in accordance with U.S. generally accepted accounting principles ("GAAP").  These non-GAAP financial measures may not be comparable to similar measures reported by other companies and should be considered in addition to, and not as a substitute for, or superior to, other measures prepared in accordance with GAAP.

Net sales change information for the three-month period ended March 31, 2026 is presented on a GAAP (reported) basis and on a constant currency basis. Net sales change for this period is also presented on an organic constant currency basis to exclude the impact on net sales from the April 2025 acquisition of Paragon 28.  Constant currency percentage changes exclude the effects of foreign currency exchange rates.  They are calculated by translating current and prior-period sales at the same predetermined exchange rate.  The translated results are then used to determine year-over-year percentage increases or decreases.  Projected revenue change information for the year ending December 31, 2026, is also presented on an organic constant currency basis.  In addition to excluding the projected effects of foreign currency exchange rates, projected 2026 organic constant currency revenue change also excludes the projected impact on net sales from the April 2025 acquisition of Paragon 28 through the one-year anniversary of the acquisition date in April 2026.

Net earnings and diluted earnings per share for the three-month periods ended March 31, 2026 and 2025 are presented on a GAAP (reported) basis and on an adjusted basis.  These adjusted financial measures exclude the effects of certain items, which are detailed in the reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures presented later in the press release. 

Free cash flow is an additional non-GAAP measure that is presented in this press release.  Free cash flow is computed by deducting additions to instruments and other property, plant and equipment from net cash provided by operating activities.

Reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures are included in this press release.  This press release also contains supplemental reconciliations of additional non-GAAP financial measures that the Company presents in other contexts.  These additional non-GAAP financial measures are computed from the most directly comparable GAAP financial measure as indicated in the applicable reconciliation.

Management uses non-GAAP financial measures internally to evaluate the performance of the business.  Additionally, management believes these non-GAAP measures provide meaningful incremental information to investors to consider when evaluating the performance of the Company.  Management believes these measures offer the ability to make period-to-period comparisons that are not impacted by certain items that can cause dramatic changes in reported income but that do not impact the fundamentals of our operations.  The non-GAAP measures enable the evaluation of operating results and trend analysis by allowing a reader to better identify operating trends that may otherwise be masked or distorted by these types of items that are excluded from the non-GAAP measures.  In addition, constant currency revenue change, adjusted operating profit, adjusted diluted earnings per share and free cash flow are used as performance metrics in our incentive compensation programs.

Forward-Looking Non-GAAP Financial Measures

This press release and our commentary in our investor conference call today also include certain forward-looking non-GAAP financial measures for the year ending December 31, 2026.  We calculate forward-looking non-GAAP financial measures based on internal forecasts that omit certain amounts that would be included in GAAP financial measures.  For instance, we exclude the impact of restructuring and other cost reduction initiatives; acquisition, integration, divestiture and related; and certain legal and tax matters.  We have not provided quantitative reconciliations of these forward-looking non-GAAP financial measures (other than projected 2026 organic constant currency revenue change) to the most directly comparable forward-looking GAAP financial measures because the excluded items are not available on a prospective basis without unreasonable efforts.  For example, the timing of certain transactions is difficult to predict because management's plans may change.  In addition, the Company believes such reconciliations would imply a degree of precision and certainty that could be confusing to investors.  It is probable that these forward-looking non-GAAP financial measures may be materially different from the corresponding GAAP financial measures.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including statements regarding financial guidance, statements regarding macro pressures, including the impact of such pressures on our business, and any statements about our forecasts, expectations, plans, intentions, commitments, strategies or prospects.  All statements other than statements of historical or current fact are, or may be deemed to be, forward-looking statements.  Such statements are based upon the current beliefs, expectations and assumptions of management and are subject to significant risks, uncertainties and changes in circumstances that could cause actual outcomes and results to differ materially from the forward-looking statements.  These risks, uncertainties and changes in circumstances include, but are not limited to: competition; pricing pressures; dependence on new product development, technological advances and innovation; changes in customer demand for our products and services caused by demographic changes, obsolescence, development of different therapies or other factors; our ability to attract, retain, develop and maintain adequate succession plans for the highly skilled employees, senior management, independent agents and distributors we need to support our business; the transformation of our sales and distribution network in the U.S. and other markets; challenges relating to the rationalization of our products; shifts in the product category or regional sales mix of our products and services; the risks and uncertainties related to our ability to successfully execute our restructuring plans; the risks and uncertainties relating to our ability to successfully execute on our product portfolio rationalization plans; control of costs and expenses; risks related to the ability to realize the anticipated benefits of our acquisitions, including the possibility that the expected benefits from such transactions will not be realized or will not be realized within the expected time period; the risk that acquired businesses will not be integrated successfully; the effects of business disruptions affecting us, our suppliers, customers or payors, either alone or in combination with other risks on our business and operations; the risks and uncertainties related to our ability to successfully integrate the operations, products, service providers, agents, employees, sales representatives and distributors of acquired companies; the effect of the potential disruption of management's attention from ongoing business operations due to integration matters related to mergers and acquisitions; the effect of mergers and acquisitions on our relationships with customers, suppliers and lenders and on our operating results and businesses generally; unplanned delays, disruptions and expenses attributable to our enterprise resource planning and other system updates; the ability to form and implement alliances; dependence on a limited number of suppliers for key raw materials and other inputs and for outsourced activities; the risk of disruptions in the supply of materials and components used in manufacturing or sterilizing our products; breaches or failures of our (or of our business partners' or other third parties') information technology systems or products, including by cyberattack, unauthorized access or theft; the outcome of government investigations; the impact of healthcare reform and cost containment measures, including efforts sponsored by government agencies, legislative bodies, the private sector and healthcare purchasing organizations, through reductions in reimbursement levels, repayment demands and otherwise; the effects of natural disasters, or of legal, regulatory or market measures to address natural disasters; the effects of our commitments, goals and disclosures relating to corporate responsibility matters; the impact of substantial indebtedness on our ability to service our debt obligations and/or refinance amounts outstanding under our debt obligations at maturity on terms favorable to us, or at all; changes in tax obligations arising from examinations by tax authorities and from changes in tax laws in jurisdictions where we do business, including as a result of the "base erosion and profit shifting" project undertaken by the Organisation for Economic Co-operation and Development and otherwise; challenges to the tax-free nature of the ZimVie Inc. spinoff transaction and the subsequent liquidation of our retained interest in ZimVie Inc.; the risk of additional tax liability due to the recategorization of our independent agents and distributors to employees; changes in tariffs relating to imports to the U.S. and other countries; the risk that material impairment of the carrying value of our intangible assets, including goodwill, could negatively affect our operating results; changes in general domestic and international economic conditions, including interest rate and currency exchange rate fluctuations; changes in general industry and market conditions, including domestic and international growth, inflation and currency exchange rates; the domestic and international business impact of political, social and economic instability, tariffs, trade restrictions and embargoes, sanctions, wars, disputes and other conflicts, including on our ability to operate in, export from or collect accounts receivable in affected countries; challenges relating to changes in and compliance with governmental laws and regulations affecting our U.S. and international businesses, including regulations of the U.S. Food and Drug Administration ("FDA") and other government regulators relating to medical products, healthcare fraud and abuse laws and data privacy and cybersecurity laws; the success of our quality and operational excellence initiatives; the ability to remediate matters identified in inspectional observations issued by the FDA and other regulators, while continuing to satisfy the demand for our products; product liability, intellectual property and commercial litigation losses; and the ability to obtain and maintain adequate intellectual property protection.  A further list and description of these risks and uncertainties and other factors can be found in our Annual Report on Form 10-K for the year ended December 31, 2024, including in the sections captioned "Cautionary Note Regarding Forward-Looking Statements" and "Item 1A. Risk Factors," and our subsequent filings with the Securities and Exchange Commission (SEC).  Copies of these filings are available online at www.sec.gov, www.zimmerbiomet.com or on request from us. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in our filings with the SEC.  Forward-looking statements speak only as of the date they are made, and we expressly disclaim any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Readers of this press release are cautioned not to rely on these forward-looking statements since there can be no assurance that these forward-looking statements will prove to be accurate.  This cautionary note is applicable to all forward-looking statements contained in this press release.

Note: Amounts reported in millions within this press release are computed based on the actual amounts.  As a result, the sum of the components reported in millions may not equal the total amount reported in millions due to rounding.  Certain columns and rows within tables may not add due to the use of rounded numbers.  Percentages presented are calculated from the underlying unrounded amounts.

ZIMMER BIOMET HOLDINGS, INC.


CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS


FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025


(in millions, except per share amounts, unaudited)









2026



2025


Net Sales

$

2,086.7



$

1,909.1


Cost of products sold, excluding intangible asset amortization


576.2




549.8


Intangible asset amortization


162.1




151.0


Research and development


103.4




110.6


Selling, general and administrative


849.9




758.8


Restructuring and other cost reduction initiatives


6.3




36.0


Acquisition, integration, divestiture and related


15.6




10.6


Operating expenses


1,713.5




1,616.8


Operating Profit


373.2




292.3


Other (expense) income, net


(3.0)




2.9


Interest expense, net


(68.8)




(66.2)


Earnings before income taxes


301.3




229.0


Provision for income taxes


63.0




46.5


Net Earnings


238.3




182.6


Less: Net earnings attributable to noncontrolling interest


0.2




0.6


Net Earnings of Zimmer Biomet Holdings, Inc.

$

238.1



$

182.0








Earnings Per Common Share






Basic

$

1.22



$

0.92


Diluted

$

1.22



$

0.91


Weighted Average Common Shares Outstanding






Basic


195.0




198.9


Diluted


195.8




199.7


The condensed consolidated statement of earnings for the three-months ended March 31, 2026, reported in this press release are based on an initial assessment that the Company will not record a goodwill impairment charge in the first quarter 2026.  The Company is finalizing its estimated fair value assessment of such goodwill, and therefore the determination of whether an impairment charge will be recorded, and the amount of any such charge, is not complete and subject to change.  If an impairment charge is recorded, our GAAP net earnings information related to the first quarter of 2026 in this release will differ from what is reported in this release. The final determination regarding any impairment, and the impact on results if there is an impairment, will be included in the Company's Quarterly Report on Form 10-Q for the quarter ended March 31, 2026.

ZIMMER BIOMET HOLDINGS, INC.


CONDENSED CONSOLIDATED BALANCE SHEETS


(in millions, unaudited)






March 31,



December 31,




2026



2025


Assets







Cash and cash equivalents


$

424.2



$

591.9


Receivables, net



1,728.6




1,704.4


Inventories



2,246.8




2,286.4


Other current assets



562.9




537.3


Total current assets



4,962.5




5,119.9


Property, plant and equipment, net



2,211.7




2,207.1


Goodwill



9,931.8




9,947.1


Intangible assets, net



4,547.6




4,717.3


Other assets



1,067.9




1,100.3


Total Assets


$

22,721.6



$

23,091.7


Liabilities and Stockholders' Equity







Current liabilities


$

1,688.4



$

1,996.6


Current portion of long-term debt



1,175.9




587.1


Other long-term liabilities



880.6




870.2


Long-term debt



6,295.1




6,932.0


Stockholders' equity



12,681.6




12,705.8


Total Liabilities and Stockholders' Equity


$

22,721.6



$

23,091.7


 

ZIMMER BIOMET HOLDINGS, INC.


CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS


FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025


(in millions, unaudited)











2026



2025


Cash flows provided by (used in) operating activities







Net earnings


$

238.3



$

182.6


Depreciation and amortization



270.0




254.4


Share-based compensation



24.2




19.6


Changes in operating assets and liabilities, net of acquired assets and
liabilities







Income taxes



(7.4)




(15.6)


Receivables



14.5




(18.8)


Inventories



(20.9)




(3.0)


Accounts payable and accrued liabilities



(183.0)




(36.4)


Other assets and liabilities



23.5




(0.1)


Net cash provided by operating activities



359.4




382.8


Cash flows provided by (used in) investing activities







Additions to instruments



(77.2)




(59.7)


Additions to other property, plant and equipment



(36.3)




(44.6)


Net investment hedge settlements



(0.3)




1.0


Acquisition of intangible assets



(39.0)




(2.4)


Other investing activities



(6.2)




(0.3)


Net cash used in investing activities



(159.0)




(106.0)


Cash flows provided by (used in) financing activities







Proceeds from senior notes



-




1,748.1


Redemption of senior notes



-




(863.0)


Dividends paid to stockholders



(46.9)




(47.8)


Proceeds from employee stock compensation plans



12.3




16.7


Business combination contingent consideration payments



(69.0)




(17.4)


Debt issuance costs



-




(16.1)


Repurchase of common stock



(250.1)




(229.8)


Other financing activities



(15.6)




(15.2)


Net cash (used in) provided by financing activities



(369.2)




575.4


Effect of exchange rates on cash and cash equivalents



1.1




7.0


Change in cash and cash equivalents



(167.7)




859.1


Cash and cash equivalents, beginning of year



591.9




525.5


Cash and cash equivalents, end of period


$

424.2



$

1,384.5


 

ZIMMER BIOMET HOLDINGS, INC.

RECONCILIATION OF REPORTED NET SALES % CHANGE TO

CONSTANT CURRENCY AND ORGANIC CONSTANT CURRENCY % CHANGE

(unaudited)










































For the Three Months Ended


March 31, 2026 vs. 2025


















Organic








Foreign




Constant




Paragon




Constant








Exchange




Currency




28




Currency




% Change




Impact




% Change




Impact




% Change



Geographic Results




















United States


8.6


%



-


%



8.6


%



5.4


%



3.2


%

International


10.3





6.1





4.2





1.7





2.5



Total


9.3


%



2.5


%



6.8


%



3.9


%



2.9


%

Product Categories




















Knees




















United States


2.2


%



-


%



2.2


%



-


%



2.2


%

International


7.6





6.3





1.3





-





1.3



Total


4.5





2.7





1.8





-





1.8



Hips




















United States


5.0





-





5.0





-





5.0



International


6.5





5.5





1.0





-





1.0



Total


5.7





2.5





3.2





-





3.2



S.E.T.


19.5





2.1





17.4





15.8





1.6



Technology & Data, Bone
Cement and Surgical


14.6





2.9





11.7





-





11.7



Total


9.3


%



2.5


%



6.8


%



3.9


%



2.9


%

 

ZIMMER BIOMET HOLDINGS, INC.


RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025


(in millions, except per share amounts, unaudited)




















































FOR THE THREE MONTHS ENDED MARCH 31, 2026




Cost of products
sold, excluding
intangible asset
amortization



Intangible asset
amortization



Restructuring
and other cost
reduction
initiatives



Acquisition,
integration,
divestiture
and related



Other
(expense)
income, net



Provision for
income taxes



Net Earnings
of Zimmer
Biomet
Holdings, Inc.



Diluted
earnings
per
common
share


As Reported


$

576.2



$

162.1



$

6.3



$

15.6



$

(3.0)



$

63.0



$

238.1



$

1.22


Inventory and manufacturing-related
charges(1)



(13.3)




-




-




-




-




3.6




9.7




0.05


Intangible asset amortization(2)



-




(162.1)




-




-




-




34.2




127.9




0.65


Restructuring and other cost reduction
initiatives(3)



-




-




(6.3)




-




-




1.0




5.3




0.03


Acquisition, integration, divestiture and
related(4)



-




-




-




(15.6)




-




1.4




14.2




0.07


Other charges(5)



-




-




-




-




0.8




0.2




0.6




-


Other certain tax adjustments(6)



-




-




-




-




-




(13.5)




13.5




0.07


As Adjusted


$

562.9



$

-



$

-



$

-



$

(2.2)



$

89.9



$

409.4



$

2.09


 

FOR THE THREE MONTHS ENDED MARCH 31, 2025




Cost of
products sold,
excluding intangible
asset
amortization



Intangible
asset
amortization



Research and
development



Restructuring
and other
cost
reduction
initiatives



Acquisition,
integration,
divestiture
and related



Interest
expense,
net



Provision
for income
taxes



Net
Earnings of
Zimmer
Biomet
Holdings,
Inc.



Diluted
earnings per
common
share


As Reported


$

549.8



$

151.0



$

110.6



$

36.0



$

10.6



$

(66.2)



$

46.5



$

182.0



$

0.91


Inventory and manufacturing-related
charges(1)



(6.2)




-




-




-




-




-




2.1




4.1




0.02


Intangible asset amortization(2)



-




(151.0)




-




-




-




-




28.2




122.8




0.61


Restructuring and other cost
reduction initiatives(3)



-




-




-




(36.0)




-




-




7.2




28.8




0.14


Acquisition, integration, divestiture
and related(4)



-




-




-




-




(10.6)




-




1.9




8.7




0.04


European Union Medical Device
Regulation(7)



-




-




(4.4)




-




-




-




0.9




3.5




0.02


Other charges(5)



-




-




-




-




-




4.8




2.7




2.1




0.01


Other certain tax adjustments(6)



-




-




-




-




-




-




(9.2)




9.2




0.05


As Adjusted


$

543.6



$

-



$

106.2



$

-



$

-



$

(61.4)



$

80.3



$

361.2



$

1.81


(1)

Inventory and manufacturing-related charges include excess and obsolete inventory charges on certain product lines we intend to discontinue by 2032, inventory step-up expense, and other inventory and manufacturing-related charges or gains.  Inventory step-up expense represents the incremental expense of inventory sold recognized at its fair value after business combination accounting is applied versus the expense that would have been recognized if sold at its cost to manufacture.  Since only the inventory that existed at the business combination date was stepped-up to fair value, we believe excluding the incremental expense provides investors useful information as to what our costs may have been if we had not been required to increase the inventory's book value to fair value.  The excess and obsolete inventory charges on product lines we intend to discontinue were $1.2 million and $2.6 million in the three-month periods ended March 31, 2026 and 2025, respectively.  Inventory step-up expense was $12.0 million in the three-month period ended March 31, 2026, compared to zero in the same prior year period. 



(2)

We exclude intangible asset amortization as well as deferred tax rate changes on our intangible assets from our non-GAAP financial measures because we internally assess our performance against our peers without this amortization.  Due to various levels of acquisitions among our peers, intangible asset amortization can vary significantly from company to company.



(3)

In December 2019, 2021 and 2023, and in February and December 2025, we initiated global restructuring programs that included a reorganization of key businesses and an overall effort to reduce costs in order to accelerate decision-making, focus the organization on priorities to drive growth and, in the case of the December 2021 program, to prepare for the spinoff of ZimVie Inc. ("ZimVie").  Restructuring and other cost reduction initiatives also include other cost reduction and optimization initiatives that have the goal of reducing costs or across the organization.  The costs include employee termination benefits; contract terminations for facilities and sales agents; and other charges, such as consulting fees, project management expenses, retention period salaries and benefits and relocation costs. 



(4)

The acquisition, integration, divestiture and related gains and expenses we have excluded from our non-GAAP financial measures resulted from various acquisitions, post-separation costs we have incurred related to ZimVie and gains related to a transition services agreement for services we provide to ZimVie and a transition manufacturing and supply agreement for products we supply to ZimVie for a limited period.  In the three-month periods ended March 31, 2026 and 2025, this line item includes $8.1 million and $1.7 million of expenses, respectively, related to changes in the estimated fair values of contingent consideration due to updated forecasts of net sales from certain acquisitions. 



(5)

We have incurred other various expenses from specific events or projects that we consider highly variable or that have a significant impact to our operating results that we have excluded from our non-GAAP measures.  These include gains and losses from changes in fair value on our equity investments, impairment of instruments related to certain product lines we intend to discontinue, among other various costs.  In addition, in February 2025 we issued senior notes in order to have the necessary cash-on-hand to acquire Paragon 28 once regulatory approval was received.  We have excluded from our non-GAAP financial measures the interest on this debt related to the principal amount of the estimated purchase price and acquisition-related costs up through the acquisition date.  Interest expense subsequent to the acquisition date has not been excluded. 



(6)

Other certain tax adjustments are primarily related to significant and discrete tax adjustments.  The primary adjustments include benefits of $12.1 million and $8.5 million in three-month periods ended March 31, 2026 and 2025, respectively, related to Swiss tax reform.



(7)

The European Union Medical Device Regulation imposes significant additional premarket and postmarket requirements.  The new regulations provided a transition period until May 2021 for previously-approved medical devices to meet the additional requirements.  For certain devices, this transition period was extended until May 2024.  A conditional extension of the transition period has been implemented until December 2027 and 2028 depending on the legacy medical device's risk class.  We are excluding from our non-GAAP financial measures the incremental costs incurred to establish initial compliance with the regulations related to our previously-approved medical devices.  The incremental costs primarily relate to temporary personnel and third-party professionals necessary to supplement our internal resources.  Starting January 1, 2026, we do not expect to incur any significant incremental costs related to these new regulations.

 

ZIMMER BIOMET HOLDINGS, INC.


RECONCILIATION OF NET CASH PROVIDED BY OPERATING


ACTIVITIES TO FREE CASH FLOW


FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025


(in millions, unaudited)















Three Months Ended March 31,



2026



2025


Net cash provided by operating activities

$

359.4



$

382.8


Additions to instruments


(77.2)




(59.7)


Additions to other property, plant and equipment


(36.3)




(44.6)


Free cash flow

$

245.9



$

278.5


 

ZIMMER BIOMET HOLDINGS, INC.

RECONCILIATION OF GROSS PROFIT & MARGIN

TO ADJUSTED GROSS PROFIT & MARGIN

FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025

(in millions, unaudited)
















Three Months Ended March 31,




2026



2025



Net Sales

$

2,086.7



$

1,909.1



Cost of products sold, excluding intangible asset amortization


576.2




549.8



Intangible asset amortization


162.1




151.0



Gross Profit

$

1,348.4



$

1,208.3










Inventory and manufacturing-related charges


13.3




6.2



Intangible asset amortization


162.1




151.0



Adjusted gross profit

$

1,523.8



$

1,365.5

















Gross margin


64.6


%


63.3


%

Inventory and manufacturing-related charges


0.6




0.3



Intangible asset amortization


7.8




7.9



Adjusted gross margin


73.0


%


71.5


%

 

ZIMMER BIOMET HOLDINGS, INC.

RECONCILIATION OF OPERATING PROFIT & MARGIN TO ADJUSTED OPERATING PROFIT & MARGIN

FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025

(in millions, unaudited)
















Three Months Ended
March 31,




2026



2025



Operating profit

$

373.2



$

292.3



Inventory and manufacturing-related charges


13.3




6.2



Intangible asset amortization


162.1




151.0



Restructuring and other cost reduction initiatives


6.3




36.0



Acquisition, integration, divestiture and related


15.6




10.6



European Union Medical Device Regulation


-




4.4



Adjusted operating profit

$

570.5



$

500.5

















Operating profit margin


17.9


%


15.3


%

Inventory and manufacturing-related charges


0.6




0.3



Intangible asset amortization


7.8




7.9



Restructuring and other cost reduction initiatives


0.3




1.9



Acquisition, integration, divestiture and related


0.7




0.6



European Union Medical Device Regulation


-




0.2



Adjusted operating profit margin


27.3


%


26.2


%

 

ZIMMER BIOMET HOLDINGS, INC.

RECONCILIATION OF EFFECTIVE TAX RATE TO ADJUSTED EFFECTIVE TAX RATE

FOR THE THREE MONTHS ENDED MARCH 31, 2026 and 2025

(unaudited)
















Three Months Ended March 31,




2026



2025



Effective tax rate


20.9


%


20.3


%

Tax effect of adjustments made to earnings before taxes(1)


1.6




1.9



Other certain tax adjustments (2)


(4.5)




(4.0)



Adjusted effective tax rate


18.0


%


18.2


%

(1) Includes inventory and manufacturing-related charges; intangible asset amortization; restructuring and other cost reduction initiatives; acquisition, integration, divestiture and related; litigation; European Union Medical Device Regulation; and other charges

(2) Other certain tax adjustments are primarily related to significant and discrete tax adjustments. The primary adjustments include benefits of $12.1 million and $8.5 million in the three-month periods ended March 31, 2026 and 2025, respectively, related to Swiss tax reform.

 

ZIMMER BIOMET HOLDINGS, INC.


RECONCILIATION OF DEBT TO NET DEBT


AS OF MARCH 31, 2026 and DECEMBER 31, 2025


(in millions, unaudited)















March 31, 2026



December 31, 2025


Debt, both current and long-term

$

7,471.0



$

7,519.1


Cash and cash equivalents


(424.2)




(591.9)


Net debt

$

7,046.8



$

6,927.2


 

Media

Investors

Troy Kirkpatrick

David DeMartino

614-284-1926

646-531-6115

troy.kirkpatrick@zimmerbiomet.com 

david.demartino@zimmerbiomet.com 



Kirsten Fallon

Zach Weiner

781-779-5561

908-591-6955

kirsten.fallon@zimmerbiomet.com 

zach.weiner@zimmerbiomet.com 

 

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SOURCE Zimmer Biomet Holdings, Inc.