Core Insights - Zimmer Biomet Holdings, Inc. (ZBH) reported fourth-quarter 2024 adjusted earnings per share (EPS) of 2.31,slightlyexceedingtheZacksConsensusEstimateby0.01, marking a 5% increase year over year [1][3] - The company’s full-year adjusted EPS for 2024 was 8.00,reflectinga5.90.01 [3] - Following the earnings announcement, ZBH shares fell over 1.3% in pre-market trading [3] Financial Performance - ZBH's fourth-quarter net sales reached 2.02billion,a4.37.68 billion, up 3.8% from the previous year (4.8% at constant exchange rates), also exceeding the Zacks Consensus Estimate by 0.1% [4] Revenue Breakdown - In Q4, U.S. sales totaled 1.18billion,up4.7842 million, reflecting a 3.7% increase year over year (5.2% at constant exchange rates) [5] - Revenue from the Knees segment grew 5.6% year over year at constant exchange rates to 839.2million,whiletheHipssegmentsawa4520 million [6] - The S.E.T. segment reported an 8.4% year-over-year growth at constant exchange rates, reaching 489.4million,whilethe"Other"categorysawadeclineof4.3174.6 million [7] Margin Analysis - Adjusted gross margin was 71%, down 123 basis points year over year, while adjusted operating margin contracted 43 basis points to 28.7% [8] - Selling, general and administrative expenses rose 3.4% to 746.9million,whereasresearchanddevelopmentexpensesdecreasedby4.3108.4 million [8] Cash Position - At the end of Q4, ZBH had cash and cash equivalents of 525.5million,upfrom415.8 million a year ago [10] - Cumulative net cash provided by operating activities was 1.49billion,comparedto1.58 billion in the previous year [10] Future Outlook - ZBH expects reported revenue growth for 2025 to be between 1% and 3.5% year over year, with an anticipated adverse impact from foreign exchange of 1.5% to 2% [11] - The company projects adjusted EPS for 2025 to be in the range of 8.15to8.35, while the Zacks Consensus Estimate stands at 8.57[11]StrategicDevelopments−ZBHannouncedadefinitiveagreementtoacquireParagon28,acompanyspecializinginthefootandankleorthopedicsegment,whichisexpectedtoenhanceZBH′sdiversificationstrategyandgrowthpotentialinthe5 billion foot and ankle market [14]