ZBH Q4 Earnings & Revenues Top Estimates, Stock Up in Pre-Market

Core Insights - Zimmer Biomet Holdings, Inc. (ZBH) reported fourth-quarter 2025 adjusted earnings per share (EPS) of $2.42, exceeding the Zacks Consensus Estimate by 1.7% and reflecting a year-over-year increase of 4.8% [1] - The company achieved net sales of $2.24 billion for the quarter, a 10.9% increase year over year, surpassing the Zacks Consensus Estimate by 1.9% [3] - Full-year adjusted EPS was $8.20, marking a 2.5% increase year over year and slightly beating the Zacks Consensus Estimate by 0.5% [2] Revenue Performance - ZBH's net sales for the full year reached $8.23 billion, a 7.2% increase year over year, also marginally exceeding the Zacks Consensus Estimate by 0.5% [3] - U.S. sales totaled $1.31 billion for the quarter, up 11.11% year over year, while international sales were $931.2 million, reflecting a 10.6% increase year over year [4] - Revenue growth was observed across all four product categories, with the S.E.T. unit experiencing a notable 20.1% increase year over year at constant currency [5] Margin Analysis - Adjusted gross margin was reported at 64.7%, a contraction of 632 basis points year over year, primarily due to a 35.1% rise in the cost of products sold [7] - Selling, general and administrative expenses rose 16.8% to $872.3 million, while research and development expenses increased by 9.6% to $118.8 million [7] - Adjusted operating margin contracted 821 basis points to 20.5% [7] Cash Position - At the end of the fourth quarter, ZBH had cash and cash equivalents of $591.9 million, an increase from $525.5 million at the end of the fourth quarter of 2024 [9] - Cumulative net cash provided by operating activities was $1.70 billion, up from $1.50 billion in the previous year [9] Future Outlook - For 2026, ZBH expects revenue growth in the range of 2.5-4.5%, with the Zacks Consensus Estimate for revenues at $8.41 billion, indicating a 3.1% year-over-year growth [10] - Adjusted EPS guidance for the full year is projected to be between $8.30 and $8.45, with the Zacks Consensus Estimate for 2025 adjusted EPS at $8.54 [10] Overall Assessment - ZBH's fourth-quarter results exceeded expectations, with growth reported across all business segments [11] - Notable developments contributing to growth include FDA clearance for ROSA Knee and the launch of the Brachiator Mini-Rail External Fixation System [11] - Despite the positive revenue and earnings performance, the contraction in margins presents a concern [11]