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Zimmer Biomet Holdings (ZBH) Stock Fundamentals, Analysis & Risk Signals

Health score, competitive moat, risk signals, and key metrics at a glance.

NYSE•Healthcare•Medical Devices
B
GoodMetricSide Score: 67/100
ProfitabilityProfit25/30
GrowthGrowth9/25
Balance SheetBalance17/25
Cash QualityCash16/20
Price & Volume
Market Cap $17.06B

Zimmer Biomet Holdings, Inc., together with its subsidiaries, operates as a medical technology company worldwide. The company designs, manufactures, and markets orthopedic reconstructive products, such as knee and hip products; S.E.T. products, including sports medicine, biologics, foot and ankle, upper extremities, and trauma and CMFT products; sports medicine products for the repair of soft tissue injuries, used in the knee and shoulder; and craniomaxillofacial and thoracic products comprising face and skull reconstruction products, as well as products that fixate and stabilize the bones of the chest to facilitate healing or reconstruction after open-heart surgery, trauma, or for deformities of the chest. It offers technology and data, bone cement, and surgical products; and a suite of integrated digital and robotic technologies that leverage data, data analytics and artificial intelligence. The company's products and solutions are used to treat patients suffering from disorders of, or injuries to, bones, joints, or supporting soft tissues. It serves orthopedic surgeons, neurosurgeons, hospitals, healthcare institutions, stocking distributors, healthcare dealers, and other specialists, as well as agents, healthcare purchasing organizations, or buying groups. It also offers ROSA Robot, which utilizes robotic technologies to assist a surgeon with implant positioning in total knee arthroplasty or partial knee arthroplasty; and the ZBEdge Platform connects robotic and digital technologies together to collect data before, during and after surgery, that can deliver insights to surgeons to assist in making informed decisions on patient care. The company was formerly known as Zimmer Holdings, Inc. and changed its name to Zimmer Biomet Holdings, Inc. in June 2015. Zimmer Biomet Holdings, Inc. was founded in 1927 and is headquartered in Warsaw, Indiana.

Moat Signals

Competitive analysis based on 67 quarters of fundamental data

Pricing Power

Moderate Moat

Operating margins are positive at ~15.6% on average, but show some variability — pricing power may be sensitive to market conditions.

Competitive Advantage

Moderate Moat

ROE is positive at ~7.0% on average, adequate but below the threshold typically associated with wide moats.

Cash Generation

Moderate Moat

8 of the last 8 quarters generated positive FCF. The company generally funds itself but has occasional cash consumption quarters.

Demand Durability

Strong Moat

TTM revenue has grown consistently (7 of 7 quarters up), with ~11.8% growth over the period. Strong demand durability.

Risk Signals

Data-driven red flags and warnings across 67 quarters

Low Risk

Margin Pressure

Watch

Operating margins declined 16.5% — watch for continued compression, which may signal competitive or cost pressure.

Earnings Quality

Healthy

FCF covers net income by 1.8x on average — earnings are well-supported by cash generation.

Leverage Risk

Healthy

D/E ratio is 0.5 — conservative capital structure with low financial risk.

Revenue Decline

Healthy

Revenue is stable or growing over recent quarters — demand appears durable.

Cash Burn

Healthy

Free cash flow is consistently positive — the business self-funds without external capital reliance.

Share Dilution

Healthy

Shares decreased 5.2% — net buybacks are reducing shares outstanding and boosting per-share value.

Metrics at a Glance

as of March 2026

Revenue & Profit

Revenue, EBITDA, operating income, net income, EPS, and shares

TTM Revenue
$8.41B
9.2%
Q. Revenue
$2.09B
TTM EBITDA
$2.29B
1.5%
TTM Op. Income
$1.18B
10.1%
Q. Op. Income
$373.20M
TTM Net Income
$761.20M
16.7%
Q. Net Income
$238.10M
EPS
$1.22
Shares Out.
$195.00M
2.0%
$8.41B in TTM revenue grew 9.2% YoY, reaching $2.09B last quarter. TTM EBITDA of $2.29B and TTM operating income of $1.18B shows growth is flowing through. Net income of $761.20M TTM confirms the company is converting revenue into profit. Revenue is growing at a healthy pace — a signal to hold.

Margins

Gross, EBITDA, operating, and net margin trends

Gross Margin
72.4%
1.7%
EBITDA Margin
30.8%
Op. Margin
17.9%
16.8%
Net Margin
11.4%
19.7%
Op. margin of 17.9% is up 2.6% YoY — cost efficiency is improving. Net margin at 11.4% and gross margin of 72.4% — earnings take a bigger bite when COGS stays lean..

Price Ratios

P/E, P/S, P/B, EV/EBITDA, FCF yield, and earnings yield

P/E Ratio
22.4x
P/S Ratio
2.0x
P/B Ratio
1.3x
At 22.4x P/E, the stock trades in line with market averages — fairly valued. P/S of 2.0x and P/B of 1.3x provide additional context. Assess whether the current multiple is justified by the company's growth and profitability trajectory.

Assets & Liabilities

Total assets, cash, debt, book value, and leverage

Total Assets
$22.72B
Cash
$424.20M
Long-Term Debt
$6.30B
Book Value
$12.68B
D/E Ratio
0.5
Debt/EBITDA
9.8
With $22.72B in assets and $6.30B in long-term debt, the D/E of 0.5and book value of $12.68B — shows a conservative capital structure — the company has a strong financial cushion to weather downturns.

Cash Flow

Operating cash flow, free cash flow, FCF margin, and earnings quality

Op. Cash Flow
$359.40M
Free Cash Flow
$323.10M
4.5%
FCF Margin
3.8%
FCF / Net Income
1.4
FCF of $323.10M on $359.40M in operating cash flow. The FCF / Net Income ratio of 0.4x indicates partial cash conversion — earnings quality needs attention.

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