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ZBHZimmer Biomet Holdings, Inc.
$89.41$17.5B
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Zimmer Biomet Holdings, Inc. (ZBH) Financial Ratios

Latest Ratios: P/E Ratio 25.2x · EV/EBITDA 9.9x · ROE 5.6%. (1999–2025 historical series)

Income StatementBalance SheetCash FlowRatios
AnnualQuarterly

ZBH Valuation Multiples

Price-based multiples — how expensive the stock is relative to earnings, sales, book value, and cash flow

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Market Cap$17.5B$17.9B$21.5B$25.5B$26.8B$25.9B$30.9B$30.0B$20.5B$23.8B$20.3B
Enterprise Value$24.4B$24.8B$27.2B$30.9B$32.1B$32.6B$38.3B$37.6B$28.9B$33.5B$30.9B
P/E Ratio →25.1925.3323.8424.94115.9164.52—26.55—12.9666.75
P/S Ratio2.132.172.803.453.863.805.053.762.583.062.64
P/B Ratio1.401.411.732.042.232.052.542.421.822.032.10
P/FCF11.8912.1318.8521.5025.1319.2528.3225.4112.9216.7214.00
P/OCF10.3210.5314.3616.1420.8717.3025.6918.9311.7215.0712.42

P/E links to full P/E history page with 30-year chart

ZBH EV Ratios

Enterprise-value multiples — capital-structure-neutral measures of total business value

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
EV / Revenue—3.013.544.184.634.786.254.713.644.294.03
EV / EBITDA9.9510.1011.9313.8519.8018.1438.9917.5526.8817.9716.59
EV / EBIT17.9422.0721.6924.3456.5446.11357.9933.211586.3842.3640.91
EV / FCF—16.8423.8226.0130.1124.2135.0331.8518.2223.4621.33

ZBH Profitability

Margins and return-on-capital ratios measuring operating efficiency

Margins

Full margin charts and quarterly trend are on the Earnings History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Gross Margin61.6%61.6%71.5%71.8%70.9%71.3%70.2%71.8%71.4%72.7%68.9%
Operating Margin16.5%16.5%16.7%17.3%10.0%12.6%1.4%14.3%0.4%10.2%10.7%
Net Profit Margin8.6%8.6%11.8%13.8%3.3%5.9%-2.3%14.2%-4.8%23.2%4.0%

Return on Capital

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
ROE5.6%5.6%7.2%8.4%1.9%3.2%-1.1%9.6%-3.3%16.9%3.1%
ROA3.2%3.2%4.2%4.8%1.0%1.7%-0.6%4.6%-1.5%6.9%1.1%
ROIC5.4%5.4%5.4%5.4%2.8%3.3%0.3%4.3%0.1%2.9%3.1%
ROCE6.9%6.9%6.8%6.8%3.6%4.1%0.4%5.3%0.2%3.4%3.3%

ZBH Leverage & Debt

Solvency and debt-coverage ratios — lower is generally safer

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Debt / Equity0.590.590.500.460.470.560.670.660.790.861.16
Debt / EBITDA3.063.062.722.593.513.938.283.848.325.456.04
Net Debt / Equity—0.550.460.430.440.530.600.610.740.821.10
Net Debt / EBITDA2.822.822.492.403.283.727.463.557.825.175.70
Debt / FCF—4.704.974.514.994.976.706.445.306.747.33
Interest Coverage3.843.845.766.303.453.390.504.990.062.432.13

ZBH Liquidity & Efficiency

Short-term solvency ratios and asset-utilisation metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Current Ratio1.981.981.911.611.881.411.991.371.831.491.96
Quick Ratio1.101.100.990.780.970.791.030.680.900.811.14
Cash Ratio0.230.230.210.150.160.110.310.180.220.170.27
Asset Turnover—0.360.360.340.330.290.250.320.330.300.29
Inventory Turnover1.381.380.980.870.940.910.740.941.011.021.21
Days Sales Outstanding—75.5870.3871.2072.6667.3486.5362.3758.7072.2376.37

ZBH Shareholder Yields

Earnings, FCF, buyback, and dividend yields — total returns to shareholders

Dividends

Full dividend history and growth charts are on the Dividend History page

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Dividend Yield1.1%1.1%0.9%0.8%0.8%0.8%0.6%0.7%1.0%0.8%0.9%
Payout Ratio27.0%27.0%21.7%19.6%86.9%49.8%—17.4%—10.7%61.6%

Total Shareholder Return Metrics

MetricTTMFY 2025FY 2024FY 2023FY 2022FY 2021FY 2020FY 2019FY 2018FY 2017FY 2016
Earnings Yield4.0%3.9%4.2%4.0%0.9%1.5%—3.8%—7.7%1.5%
FCF Yield8.4%8.2%5.3%4.7%4.0%5.2%3.5%3.9%7.7%6.0%7.1%
Buyback Yield2.8%2.7%4.0%2.7%0.5%0.0%0.0%0.0%0.0%0.0%2.1%
Total Shareholder Yield3.9%3.8%4.9%3.5%1.2%0.8%0.6%0.7%1.0%0.8%3.0%
Shares Outstanding—$199M$204M$210M$210M$210M$207M$207M$204M$204M$202M

Key Metrics

Growth RegimeAccelerating
ProfitabilityModerate
Balance SheetHealthy
Cash FlowStable
Top Statement Risk

Elective procedure volume sensitivity

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q1)

Market Valuation Reflects Growth Skepticism

According to current market data, ZBH trades at a forward P/E of 10.97, which appears significantly discounted compared to the broader orthopedic peer group, suggesting that investors remain cautious regarding the company's ability to sustain long-term margin expansion amidst persistent pricing pressures in the medical device sector.

The valuation gap between ZBH and peers like Stryker suggests the market is pricing in a lower growth trajectory for ZBH's core joint replacement business. While the forward multiple is attractive, it warrants investigation into whether this reflects a structural lack of confidence in the company's robotics-led pivot or merely a temporary valuation disconnect.

Capital Efficiency Constrained by Intangibles

Based on reported financial statements, ZBH's ROIC has remained in a narrow range, hovering around 1.4% in 2026Q1, which indicates that the company is struggling to generate meaningful returns on its invested capital base when accounting for the significant goodwill accumulated through past strategic acquisitions.

The low ROIC relative to the cost of capital suggests that the company's historical M&A strategy has yet to yield the expected synergistic returns. Investors should monitor whether the current focus on high-growth enabling technologies can improve these returns or if the asset-heavy nature of the business will continue to suppress capital efficiency.

Inventory Intensity Masks Operational Throughput

As reported in recent filings, ZBH's asset turnover ratio of 0.09 in 2026Q1 highlights the inherent capital intensity of the orthopedic model, where the necessity of maintaining extensive consignment inventory at hospital sites creates a persistent drag on the company's ability to cycle assets efficiently.

This low turnover is a structural feature of the industry rather than a sign of poor management, yet it complicates the assessment of operational performance. Analysts should focus on the trend in DIO, which remains elevated, to determine if the company is successfully optimizing its field inventory levels as it shifts toward more specialized surgical kits.

Debt Service Capacity Remains Comfortable

Based on the provided figures, ZBH's interest coverage ratio of 5.47 in 2026Q1, combined with a stable debt-to-equity ratio of 0.51, suggests that the company maintains a healthy balance sheet capable of supporting its ongoing capital allocation and strategic investment requirements without immediate refinancing risk.

The company's ability to maintain these leverage metrics while simultaneously funding share repurchases and acquisitions indicates a disciplined approach to capital structure. However, investors should remain vigilant regarding the impact of potential interest rate volatility on the cost of servicing this debt in future periods.

Misapplication of Standard Inventory Metrics

The inventory turnover ratio is frequently misapplied to ZBH, as it fails to account for the unique consignment model where surgical sets must be pre-positioned at hospitals, thereby artificially inflating DIO and obscuring the true velocity of the company's high-margin implant sales within the orthopedic market.

Using standard inventory turnover metrics without adjusting for the consignment nature of the business leads to an inaccurate assessment of operational efficiency. A more appropriate metric would be to analyze the revenue-to-consignment-inventory ratio, which would better reflect the company's ability to generate sales from its deployed field assets.

Download Financial Ratios Data

Includes 30+ ratios · 27 years · Updated daily

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ZBH — Frequently Asked Questions

Quick answers to the most common questions about buying ZBH stock.

What is Zimmer Biomet Holdings, Inc.'s P/E ratio?

Zimmer Biomet Holdings, Inc.'s current P/E ratio is 25.2x. The historical average is 31.4x. This places it at the 55th percentile of its historical range.

What is Zimmer Biomet Holdings, Inc.'s EV/EBITDA?

Zimmer Biomet Holdings, Inc.'s current EV/EBITDA is 9.9x. This enterprise value multiple compares the company's total value (equity + debt - cash) to its EBITDA. The historical average is 16.4x.

What is Zimmer Biomet Holdings, Inc.'s ROE?

Zimmer Biomet Holdings, Inc.'s return on equity (ROE) is 5.6%. The historical average is 19.4%.

Is ZBH stock overvalued?

Based on historical data, Zimmer Biomet Holdings, Inc. is trading at a P/E of 25.2x. This is at the 55th percentile of its historical P/E range. Compare with industry peers and growth rates for a complete picture.

What is Zimmer Biomet Holdings, Inc.'s dividend yield?

Zimmer Biomet Holdings, Inc.'s current dividend yield is 1.07% with a payout ratio of 27.0%.

What are Zimmer Biomet Holdings, Inc.'s profit margins?

Zimmer Biomet Holdings, Inc. has 61.6% gross margin and 16.5% operating margin. Operating margin between 10-20% is typical for established companies.

How much debt does Zimmer Biomet Holdings, Inc. have?

Zimmer Biomet Holdings, Inc.'s Debt/EBITDA ratio is 3.1x, indicating high leverage. A ratio between 2-4x is manageable but warrants monitoring.