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ZBHZimmer Biomet Holdings, Inc.
$90.88$17.6B
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  4. Financial Ratios

Zimmer Biomet Holdings, Inc. (ZBH) Financial Ratios

Latest Ratios: P/E Ratio 25.6x · EV/EBITDA 10.0x · 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$17.6B$17.9B$21.5B$25.5B$26.8B$25.9B$30.9B$30.0B$20.5B$23.8B$20.3B
Enterprise Value$24.5B$24.8B$27.2B$30.9B$32.1B$32.6B$38.3B$37.6B$28.9B$33.5B$30.9B
P/E Ratio →25.6025.3323.8424.94115.9164.52—26.55—12.9666.75
P/S Ratio2.142.172.803.453.863.805.053.762.583.062.64
P/B Ratio1.421.411.732.042.232.052.542.421.822.032.10
P/FCF11.9412.1318.8521.5025.1319.2528.3225.4112.9216.7214.00
P/OCF10.3610.5314.3616.1420.8717.3025.6918.9311.7215.0712.42

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 / EBITDA9.9810.1011.9313.8519.8018.1438.9917.5526.8817.9716.59
EV / EBIT17.9922.0721.6924.3456.5446.11357.9933.211586.3842.3640.91
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 Yield3.9%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 Yield3.8%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 RegimeStable
ProfitabilityStable
Balance SheetAdequate
Cash FlowStable
Top Statement Risk

Goodwill impairment and leverage

Verified Source

Metrics are mathematically derived from official filings.

SEC 10-K (2026Q2)

Deep Value Discount to Peers

ZBH trades at 10.5x EV/EBITDA versus Stryker's 23.8x and Medtronic's 14.9x, per recent market data, implying the market prices in minimal growth despite mid-single-digit revenue expansion.

The forward P/E of 11.46 is dramatically below the sector average, suggesting the market is skeptical of earnings quality or growth durability. The EV/EBITDA multiple of 10.52 is roughly half of Stryker's, indicating a value-oriented pricing that may not fully reflect ZBH's stable cash generation. Investors should monitor whether the discount narrows as operating margins stabilize.

Margin Volatility Masks Core Stability

Gross margin averaged 71% over the last ten quarters, but operating margin swung from 12.8% to 19.2%, per SEC filings, indicating that cost control and one-time items drive profitability more than pricing power.

The 2025Q4 gross margin dip to 64.7% appears to be an anomaly, as it recovered to 70.8% in 2026Q2. Net margin has ranged from 6.2% to 13.7%, reflecting significant quarterly noise. The stable gross margin suggests the core business is resilient, but operating leverage is inconsistent, warranting a focus on SG&A efficiency.

Subdued Returns on Invested Capital

ROIC has remained below 2% for the past ten quarters, per financial statements, while ROE hovers around 1-2%, indicating that the company is not compounding returns on its large asset base.

With goodwill representing 43% of total assets, the return on capital is diluted by acquisition-related intangibles. The low ROIC relative to peers like Stryker (11.1%) suggests that ZBH's capital allocation has not generated commensurate returns. This may reflect integration challenges or a competitive market, and investors should monitor whether new product cycles improve asset efficiency.

Working Capital Drags on Cash Flow

Cash conversion cycle averaged 391 days over the last ten quarters, per reported figures, driven by high inventory days (DIO) of 354-424 days, indicating significant capital tied up in inventory.

DSO has been stable around 70 days, but DIO is exceptionally high, suggesting either slow-moving orthopedic products or deliberate inventory builds. The CCC of 376 days in 2026Q1 is a major drag on free cash flow, though FCF margin improved to 32.9% in 2026Q2. This inefficiency may be a competitive disadvantage versus more agile peers.

Leverage Creeps Higher, Coverage Thins

Debt-to-EBITDA rose from 9.5x in 2024Q4 to 22.8x in 2026Q2, per balance sheet data, while interest coverage fell to 4.5x, indicating a deteriorating debt service capacity.

The D/E ratio has increased from 0.46 to 0.59 over the period, and the spike in D/EBITDA in 2026Q2 is alarming, though it may be distorted by quarterly EBITDA volatility. Interest coverage of 4.5x is still adequate but down from 6.9x in 2024Q2. The company's cash position has thinned to $410M, which could limit flexibility if earnings weaken.

Liquidity Buffer Thins Rapidly

Current ratio fell from 2.44 in 2025Q1 to 1.69 in 2026Q2, while cash dropped to $410M, per recent filings, indicating a tighter liquidity position that may strain under stress.

The quick ratio has been volatile, dipping to 0.63 in 2024Q2, suggesting that inventory is a significant component of current assets. With cash declining and debt rising, the company's ability to weather a downturn without accessing capital markets appears reduced. Investors should monitor whether the current ratio stabilizes above 1.5.

Misapplied EV/EBITDA Multiple

The EV/EBITDA ratio is commonly misapplied to ZBH because its EBITDA is inflated by large non-cash charges, per financial statements, obscuring true cash earnings power.

Given the high DIO and significant working capital needs, EBITDA overstates cash generation. A more appropriate metric is EV/EBIT or EV/FCF, which better captures the capital intensity. For instance, EV/FCF would be higher than EV/EBITDA, reflecting the drag from inventory. Investors should adjust for working capital changes when comparing ZBH to asset-light peers.

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 25.6x. The historical average is 31.4x. This places it at the 59th percentile of its historical range.

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

Zimmer Biomet Holdings, Inc.'s current EV/EBITDA is 10.0x. 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 25.6x. This is at the 59th 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 1.05% 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.