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CONMED (CNMD) investor relations material
CONMED Q4 2025 earnings summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Executive summary
Fourth quarter 2025 sales reached $373.2 million, up 7.9% year-over-year as reported and 7.1% in constant currency; full-year sales were $1,374.7 million, up 5.2% as reported and 5.1% in constant currency.
Adjusted diluted EPS for Q4 2025 was $1.43, up 6.7% year-over-year; full-year adjusted EPS was $4.59, up 10.1%.
Orthopedic sales led growth, increasing 12.1% in Q4 and 5.5% for the year in constant currency; general surgery sales rose 3.8% in Q4 and 4.7% for the year.
International revenue growth outpaced domestic, with Q4 international revenue up 15.4%–17.0% year-over-year.
Announced $150 million share repurchase program and strategic exit from gastroenterology product lines to focus on high-growth, high-margin platforms.
Financial highlights
Q4 adjusted gross margin was 56.6%, down 100 bps year-over-year due to tariffs; full-year adjusted gross margin was 56.4%.
Q4 GAAP net income was $16.7 million ($0.54 EPS), down from $33.8 million ($1.08 EPS) last year; full-year GAAP net income was $47.1 million ($1.51 EPS), down from $132.4 million ($4.25 EPS) in 2024.
Adjusted EBITDA for 2025 was $275.9 million, up from $265.6 million in 2024.
Cash flow from operations was $46.3 million in Q4 and $170.7 million for the year; free cash flow conversion reached 105% in 2025.
Year-end cash balance was $40.8 million; long-term debt was $834.2 million; leverage ratio at 2.9x.
Outlook and guidance
2026 revenue guidance: $1.345–$1.375 billion, representing 4.5–6% constant currency organic growth, excluding gastroenterology product sales.
Adjusted gross margin expected to improve 50–100 bps in 2026 despite 100–110 bps tariff headwinds.
Adjusted SG&A to be 38.0–38.5% of sales; adjusted R&D to be 4.5–5% of sales in 2026.
Adjusted EPS guidance for 2026: $4.30–$4.45, including headwinds from GI exit and tariffs, and a $0.10 currency tailwind.
2026 operating cash flow expected at $145–$155 million; capex $20–$30 million; adjusted EBITDA $255–$265 million.
- Q2 sales rose 4.5% with margin gains, but guidance was cut due to supply chain issues.CNMD
Q2 20242 Feb 2026 - Low double-digit growth, robust innovation, and margin expansion drive a positive outlook.CNMD
Jefferies Global Healthcare Conference1 Feb 2026 - Supply chain recovery, stable growth, and strong AirSeal performance drive positive outlook.CNMD
2024 Wells Fargo Healthcare Conference22 Jan 2026 - Supply challenges ease as innovation and legislative trends drive growth and margin recovery.CNMD
CL King’s 22nd Annual Best Ideas Conference 202420 Jan 2026 - Q3 sales up 4%, net income and adjusted EPS rose, with raised full-year EPS guidance.CNMD
Q3 202417 Jan 2026 - 2026 guidance targets $1.345B–$1.450B revenue and $4.25–$4.45 EPS, led by innovation and buybacks.CNMD
44th Annual J.P. Morgan Healthcare Conference13 Jan 2026 - CEO retires as growth platforms, innovation, and recovery position the business for strong 2025.CNMD
Stifel 2024 Healthcare Conference13 Jan 2026 - Growth-focused leadership, disciplined M&A, and strong product momentum drive future expansion.CNMD
Jefferies London Healthcare Conference 202413 Jan 2026 - Growth driven by innovation in AirSeal, Buffalo Filter, and BioBrace, with margin and market expansion.CNMD
Piper Sandler 36th Annual Healthcare Conference12 Jan 2026
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