CONMED Corporation Announces First Quarter 2026 Financial Results

About this update from Conmed Corporation

LARGO, Fla.--( BUSINESS WIRE )-- CONMED Corporation (NYSE: CNMD) today announced financial results for the first quarter ended March 31, 2026. First Quarter 2026 Highlights Sales of $317.0 million decreased 1.3% year-over-year as reported and 2.9% in constant currency. Net sales growth was impacted by a $15.5 million decrease in sales from the exit of certain GI products. Domestic revenue decreased 5.8% year-over-year. Domestic sales growth was impacted by a $15.2 million decrease in sales from the exit of certain GI products. International revenue increased 4.7% year-over-year as reported and 1.0% in constant currency. International sales growth was impacted by a $0.3 million decrease in sales from the exit of certain GI products. Diluted net earnings per share (GAAP) were $0.45, compared to diluted net earnings per share (GAAP) of $0.19 in the first quarter of 2025. Adjusted diluted net earnings per share (1) were $0.89, compared to adjusted diluted net earnings per share of $0.95 in the first quarter of 2025. “Our 2025 momentum continued in the first quarter as we delivered revenue and adjusted earnings ahead of our expectations,” said Patrick J. Beyer, CONMED’s President and Chief Executive Officer. “We continue to concentrate our resources and investment on our higher-growth, higher-margin areas: minimally invasive surgery, smoke evacuation, and orthopedic soft tissue repair.” 2026 Outlook Based on the Company’s first quarter performance, management is raising its outlook for full-year 2026 organic revenue growth on a constant currency basis. The Company now expects year-over-year organic constant currency revenue growth, which excludes gastroenterology product sales, of approximately 5.0% to 6.5% compared to the prior guidance range of 4.5% to 6.0%. Full-year 2026 reported revenue is now expected to be in the range of $1.350 billion to $1.375 billion, compared to prior guidance of $1.345 billion to $1.375 billion. The updated revenue outlook reflects an estimated 40 to 50 basis points of favorable foreign exchange impact, compared to the prior assumption of 0 to 50 basis points of favorable impact. This updated guidance also reflects an estimated $14.5 million to $17.5 million in revenue from gastroenterology products, reduced from the prior guidance of $21.0 million to $25.0 million due to the divestiture of the remaining gastroenterology portfolio. The Company continues to expect full-year adjusted diluted net earnings per share (2) in the range of $4.30 to $4.45. The reaffirmed outlook reflects stronger underlying operating performance, largely offset by higher-than-previously anticipated interest expense due to the planned refinancing of the Company's debt during 2026. Supplemental Financial Disclosures (1) A reconciliation of reported diluted net earnings per share to adjusted diluted net earnings per share, a non-GAAP financial measure, appears below. (2) Information reconciling forward-looking adjusted diluted net earnings per share to the comparable GAAP financial measures is unavailable to the company without unreasonable effort, as discussed below. Conference Call The Company’s management will host a conference call today at 4:30 p.m. ET to discuss its first quarter 2026 results. To participate in the conference call via telephone, please click here to pre-register and obtain the dial-in number and passcode. This conference call will also be webcast and can be accessed from the “Investors” section of CONMED's website at www.conmed.com . The webcast replay of the call will be available at the same site approximately one hour after the end of the call. Consolidated Condensed Statements of Income (in thousands except per share amounts, unaudited)               Three Months Ended     March 31,       2026       2025             Net sales   $ 317,046     $ 321,256   Cost of sales     133,599       143,504   Gross profit     183,447       177,752   % of sales     57.9 %     55.3 % Selling & administrative expense     141,699       148,847   Research & development expense     16,333       12,947   Income from operations     25,415       15,958   % of sales     8.0 %     5.0 % Interest expense     7,060       8,286   Income before income taxes     18,355       7,672   Provision for income taxes     4,527       1,636   Net income   $ 13,828     $ 6,036             Basic EPS   $ 0.45     $ 0.19   Diluted EPS     0.45       0.19             Basic shares     30,588       30,973   Diluted shares     30,621       31,151   Expand Sales Summary (in millions, unaudited)                       Three Months Ended March 31,           % Change                       Domestic   International   2026   2025   As Reported   Impact of Foreign Currency   Constant Currency   As Reported   As Reported   Impact of Foreign Currency   Constant Currency Orthopedic Surgery $ 147.7 $ 138.3 6.8 % -2.3 % 4.5 % 5.5 % 7.6 % -3.7 % 3.9 % General Surgery   169.3   183.0 -7.4 % -1.1 % -8.5 % -10.4 % 0.1 % -3.9 % -3.8 %   $ 317.0 $ 321.3 -1.3 % -1.6 % -2.9 % -5.8 % 4.7 % -3.7 % 1.0 %                     Single-use Products $ 270.0 $ 276.3 -2.3 % -1.6 % -3.9 % -8.1 % 6.2 % -4.0 % 2.2 % Capital Products   47.0   45.0 4.6 % -1.5 % 3.1 % 12.4 % -2.0 % -2.8 % -4.8 %   $ 317.0 $ 321.3 -1.3 % -1.6 % -2.9 % -5.8 % 4.7 % -3.7 % 1.0 %                     Domestic $ 173.0 $ 183.8 -5.8 % 0.0 % -5.8 %         International   144.0   137.5 4.7 % -3.7 % 1.0 %           $ 317.0 $ 321.3 -1.3 % -1.6 % -2.9 %         Expand Reconciliation of Reported Net Income to Adjusted Net Income (in thousands, except per share amounts, unaudited) Three Months Ended March 31, 2026   Gross Profit Selling & Administrative Expense Research & Development Expense Operating Income Interest Expense Tax Expense Effective Tax Rate Net Income Diluted EPS As reported $ 183,447   $ 141,699   $ 16,333   $ 25,415   $ 7,060   $ 4,527   24.7 % $ 13,828   $ 0.45 % of sales   57.9 %   44.7 %   5.2 %   8.0 %           Operational optimization costs (1)   379     (7,526 )   -     7,905     -     1,801       6,104     Executive transition costs (2)   -     (3,342 )   -     3,342     -     761       2,581     EU medical device regulations (3)   -     -     (1,167 )   1,167     -     266       901     Contingent consideration fair value adjustments (4)   -     (722 )   -     722     -     164       558     Termination of distribution agreement (5)   (1,864 )   -     -     (1,864 )   -     (425 )     (1,439 )   Gain on sale of product line (6)   -     3,916     -     (3,916 )   -     (892 )     (3,024 )     $ 181,962   $ 134,025   $ 15,166   $ 32,771   $ 7,060   $ 6,202     $ 19,509     Adjusted gross profit %   57.4 %                 Amortization (7) $ 1,500     (7,261 )   -     8,761     (1,276 )   2,442       7,595     As adjusted   $ 126,764   $ 15,166   $ 41,532   $ 5,784   $ 8,644   24.2 % $ 27,104   $ 0.89 % of sales     40.0 %   4.8 %   13.1 %                               Three Months Ended March 31, 2025   Gross Profit Selling & Administrative Expense Research & Development Expense Operating Income Interest Expense Tax Expense Effective Tax Rate Net Income Diluted EPS As reported $ 177,752   $ 148,847   $ 12,947   $ 15,958   $ 8,286   $ 1,636   21.3 % $ 6,036   $ 0.19 % of sales   55.3 %   46.3 %   4.0 %   5.0 %           Operational optimization costs (1)   3,410     (490 )   -     3,900     -     901       2,999     Executive transition costs (2)   -     (12,165 )   -     12,165     -     2,812       9,353     Contingent consideration fair value adjustments (4)   -     (3,962 )   -     3,962     -     916       3,046     Gain on sale of product line (6)   -     354     -     (354 )   -     (82 )     (272 )   Legal matters (8)   -     (1,037 )   -     1,037     -     240       797       $ 181,162   $ 131,547   $ 12,947   $ 36,668   $ 8,286   $ 6,423     $ 21,959     Adjusted gross profit %   56.4 %                 Amortization (7) $ 1,500     (7,172 )   -     8,672     (1,443 )   2,455       7,660     As adjusted   $ 124,375   $ 12,947   $ 45,340   $ 6,843   $ 8,878   23.1 % $ 29,619   $ 0.95 % of sales     38.7 %   4.0 %   14.1 %           Expand (1) In 2026 and 2025, the Company incurred costs related to the engagement of a consulting firm to evaluate and propose improvements to our manufacturing operations which are included in cost of sales. In addition, we incurred consulting fees, legal fees and other charges related to operational optimization which are included in selling & administrative expense. (2) The Company incurred cash and stock-based compensation costs related to advisory services provided by our former Chief Financial Officer and Chief Executive Officer in 2026 and 2025, respectively. (3) In 2026, the Company incurred costs to comply with the European Union's Medical Device Regulations (MDR). (4) In 2026 and 2025, the Company recorded expense related to the fair value adjustments of contingent consideration. (5) In 2026, the Company incurred income related to the early termination of an agreement granting the Company exclusive distribution rights. (6) In 2026, the Company recognized a gain on the sale of certain assets related to gastroenterology products. In 2025, the Company recognized a gain on the sale of a product line. (7) Includes amortization of intangible assets and deferred financing fees. (8) In 2025, the Company incurred costs for third party services pertaining to potential issues with certain royalty payments to design surgeons. Expand Reconciliation of Reported Net Income to EBITDA & Adjusted EBITDA (in thousands, unaudited)     Three Months Ended   March 31,     2026       2025           Net income $ 13,828     $ 6,036   Provision for income taxes   4,527       1,636   Interest expense   7,060       8,286   Depreciation   4,174       4,235   Amortization   14,663       14,018   EBITDA $ 44,252     $ 34,211           Stock based compensation   4,783       6,381   Operational optimization costs   7,905       3,900   Executive transition costs   3,342       12,165   EU medical device regulations   1,167       -   Contingent consideration fair value adjustments   722       3,962   Termination of distribution agreement   (1,864 )     -   Gain on sale of product line   (3,916 )     (354 ) Legal matters   -       1,037   Adjusted EBITDA $ 56,391     $ 61,302                   EBITDA Margin       EBITDA   14.0 %     10.6 % Adjusted EBITDA   17.8 %     19.1 % Expand About CONMED Corporation CONMED is a medical technology company that provides devices and equipment for surgical procedures. The Company’s products are used by surgeons and other healthcare professionals in a variety of specialties including orthopedics, general surgery, gynecology, and thoracic surgery. For more information, visit www.conmed.com . Forward-Looking Statements This press release and associated conference call may contain forward-looking statements based on certain assumptions and contingencies that involve risks and uncertainties, which could cause actual results, performance, or trends to differ materially from those expressed in the forward-looking statements herein or in previous disclosures. For example, in addition to general industry and economic conditions, factors that could cause actual results to differ materially from those in the forward-looking statements may include, but are not limited to the risk factors discussed in the Company's Annual Report on Form 10-K for the full year ended December 31, 2025 and other risks and uncertainties, which may be detailed from time to time in reports filed by CONMED with the SEC. Any and all forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 and relate to the Company’s performance on a going-forward basis. The Company believes that all forward-looking statements made by it have a reasonable basis, but there can be no assurance that management’s expectations, beliefs or projections as expressed in the forward-looking statements will actually occur or prove to be correct. Supplemental Information - Reconciliation of GAAP to Non-GAAP Financial Measures The Company supplements the reporting of its financial information determined under generally accepted accounting principles in the United States (GAAP) with certain non-GAAP financial measures, including percentage sales growth in constant currency; adjusted gross profit; cost of sales excluding specified items; adjusted selling and administrative expenses; adjusted research and development expense; adjusted operating income; adjusted interest expense; adjusted income tax expense; adjusted effective income tax rate; adjusted net income and adjusted diluted net earnings per share (EPS). The Company believes that these non-GAAP measures provide meaningful information to assist investors and shareholders in understanding its financial results and assessing its prospects for future performance. Management believes percentage sales growth in constant currency and the other adjusted measures described above are important indicators of its operations because they exclude items that may not be indicative of, or are unrelated to, its core operating results and provide a baseline for analyzing trends in the Company’s underlying business. Further, the presentation of EBITDA is a non-GAAP measurement that management considers useful for measuring aspects of the Company’s cash flow. Management uses these non-GAAP financial measures for reviewing the operating results and analyzing potential future business trends in connection with its budget process and bases certain management incentive compensation on these non-GAAP financial measures. Net sales on a constant currency basis is a non-GAAP measure. The Company analyzes net sales on a constant currency basis to better measure the comparability of results between periods. To measure percentage sales growth in constant currency, the Company removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of net sales. To measure earnings performance on a consistent and comparable basis, the Company excludes certain items that affect the comparability of operating results and the trend of earnings. These adjustments are irregular in timing, may not be indicative of past and future performance and are therefore excluded to allow investors to better understand underlying operating trends. Because non-GAAP financial measures are not standardized, it may not be possible to compare these financial measures with other companies' non-GAAP financial measures having the same or similar names. These adjusted financial measures should not be considered in isolation or as a substitute for reported sales growth, gross profit, cost of sales, selling and administrative expenses, research and development expense, operating income, interest expense, income tax expense, effective income tax rate, net income and diluted net earnings per share, the most directly comparable GAAP financial measures. These non-GAAP financial measures are an additional way of viewing aspects of the Company’s operations that, when viewed with GAAP results and the reconciliations to corresponding GAAP financial measures above, provide a more complete understanding of the business. The Company strongly encourages investors and shareholders to review its financial statements and publicly filed reports in their entirety and not to rely on any single financial measure. We are unable to present a quantitative reconciliation of our expected diluted net earnings per share to expected adjusted diluted net earnings per share as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of acquisition, integration and other charges. The financial impact of these items is uncertain and is dependent on various factors, including timing, and could be material to our consolidated condensed statements of income.

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