Skip to content
    CNMD
    Earnings call· Jun 2026(Q2 FY26)

    CONMED Q2 FY26 earnings call CNMD

    Jul 29, 2026 Source

    Executive summary

    CONMED Q2 FY26 — Strong Organic Growth and Strategic Progress Amidst Refinancing

    CONMED delivered strong Q2 FY26 results, surpassing expectations for organic sales growth and adjusted EPS, largely aided by a tariff refund benefit. The company completed its GI product line divestiture and refinanced debt, strengthening its balance sheet and focusing on core growth platforms. While key product lines like AirSeal and domestic orthopedics saw some growth moderation, management remains confident in a second-half acceleration and long-term potential, despite updated, more conservative full-year guidance for sales and free cash flow.

    Highlights

    5
    • Net sales increased 6% year-over-year on an organic basis, modestly exceeding the high end of expectations.

    • Adjusted diluted earnings per share (EPS) reached $1.38, a 20% increase year-over-year, significantly better than expectations.

    • General Surgery organic sales grew 5.3%, driven by AirSeal and Buffalo Filter.

    • Orthopedic Surgery sales increased 6.8%, with international sales up 10.8%.

    • Free cash flow generated was $34.2 million, marking a 46% increase year-over-year.

    Concerns

    5
    • AirSeal growth in Q2 was lower than expected, though still a top contributor.

    • Domestic orthopedic sales were flat, slower than anticipated.

    • Full-year 2026 organic constant currency net sales growth guidance was narrowed to 5%-6%, with the high end lowered from 6.5%.

    • Full-year 2026 free cash flow guidance was reduced from $125 million to $115 million.

    • Full-year 2026 adjusted interest expense guidance increased to $33 million (from $25M-$27M) and the adjusted effective tax rate increased to 25% (from 24.5%).

    Guidance & targets

    11
    CategoryTargetConfidence
    Full Year 2026 GI Revenue
    $20 million to $22 million
    medium materiality
    High
    Full Year 2026 FX Impact on GAAP Revenue
    $7 million to $7.5 million tailwind
    low materiality
    High
    Full Year 2026 Organic Constant Currency Net Sales Growth
    5% to 6%
    high materiality
    High
    Full Year 2026 Non-GAAP Adjusted Diluted EPS
    $4.48 to $4.60
    high materiality
    High
    Full Year 2026 Adjusted Gross Margin
    approximately 57.5% to 58%
    medium materiality
    High
    Full Year 2026 Adjusted Interest Expense
    approximately $33 million
    medium materiality
    High
    Full Year 2026 Adjusted Effective Tax Rate
    approximately 25%
    medium materiality
    High
    Full Year 2026 Free Cash Flow
    approximately $115 million
    high materiality
    High
    Q3 2026 GAAP Net Sales
    between $334 million and $339 million
    medium materiality
    High
    Q3 2026 Organic Constant Currency Growth
    6.4% to 7.6%
    medium materiality
    High
    Q3 2026 Adjusted EPS
    between $0.98 and $1.03
    medium materiality
    High

    Segment performance

    2
    SegmentRevenueYoYQoQMargin
    General Surgery
    Growth fueled primarily by contributions from AirSeal and Buffalo Filter.
    U.S. organic sales: mid-single digitsInternational organic sales: high single digits
    5.3%
    Orthopedic Surgery
    International growth driven by broad-based strength in APAC and EMEA. Domestic sales were slower than expected due to strategic activities to strengthen the commercial organization.
    International sales: 10.8%Domestic sales: flat
    6.8%

    Operational metrics

    17
    Net Sales
    $343.5 millionincreased 0.3% year-over-year
    Q2 FY26

    As-reported basis.

    Net Sales
    -0.5%decreased year-over-year
    Q2 FY26

    Constant currency basis.

    Net Sales Organic Growth
    6%increased year-over-year
    Q2 FY26

    Excludes sales of GI products related to strategic exits. Modestly exceeded the high end of expectations.

    Adjusted Gross Profit Growth
    5.6%increased year-over-year
    Q2 FY26
    Adjusted Gross Margin
    59.5%increase of 300 basis points
    Q2 FY26
    Adjusted Operating Expenses Growth
    1.5%increased year-over-year
    Q2 FY26
    Adjusted Operating Margin
    18.2%compared to 15.7% in the prior year period, an increase of 250 basis points
    Q2 FY26
    Adjusted Interest Expense
    $6.8 millioncompared to $6.4 million last year
    Q2 FY26
    Adjusted Effective Tax Rate
    25.2%
    Q2 FY26

    Modestly higher than expected.

    Cash and Equivalents
    $37.3 millioncompared to $40.8 million as of December 31, 2025
    as of June 30, 2026
    Total Debt Obligations
    $834.2 millioncompared to $834.9 million as of December 31, 2025
    as of June 30, 2026
    Available Borrowing Capacity
    $455.5 millioncompared to $648.5 million as of December 31, 2025
    as of June 30, 2026
    Leverage Ratio
    2.9x
    as of June 30, 2026
    Shares Repurchased
    approximately 1 million shares
    first 6 months of 2026
    Share Repurchase Allocation
    approximately $61.8 million
    FY26

    Expected allocation for the full year.

    Tariff Refund Benefit
    $0.21
    Q2 FY26

    Benefit included in adjusted EPS for the quarter.

    Tariff Headwind
    $0.35
    FY26

    Full year 2026 EPS headwind related to tariffs, remains intact.

    Industry KPIs

    8
    MetricValueDetails
    Tariff impact$8.5 millionUSD
    New product launch ramp1 yearyears
    FCF conversion leverage guidance2.9xx
    Installed base system placements6% to 7%%
    Segment franchise organic growth5.3%%
    Consumables recurring revenue mix99.9997%%
    Indicated addressable patient population1 millionprocedures
    Pivotal trial clinical evidence milestones94%%

    Product announcements

    3
    ProductTypeDetails
    AirSeal Robotic Solutionupdate
    PlumeSafe X5update
    BioBrace RClaunch

    Deals & partnerships

    1
    buyerSale of certain GI assets and remaining GI portfolio

    Completed sale of GI product offerings in Q1 and Q2 FY26. Entered into a manufacturing services agreement to continue producing certain GI products for the buyer over the next 12 months.

    Risks & headwinds

    5
    AirSeal growth lower than expectedQ2 FY26

    lower than expected

    Mitigation: Expect improving AirSeal growth trends in H2 2026, albeit at a more measured pace than prior guidance. Long-term confidence in high single-digit to low double-digit growth remains.

    Domestic orthopedic sales slowdownQ2 FY26

    flat

    Mitigation: Strengthened commercial organization, U.S. orthopedic team is back on offense and positioned to return to growth.

    Increased interest expenseFY26

    $33 million compared to prior expectation of $25 million to $27 million

    Mitigation: Refinancing completed to reduce exposure to convertible debt obligations ahead of 2027 maturity and simplify capital structure.

    Increased tax rateFY26

    approximately 25% compared to 24.5% previously

    Mitigation: Reflected in updated financial guidance assumptions.

    Reduced free cash flow guidanceFY26

    approximately $115 million compared to approximately $125 million previously

    Mitigation: Primarily due to working capital, interest expense, and tax rate. Management is focused on optimizing inventory and operational enhancements.

    What to watch in Q3 FY26

    5

    AirSeal Growth Trends

    second half of 2026
    Currentlower than expected in Q2, but improved sequentially
    Targetimproving growth trends

    Why it matters

    AirSeal is a key growth platform; its acceleration is crucial for meeting full-year organic growth targets.

    Looking ahead, we continue to expect improving AirSeal growth trends in the second half of 2026, albeit at a lower rate than our prior guidance assumed.

    Q&A highlights

    7

    What caused AirSeal to perform below expectations, and should we now expect high single-digit growth for the year instead of low double-digit?

    Patrick Beyer stated that AirSeal was a top contributor to General Surgery growth, with both capital and disposables growing, and trends improving sequentially. He reaffirmed the long-term expectation of high single-digit to low double-digit growth for AirSeal.

    From a long-term growth trajectory of AirSeal, we continue to believe, and I continue to believe it is a high single-digit, low double-digit grower.

    asked by Lawrence Biegelsen · answered by Patrick Beyer

    3 min read7 chapters

    Detailed Narrative

    01

    Portfolio Optimization & GI Exit

    CONMED successfully completed the divestiture of its gastroenterology (GI) product offerings, with the final sale closing in Q2 FY26. This strategic exit, which included a manufacturing services agreement for 12 months to ensure customer continuity, sharpens the company's focus on its core growth markets: minimally invasive, robotic, and laparoscopic surgery, smoke evacuation, and orthopedic soft tissue repair. This move is expected to position CONMED for long-term value creation by concentrating resources on its strongest opportunities.

    02

    Supply Chain Improvements

    Over the past year, CONMED has made significant progress in strengthening its supply chain. The company has improved service levels, reduced back orders to their lowest levels in years, and built greater stability across its network. Management noted a transition from a state of recovery to one focused on operational enhancements, with continued investment planned to build an efficient and resilient supply chain to support future growth, margin expansion, and reliable customer service.

    03

    Balance Sheet Refinancing

    In Q2 FY26, CONMED successfully refinanced a portion of its debt, securing a new $450 million senior secured term loan facility that matures in 2030. The proceeds, combined with borrowings from its revolving credit facility, were used to repurchase $645.2 million of convertible notes for $637.2 million that were set to mature in June 2027. This action meaningfully reduces exposure to upcoming debt obligations and simplifies the company's capital structure.

    04

    Leadership & Board Enhancements

    CONMED strengthened its leadership team and Board of Directors during the quarter. Celine Martin and Jeff Mirviss, both with extensive global medtech leadership experience, were appointed to the Board. John Gallagher was appointed as Chief Financial Officer, effective July 15, bringing nearly three decades of financial leadership and healthcare expertise. These appointments are expected to contribute to strong execution and long-term shareholder value creation.

    05

    AirSeal Strategic Expansion

    The AirSeal Robotic solution received an expanded indication for use with Intuitive's 8-millimeter Hex cannulas, in addition to its existing indication for 8-millimeter round cannulas. This makes AirSeal compatible across Intuitive's multiport portfolio (X, Xi, and DV5). This milestone, achieved through extensive collaboration and technical testing with Intuitive, provides increased clarity in the market and supports continued growth for AirSeal in robotic-assisted surgery.

    06

    Buffalo Filter Legislative Tailwinds

    Buffalo Filter, CONMED's smoke evacuation platform, is benefiting from expanding legislation. Michigan and Maryland recently enacted laws requiring surgical smoke evacuation systems, bringing the total to 22 U.S. states covering approximately 57% of the population. With over 10 additional states having pending legislation, these tailwinds are expected to drive solid long-term growth for the direct smoke evacuation portfolio, which already delivered high single-digit to low double-digit growth in Q2.

    07

    BioBrace Clinical Adoption

    BioBrace, a reinforced bioinductive implant, continues to drive Orthopedic Surgery sales, particularly in rotator cuff repairs. The launch of BioBrace RC, designed to streamline its use, has been well-received, enabling surgeons to augment repairs more consistently. Clinical data showing a 94% healing rate in high-risk patients, coupled with updated AAOS guidelines recommending augmentation, supports strong surgeon adoption and positions BioBrace as an important long-term growth driver.

    AI-generated summary of the company’s earnings call. Not investment advice.