S&P 500 Healthcare Sector SEC Filings — October 30, 2026

USA S&P 500 Healthcare

By Gunpowder Editorial ·

7 high priority 3 medium priority 10 total filings analysed

Executive Summary

The Q3 2026 healthcare earnings season reveals a sector grappling with patent cliffs, pipeline replenishment costs, and margin pressures, yet punctuated by standout growth stories. Regeneron (REGN) delivered a blowout quarter with revenue up 36.3% YoY to $5.1B, driven by Dupixent and EYLEA HD, but legacy EYLEA U.S. sales plunged 41%, highlighting the franchise transition risk.

Gilead (GILD) posted a nine-month net loss of $6.0B due to $11.3B in acquired IPR&D, a stark reminder of the cost of replenishing its pipeline. AbbVie (ABBV) showed resilience with revenue up 10.3% and raised EPS guidance, but Humira and Imbruvica declines underscore its own patent challenges. Thermo Fisher (TMO) continued its steady growth (+9.1% revenue) and aggressive M&A ($8.9B YTD), while Stryker (SYK) saw profitability deteriorate with EPS down 11.7% on impairments and margin compression. Insider activity was mixed: a TMO director gifted shares and a C-level executive sold ~$2M, while Vanguard's passive stake in IDEXX crossed 5%. Overall, the sector faces a bifurcated landscape: innovative biopharma with strong growth but pipeline costs, and medtech with stable growth but margin headwinds.

Materiality, sentiment, and priority are scored by Gunpowder’s analysis pipeline. How we score filings →

Filing types in this digest: 10-Q · 8-K · Schedule 13G · Form 4

Tracking the trend? Catch up on the prior S&P 500 Healthcare Sector SEC Filings digest from October 22, 2026.

Investment Signals (12)

  • Regeneron (REGN) (BULLISH)
    ▲

    Q3 revenue surged 36.3% YoY to $5,116M, with non-GAAP EPS up 70% to $20.07, driven by Dupixent (+35%) and EYLEA HD (+62%); full-year guidance raised for gross margin to ~80% and R&D increased, signaling confidence in growth pipeline

  • AbbVie (ABBV) (BULLISH)
    ▲

    Q3 net revenues rose 10.3% YoY to $17.4B, adjusted EPS more than doubled to $3.82, and 2026 EPS guidance raised to $13.95-$13.99; dividend increased 5.2% for 2027, reflecting strong cash flow and shareholder commitment

  • Thermo Fisher (TMO) (BULLISH)
    ▲

    Q3 revenue grew 9.1% YoY to $12.1B, operating income up 16.6%, and nine-month operating cash flow surged 34.5% to $5.9B; deployed $8.9B on acquisitions YTD, more than double prior year, indicating aggressive growth strategy

  • Gilead (GILD) (BULLISH)
    ▲

    Despite nine-month net loss of $6.0B due to $11.3B IPR&D charges, Q3 product sales rose 12.9% YoY to $8.3B, showing core business strength; the investment in pipeline may yield future growth

  • Stryker (SYK) (BULLISH)
    ▲

    Nine-month net earnings rose 15.7% to $2,774M and EPS grew 16.0% to $7.19, with $1B in buybacks and $1B debt repayment; long-term fundamentals remain solid despite Q3 hiccup

  • Thermo Fisher (TMO) (NEUTRAL)
    ▲

    Insider sale by Chief HR Officer Lisa Britt of 2,831 shares at $706.45 (~$2M) may signal short-term caution, but director Scott Sperling's gift of 3,490 shares is neutral; overall insider activity is not alarming

  • Regeneron (REGN) (BULLISH)
    ▲

    Repurchased $2.36B of stock in nine months, with $2.2B remaining authorization; strong capital return program supports EPS growth

  • AbbVie (ABBV) (BULLISH)
    ▲

    Immunology and Neuroscience grew 16.3% and 19.4% respectively, offsetting Humira decline of 31.2%; diversification strategy is paying off

  • Stryker (SYK) (NEUTRAL)
    ▲

    Q3 gross margin expanded to 65.2% from 63.6% on a gross profit basis, but operating margin compressed due to higher SG&A (+13.1%) and impairments; margin trend needs monitoring

  • IDEXX (IDXX) (NEUTRAL)
    ▲

    Vanguard's passive stake of 5.04% signals institutional confidence, though no immediate catalyst

  • Gilead (GILD) (BEARISH)
    ▲

    Royalty, contract and other revenues collapsed 97.4% to $11M from $424M, a concerning drop that may indicate loss of a major collaboration or one-time item

  • Thermo Fisher (TMO) (NEUTRAL)
    ▲

    EVP Michael Shafer retirement announced with no successor named; potential management gap in a key role

Risk Flags (10)

  • Regeneron (REGN) [HIGH RISK]
    ▼

    Legacy EYLEA U.S. net sales fell 41% YoY to $400M, and total EYLEA franchise (HD + legacy) declined 1% to $1,099M; accelerating erosion could offset HD growth

  • Gilead (GILD) [HIGH RISK]
    ▼

    Nine-month net loss of $6,045M versus income of $6,327M last year, driven by $11,307M in acquired IPR&D and $1,750M impairments; retained earnings plummeted to $3,107M from $13,730M, weakening balance sheet

  • Stryker (SYK) [HIGH RISK]
    ▼

    Q3 operating income fell 8.9% YoY to $1,034M and net earnings declined 12.3% to $753M; EPS down 11.7% to $1.96 due to goodwill impairments of $293M (vs $73M) and SG&A growth of 13.1%

  • AbbVie (ABBV) [HIGH RISK]
    ▼

    Humira sales plunged 31.2% and Imbruvica dropped 26.1%, reflecting intense biosimilar and competitive pressure; Oncology segment nearly flat (+0.8%)

  • Thermo Fisher (TMO) [MODERATE RISK]
    ▼

    Higher tax provision ($352M vs $207M) and interest expense ($417M vs $347M) pressured net income growth to 6.5% despite revenue growth of 9.1%; margin expansion may be limited

  • Regeneron (REGN) [MODERATE RISK]
    ▼

    Other income plunged 67.4% to $246.5M from $755.8M, and nine-month operating cash flow slipped 3.5% to $3,675.3M despite net income growth, due to AR build of $1,850.5M

  • Gilead (GILD) [MODERATE RISK]
    ▼

    Royalty revenues collapsed 97.4% to $11M, indicating loss of a significant revenue stream; need clarity on cause

  • Stryker (SYK) [MODERATE RISK]
    ▼

    Goodwill/other impairments jumped to $293M from $73M, suggesting potential overpayment for acquisitions or asset write-downs

  • Thermo Fisher (TMO) [LOW RISK]
    ▼

    EVP retirement with no successor named could lead to leadership vacuum; watch for announcement

  • Sector-wide [MODERATE RISK]
    ▼

    Several companies reported mixed sentiment due to patent cliffs (Regeneron EYLEA, AbbVie Humira) and pipeline costs (Gilead), highlighting the need for continuous innovation

Opportunities (10)

  • Regeneron (REGN) (OPPORTUNITY)
    ◆

    Dupixent global sales grew 35% to $6.5B and EYLEA HD U.S. surged 62% to $699M; with guidance raised and $2.2B buyback remaining, upside from new indications and pipeline

  • AbbVie (ABBV) (OPPORTUNITY)
    ◆

    Raised 2026 EPS guidance to $13.95-$13.99 and increased dividend 5.2%; strong growth in Immunology and Neuroscience, plus Apogee acquisition, could drive further upside

  • Thermo Fisher (TMO) (OPPORTUNITY)
    ◆

    Aggressive M&A ($8.9B YTD) and strong cash flow ($5.9B operating) position it for growth; stock may be undervalued if acquisitions contribute

  • Gilead (GILD) (OPPORTUNITY)
    ◆

    Despite charges, product sales grew 12.9% to $8.3B; pipeline investments may lead to future blockbusters; watch for updates on pipeline assets

  • Stryker (SYK) (OPPORTUNITY)
    ◆

    Nine-month EPS up 16% and strong cash flow; Q3 setback may be temporary; buyback and debt reduction enhance financial flexibility

  • IDEXX (IDXX) (OPPORTUNITY)
    ◆

    Vanguard's 5% stake could attract other institutional investors; passive ownership often stabilizes stock

  • Regeneron (REGN) (OPPORTUNITY)
    ◆

    Non-GAAP EPS up 70% to $20.07, far outpacing GAAP, due to adjustments; if sustainable, stock may re-rate

  • AbbVie (ABBV) (OPPORTUNITY)
    ◆

    Aesthetics declined 1.4% but could recover; new products may offset Humira decline

  • Thermo Fisher (TMO) (OPPORTUNITY)
    ◆

    Service revenues grew 16.2%, outpacing products; higher-margin services mix could improve profitability

  • Sector-wide (OPPORTUNITY)
    ◆

    Healthcare sector remains defensive with aging population; companies with strong pipelines and cash flow may outperform

Sector Themes (6)

  • Patent Cliff Management
    ◆

    Regeneron's EYLEA franchise declined 1% overall despite HD growth, and AbbVie's Humira fell 31.2%; companies are racing to replace lost revenue with new products, as seen by Regeneron's Dupixent (+35%) and AbbVie's Immunology (+16.3%) [IMPLICATION: Investors should favor companies with diverse pipelines]

  • Pipeline Replenishment Costs
    ◆

    Gilead's $11.3B IPR&D expense and Thermo Fisher's $8.9B acquisitions highlight the high cost of replenishing pipelines; this pressures near-term earnings but may yield long-term growth [IMPLICATION: Watch for ROI on these investments]

  • Margin Pressures in MedTech
    ◆

    Stryker's Q3 operating margin compressed due to impairments and SG&A growth, while Thermo Fisher faced higher interest and tax; cost control is critical [IMPLICATION: Companies with scale and pricing power may outperform]

  • Capital Allocation Trends
    ◆

    Regeneron repurchased $2.36B, AbbVie raised dividend 5.2%, Thermo Fisher bought back $4B and spent $8.9B on M&A, Stryker repurchased $1B and repaid $1B debt; strong cash flow supports shareholder returns [IMPLICATION: Balance sheet strength is key]

  • Insider Activity Mixed
    ◆

    TMO saw a $2M insider sale and a director gift, while Vanguard's passive stake in IDEXX crossed 5%; no strong directional signal [IMPLICATION: Monitor insider transactions for clues]

  • Revenue Growth Divergence
    ◆

    Regeneron (+36.3%) and AbbVie (+10.3%) outpaced Thermo Fisher (+9.1%) and Stryker (+7.6%), while Gilead's product sales grew 12.9% but total revenue only 6.8% due to royalty collapse [IMPLICATION: Stock selection matters; growth leaders may command premium valuations]

Watch List (8)

  • Regeneron (REGN)
    👁

    Watch for EYLEA HD vs legacy EYLEA trend in Q4; Dupixent growth sustainability; pipeline updates; next earnings call likely early February 2027

  • Gilead (GILD)
    👁

    Monitor pipeline progress and potential impairments; clarity on royalty revenue collapse; next earnings call likely early February 2027

  • AbbVie (ABBV)
    👁

    Watch Humira erosion rate and new product launches; integration of Apogee Therapeutics; dividend increase effective 2027; next earnings call likely late January 2027

  • Thermo Fisher (TMO)
    👁

    Successor announcement for retiring EVP Michael Shafer; integration of $8.9B acquisitions; margin trends; next earnings call likely late January 2027

  • Stryker (SYK)
    👁

    Q4 margin recovery and impairment trends; SG&A growth; next earnings call likely late January 2027

  • IDEXX (IDXX)
    👁

    Monitor institutional ownership changes after Vanguard's 5% stake; next earnings call likely early February 2027

  • Thermo Fisher (TMO)
    👁

    Insider activity follow-up: any additional sales by executives?

  • Sector-wide
    👁

    FDA approvals and clinical trial readouts in Q4 2026 and early 2027; macroeconomic factors affecting healthcare spending

Filing Analyses (10)
REGENERON PHARMACEUTICALS, INC. 10-Q mixed materiality 8/10

30-10-2026

Regeneron reported Q3 2026 total revenues of $5,115.8M, up 36.3% YoY from $3,754.3M, driven by collaboration revenue surging 52.4% to $3,000.5M (including Sanofi profit share of $2,574.9M, up 76.9%) and net product sales rising 13.7% to $1,805.3M. Net income jumped 33.5% to $1,948.7M and diluted EPS rose 35.5% to $18.45, however other income, net plunged 67.4% to $246.5M from $755.8M and gross margin pressure showed in cost of goods sold rising 14.5% versus 13.7% product sales growth. Nine-month operating cash flow slipped 3.5% to $3,675.3M despite net income growth, and the company repurchased $2,363.4M of stock while cash and equivalents rose to $3,659.1M.

  • · Accounts receivable rose to $7,578.6M from $5,741.1M at year-end 2025, driving a $1,850.5M cash use in nine-month operating activities versus a $549.3M source in 2025.
  • · Inventories declined to $2,894.6M from $3,200.8M, a $110.7M cash source versus a $277.4M use in the prior year.
  • · Nine-month 2026 net income of $3,972.8M grew only 8.5% versus 24.4% revenue growth, reflecting a $693.0M other income figure versus $1,520.6M in 2025.
  • · Acquired in-process R&D expense rose to $250.4M for nine months 2026 from $105.4M, while Q3 2026 IPR&D fell to $21.5M from $83.1M.
  • · Capital expenditures increased to $771.0M from $649.7M in the prior-year nine months.
  • · Dividends declared of $98.3M in Q3 2026 and $290.3M paid over nine months; quarterly dividends were roughly $0.97 per share.
  • · Accumulated other comprehensive income swung to a $197.5M loss from $77.5M income at year-end 2025, driven by $274.6M unrealized losses on debt securities.
  • · A new $720.0M finance lease liability was reclassified from long-term to current at September 30, 2026.
  • · Total stockholders' equity rose to $33,498.5M from $31,256.9M at December 31, 2025.
REGENERON PHARMACEUTICALS, INC. 8-K mixed materiality 9/10

30-10-2026

Regeneron reported Q3 2026 total revenues of $5,116 million, up 36% YoY from $3,754 million, with GAAP diluted EPS up 35% to $18.45 and non-GAAP diluted EPS up 70% to $20.07. Growth was driven by Dupixent global net sales (+35% to $6.5 billion), EYLEA HD U.S. (+62% to $699 million), Libtayo global (+51% to $550 million), and a 68% jump in Sanofi collaboration revenue to $2,724 million. However, legacy EYLEA U.S. net sales fell 41% to $400 million (total EYLEA HD + EYLEA U.S. down 1% to $1,099 million) and Bayer collaboration revenue declined 23% to $267 million, leaving overall net product sales growth at a more modest 14% to $1,805 million.

  • · Full-year 2026 guidance raised for R&D (GAAP $6.600–$6.735B from $6.500–$6.635B) and gross margin (GAAP ~80% from 78–79%), while SG&A guidance was lowered (GAAP $2.730–$2.860B from $2.830–$2.960B)
  • · GAAP effective tax rate fell to 14.7% from 17.2%, with Q3 2025 including a $45 million OBBBA-related deferred tax charge; non-GAAP ETR rose to 15.0% from 13.1%
  • · Company repurchased $2.3 billion of common stock in the nine months ended September 30, 2026, with $2.2 billion remaining under authorization
  • · Declared quarterly cash dividend of $0.94 per share, payable December 3, 2026 to holders of record November 20, 2026
  • · Sanofi Development Balance was fully repaid as of end of Q2 2026, no longer reducing Sanofi collaboration revenue beginning Q3 2026
  • · FDA approved Pasatru (garetosmab) in August 2026 for FOP; EU application under review
  • · FDA decision expected next month for cemdisiran in generalized myasthenia gravis; Ordspono BLA resubmission target action date February 2027; Libtayo six-week dosing sBLA target action date March 2027
  • · CIDEB RNAi single dose reduced liver fat ~70% on average at 12 weeks, sustained through 24 weeks; Phase 3 in MASH/MASLD planned Q4 2026
  • · GAAP gross margin on net product sales flat at 82% YoY; non-GAAP flat at 86%
GILEAD SCIENCES, INC. 10-Q mixed materiality 8/10

30-10-2026

Gilead reported Q3 2026 total revenues of $8,300M, up 6.8% YoY from $7,769M, driven by product sales rising 12.9% to $8,289M, while royalty, contract and other revenues collapsed 97.4% to just $11M from $424M. Q3 net income fell 20.4% YoY to $2,429M and diluted EPS declined to $1.94 from $2.43, while for the nine-month period the company swung to a net loss of $6,045M (EPS -$4.87) from net income of $6,327M, driven by $11,307M in acquired IPR&D expenses and $1,750M in IPR&D impairments versus $485M and $190M respectively a year earlier.

  • · Nine-month 2026 operating loss was $4,346M versus operating income of $8,038M in the prior-year period
  • · Nine-month 2026 in-process research and development impairments were $1,750M versus $190M in 2025
  • · Retained earnings fell to $3,107M from $13,730M at December 31, 2025
  • · Intangible assets, net declined to $13,424M from $16,978M at year-end 2025
  • · Long-term marketable debt securities dropped to zero from $2,974M at December 31, 2025
  • · Q3 2026 share repurchases averaged $139.84 per share versus $113.25 in Q3 2025
  • · Quarterly dividend raised to $0.82 per share from $0.79 per share YoY
  • · Nine-month 2026 dividends declared totaled $3,095M ($2.46 per share) versus $2,996M ($2.37 per share) in 2025
  • · Q3 2026 other (income) expense was a net expense of $130M versus net income of $569M in Q3 2025
  • · Cash and cash equivalents decreased to $6,437M from $7,564M at December 31, 2025
IDEXX LABORATORIES INC /DE SC 13G neutral materiality 3/10

30-10-2026

Vanguard Portfolio Management LLC filed a Schedule 13G disclosing beneficial ownership of 3,974,472 shares of IDEXX Laboratories common stock, representing 5.04% of the class as of September 30, 2026. The filing reports sole dispositive power over all 3,974,472 shares but zero sole voting power, with the position held in the ordinary course of business and not for the purpose of influencing control. The stake crosses the 5% threshold, making Vanguard a reportable major shareholder.

  • · Filing is a Schedule 13G under Rule 13d-1(b), indicating a passive/institutional investor status
  • · Vanguard reports sole dispositive power over 3,974,472 shares but sole voting power of 0
  • · The 13G aggregates holdings of Vanguard Portfolio Management LLC plus affiliates Vanguard Fiduciary Trust Company and Vanguard Global Advisers, LLC
  • · No other person's interest in the reported securities exceeds 5%
  • · Vanguard certifies securities were acquired in the ordinary course of business and not to influence control of IDEXX
  • · IDEXX Laboratories is incorporated in Delaware, SIC code 2835 (In Vitro & In Vivo Diagnostic Substances), headquartered in Westbrook, ME
THERMO FISHER SCIENTIFIC INC. 8-K neutral materiality 3/10

30-10-2026

Thermo Fisher Scientific disclosed in an 8-K that Executive Vice President Michael D. Shafer will retire effective December 31, 2026, with the announcement made October 27, 2026. The filing contains no financial results, guidance, or quantitative performance data, and no successor or interim replacement was named. The filing also lists the company's registered securities, including common stock and 13 series of senior notes traded on the NYSE.

  • · Retirement effective date is December 31, 2026, roughly two months after the October 27, 2026 announcement
  • · No successor, interim appointment, or compensatory arrangement was disclosed in the filing
  • · Filing signed by Thomas B. Shropshire, Senior Vice President and General Counsel, dated October 30, 2026
  • · Company incorporated in Delaware, IRS EIN 04-2209186, principal offices at 168 Third Avenue, Waltham, Massachusetts 02451
THERMO FISHER SCIENTIFIC INC. 4 neutral materiality 3/10

30-10-2026

Director SPERLING SCOTT M gifted 3,490 Common Stock. SPERLING SCOTT M holds 65,989 shares after the transaction.

  • · Director SPERLING SCOTT M gifted 3,490 Common Stock
THERMO FISHER SCIENTIFIC INC. 4 negative materiality 7/10

30-10-2026

Sr. VP and Chief HR Officer Britt Lisa P. sold 2,831 Common Stock at $706.45 (~$2M). Britt Lisa P. holds 11,559.579 shares after the transaction.

  • · Sr. VP and Chief HR Officer Britt Lisa P. sold 2,831 Common Stock at $706.45 (~$2M)
AbbVie Inc. 8-K mixed materiality 9/10

30-10-2026

AbbVie reported Q3 2026 net revenues of $17.404 billion, up 10.3% reported (10.5% operational), with GAAP diluted EPS of $2.37 and adjusted diluted EPS of $3.82, both up over 100%. Immunology ($9.165B, +16.3%) and Neuroscience ($3.389B, +19.4%) drove growth, while Oncology was nearly flat (+0.8%) and Aesthetics declined 1.4%; Humira fell 31.2% and Imbruvica dropped 26.1%. The company raised 2026 adjusted EPS guidance to $13.95-$13.99 and announced a 5.2% dividend increase for 2027, alongside completing the Apogee Therapeutics acquisition.

  • · Adjusted diluted EPS of $3.82 includes an unfavorable $0.11 per share impact from acquired IPR&D and milestones expense
  • · 2026 adjusted diluted EPS guidance raised to $13.95-$13.99 from $13.76-$13.96, including $0.69 per share unfavorable IPR&D/milestones impact YTD
  • · GAAP SG&A was 23.5% of net revenues vs adjusted 21.2%; GAAP R&D was 14.7% vs adjusted 13.9%
  • · Acquired IPR&D and milestones expense was 1.2% of net revenues
  • · FDA approved Skyrizi for subcutaneous induction in Crohn's disease and updated TB testing warning/precautions
  • · FDA approved Juvmo (tavapadon) as the only selective D1/D5 receptor agonist for Parkinson's disease
  • · FDA granted two Breakthrough Therapy Designations for telisotuzumab adizutecan (Temab-A) in colorectal and non-small cell lung cancer
  • · Lutikizumab met primary endpoint (HiSCR 75 at Week 16) in Phase 3 INTREPID for hidradenitis suppurativa; regulatory submissions planned H2 2027
  • · Qulipta met primary and all eight ranked secondary endpoints in Phase 3 LUNA for menstrual migraine prevention
  • · BLA submitted to FDA for etentamig in relapsed/refractory multiple myeloma
THERMO FISHER SCIENTIFIC INC. 10-Q positive materiality 8/10

30-10-2026

Thermo Fisher Scientific reported Q3 2026 total revenues of $12,137M, up 9.1% YoY from $11,122M, driven by service revenues (+16.2% to $5,384M) while product revenues grew a slower 4.1% to $6,753M. Net income attributable to the company rose 6.5% to $1,721M and diluted EPS increased 8.7% to $4.64, but operating income growth (+16.6% to $2,263M) was partly offset by a higher tax provision ($352M vs $207M) and rising interest expense ($417M vs $347M). For the nine-month period, revenues grew 8.6% to $35,136M and net income rose 7.8% to $5,108M, while the company deployed $8,877M on acquisitions (up sharply from $4,037M) and repurchased $4,000M of stock, reducing cash to $5,461M from $9,852M at year-end.

  • · Cost of service revenues rose 13.9% to $3,668M from $3,220M, outpacing the 16.2% service revenue growth and pressuring service gross margin.
  • · Restructuring and other costs increased to $199M in Q3 2026 from $135M a year earlier.
  • · Nine-month 2026 net cash provided by operating activities rose to $5,867M from $4,361M, a 34.5% increase.
  • · Nine-month 2026 net cash used in investing activities was $8,874M versus $4,938M, driven by higher acquisitions.
  • · The company received $1,021M in proceeds from sale of a business in 2026 (none in 2025).
  • · Quarterly dividend declared rose to $0.47 per share from $0.43 per share a year earlier.
  • · Nine-month 2026 net proceeds from issuance of debt were $5,238M versus $2,840M in 2025.
  • · Total assets grew to $114,233M from $110,343M at December 31, 2025, with goodwill up to $54,263M from $49,362M.
  • · Equity in earnings of unconsolidated entities swung to a $32M loss for nine months 2026 from a $9M loss in 2025.
STRYKER CORP 10-Q mixed materiality 8/10

30-10-2026

Stryker reported Q3 2026 net sales of $6,520M, up 7.6% YoY from $6,057M, with nine-month sales of $19,129M (+6.6%). However, quarterly profitability deteriorated: operating income fell 8.9% to $1,034M and net earnings declined 12.3% to $753M as gross margin compressed and goodwill/other impairments jumped to $293M from $73M, driving diluted EPS down 11.7% to $1.96. Nine-month net earnings still rose 15.7% to $2,774M and diluted EPS grew 16.0% to $7.19, while the company repurchased $1,000M of stock and paid down $1,000M of long-term debt.

  • · Gross margin compressed to 65.2% in Q3 2026 from 63.6% in Q3 2025 on a gross profit basis ($4,248M vs $3,852M)
  • · Selling, general and administrative expenses rose 13.1% YoY to $2,313M in Q3 2026
  • · Research, development and engineering expenses increased 5.6% YoY to $433M
  • · Effective tax rate rose to 24.5% in Q3 2026 from 16.5% in Q3 2025
  • · Ortho Tech was the fastest-growing orthopaedics line, up 15.8% YoY to $754M in Q3
  • · Spinal Implants revenue collapsed to $4M in Q3 2026 from $6M, and nine-month fell to $9M from $177M following business sale
  • · Hips declined 0.9% YoY to $453M while Knees grew only 1.1% (flat)
  • · Nine-month operating cash flow rose to $3,303M from $2,901M
  • · Cash and equivalents fell to $3,271M from $4,011M at year-end 2025
  • · Total current liabilities fell to $6,500M from $7,794M at December 31, 2025
  • · Contract liabilities declined to $960M from $1,024M at beginning of period
  • · Nine-month acquisitions totaled $481M versus $4,950M in the prior-year period

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