SNNMedical devices (orthopaedics & wound care)
Smith+Nephew
Not investment advice. Kevin may own this stock. How we value stocks
By Kevin Amado
Updated
- Price
- $31.04
- Analysts view
- Mixed
- Discount category
- Below intrinsic value
- Pick status
- Research only
- Next earnings
- Earnings Mar 1 ·
- Market cap
- $14B
- Shares of Dec 31, 2025
- Yield at current rate
- 2.6%
- Current annual rate, at the price of Nov 12, 2026
- Dividend yield
- 2.6%
- Last 12 months, at the price of Nov 12, 2026
- 52-week range
- $26.12 – $37.09
- To Nov 12, 2026
- Beta
- 0.55
- Vs S&P 500, 5 years monthly, to Oct 30, 2026
- Average volume
- 1.5M
- 3 months, to Nov 12, 2026
Check the numbers:ExchangeGoogle FinanceYahoo FinanceSEC filings
In short
- Thesis
- The market prices Smith+Nephew for weak Orthopaedics growth and two cuts to its 2026 outlook, and growth from new knee and hip products in 2027 can close the gap over four to six quarters.
- Gap
- Can close. The full-year results on March 1, 2027 show whether Smith+Nephew meets its reduced 2026 guidance and whether Orthopaedics can grow again in 2027.
Company guidance: Underlying revenue growth of around 3%, trading profit of around $1,250 million and free cash flow of around $750 million for 2026 (, Q3 2026 trading update (6-K))
Price history
About
Smith+Nephew is a British medical technology company. It has three business units. Orthopaedics sells knee and hip implants and related products. Sports Medicine & ENT sells implants and instruments for joint repair, such as shoulder anchors and the REGENETEN implant, and equipment for arthroscopic surgery.
Advanced Wound Management sells dressings, negative pressure wound therapy such as PICO, and bioactive products such as SANTYL and skin substitutes. Revenue was $4.65 billion in the first nine months of 2026. Surgeons train on its systems and hospitals keep its instruments and implant sets, which makes it costly for them to change suppliers. The company trades on the London Stock Exchange, and its American depositary shares (SNN) trade on the NYSE.
Thesis
The market prices Smith+Nephew for weak growth in its Orthopaedics business and for doubt that its turnaround can continue. The company cut its 2026 revenue growth outlook two times: to about 4% in August 2026 and to about 3% on November 4, 2026. In November, it also cut its 2026 guidance for trading profit growth to about 4% from about 8% and for free cash flow to about $750 million from about $800 million, because U.S. hip and knee sales stay weak. Underlying revenue grew 3.4% in Q3 2026.
Sports Medicine & ENT grew 7.9%, but U.S. knee implant revenue fell 7.3%. The company said that it held talks with Johnson & Johnson about its Orthopaedics business, that these talks ended, and that it continues to examine all options for that business. The CFO left on September 30, 2026, and the company has not named a successor. For the gap to close, three things must be true.
Orthopaedics must grow again in 2027 with new products such as the cementless LANDMARK knee, the CATALYSTEM hip and CORI Hip. Sports Medicine & ENT must keep its fast growth, and Advanced Wound Management must grow again. The company must meet its new 2026 guidance of about $1.25 billion of trading profit and about $750 million of free cash flow, and give a 2027 outlook with faster growth. The full-year results on March 1, 2027, give the next test.
If these checks pass, the gap can close over the next four to six quarters. The main reason it may not close is a longer weakness in U.S. Orthopaedics, where larger competitors are strong.
Checkpoints
- Nov 4, 2026FailedQ3 2026 trading report: return to faster growthUnderlying revenue growth near 5% with better U.S. Orthopaedics and SANTYL growth, and the 2026 guidance kept, pass; growth near 2% or a cut to profit guidance fails.Outcome: Underlying revenue growth was 3.4%, below the 5% test, U.S. knee implant revenue fell 7.3%, and the company cut its 2026 trading profit growth guidance to about 4% from about 8%.
- Mar 1, 2027PendingFull-year 2026 results and 2027 outlookTrading profit near the new guidance of about $1.25 billion, free cash flow near $750 million and a 2027 outlook for Orthopaedics growth pass; a miss or a weak outlook fails.
Recent events
- November 4, 2026Smith+Nephew published its Q3 2026 trading report. Revenue was $1,551 million, with underlying growth of 3.4%. Sports Medicine & ENT grew 7.9%, Orthopaedics grew 2.5% and Advanced Wound Management fell 0.2%, and U.S. knee implant revenue fell 7.3%. The company cut its 2026 guidance to underlying revenue growth of about 3%, trading profit growth of about 4%, or about $1.25 billion, and free cash flow of about $750 million. It said that it approached Johnson & Johnson about its Orthopaedics business earlier in 2026 and that the talks have ended. By the end of Q3, $250 million of the $500 million buyback was complete. Full-year results are due on March 1, 2027.
- October 8, 2026Smith+Nephew said it will publish its Q3 2026 trading report on November 4, 2026.
- October 5, 2026Smith+Nephew redeemed all of its $350 million of 5.150% notes due 2027, at 100.245% of their principal amount.
Show 6 older eventsHide older events
- September 22, 2026Smith+Nephew received FDA 510(k) clearance for its LANDMARK Total Knee System, and surgeons completed the first cases. It plans a phased launch, with broader availability across markets during 2027.
- September 18, 2026Smith+Nephew said it will redeem its $350 million of 5.150% notes due 2027. On September 16, 2026, it announced the results of a cash tender offer for up to $250 million of its 2.032% notes due 2030.
- September 10, 2026Smith+Nephew priced an issue of $700 million of 5.750% notes due 2036.
- August 19, 2026Smith+Nephew said that CFO John Rogers will leave on September 30, 2026, to take an external position in the U.S. He stepped down from the board at once, and the company started a search for his successor. Pierre Palassian, Senior Vice President Finance and Group Controller, is interim CFO until the company appoints a successor.
- August 4, 2026Smith+Nephew reported Q2 and first half 2026 results. Q2 revenue was $1,597 million, with underlying growth of 1.6%. First half trading profit rose 8.1% to $566 million and adjusted EPS rose 11.0% to 47.7 cents. The company cut its 2026 revenue growth outlook to about 4% from about 6%, but kept its guidance for about 8% trading profit growth and about $800 million of free cash flow. The interim dividend rose 4.0% to 15.6 cents.
- May 6, 2026Smith+Nephew started a $500 million share buyback program. By August 3, 2026, $216 million of it was settled.
Latest news and filings
- Last earnings
- November 4, 2026
- Next earnings
- March 1, 2027, as the company confirmed.
- 6-KInterim report for the period ended Jun 27, 2026Filed · snn-20260627x6k
- 20-FAnnual report for the period ended Dec 31, 2025Filed · snn-20251231x20f
- 20-FAnnual report for the period ended Dec 31, 2024Filed · snn-20241231x20f
Risks
- Orthopaedics growth is weak. In Q3 2026, U.S. knee implant revenue fell 7.3% and U.S. hip implant revenue fell 1.0%, and the company expects this weakness to continue in Q4 2026. If the new knee and hip products do not win surgeons in 2027, the company loses more share to larger competitors.
- Lower U.S. sales of skin substitutes reduce revenue in Advanced Wound Bioactives. The company expects this headwind to be near the top of its range of $20 million to $40 million in 2026.
- The CFO left on September 30, 2026, and the company has not named a successor. Changes in the leadership team can slow the turnaround plan.
- The board examines strategic options for Orthopaedics, after talks with Johnson & Johnson ended in 2026. A sale, a combination or a long review can bring costs and take the attention of management.
- Tariffs on medical devices can raise costs. The company expects the net effect of tariffs to be broadly neutral in 2026 only because of tariff refunds.
Balance sheet
- Cash
- $754M
- Debt
- $3.6B
- Net debt
- $2.8B
- Net debt / EBITDA
- 1.8×
- as the company states it
- Interest cover
- 6.9×
- times profit pays interest
Cash against debt
debt covered by cashnet debt $2.8B
Leverage: net debt / EBITDA
low, under 2×medium, 2× to 4×high, over 4×
When the debt is due
Smith+Nephew funds itself with corporate bonds, private placement notes and bank facilities. At June 27, 2026, borrowings were $3.59 billion: $2.67 billion of corporate bonds, $410 million of private placement notes and $508 million of current bank borrowings and loans. Cash and cash equivalents were $754 million. Net debt, including lease liabilities, was $3.02 billion, up from $2.76 billion at December 31, 2025, after the purchase of Integrity Orthopaedics and share buybacks. Net debt to adjusted EBITDA was 1.8 times. The company had access to committed facilities of $4.7 billion. A $350 million bond and $140 million of private placement debt were due in the first half of 2027. In September 2026, it issued $700 million of notes due 2036 and bought back part of its notes due 2030, and on October 5, 2026, it redeemed the $350 million bond due 2027. Interest cover is operating profit divided by interest expense for the first half of 2026. The Q3 2026 trading report of November 4, 2026, gives no new balance sheet. In it, the company expects free cash flow of about $750 million for 2026, and $250 million of the $500 million buyback was complete at the end of Q3.
As of
Show 5 sourcesHide sources
- sec.gov /Archives/edgar/data/845982/000110465926089991/snn-20260804x6k.htm
- sec.gov /Archives/edgar/data/845982/000165495426008237/a1407u.htm
- sec.gov /Archives/edgar/data/845982/000165495426008434/a2698v.htm
- sec.gov /Archives/edgar/data/845982/000165495426008690/a0850x.htm
- sec.gov /Archives/edgar/data/845982/000110465926122324/snn-20261104x6k.htm
Dividends
- Yield at the current rate
- 2.6% (current annual rate, at today’s price)
- Dividend yield
- 2.6% (last 12 months, at today’s price of $31.04)
- Paid per share
- $0.794 in the last 12 months (2 payments)
- Current annual rate
- $0.794 (the last two payments)
- Latest ex-dividend date
- October 2, 2026, $0.312 per share
Dividends per share by year
| 2016 | $0.626 | |
|---|---|---|
| 2017 | $0.616 | |
| 2018 | $0.734 | |
| 2019 | $0.728 | |
| 2020 | $0.75 | |
| 2021 | $0.75 | |
| 2022 | $0.75 | |
| 2023 | $0.75 | |
| 2024 | $0.75 | |
| 2025 | $0.762 |
From 2020 to 2025, the dividend grew by about 0.3% a year. From 2015 to 2025, the dividend grew by about 2.3% a year.
Source: company filings and market data, read on November 13, 2026. The ex-dividend date is the first day a buyer no longer gets the next payment.
Questions about Smith+Nephew
What does Smith+Nephew do?
Smith+Nephew is a British medical technology company. It has three business units. Its market cap is $14B at the current price of $31.04.
When does Smith+Nephew report earnings next?
The company confirmed that it will report on March 1, 2027. It last reported results on August 4, 2026.
Is Smith+Nephew stock below its intrinsic value?
Smith+Nephew stock is below intrinsic value. This is general information, not advice.
What changed recently at Smith+Nephew?
The latest update is from November 4, 2026. Smith+Nephew published its Q3 2026 trading report.
What are the main risks for Smith+Nephew?
Orthopaedics growth is weak. Lower U.S. sales of skin substitutes reduce revenue in Advanced Wound Bioactives. The CFO left on September 30, 2026, and the company has not named a successor.
How much debt and cash does Smith+Nephew have?
At June 27, 2026, Smith+Nephew had $3.6B of debt and $754M of cash.
Does Smith+Nephew pay a dividend?
Yes. The current annual dividend of Smith+Nephew is $0.794 per share. That is a dividend yield of 2.6% at the current price of $31.04. The latest ex-dividend date was October 2, 2026.
Similar companies
- GEHCGE HealthCareShares: Tariffs and trade, New management
- Intrinsic value
- Close to intrinsic value
- Gap
- Can close
- FBINFortune Brands InnovationsShares: New management, Tariffs and trade
- Intrinsic value
- Close to intrinsic value
- Gap
- Can close
- AGCOAGCOShares: Tariffs and trade, New management
- Intrinsic value
- Below intrinsic value
- Gap
- Slow
- MATMattelShares: Tariffs and trade, New management
- Intrinsic value
- Well below intrinsic value
- Gap
- Can close
- FDXFedExShares: Tariffs and trade, New management
- Intrinsic value
- Far above intrinsic value
- Gap
- Can close
Loading your notes…
Read it all? Star SNN or pass, then go on to the next one.