Zimmer Biomet Holdings Inc (ZBH) — Cash Flow Quality Index

Latest as of September 2025: 1.81x

Zimmer Biomet Holdings Inc (ZBH) has a Cash Flow Quality Index of 1.81x as of September 2025. Operating cash flow of $418.70 Million exceeds net income of $231.20 Million, indicating high earnings quality where cash backs reported profits. Explore ZBH operating cash flow to total debt to assess how comfortably operating cash covers total debt obligations.

Cash Flow Quality Index

1.81x
Operating CF / Net Income

Operating Cash Flow

$418.70 Million
USD

Net Income

$231.20 Million
USD

Data as of

Sep 2025
Most recent filing

Zimmer Biomet Holdings Inc Cash Flow Quality Index (1998–2024)

Historical Cash Flow Quality Index for Zimmer Biomet Holdings Inc across 25 annual periods. Values consistently above 1.0x indicate high-quality earnings. For the full cash flow conversion analysis, see Zimmer Biomet Holdings Inc cash flow conversion.

Annual Cash Flow Quality Index for Zimmer Biomet Holdings Inc (1998–2024)

Year-by-year earnings quality comparison for Zimmer Biomet Holdings Inc.

Year Quality Index Operating CF (USD) Net Income YoY Change
2024 1.66x $1.50 Billion $905.20 Million ▲ +7.4%
2023 1.54x $1.58 Billion $1.03 Billion ▼ -65.0%
2022 4.41x $1.28 Billion $291.20 Million ▲ +31.1%
2021 3.37x $1.50 Billion $445.50 Million ▲ +140.1%
2019 1.40x $1.59 Billion $1.13 Billion ▲ +60.6%
2017 0.87x $1.58 Billion $1.81 Billion ▼ -83.7%
2016 5.36x $1.63 Billion $304.60 Million ▼ -7.8%
2015 5.81x $849.80 Million $146.20 Million ▲ +294.2%
2014 1.47x $1.06 Billion $719.20 Million ▲ +19.2%
2013 1.24x $963.10 Million $778.60 Million ▼ -19.2%
2012 1.53x $1.15 Billion $752.90 Million ▼ -1.2%
2011 1.55x $1.18 Billion $760.00 Million ▼ -22.6%
2010 2.00x $1.19 Billion $596.90 Million ▲ +28.4%
2009 1.56x $1.12 Billion $717.40 Million ▲ +27.3%
2008 1.22x $1.04 Billion $848.60 Million ▼ -12.8%
2007 1.40x $1.08 Billion $773.20 Million ▲ +12.5%
2006 1.25x $1.04 Billion $834.50 Million ▲ +4.0%
2005 1.20x $878.20 Million $732.50 Million ▼ -24.7%
2004 1.59x $862.20 Million $541.80 Million ▲ +11.4%
2003 1.43x $494.80 Million $346.30 Million ▲ +67.3%
2002 0.85x $220.20 Million $257.80 Million ▼ -25.5%
2001 1.15x $171.80 Million $149.80 Million ▼ -13.1%
2000 1.32x $232.40 Million $176.00 Million ▲ +10.0%
1999 1.20x $180.00 Million $150.00 Million ▼ -12.6%
1998 1.37x $199.00 Million $145.00 Million
Cash Flow Quality Index = Operating Cash Flow / Net Income. Ratios above 1.0x indicate cash-backed earnings.