Strong H1 profit growth, on-track to meet trading profit, free cash flow and ROIC guidance despite softer revenue growth
Download the full announcement
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27 June
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28 June
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Reported
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Underlying
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2026
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2025
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growth
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growth
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$m
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$m
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%
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%
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Second Quarter Results
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Revenue
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1,597
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1,553
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2.8
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1.6
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Half Year Results
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Revenue
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3,097
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2,961
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4.6
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2.3
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Operating profit
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448
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429
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4.3
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Operating profit margin (%)
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14.5
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14.5
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EPS (cents)
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35.6
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33.5
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6.2
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Cash generated from operations
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605
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568
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6.9
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Trading profit
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566
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523
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8.1
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Trading profit margin (%)
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18.3
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17.7
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EPSA (cents)
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47.7
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42.9
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11.0
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Free cash flow
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231
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244
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(5.2)
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(Financial Performance – H1 and Q2 2026 results unless otherwise stated, growth % and commentary are given on an underlying basis as defined on page 9 and are for the half and quarter ended 27 June 2026. In Q2 2026, the currency tailwind on reported growth versus underlying growth primarily reflected strength of the Euro and Australian dollar.)
Q2 Highlights
- Q2 revenue was $1,597 million, with underlying revenue growth of 1.6%, and reported revenue growth of 2.8% including a 120bps FX tailwind
- Q2 performance driven by continued strength in Sports Medicine offset by softness in US Orthopaedics and Advanced Wound Bioactives
- Multiple product platforms delivering double-digit or higher growth including CATALYSTEM◊, AETOS◊, Q-FIX◊, REGENETEN◊, CARTIHEAL◊ AGILI-C◊, FASTSEAL◊ and LEAF◊
- High cadence of new product launches, expansions and approvals including TESSA◊ Spatial Surgery System
H1 Highlights
- H1 revenue was $3,097 million, with underlying revenue growth of 2.3%. Reported growth of 4.6% was after 230bps FX tailwind. Growth reflected one fewer trading day versus the prior year, with underlying revenue growth of 3.1% on an average daily sales (ADS) basis
- Strong trading profit growth driven by a step-up in forecast efficiency savings, while tariff refunds fully offset the forecast tariff headwind. Trading profit was $566 million, up 8.1% on a reported basis including 90bps dilution from the acquisition of Integrity Orthopaedics. Trading profit margin up 60bps to 18.3%. Operating profit increased 4.3% on a reported basis to $448 million
- Adjusted earnings per share (‘EPSA’) up 11.0% to 47.7¢ and basic earnings per share (‘EPS’) up 6.2% to 35.6¢
- Continued strong cash generation. H1 free cash flow $13 million lower than H1 2025 includes a $51 million increase in capex relating largely to the construction of our new UK Wound factory and IT upgrades. This does not repeat in H2 when cash generation is expected to be stronger versus H2 2025
- Building on our strong cash generation and balance sheet, a $500 million share buyback was announced in May, with $216 million settled as at 3 August. Adjusted net debt/EBITDA leverage ratio at H1 2026 was 1.8x
- Interim dividend increased by 4.0% to 15.6¢ per share
Anticipated growth in full year revenue reduced from around 6% to around 4%; trading profit, free cash flow and adjusted ROIC guidance unchanged
- We expect second half revenue growth to be in the range of 5.0% to 5.5%, a step up on the first half, driven by multiple factors, including:
- In Sports Medicine, continued momentum across segments including strong growth in REGENETEN and FASTSEAL
- In Advanced Wound Management, stabilisation in US skin substitutes, a return to growth in SANTYL◊, expansion of the European launch of ALLEVYN◊ COMPLETE CARE, the launch of next-generation LEAF, and investment behind PICO◊
- In Orthopaedics, improving trajectory in US Knee Implants driven by LEGION◊ MS and the launch of the cementless version of LANDMARK◊, as well as a return to growth in US Hip Implants following increased CATALYSTEM set deployment
- An extra trading day in the fourth quarter
- Despite the revised full year revenue guidance, we continue to expect around 8% trading profit growth excluding acquisitions (around $1.3 billion post-acquisition of Integrity Orthopaedics), around $800 million free cash flow, and more than 10% adjusted ROIC (excluding impact of Integrity Orthopaedics)
- We now anticipate the year-on-year impact of tariffs will be broadly neutral to trading profit net of refunds
- The headwind from skin substitutes is expected to be towards the upper end of the previously guided $20 to $40 million range
- We expect to be able to offset the impact on trading profit of lower revenue growth through an additional $50 million in efficiency savings identified for 2026, taking total savings to around $200 million for the year
Deepak Nath, Chief Executive Officer, said:
“The Group navigated some challenges in the second-quarter. Sports Medicine continued to perform strongly, but Orthopaedics was impacted by temporary headwinds in US Hip Implants and ongoing challenges in US Knee Implants ahead of new product introductions. We also saw softer-than-expected performance from SANTYL within Bioactives, although we expect the product to return to growth in the third quarter.
“The changes implemented through our 12-Point Plan have made the Group more resilient and better able to respond to such challenges. As a result, despite slower-than-expected revenue growth, we delivered a strong first-half profit performance primarily driven by a step-up in forecast efficiency savings.
“Importantly, that improved resilience gives us confidence in our ability to deliver our full-year guidance for trading profit, free cash flow and return on invested capital. The updated revenue guidance reflects both the soft first half and our expectation for a step-up in the second half. Orthopaedics is not where we want it to be, but we expect growth to accelerate as we fill portfolio gaps, starting later this year and continuing into 2027. We have already made progress on Orthopaedics trading profit margin ahead of these launches. We remain focused on capital allocation and opportunities to enhance shareholder returns.”
Second quarter 2026 trading update
Our second quarter revenue was $1,597 million (Q2 2025: $1,553 million), reflecting underlying revenue growth of 1.6%, which was lower than we anticipated. Reported revenue growth was 2.8%, including 120bps tailwind from foreign exchange. The second quarter of 2026 comprised 63 trading days, in line with the same period of 2025.
Sports Medicine & ENT
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27 June
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28 June
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Reported
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Underlying
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Acquisitions
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Currency
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Consolidated revenue by
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2026
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2025
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growth
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growth
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/disposals
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impact
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business unit by product
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$m
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$m
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%
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%
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%
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%
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Sports Medicine & ENT
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527
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479
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10.0
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8.6
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-
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1.4
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Sports Medicine Joint Repair
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293
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262
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11.8
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10.6
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-
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1.2
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Arthroscopic Enabling Technologies
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178
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161
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10.6
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8.8
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-
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1.8
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ENT (Ear, Nose and Throat)
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56
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56
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(0.3)
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(1.6)
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-
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1.3
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Our Sports Medicine business unit continued to deliver robust revenue growth, building on the continued momentum in the franchise, driven by our differentiated portfolio, including new product launches and recent acquisitions.
Sports Medicine Joint Repair growth was led by shoulder repair, including double-digit growth from our REGENETEN Bioinductive Implant and the Q-FIX KNOTLESS All-Suture Anchor. The CARTIHEAL AGILI-C Cartilage Repair Implant, acquired in 2024, delivered strong growth as we continue to expand availability, including completing first cases in Europe and Australia. The integration of Integrity Orthopaedics, and its Tendon Seam◊ technology for rotator cuff repair, acquired at the start of the year, is progressing well.
Arthroscopic Enabling Technologies performance was driven by double-digit growth both from our WEREWOLF◊ FASTSEAL 6.0 Hemostasis Wand and our service business. We again saw strong demand in China where the Volume-Based Procurement (VBP) process has been delayed and which we now expect to be implemented in the second half of 2026.
ENT underlying revenue decline was as expected and reflected continued actions in China to reduce channel inventory ahead of the expected VBP process in this segment. This offset the good performance across all other regions, including double-digit growth in Other Established Markets and Emerging Markets and from the ARIS◊ COBLATION◊ Turbinate Reduction Wand and HALO◊ Wand for tonsillectomy and adenoidectomy.
Advanced Wound Management
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27 June
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28 June
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Reported
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Underlying
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Acquisitions
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Currency
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Consolidated revenue by
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2026
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2025
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growth
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growth
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/disposals
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impact
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business unit by product
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$m
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$m
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%
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%
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%
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%
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Advanced Wound Management
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456
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459
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(0.7)
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(2.1)
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-
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1.4
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Advanced Wound Care
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204
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192
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6.1
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3.7
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-
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2.4
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Advanced Wound Bioactives
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144
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165
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(12.5)
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(12.7)
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-
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0.2
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Advanced Wound Devices
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108
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102
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5.5
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3.8
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-
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1.7
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Advanced Wound Management performance reflected continued headwinds in Advanced Wound Bioactives and strong comparative periods in both Advanced Wound Bioactives and Advanced Wound Devices.
Advanced Wound Care growth was driven by our foam portfolio led by the recently launched ALLEVYN COMPLETE CARE. The US launch is going well and during the quarter we initiated the European launch, with good early traction in Germany. We also delivered double-digit growth from ALLEVYN AG, our absorbent antimicrobial foam dressing.
Advanced Wound Bioactives revenue decline was driven by the changes to reimbursement rules for skin substitutes which took effect at the start of 2026 as well as by a soft quarter for SANTYL following a strong Q1. In skin substitutes, while there was a sequential improvement from the first quarter, the impact of the reimbursement reset continued to drive a decline in both volumes and pricing in non-surgical settings, particularly in mobile where we have limited exposure. Despite these near-term dynamics, we continue to believe in the long-term fundamentals of the skin substitute segment beyond this transition year, and remain well-positioned as market conditions normalise.
Advanced Wound Devices performance included double-digit growth from the LEAF Patient Monitoring System, a key component of our pressure injury prevention strategy. Our PICO single-use Negative Pressure Wound Therapy (NPWT) and RENASYS◊ traditional NPWT both performed strongly in Emerging Markets, as we continue to expand geographically. PICO sales in Other Established Markets were impacted by doctor strikes in Spain in the surgical sector and the timing of tenders. In the US, sales of RENASYS continue to be soft in the acute care channel, while performance in the post-acute channel remained strong.
Orthopaedics
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27 June
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28 June
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Reported
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Underlying
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Acquisitions
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Currency
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Consolidated revenue by
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2026
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2025
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growth
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growth
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/disposals
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impact
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business unit by product
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$m
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$m
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%
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%
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%
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%
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Orthopaedics
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614
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615
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(0.2)
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(1.0)
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-
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0.8
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Knee Implants
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247
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257
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(3.8)
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(4.3)
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-
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0.5
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Hip Implants
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165
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162
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1.4
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0.5
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-
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0.9
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|
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Other Reconstruction
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36
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35
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2.0
|
|
0.8
|
|
-
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1.2
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|
|
Trauma & Extremities
|
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166
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|
161
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|
3.5
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|
2.4
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|
-
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1.1
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Our Orthopaedics business unit revenue declined by -1.0% on an underlying basis (reported decline -0.2%) in the second quarter, reflecting a number of factors in the US including the ongoing issues in Knee Implants ahead of new product launches and temporary headwinds in Hips Implants. Additionally, US Hip Implants, Knee Implants outside the US and Other Reconstruction all faced strong comparative periods.
US Knee Implants revenue declined -7.2% on both an underlying and reported basis, a modest improvement on Q1, as expected. As with recent quarters, performance reflected the continuing and deliberate portfolio and capital discipline, combined with an ongoing market shift towards cementless, which continues to influence performance in the near term. The sequential improvement was driven by strong uptake of LEGION MS and continued double-digit growth from LEGION CONCELOC, our cementless offering. LEGION MS now represents almost 20% of our LEGION mix and is enhancing the competitiveness of our installed base. Looking ahead, we continue to expect improvement through the year, driven by increased LEGION MS set deployments in the second half. This will remain the main contributor to momentum ahead of launch of our new kinematic LANDMARK Knee System, with the cementless version expected in the third quarter of 2026.
Following four consecutive quarters of above market growth, US Hip Implants revenue declined -1.5% on both an underlying and reported basis. The CATALYSTEM Primary Hip System is still growing strongly, although Q2 was impacted by some delay in set deployments and an increasing proportion of retentions versus competitive conversions. We expect the segment to return to growth for the remainder of the year driven by increased CATALYSTEM set deployment, and as CATALYSTEM moves into its third-year post-launch, we anticipate it continuing to drive a healthy growth rate in US Hip Implants, albeit at a more moderate level than during the early launch phase.
Outside the US, Knee Implants declined -1.4% (reported decline -0.3%) reflecting the impact of a large tender order in the Middle East in the prior year which did not repeat. Hip Implants delivered underlying revenue growth of 3.0% (reported growth 5.2%) outside the US, led by the POLAR3◊ Total Hip System, as well as strong performance in Japan where we have recently launched CATALYSTEM.
Other Reconstruction underlying revenue growth reflected the comparator period as well as contract mix. We delivered double digit growth in CORI◊ Surgical System installations globally.
Trauma & Extremities performance was driven by the EVOS◊ Plating System and IM Nails as well as strong double-digit growth from the recently launched AETOS Shoulder System.
Performance by region
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|
|
|
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|
|
27 June
|
|
28 June
|
|
Reported
|
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Underlying
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Acquisitions
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|
Currency
|
|
|
Consolidated revenue by
|
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2026
|
|
2025
|
|
growth
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growth
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/disposals
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impact
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geography
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$m
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$m
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%
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%
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%
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%
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US
|
|
816
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|
827
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(1.2)
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(1.3)
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-
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|
0.1
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|
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Other Established Markets(i)
|
|
489
|
|
470
|
|
4.0
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|
1.7
|
|
-
|
|
2.3
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|
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Total Established Markets
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|
1,305
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|
1,297
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|
0.6
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|
(0.2)
|
|
-
|
|
0.8
|
|
|
Emerging Markets
|
|
292
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|
256
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|
13.7
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|
10.6
|
|
-
|
|
3.1
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|
|
Total
|
|
1,597
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|
1,553
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|
2.8
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|
1.6
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|
-
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1.2
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|
- Other Established Markets are Europe, Japan, Australia, Canada and New Zealand
The US revenue decline reflected performance in Orthopaedics and Advanced Wound Bioactives. Other Established Markets performance was led by growth from Canada and Australia & New Zealand, continuing the good momentum seen in the first quarter. Emerging Markets performance included double-digit growth from China. We continue to expect China to be broadly neutral to growth for the full year.
First Half 2026 Consolidated Analysis
Smith+Nephew results for the first half ended 27 June 2026:
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|
|
|
|
|
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Reported
|
|
|
|
|
27 June 2026
|
|
28 June 2025
|
|
growth
|
|
|
|
|
$m
|
|
$m
|
|
%
|
|
|
Revenue
|
|
3,097
|
|
2,961
|
|
4.6
|
|
|
Operating profit
|
|
448
|
|
429
|
|
4.3
|
|
|
Acquisition and disposal related items
|
|
21
|
|
9
|
|
|
|
|
Restructuring and rationalisation costs
|
|
23
|
|
8
|
|
|
|
|
Amortisation and impairment of acquisition intangibles
|
|
87
|
|
83
|
|
|
|
|
Legal and other
|
|
(13)
|
|
(6)
|
|
|
|
|
Trading profit(i)
|
|
566
|
|
523
|
|
8.1
|
|
|
|
|
¢
|
|
¢
|
|
|
|
|
Earnings per share ('EPS')
|
|
35.6
|
|
33.5
|
|
|
|
|
Acquisition and disposal related items
|
|
3.6
|
|
1.8
|
|
|
|
|
Restructuring and rationalisation costs
|
|
2.1
|
|
0.6
|
|
|
|
|
Amortisation and impairment of acquisition intangibles
|
|
8.1
|
|
7.3
|
|
|
|
|
Legal and other
|
|
(1.7)
|
|
(0.3)
|
|
|
|
|
Adjusted Earnings per share ('EPSA')(i)
|
|
47.7
|
|
42.9
|
|
11.0
|
|
- See Other Information on pages 30 to 36
In the first half we delivered underlying revenue growth of 2.3%, and reported revenue growth of 4.6% including a 230bps tailwind from foreign exchange. There were 124 trading days, one day less than the equivalent period in 2025, with underlying revenue growth of 3.1% on an ADS basis.
Gross profit was $2,196 million (H1 2025: $2,091 million), a 5.0% increase on a reported basis, and the gross profit margin increased 30bps to 70.9% (H1 2025: 70.6%). Trading gross profit was $2,203 million (H1 2025: $2,087 million), a 5.5% increase on a reported basis, and the gross profit margin increased 60bps to 71.1% (H1 2025: 70.5%) as we more than offset raw materials inflation with price increases and efficiency measures in manufacturing and procurement. Operating profit increased 4.3% on a reported basis to $448 million (H1 2025: $429 million).
The changes implemented through our 12-Point Plan have made the Group more resilient and, despite the softer than expected revenue growth, we delivered good trading profit in the first first-half, up 8.1% on a reported basis to $566 million (H1 2025: $523 million) including 90bps dilution from the acquisition of Integrity Orthopaedics. The strong growth was driven by a step-up in forecast efficiency savings. While we had previously forecast a tariff headwind in the first half, the net impact of refunds received means the net impact of tariffs was broadly neutral to profit growth.
We continue to make strong progress driving efficiency savings, with $130 million realised in the first half. Of these, $50 million came from 12-Point Plan and zero-based budgeting (ZBB) activities, and $80 million from additional opportunities across procurement, manufacturing, sales and marketing, and business support functions. We have now achieved $330 million of cumulative 12-Point Plan and ZBB savings against the targets set out in August 2024 of $325 million to $375 million by 2027, with further savings to come through in the second half of 2026 and 2027. We expect to achieve a further $70 million of savings in the second half from both 12-Point Plan and ZBB and other opportunities, taking total efficiency savings for the year up from around $150 million to around $200 million. This includes an additional $50 million in savings primarily coming from manufacturing, including from our ongoing footprint optimisation, as well as procurement and sales and marketing.
As a result of these factors, the trading profit margin strengthened by 60bps to 18.3% (H1 2025: 17.7%). A reconciliation of adjustments between operating profit and trading profit is included in Other Information on pages 30 to 36.
Sports Medicine & ENT trading profit margin increased 160bps to 24.7% (H1 2025: 23.1%) driven by operating leverage off the strong revenue growth. Advanced Wound Management trading profit margin was down 10bps to 22.0% (H1 2025: 22.1%) reflecting changes to reimbursement in skin substitutes. Orthopaedics trading profit margin was up 30bps to 13.0% (H1 2025: 12.7%) as we were able to more than offset the headwind from inventory revaluation and softer revenue growth with manufacturing savings from network optimisation, ongoing productivity initiatives and disciplined cost control (see Note 2 to the Interim Financial Statements for global business unit trading profit).
Reported profit before tax was up 5.0% to $380 million (2025: $362 million) (see Other Information on pages 30 to 36).
Reported tax was a charge of $77 million (H1 2025: $69 million). The first half tax rate on trading results of 20.3% (H1 2025: 19.8%) was calculated using full year projections, applied to trading profits for the first half and includes non-recurring tax credits arising in this period. The applicable rate of corporate income tax has been applied to the actual non-trading items in the period on an item-by-item basis (see Note 3 to the Interim Financial Statements and Other Information on pages 30 to 36 for further details on taxation). The net interest charge within reported results was $55 million (H1 2025: $54 million).
Adjusted earnings per share (‘EPSA’) increased by 11.0% to 47.7¢ (95.4¢ per ADS) (H1 2025: 42.9¢ per share). Basic earnings per share (‘EPS’) was up 6.2% to 35.6¢ (71.2¢ per ADS) (H1 2025: 33.5¢ per share), including restructuring costs, acquisition and disposal related items, amortisation and impairment of acquisition intangibles and legal and other items incurred.
The Group continued to generate strong cash flow. The modest reduction in first-half trading cash flow was driven by higher capital expenditure, primarily related to construction of our new UK Wound factory, which is due to open next year, and IT upgrades. This year-on-year increase in investment is not expected to recur in the second half, and we expect H2 cash generation to be stronger than in H2 2025. The free cash flow reflected these factors partially offset by reduced restructuring costs and, for the same reasons, we expect this to also be stronger in the second half versus H2 2025. Cash generated from operations was up 6.9% to $605 million (H1 2025: $568 million), trading cash flow was down -10.2% to $437 million (H1 2025: $487 million), with trading profit to cash conversion ratio of 77.3% (H1 2025: 93.0%), and free cash flow was $231 million (H1 2025: $244 million) (see Other Information on pages 30 to 36 for a reconciliation between cash generated from operations and trading cash flow).
Net debt as of 27 June 2026 was $3,019 million (31 December 2025: $2,759 million), with access to committed facilities of $4.7 billion (see Note 6 to the Financial Statements). The net debt to adjusted EBITDA ratio was 1.8x.
Delivering our RISE strategy
We are two quarters into the RISE strategy to accelerate growth and improve returns over the next three years, with progress across all four pillars.
To REACH more patients, we are focused on driving adoption of our portfolio by expanding into additional indications and geographies. Highlights year to date include the first knee and shoulder cases performed using the next-generation CORI XT Handheld Robotics Platform, marking an important milestone in the clinical introduction of our latest handheld robotics technology. We also expanded CATALYSTEM into Japan and initiated the European launches of our ALLEVYN COMPLETE CARE Foam Dressing, which offers a unique five-layer construction with distinct mode of action capabilities targeted towards both wound management and pressure ulcer prevention, and of the RENASYS EDGE Negative Pressure Wound Therapy System.
To INNOVATE and enhance the standard of care, we take a patient-led approach to innovation, prioritising areas with the potential to improve outcomes.
We have been granted De Novo classification by the US Food & Drug Administration (FDA) for our TESSA Spatial Surgery System. Utilising cutting-edge accelerated computing and AI technology, the TESSA (Tracking Enabled Spatial Surgery Assistant) System brings personalised planning, augmented reality, advanced imaging, navigation, and real-time tracking to help transform arthroscopic procedures. TESSA’s first indication for use is femoral anterior cruciate ligament reconstruction surgery of the knee.
New product launches year to date include the FLOW FLEXTEND◊ COBLATION◊ Wand which brings new functionality for hard-to-reach hip, knee and shoulder anatomies, an extension to the EVOS Plating System with EVOS Pelvic, the LYNX◊ COBLATION Laryngeal Wand in ENT, and the next generation LEAF Patient Monitoring System, a data-driven pressure injury prevention platform designed to help health care providers tackle the growing burden of hospital-acquired pressure injuries by strengthening protocols and outcomes. We also continued to build out the evidence base supporting our biologics portfolio, announcing new clinical data supporting adoption of our REGENETEN and CARTIHEAL AGILI-C implants.
To SCALE through strategic investment, we continue to allocate capital to targeted categories and channels. This includes the acquisition of Integrity Orthopaedics, announced in January. Tendon Seam’s biomechanical approach to rotator cuff repair further expands our leading portfolio in shoulder pathology. The Group also continues to invest behind its PICO single-use Negative Pressure Wound Therapy system, expanding the salesforce. Our new Advanced Wound Management manufacturing facility in Melton, UK, is on track to open in 2027.
To EXECUTE efficiently, we are driving group-wide productivity by being disciplined around cost control as well as executing our Ortho 360 programme within Orthopaedics. Our Advanced Wound Management manufacturing site in Suzhou, China, has been awarded the Shingo Prize, one of the world’s most respected recognitions for organisational excellence reflecting more than a decade of sustained improvement at the site.
Interim Dividend
Smith+Nephew has a progressive dividend policy and we expect our shareholders to benefit from an annual payout of around 35% to 40% of EPSA.
The interim payment is set at 40% of the prior full year and is therefore 15.6¢ per share (31.2¢ per ADS) for 2026, a 4.0% increase year-on-year (2025: 15.0¢).
Share buy-back on track
On 6 May 2026, Smith+Nephew announced a share buyback of $500 million to be completed within twelve months. The buyback demonstrates our commitment to disciplined capital allocation, balancing investment in strategic growth with the return of surplus capital to shareholders, in line with our framework. We had settled $216 million as at 3 August 2026.
Outlook
We expect second half revenue growth to be in the range of 5.0% to 5.5%, a step-up on the first half, driven by multiple factors, including:
- In Sports Medicine, continued momentum across segments including strong growth in REGENETEN and FASTSEAL
- In Advanced Wound Management, stabilisation in US skin substitutes, a return to growth in SANTYL, expansion of the European launch of ALLEVYN COMPLETE CARE, the launch of next-generation LEAF, and investment behind PICO
- In Orthopaedics, improving trajectory in US Knee Implants driven by LEGION MS and the launch of the cementless version of LANDMARK, as well as a return to growth in US Hip Implants following increased CATALYSTEM set deployment
- An extra trading day in the fourth quarter
Consequently, we now expect to deliver full year revenue growth of around 4% (previously “around 6%”).
On a reported basis, the guidance equates to second half revenue growth to be in the range of 5.1% to 5.6% and full year revenue growth of around 5.2% based on exchange rates prevailing on 31 July 2026.
Despite the revised full year revenue guidance, we continue to expect around 8% trading profit growth excluding acquisitions (around $1.3 billion post-acquisition of Integrity Orthopaedics), around $800 million free cash flow, and more than 10% adjusted ROIC (excluding impact of Integrity Orthopaedics).
With the benefit of tariff refunds, we now anticipate the net year-on-year impact of tariffs to be broadly neutral to trading profit. The headwind from skin substitutes is expected to be towards the upper end of the previously guided $20 to $40 million range. Given the updated revenue guidance, we expect revenue leverage to be lower, offset by the $50 million step-up in forecast efficiency savings. As previously disclosed, the acquisition of Integrity Orthopaedics is expected to be marginally dilutive to trading profit in 2026, broadly neutral in 2027 and accretive from 2028.
Analyst conference call
An analyst conference call to discuss Smith+Nephew’s second quarter and first half results will be held today at 11.30am BST / 6.30am EDT, details of which are available on the Smith+Nephew website at https://www.smith-nephew.com/en/who-we-are/investors.
Forward calendar
The Q3 Trading Report will be released on 6 November 2026.
Investor contacts
Emily Heaven, Smith+Nephew +44 (0) 7811 919437
Craig Bijou, Smith+Nephew +1 (475) 850-8282
Media contacts
Charles Reynolds, Smith+Nephew +44 (0) 1923 477314
Susan Gilchrist / Ayesha Bharmal, Brunswick +44 (0) 20 7404 5959
About Smith+Nephew
Smith+Nephew is a portfolio medical technology business focused on the repair, regeneration and replacement of soft and hard tissue. We exist to restore people’s bodies and their self-belief by using technology to take the limits off living. We call this purpose ‘Life Unlimited’. Our 17,000 employees deliver this mission every day, making a difference to patients’ lives through the excellence of our product portfolio, and the invention and application of new technologies across our three global business units of Orthopaedics, Sports Medicine & ENT and Advanced Wound Management.
Founded in Hull, UK, in 1856, we now operate in around 100 countries, and generated annual sales of $6.2 billion in 2025. Smith+Nephew is a constituent of the FTSE100 (LSE:SN, NYSE:SNN). The terms ‘Group’ and ‘Smith+Nephew’ are used to refer to Smith & Nephew plc and its consolidated subsidiaries, unless the context requires otherwise.
For more information about Smith+Nephew, please visit www.smith-nephew.com and follow us on X, LinkedIn, Instagram or Facebook.
Reporting definitions
Unless otherwise specified as ‘reported’ all revenue growth throughout this document is ‘underlying’ after adjusting for the effects of currency translation and including the comparative impact of acquisitions and excluding disposals. All percentages compare to the equivalent 2025 period.
‘Underlying revenue growth’ reconciles to reported revenue growth, the most directly comparable financial measure calculated in accordance with IFRS Accounting Standards as issued by the International Accounting Standards Board (IASB), by making two adjustments, the ‘constant currency exchange effect’ and the ‘acquisitions and disposals effect’, described below. See Other Information on pages 30 to 36 for a reconciliation of underlying revenue growth to reported revenue growth.
The ‘constant currency exchange effect’ is a measure of the increase/decrease in revenue resulting from currency movements on non-US Dollar sales and is measured as the difference between: 1) the increase/decrease in the current year revenue translated into US Dollars at the current year average exchange rate and the prior year revenue translated at the prior year rate; and 2) the increase/decrease being measured by translating current and prior year revenues into US Dollars using the same exchange rate.
The ‘acquisitions and disposals effect’ is the measure of the impact on revenue from newly acquired material business combinations and recent material business disposals. This is calculated by comparing the current year, constant currency actual revenue (which includes acquisitions and excludes disposals from the relevant date of completion) with prior year, constant currency actual revenue, adjusted to include the results of acquisitions and exclude disposals for the commensurate period in the prior year. These sales are separately tracked in the Group’s internal reporting systems and are readily identifiable.
Certain items included in ‘trading results’, such as trading profit, trading profit margin, tax rate on trading results, trading cash flow, trading profit to cash conversion ratio, EPSA and underlying growth are non-IFRS financial measures. The non-IFRS financial measures reported in this announcement are explained in Other Information on pages 30 to 36 and are reconciled to the most directly comparable financial measures prepared in accordance with IFRS Accounting Standards as issued by the International Accounting Standards Board (IASB). Reported results represent IFRS financial measures as shown in the Unaudited Condensed Consolidated Interim Financial Statements.
Forward-looking statements
This document may contain forward-looking statements that may or may not prove accurate. For example, statements regarding expected revenue growth and trading profit margins, market trends and our product pipeline are forward-looking statements. Phrases such as "aim", "plan", "intend", "anticipate", "well-placed", "believe", "estimate", "expect", "target", "consider" and similar expressions are generally intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause actual results to differ materially from what is expressed or implied by the statements. For Smith+Nephew, these factors include: conflicts in Europe and the Middle East, economic and financial conditions in the markets we serve, especially those affecting healthcare providers, payers and customers; price levels for established and innovative medical devices; developments in medical technology; regulatory approvals, reimbursement decisions or other government actions; product defects or recalls or other problems with quality management systems or failure to comply with related regulations; litigation relating to patent or other claims; legal and financial compliance risks and related investigative, remedial or enforcement actions; disruption to our supply chain or operations or those of our suppliers; competition for qualified personnel; strategic actions, including acquisitions and disposals, our success in performing due diligence, valuing and integrating acquired businesses; disruption that may result from transactions or other changes we make in our business plans or organisation to adapt to market developments; relationships with healthcare professionals; reliance on information technology and cybersecurity; disruptions due to natural disasters, weather and climate change related events; changes in customer and other stakeholder sustainability expectations; changes in taxation regulations; effects of foreign exchange volatility; and numerous other matters that affect us or our markets, including those of a political, economic, business, competitive or reputational nature. Please refer to the documents that Smith+Nephew has filed with the U.S. Securities and Exchange Commission under the U.S. Securities Exchange Act of 1934, as amended, including Smith+Nephew's most recent annual report on Form 20-F, which is available on the SEC’s website at www. sec.gov, for a discussion of certain of these factors. Any forward-looking statement is based on information available to Smith+Nephew as of the date of the statement. All written or oral forward-looking statements attributable to Smith+Nephew are qualified by this caution. Smith+Nephew does not undertake any obligation to update or revise any forward-looking statement to reflect any change in circumstances or in Smith+Nephew's expectations.
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