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Side-by-side financial comparison of ICON PLC (ICLR) and Zimmer Biomet (ZBH). Click either name above to swap in a different company.

Zimmer Biomet is the larger business by last-quarter revenue ($2.1B vs $2.0B, roughly 1.0× ICON PLC). Zimmer Biomet runs the higher net margin — 11.4% vs 0.1%, a 11.3% gap on every dollar of revenue. On growth, Zimmer Biomet posted the faster year-over-year revenue change (9.3% vs 0.6%). ICON PLC produced more free cash flow last quarter ($333.9M vs $245.9M). Over the past eight quarters, Zimmer Biomet's revenue compounded faster (3.7% CAGR vs 0.6%).

ICON plc is an Irish headquartered multinational healthcare intelligence and clinical research organisation. As of February 2025 had approximately 41,900 employees in 55 countries.

Zimmer Biomet Holdings, Inc. is a publicly traded American medical device company. It was founded in 1927 to produce aluminum splints. The firm is headquartered in Warsaw, Indiana, where it is part of the medical devices business cluster.

ICLR vs ZBH — Head-to-Head

Bigger by revenue
ZBH
ZBH
1.0× larger
ZBH
$2.1B
$2.0B
ICLR
Growing faster (revenue YoY)
ZBH
ZBH
+8.7% gap
ZBH
9.3%
0.6%
ICLR
Higher net margin
ZBH
ZBH
11.3% more per $
ZBH
11.4%
0.1%
ICLR
More free cash flow
ICLR
ICLR
$88.0M more FCF
ICLR
$333.9M
$245.9M
ZBH
Faster 2-yr revenue CAGR
ZBH
ZBH
Annualised
ZBH
3.7%
0.6%
ICLR

Income Statement — Q3 FY2025 vs Q1 FY2026

Metric
ICLR
ICLR
ZBH
ZBH
Revenue
$2.0B
$2.1B
Net Profit
$2.4M
$238.3M
Gross Margin
64.6%
Operating Margin
4.2%
17.9%
Net Margin
0.1%
11.4%
Revenue YoY
0.6%
9.3%
Net Profit YoY
-98.8%
30.5%
EPS (diluted)
$0.03
$1.22

Green = leading value per metric. Periods may differ when fiscal calendars don't align.

8-Quarter Revenue & Profit Trend

Side-by-side quarterly history. Quarters aligned by calendar period so offset fiscal years line up.

Revenue
ICLR
ICLR
ZBH
ZBH
Q1 26
$2.1B
Q4 25
$2.2B
Q3 25
$2.0B
$2.0B
Q2 25
$2.0B
$2.1B
Q1 25
$2.0B
$1.9B
Q4 24
$2.0B
Q3 24
$2.0B
$1.8B
Q2 24
$2.1B
$1.9B
Net Profit
ICLR
ICLR
ZBH
ZBH
Q1 26
$238.3M
Q4 25
$139.4M
Q3 25
$2.4M
$230.9M
Q2 25
$183.0M
$152.8M
Q1 25
$154.2M
$182.0M
Q4 24
$239.5M
Q3 24
$197.1M
$249.1M
Q2 24
$146.9M
$242.8M
Gross Margin
ICLR
ICLR
ZBH
ZBH
Q1 26
64.6%
Q4 25
64.7%
Q3 25
72.1%
Q2 25
71.5%
Q1 25
71.2%
Q4 24
71.0%
Q3 24
70.5%
Q2 24
71.5%
Operating Margin
ICLR
ICLR
ZBH
ZBH
Q1 26
17.9%
Q4 25
6.9%
Q3 25
4.2%
17.6%
Q2 25
10.4%
14.4%
Q1 25
11.0%
15.3%
Q4 24
19.2%
Q3 24
14.1%
15.3%
Q2 24
10.8%
18.1%
Net Margin
ICLR
ICLR
ZBH
ZBH
Q1 26
11.4%
Q4 25
6.2%
Q3 25
0.1%
11.5%
Q2 25
9.1%
7.4%
Q1 25
7.7%
9.5%
Q4 24
11.8%
Q3 24
9.7%
13.7%
Q2 24
6.9%
12.5%
EPS (diluted)
ICLR
ICLR
ZBH
ZBH
Q1 26
$1.22
Q4 25
$0.71
Q3 25
$0.03
$1.16
Q2 25
$2.30
$0.77
Q1 25
$1.90
$0.91
Q4 24
$1.18
Q3 24
$2.36
$1.23
Q2 24
$1.76
$1.18

Balance Sheet & Financial Strength

Snapshot of each company's liquidity, leverage and book value from the latest quarter.

Metric
ICLR
ICLR
ZBH
ZBH
Cash + ST InvestmentsLiquidity on hand
$468.9M
$424.2M
Total DebtLower is stronger
$7.5B
Stockholders' EquityBook value
$9.3B
$12.7B
Total Assets
$16.5B
$22.7B
Debt / EquityLower = less leverage
0.59×

8-quarter trend — quarters aligned by calendar period.

Cash + ST Investments
ICLR
ICLR
ZBH
ZBH
Q1 26
$424.2M
Q4 25
$591.9M
Q3 25
$468.9M
$1.3B
Q2 25
$390.4M
$556.9M
Q1 25
$526.7M
$1.4B
Q4 24
$525.5M
Q3 24
$695.5M
$569.0M
Q2 24
$506.6M
$420.1M
Total Debt
ICLR
ICLR
ZBH
ZBH
Q1 26
$7.5B
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24
Stockholders' Equity
ICLR
ICLR
ZBH
ZBH
Q1 26
$12.7B
Q4 25
$12.7B
Q3 25
$9.3B
$12.8B
Q2 25
$9.6B
$12.5B
Q1 25
$9.5B
$12.4B
Q4 24
$12.5B
Q3 24
$9.8B
$12.4B
Q2 24
$9.6B
$12.7B
Total Assets
ICLR
ICLR
ZBH
ZBH
Q1 26
$22.7B
Q4 25
$23.1B
Q3 25
$16.5B
$23.5B
Q2 25
$16.6B
$22.9B
Q1 25
$16.7B
$22.2B
Q4 24
$21.4B
Q3 24
$17.2B
$21.7B
Q2 24
$17.0B
$21.5B
Debt / Equity
ICLR
ICLR
ZBH
ZBH
Q1 26
0.59×
Q4 25
Q3 25
Q2 25
Q1 25
Q4 24
Q3 24
Q2 24

Cash Flow & Capital Efficiency

How much cash each business actually produces after reinvestment. Cash flow is harder to manipulate than net income.

Metric
ICLR
ICLR
ZBH
ZBH
Operating Cash FlowLast quarter
$387.6M
$359.4M
Free Cash FlowOCF − Capex
$333.9M
$245.9M
FCF MarginFCF / Revenue
16.3%
11.8%
Capex IntensityCapex / Revenue
2.6%
Cash ConversionOCF / Net Profit
164.59×
1.51×
TTM Free Cash FlowTrailing 4 quarters
$1.0B
$1.4B

8-quarter trend — quarters aligned by calendar period.

Operating Cash Flow
ICLR
ICLR
ZBH
ZBH
Q1 26
$359.4M
Q4 25
$517.4M
Q3 25
$387.6M
$418.7M
Q2 25
$146.2M
$378.2M
Q1 25
$268.2M
$382.8M
Q4 24
$506.3M
Q3 24
$402.7M
$395.7M
Q2 24
$218.6M
$369.4M
Free Cash Flow
ICLR
ICLR
ZBH
ZBH
Q1 26
$245.9M
Q4 25
$442.6M
Q3 25
$333.9M
$363.7M
Q2 25
$113.9M
$328.1M
Q1 25
$239.3M
$338.2M
Q4 24
$454.8M
Q3 24
$359.3M
$351.2M
Q2 24
$182.3M
$316.7M
FCF Margin
ICLR
ICLR
ZBH
ZBH
Q1 26
11.8%
Q4 25
19.7%
Q3 25
16.3%
18.2%
Q2 25
5.6%
15.8%
Q1 25
12.0%
17.7%
Q4 24
22.5%
Q3 24
17.7%
19.3%
Q2 24
8.6%
16.3%
Capex Intensity
ICLR
ICLR
ZBH
ZBH
Q1 26
Q4 25
3.3%
Q3 25
2.6%
2.7%
Q2 25
1.6%
2.4%
Q1 25
1.4%
2.3%
Q4 24
2.5%
Q3 24
2.1%
2.4%
Q2 24
1.7%
2.7%
Cash Conversion
ICLR
ICLR
ZBH
ZBH
Q1 26
1.51×
Q4 25
3.71×
Q3 25
164.59×
1.81×
Q2 25
0.80×
2.48×
Q1 25
1.74×
2.10×
Q4 24
2.11×
Q3 24
2.04×
1.59×
Q2 24
1.49×
1.52×

Financial Flow Comparison

Revenue → gross profit → operating profit → net profit for each company.

Revenue Breakdown by Segment

ICLR
ICLR

Other Customers$681.3M33%
Clients1125$549.4M27%
Clients15$503.3M25%
Clients610$308.8M15%

ZBH
ZBH

Segment breakdown not available.

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