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Smith & Nephew

SN.L
59
Medical - Devices · Healthcare
Exchange
London Stock Exchange
Winston Score
59
Winston is curious
A decent business — some strong pillars, some weaker.
Data as of Aug 23, 2026 · filings through Jun 30, 2026
How the score breaks down
Quality
Good
Growth
Strong
Cash Flow
Exceptional
Stability
Good
Valuation
Strong
Dividends
Mixed

Winston Score History

The full picture

Smith & Nephew is a British medical device company that makes products used by surgeons and hospitals around the world. Its three main business areas are orthopedic implants (like artificial knees and hips), sports medicine and joint repair tools, and advanced wound care products. The company sells primarily to hospitals, surgical centers, and healthcare systems.

Smith & Nephew earns revenue by selling its devices and consumable wound care products directly to healthcare providers, with no significant subscription model. It operates globally, with strong presence in the US, Europe, and emerging markets, and generates roughly $5.5 billion in annual revenue. The company's moat comes from its established surgeon relationships, proprietary implant designs, and a broad wound care portfolio built through decades of acquisitions. The key challenge ahead is improving execution and market share in orthopedic reconstruction, where larger rivals like Zimmer Biomet and Stryker have been gaining ground in recent years.

Growth Profile

When traditional metrics don't capture the full picture, these are the signals growth stock investors use instead.

Revenue Growth

+2.8% YoY

YoY Growth Rate

Slow revenue growth

EPS Growth

+5.9% YoY

YoY Growth Rate

Slow EPS growth

Insider Activity

0.0%ownership

Declining

Insider ownership declining — could be dilution or selling

Cash Position

Cash flow positive

£910M cash & investments

Quarterly Free Cash Flow

→ Burn rate stable

Company generates more cash than it spends — no dilution risk from fundraising

Growth context

Smith & Nephew is growing revenue at 3% year-over-year. The Winston Score measures business quality today — these growth metrics show what could matter tomorrow.

The Winston Score above measures business quality today. Growth stocks often score lower because they invest in the future rather than maximising current profits. These metrics show what matters most for evaluating that future.

Score breakdown

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Quality

Profit per sale
Gross Margin
70.9%
Premium pricing power — 70.9% gross margin
Profit after running costs
Operating Margin
15.5%
Healthy — 15.5% operating margin
Return on the money invested
ROCE
12.0%
Below par — 12.0% return on capital

ROIC between 5% and 15%. They earn 5 to 15 cents back per year on every dollar invested.

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Growth

Sales growth
Sales YoY
+6.8%
Slow sales growth (+6.8% YoY)
Profit growth
EPS YoY
+33.3%
Earnings growing fast (+33.3% YoY)

Earnings growing 25%+ a year. The compounder zone.

How steady the profit is
EPS Consistency
6/8 quarters
Earnings grew in most of the last 8 quarters

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Cash Flow

Profit that turns into cash
Cash Conversion
206%
Turns 206% of profit into real cash
Spare cash per sale
FCF Margin
13.3%
Converts sales into free cash efficiently (13.3%)

FCF margin between 10% and 20%. Every $100 in sales becomes $10 to $20 in real cash.

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Stability

What it owes vs what it owns
Debt / Equity
0.71
Moderate — manageable debt (0.71)
Covers its interest
Interest Cover
6.66x
Adequate interest coverage (6.7x)

Interest coverage between 3 and 8. Profits cover interest several times over.

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Valuation

Price vs profit
P/E Ratio (TTM)
19.3x
no trend
Fair value — P/E 19.3

P/E in the normal range. Price is roughly $15 for every $1 of yearly profit.

Cheaper or dearer next year
P/E vs Forward
+8.4
GROWING
Earnings expected to grow meaningfully — cheaper on forward P/E (19.3 → 10.8)

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Dividends

Dividend
Dividend Yield
2.62%
no trend
Moderate income — 2.62% yield

Standard yield zone for stable dividend payers. A meaningful piece of total return.

Dividend record
Dividend Growth
-11.9%
no trend
Dividend cut (-11.9% YoY) — warning sign

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