The Russian Olympic Committee has won the gold medal in women’s gymnastics after U.S. star Simone Biles exited with a medical issue.

The Russian gymnasts posted a team score of 169.528, ahead of the U.S. in second place at 166.096. The gold is the first for the Russians since the Unified Team triumphed in Barcelona in 1992 and came a day after the men’s team edged Japan for the top spot in the men’s final.

Great Britain won bronze.