Zimmer Biomet Announces Third Quarter 2018 Financial Results

WARSAW, Ind., Oct. 26, 2018 /PRNewswire/ -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) today reported financial results for the quarter ended September 30, 2018. The Company reported third quarter net sales of $1.837 billion, an increase of 1.3% over the prior year period, and an increase of 2.3% on a constant currency basis. Diluted earnings per share for the third quarter were $0.79, an increase of 65% over the prior year period. Third quarter adjusted diluted earnings per share were $1.63, a decrease of 5% from the prior year period.

"We are pleased with our third quarter accomplishments, which reflect our sustained progress in a number of areas. Although our sales results clearly benefited from less challenging sales comparisons, as well as the timing of certain tenders and capital sales, our organic growth continued to signal that we are turning the business around consistent with our expectations," said Bryan Hanson, President and CEO of Zimmer Biomet. "Looking to the balance of the year, we will continue to focus on priorities to improve the consistency of our results and drive sustained value creation. These include important new innovations that are expanding our comprehensive portfolio, advancing standards of care and creating new opportunities for our salesforce to deliver growth."

Net earnings for the third quarter were $162.2 million, and $334.6 million on an adjusted basis. Operating cash flow for the third quarter was $484.1 million. Free cash flow in the quarter was $345.0 million.

In the quarter, the Company paid $48.8 million in dividends and declared a third quarter dividend of $0.24 per share.

Guidance

The Company made minor updates to its full-year 2018 guidance. The only factors changing are the expected impact of foreign currency and the expected adjusted effective tax rate. All other prior guidance for 2018 remains unchanged.

    --  The Company now expects the positive impact of foreign currency
        translation to be slightly below the low end of the previous range of
        100 to 150 basis points, due to the strengthening of the dollar over the
        last several months.
    --  The Company now expects the adjusted effective tax rate for the full
        year to be slightly below the low end of the previous range of 18.5% to
        19.5%((1)).


            
              (1)            This is a non-GAAP financial
                                         measure for which a
                                         reconciliation to the most
                                         directly comparable GAAP
                                         financial measure is not
                                         available without unreasonable
                                         efforts.  See "Forward-Looking
                                         Non-GAAP Financial Measures."

Conference Call

The Company will conduct its third quarter 2018 investor conference call today, October 26, 2018, at 8:30 a.m. Eastern Time. The audio webcast can be accessed via Zimmer Biomet's Investor Relations website at http://investor.zimmerbiomet.com. It will be archived for replay following the conference call.

Sales Tables
The following sales tables provide results by geography and product category, as well as the percentage change compared to the prior year quarter and nine months, on both a reported basis and a constant currency basis.


                                                                                        
     
       NET SALES - THREE MONTHS ENDED 
                SEPTEMBER 30, 2018


                                                                                            
           
                (in millions, unaudited)




                                                                                                                                                                                 Constant


                                                                          Net                                                                                           Currency


                                                                         Sales                                % Change                                         % Change




     
                Geographic Results



     Americas                                                                 $
       1,154                                                  1.5               %                              1.7 %



     EMEA                                                                 372                                                 (2.3)



     Asia Pacific                                                                  311                                                  5.4                                              7.6




     
                Total                                                       $
       1,837                                                  1.3               %                              2.3 %




     
                Product Categories



     
                Knees



     Americas                                                                   $
       385                                                  0.8               %                              1.0 %



     EMEA                                                                          134                                                (0.6)                                             2.6



     Asia Pacific                                                                  109                                                  2.5                                              5.4




     Total                                                                         628                                                  0.8                                              2.1



     
                Hips



     Americas                                                                      240                                                  5.9                                              6.2



     EMEA                                                                          108                                                (6.4)                                           (4.1)



     Asia Pacific                                                                   97                                                  6.7                                              8.6




     Total                                                                         445                                                  2.8                                              3.9



     
                S.E.T *                                                          415                                                  2.4                                              3.1



     
                Dental                                                            92                                                (0.6)                                           (0.2)



     
                Spine & CMF**                                                    185                                                  0.2                                              0.7



     
                Other                                                             72                                                (4.0)                                           (3.3)




     
                Total                                                       $
       1,837                                                  1.3               %                              2.3 %






     * Surgical, Sports Medicine, Foot and Ankle, Extremities and Trauma



     ** Craniomaxillofacial


                                                                                            
     
       NET SALES - NINE MONTHS ENDED SEPTEMBER 30, 2018


                                                                                               
     
                (in millions, unaudited)




                                                                                                                                                                        Constant


                                                                          Net                                                                                  Currency


                                                                         Sales                                % Change                             % Change




     
                Geographic Results



     Americas                                                                 $
         3,578                                                0.2               %                     0.1   %



     EMEA                                                                          1,326                                                4.2                                   (1.7)



     Asia Pacific                                                                    958                                                7.4                                     5.2




     
                Total                                                       $
         5,862                                                2.2               %                     0.5   %




     
                Product Categories



     
                Knees



     Americas                                                                 $
         1,210                                              (0.4)              %                   (0.5)  %



     EMEA                                                                            494                                                6.8                                     1.1



     Asia Pacific                                                                    340                                                4.4                                     2.6




     Total                                                                         2,044                                                2.0                                     0.4



     
                Hips



     Americas                                                                   $
         738                                                3.3                                     3.1



     EMEA                                                                            384                                                0.4                                   (5.2)



     Asia Pacific                                                                    302                                                8.7                                     6.2




     Total                                                                         1,424                                                3.6                                     1.4



     
                S.E.T *                                                          1,291                                                3.3                                     1.8



     
                Dental                                                             307                                              (1.4)                                  (3.7)



     
                Spine & CMF**                                                      566                                                0.4                                   (0.6)



     
                Other                                                              230                                              (0.8)                                  (2.1)




     
                Total                                                       $
         5,862                                                2.2               %                     0.5   %






     * Surgical, Sports Medicine, Foot and Ankle, Extremities and Trauma



     ** Craniomaxillofacial

About the Company

Founded in 1927 and headquartered in Warsaw, Indiana, Zimmer Biomet is a global leader in musculoskeletal healthcare. We design, manufacture and market orthopaedic reconstructive products; sports medicine, biologics, extremities and trauma products; office based technologies; spine, craniomaxillofacial and thoracic products; dental implants; and related surgical products.

We collaborate with healthcare professionals around the globe to advance the pace of innovation. Our products and solutions help treat patients suffering from disorders of, or injuries to, bones, joints or supporting soft tissues. Together with healthcare professionals, we help millions of people live better lives.

We have operations in more than 25 countries around the world and sell products in more than 100 countries. For more information, visit www.zimmerbiomet.com or follow Zimmer Biomet on Twitter at www.twitter.com/zimmerbiomet.

Website Information

We routinely post important information for investors on our website, www.zimmerbiomet.com, in the "Investor Relations" section. We use this website as a means of disclosing material, non-public information and for complying with our disclosure obligations under Regulation FD. Accordingly, investors should monitor the Investor Relations section of our website, in addition to following our press releases, SEC filings, public conference calls, presentations and webcasts. The information contained on, or that may be accessed through, our website is not incorporated by reference into, and is not a part of, this document.

Reclassifications

Beginning in the second quarter 2018, in our consolidated statements of earnings we have reclassified expenses that were previously recognized in a financial statement line item labeled, "Acquisition, quality remediation and other" to the financial statement line items of "Research and development", "Selling, general and administrative", "Goodwill and intangible asset impairment", "Acquisition, integration and related", and "Quality remediation". Prior periods have been reclassified to conform to the current year presentation.

Note on Non-GAAP Financial Measures

This press release includes non-GAAP financial measures that differ from financial measures calculated in accordance with U.S. generally accepted accounting principles ("GAAP"). These non-GAAP financial measures may not be comparable to similar measures reported by other companies and should be considered in addition to, and not as a substitute for, or superior to, other measures prepared in accordance with GAAP.

Sales change information for the three and nine-month periods ended September 30, 2018 are presented on a GAAP (reported) basis and on a constant currency basis. Constant currency percentage changes exclude the effects of foreign currency exchange rates. They are calculated by translating current and prior-period sales at the same predetermined exchange rate. The translated results are then used to determine year-over-year percentage increases or decreases.

Net earnings and diluted earnings per share for the three and nine-month periods ended September 30, 2018 are presented on a GAAP (reported) basis and on an adjusted basis. Adjusted earnings and adjusted diluted earnings per share exclude the effects of inventory step-up; certain inventory and manufacturing-related charges, including charges to discontinue certain product lines; intangible asset amortization; goodwill and intangible asset impairment; acquisition, integration and related expenses; quality remediation expenses; certain litigation gains and charges; other charges; any related effects on our income tax provision associated with these items; and other certain tax adjustments.

Free cash flow is an additional non-GAAP measure that is presented in this press release. Free cash flow is computed by deducting additions to instruments and other property, plant and equipment from net cash provided by operating activities.

Reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures are included in this press release. This press release also contains supplemental reconciliations of additional non-GAAP financial measures that the Company presents in other contexts. These additional non-GAAP financial measures are computed from the most directly comparable GAAP financial measure as indicated in the applicable reconciliation.

Management uses non-GAAP financial measures internally to evaluate the performance of the business. Additionally, management believes these non-GAAP measures provide meaningful incremental information to investors to consider when evaluating the performance of the Company. Management believes these measures offer the ability to make period-to-period comparisons that are not impacted by certain items that can cause dramatic changes in reported income but that do not impact the fundamentals of our operations. The non-GAAP measures enable the evaluation of operating results and trend analysis by allowing a reader to better identify operating trends that may otherwise be masked or distorted by these types of items that are excluded from the non-GAAP measures. In addition, constant currency sales changes, adjusted operating profit, adjusted diluted earnings per share and free cash flow are used as performance metrics in our incentive compensation programs.

Forward-Looking Non-GAAP Financial Measures

This press release also includes the forward-looking non-GAAP financial measure of adjusted effective tax rate for the year ending December 31, 2018. We calculate forward-looking non-GAAP financial measures based on internal forecasts that omit certain amounts that would be included in GAAP financial measures. For instance, we exclude the impact of certain potential charges or gains connected to quality remediation efforts and certain legal and tax matters. We have not provided a quantitative reconciliation of this forward-looking non-GAAP financial measure to the most directly comparable forward-looking GAAP financial measure because the excluded items are not available on a prospective basis without unreasonable efforts. It is probable that this forward-looking non-GAAP financial measure may be materially different from the corresponding GAAP financial measure.

Cautionary Statement Regarding Forward-Looking Statements

This release contains forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including, among others, statements regarding sales and earnings guidance and any statements about our expectations, plans, strategies or prospects. We generally use the words "may," "will," "expects," "believes," "anticipates," "plans," "estimates," "projects," "assumes," "guides," "targets," "forecasts," "sees," "seeks," "should," "could," "intends" and similar expressions to identify forward-looking statements. All statements other than statements of historical or current fact are, or may be deemed to be, forward-looking statements. Such statements are based upon the current beliefs and expectations of management and are subject to significant risks, uncertainties and changes in circumstances that could cause actual outcomes and results to differ materially. These risks, uncertainties and changes in circumstances include, but are not limited to: our chief executive officer transition, including disruptions and uncertainties related thereto, the potential impact on our business and future strategic direction resulting from our transition to a new chief executive officer, and our ability to recruit and retain other key members of senior management; the possibility that the anticipated synergies and other benefits from mergers and acquisitions will not be realized, or will not be realized within the expected time periods; the risks and uncertainties related to our ability to successfully integrate the operations, products, employees and distributors of acquired companies; the effect of the potential disruption of management's attention from ongoing business operations due to integration matters related to mergers and acquisitions; the effect of mergers and acquisitions on our relationships with customers, vendors and lenders and on our operating results and businesses generally; compliance with the Deferred Prosecution Agreement entered into in January 2017; the success of our quality and operational excellence initiatives, including ongoing quality remediation efforts at our Warsaw North Campus facility; challenges relating to changes in and compliance with governmental laws and regulations affecting our U.S. and international businesses, including regulations of the U.S. Food and Drug Administration (FDA) and foreign government regulators, such as more stringent requirements for regulatory clearance of products; the ability to remediate matters identified in any inspectional observations or warning letters issued by the FDA, while continuing to satisfy the demand for our products; the outcome of government investigations; competition; pricing pressures; changes in customer demand for our products and services caused by demographic changes or other factors; the impact of healthcare reform measures; reductions in reimbursement levels by third-party payors and cost containment efforts of healthcare purchasing organizations; dependence on new product development, technological advances and innovation; shifts in the product category or regional sales mix of our products and services; supply and prices of raw materials and products; control of costs and expenses; the ability to obtain and maintain adequate intellectual property protection; the ability to form and implement alliances; changes in tax obligations arising from tax reform measures, including European Union rules on state aid, or examinations by tax authorities; product liability and intellectual property litigation losses; the ability to retain the independent agents and distributors who market our products; dependence on a limited number of suppliers for key raw materials and outsourced activities; changes in general industry and market conditions, including domestic and international growth rates; changes in general domestic and international economic conditions, including interest rate and currency exchange rate fluctuations; and the impact of the ongoing financial and political uncertainty on countries in the Euro zone on the ability to collect accounts receivable in affected countries. For a further list and description of such risks and uncertainties, see our reports filed with the U.S. Securities and Exchange Commission (SEC), including our Annual Report on Form 10-K for the year ended December 31, 2017. Copies of these filings, as well as subsequent filings, are available online at www.sec.gov, www.zimmerbiomet.com or on request from us. Forward-looking statements speak only as of the date they are made, and we disclaim any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. Readers of this release are cautioned not to rely on these forward-looking statements, since there can be no assurance that these forward-looking statements will prove to be accurate. This cautionary statement is applicable to all forward-looking statements contained in this release.


                                                                        
       
                ZIMMER BIOMET HOLDINGS, INC.


                                                                     
        
               CONSOLIDATED STATEMENTS OF EARNINGS


                                                              
           
         FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                
           
         (in millions, except per share amounts, unaudited)




                                                                                                                             2018                  2017




     
                Net Sales                                                                                                       $
          1,836.7      $
          1,813.1



     Cost of products sold, excluding intangible asset amortization                                                                       529.0                500.9



     Intangible asset amortization                                                                                                        147.6                152.7



     Research and development                                                                                                              95.7                 91.2



     Selling, general and administrative                                                                                                  787.7                711.7



     Goodwill and intangible asset impairment                                                                                               3.8                 32.7



     Acquisition, integration and related                                                                                                  17.4                 61.6



     Quality remediation                                                                                                                   32.2                 51.1




     Operating expenses                                                                                                                 1,613.4              1,601.9




     
                Operating Profit                                                                                                        223.3                211.2



     Other expense, net                                                                                                                   (2.2)               (2.3)



     Interest income                                                                                                                        0.8                  0.6



     Interest expense                                                                                                                    (68.3)              (82.3)




     Earnings before income taxes                                                                                                         153.6                127.2



     (Benefit) provision for income taxes                                                                                                 (8.5)                28.4




     
                Net Earnings                                                                                                            162.1                 98.8



     Less: Net Loss attributable to noncontrolling interest                                                                               (0.1)




     
                Net Earnings of Zimmer Biomet Holdings, Inc.                                                                      $
          162.2         $
          98.8




     
                Earnings Per Common Share



     Basic                                                                                                                           $
          0.80         $
          0.49



     Diluted                                                                                                                         $
          0.79         $
          0.48



     
                Weighted Average Common Shares Outstanding



     Basic                                                                                                                                203.7                202.3



     Diluted                                                                                                                              205.4                204.0



     
                Cash Dividends Declared Per Common Share                                                                           $
          0.24         $
          0.24


                                                                           
       
                ZIMMER BIOMET HOLDINGS, INC.


                                                                        
        
               CONSOLIDATED STATEMENTS OF EARNINGS


                                                                 
            
         FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                  
            
         (in millions, except per share amounts, unaudited)




                                                                                                                                  2018                 2017




     
                Net Sales                                                                                                           $
          5,861.9      $
           5,735.0



     Cost of products sold, excluding intangible asset amortization                                                                         1,688.5               1,541.5



     Intangible asset amortization                                                                                                            447.9                 452.4



     Research and development                                                                                                                 290.5                 274.9



     Selling, general and administrative                                                                                                    2,380.7               2,239.6



     Goodwill and intangible asset impairment                                                                                                   3.8                  59.5



     Acquisition, integration and related                                                                                                     113.9                 192.3



     Quality remediation                                                                                                                      112.3                 135.4




     Operating expenses                                                                                                                     5,037.6               4,895.6




     
                Operating Profit                                                                                                            824.3                 839.4



     Other expense, net                                                                                                                       (8.7)                (4.5)



     Interest income                                                                                                                            2.3                   1.4



     Interest expense                                                                                                                       (223.1)              (247.5)




     Earnings before income taxes                                                                                                             594.8                 588.8



     Provision for income taxes                                                                                                                71.6                   6.6




     
                Net Earnings                                                                                                                523.2                 582.2



     Less: Net Earnings (Loss) attributable to noncontrolling interest                                                                          1.3                 (0.2)




     
                Net Earnings of Zimmer Biomet Holdings, Inc.                                                                          $
          521.9        $
           582.4




     
                Earnings Per Common Share



     Basic                                                                                                                               $
          2.57         $
           2.89



     Diluted                                                                                                                             $
          2.55         $
           2.86



     
                Weighted Average Common Shares Outstanding



     Basic                                                                                                                                    203.3                 201.7



     Diluted                                                                                                                                  204.9                 203.6



     
                Cash Dividends Declared Per Common Share                                                                               $
          0.72         $
           0.72


                                                   
              
            ZIMMER BIOMET HOLDINGS, INC.


                                                 
            
            CONDENSED CONSOLIDATED BALANCE SHEETS


                                                     
              
            (in millions, unaudited)




                                                     September 30,                                       December 31,


                                                              2018                                                2017



                   Assets


      Cash and cash equivalents                                            $
              524.6                              $
        524.4



     Receivables, net                                                               1,262.7                                  1,544.1



     Inventories                                                                    2,219.5                                  2,068.3


      Other current assets                                                             506.5                                    428.0



      Total current assets                                                           4,513.3                                  4,564.8


      Property, plant and
       equipment, net                                                                2,002.4                                  2,038.6



     Goodwill                                                                      10,583.6                                 10,668.4


      Intangible assets, net                                                         7,837.4                                  8,353.4



     Other assets                                                                     445.3                                    388.8



                   Total Assets                                         $
              25,382.0                           $
        26,014.0



                   Liabilities and Stockholders'
                    Equity


      Current liabilities                                                $
              1,791.2                            $
        1,844.7


      Current portion of long-term
       debt                                                                            600.0                                  1,225.0


      Other long-term liabilities                                                    2,170.4                                  2,291.3



     Long-term debt                                                                 8,597.4                                  8,917.5


      Stockholders' equity                                                          12,223.0                                 11,735.5



                   Total Liabilities and
                    Stockholders' Equity                                $
              25,382.0                           $
        26,014.0


                                                   
            
            ZIMMER BIOMET HOLDINGS, INC.


                                              
              
          CONSOLIDATED STATEMENTS OF CASH FLOWS


                         
              
                FOR THE 
          NINE MONTHS
                 ENDED SEPTEMBER 30, 2018 and 2017


                                                     
            
            (in millions, unaudited)




                                                           2018                                             2017



                   Cash flows provided by (used in)
                    operating activities



     Net earnings                                                    $
              523.2                                    $
        582.2


      Depreciation and amortization                                               785.7                                          798.2



     Share-based compensation                                                     45.3                                           40.1


      Goodwill and intangible asset
       impairment                                                                   3.8                                           59.5



     Inventory step-up                                                                                                          32.2


      Changes in operating assets and
       liabilities, net of acquired assets
       and liabilities



     Income taxes                                                               (58.3)                                       (245.4)



     Receivables                                                                 237.4                                          346.7



     Inventories                                                               (165.2)                                       (123.9)


      Accounts payable and accrued expenses                                        23.6                                        (170.6)


      Other assets and liabilities                                               (27.6)                                       (139.6)



      Net cash provided by operating
       activities                                                               1,367.9                                        1,179.4



                   Cash flows used in investing
                    activities



     Additions to instruments                                                  (203.7)                                       (255.7)


      Additions to other property, plant
       and equipment                                                            (115.2)                                       (109.8)


      Business combination investments, net
       of acquired cash                                                                                                         (4.0)



     Other investing activities                                                 (15.3)                                        (13.1)



      Net cash used in investing activities                                     (334.2)                                       (382.6)



                   Cash flows provided by (used in)
                    financing activities



     Proceeds from senior notes                                                  749.5


      Proceeds from multicurrency revolving
       facility                                                                   400.0                                          400.0


      Payments on multicurrency revolving
       facility                                                                 (400.0)                                       (400.0)



     Redemption of senior notes                                              (1,150.0)                                       (500.0)



     Proceeds from term loan                                                                                                   192.7



     Payments on term loan                                                     (500.0)                                       (640.0)



     Net payments on other debt                                                  (3.9)                                         (0.9)


      Dividends paid to stockholders                                            (146.2)                                       (145.0)


      Proceeds from employee stock
       compensation plans                                                         103.4                                          132.6


      Net cash flows from unremitted
       collections from factoring programs                                       (54.6)


      Business combination contingent
       consideration payments                                                    (16.7)                                         (9.1)


      Restricted stock withholdings                                               (3.3)                                         (7.6)



     Debt issuance costs                                                         (4.9)                                         (0.3)



      Net cash used in financing activities                                   (1,026.7)                                       (977.6)



      Effect of exchange rates on cash and
       cash equivalents                                                           (6.8)                                          27.5



      Increase (decrease) in cash and cash
       equivalents                                                                  0.2                                        (153.3)


      Cash and cash equivalents, beginning
       of period                                                                  524.4                                          634.1



      Cash and cash equivalents, end of
       period                                                         $
              524.6                                    $
        480.8


                                                                            
          
                ZIMMER BIOMET HOLDINGS, INC.


                                                                               
          
                NET SALES BY GEOGRAPHY


                                                                        
     
            FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                              
          
                (in millions, unaudited)




                           Three Months Ended September 30,



                   2018                                 2017               % Inc /                                               Volume /   Price          Foreign
                                                                          (Dec)                                                   Mix                    Exchange




     Americas          $
      1,153.6                          $
     1,137.0                                                               1.5 %        4.1 %            (2.4) %  (0.2) %



     EMEA                    372.1                               381.1                                                             (2.3)         2.0              (2.0)    (2.3)



     Asia Pacific            311.0                               295.0                                                               5.4         10.8              (3.2)    (2.2)




     Total             $
      1,836.7                          $
     1,813.1                                                               1.3 %        4.7 %            (2.4) %  (1.0) %


                                                                               
            
                ZIMMER BIOMET HOLDINGS, INC.


                                                                               
            
                NET SALES BY PRODUCT CATEGORY


                                                                           
     
              FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                                 
            
                (in millions, unaudited)




                            Three Months Ended September 30,



                  2018                                   2017                   % Inc /                                                 Volume /   Price            Foreign
                                                                               (Dec)                                                     Mix                      Exchange




     Knees              $
        627.9                            $
       622.9                                                                   0.8 %          5.0 %             (2.9) %   (1.3) %



     Hips                     444.8                                 432.8                                                                   2.8            7.2               (3.3)     (1.1)



     S.E.T                    414.6                                 404.8                                                                   2.4            4.9               (1.8)     (0.7)



     Dental                    92.3                                  92.9                                                                 (0.6)                            (0.2)     (0.4)



     Spine & CMF              184.9                                 184.5                                                                   0.2            2.1               (1.4)     (0.5)



     Other                     72.2                                  75.2                                                                 (4.0)         (1.4)              (1.9)     (0.7)




     Total            $
        1,836.7                          $
       1,813.1                                                                   1.3 %          4.7 %             (2.4) %   (1.0) %


                                                                            
          
                ZIMMER BIOMET HOLDINGS, INC.


                                                                               
          
                NET SALES BY GEOGRAPHY


                                                                        
     
            FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                              
          
                (in millions, unaudited)




                           Nine Months Ended September 30,



                   2018                                 2017                 % Inc                                               Volume    Price         Foreign
                                                                                                                                                       Exchange
                                                                                                                    / Mix




     Americas          $
      3,578.0                          $
     3,570.8                                                             0.2  %       2.5 %           (2.4) % 0.1 %



     EMEA                  1,326.3                             1,272.5                                                             4.2          0.6             (2.3)   5.9



     Asia Pacific            957.6                               891.7                                                             7.4          8.8             (3.6)   2.2




     Total             $
      5,861.9                          $
     5,735.0                                                             2.2  %       3.0 %           (2.5) % 1.7 %


                                                                          
             
                ZIMMER BIOMET HOLDINGS, INC.


                                                                          
             
                NET SALES BY PRODUCT CATEGORY


                                                                       
     
               FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                            
             
                (in millions, unaudited)




                          Nine Months Ended September 30,



                  2018                                 2017                 % Inc /                                                  Volume   Price            Foreign
                                                                           (Dec)                                                                             Exchange
                                                                                                                       / Mix




     Knees            $
      2,044.2                          $
     2,003.7                                                                  2.0 %          3.3 %             (2.9) %   1.6 %



     Hips                 1,423.7                             1,374.6                                                                  3.6            4.4               (3.0)     2.2



     S.E.T                1,290.7                             1,249.4                                                                  3.3            4.0               (2.2)     1.5



     Dental                 306.8                               311.1                                                                (1.4)         (2.6)              (1.1)     2.3



     Spine & CMF            566.2                               564.1                                                                  0.4            1.2               (1.8)     1.0



     Other                  230.3                               232.1                                                                (0.8)         (0.6)              (1.5)     1.3




     Total            $
      5,861.9                          $
     5,735.0                                                                  2.2 %          3.0 %             (2.5) %   1.7 %


                                                               
              
               RECONCILIATION OF REPORTED NET SALES % CHANGE TO


                                                                          
             
                CONSTANT CURRENCY % CHANGE


                                                                                  
             
                (unaudited)




                                      
       
              For the Three Months Ended


                                        
       
                September 30, 2018



                                                                                                                      Foreign                   Constant


                                                                                                                      Exchange                  Currency


                                             % Change                                                                  Impact                   % Change




     
                Geographic Results



     Americas                                    1.5                           %                                                       (0.2) %             1.7 %



     EMEA                                      (2.3)                                                                                  (2.3)



     Asia Pacific                                5.4                                                                                   (2.2)               7.6



     
                Total                          1.3                           %                                                       (1.0) %             2.3 %



     
                Product Categories



     
                Knees



     Americas                                    0.8                           %                                                       (0.2) %             1.0 %



     EMEA                                      (0.6)                                                                                  (3.2)               2.6



     Asia Pacific                                2.5                                                                                   (2.9)               5.4



     Total                                       0.8                                                                                   (1.3)               2.1



     
                Hips



     Americas                                    5.9                                                                                   (0.3)               6.2



     EMEA                                      (6.4)                                                                                  (2.3)             (4.1)



     Asia Pacific                                6.7                                                                                   (1.9)               8.6



     Total                                       2.8                                                                                   (1.1)               3.9



     
                S.E.T                          2.4                                                                                   (0.7)               3.1



     
                Dental                       (0.6)                                                                                  (0.4)             (0.2)



     
                Spine & CMF                    0.2                                                                                   (0.5)               0.7



     
                Other                        (4.0)                                                                                  (0.7)             (3.3)



     
                Total                          1.3                           %                                                       (1.0) %             2.3 %


                                                                  
              
            RECONCILIATION OF REPORTED NET SALES % CHANGE TO


                                                                             
          
                CONSTANT CURRENCY % CHANGE


                                                                                  
            
                (unaudited)




                                      
       
              For the Nine Months Ended


                                        
       
                September 30, 2018



                                                                                                                   Foreign                     Constant


                                                                                                                   Exchange                    Currency


                                             % Change                                                               Impact                     % Change




     
                Geographic Results



     Americas                                    0.2                           %                                                       0.1  %             0.1   %



     EMEA                                        4.2                                                                                   5.9              (1.7)



     Asia Pacific                                7.4                                                                                   2.2                5.2



     
                Total                          2.2                           %                                                       1.7  %             0.5   %



     
                Product Categories



     
                Knees



     Americas                                  (0.4)                          %                                                       0.1  %           (0.5)  %



     EMEA                                        6.8                                                                                   5.7                1.1



     Asia Pacific                                4.4                                                                                   1.8                2.6



     Total                                       2.0                                                                                   1.6                0.4



     
                Hips



     Americas                                    3.3                                                                                   0.2                3.1



     EMEA                                        0.4                                                                                   5.6              (5.2)



     Asia Pacific                                8.7                                                                                   2.5                6.2



     Total                                       3.6                                                                                   2.2                1.4



     
                S.E.T                          3.3                                                                                   1.5                1.8



     
                Dental                       (1.4)                                                                                  2.3              (3.7)



     
                Spine & CMF                    0.4                                                                                   1.0              (0.6)



     
                Other                        (0.8)                                                                                  1.3              (2.1)



     
                Total                          2.2                           %                                                       1.7  %             0.5   %


                                                                                                                                                                                       
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                                                                                                                  
          
                RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


                                                                                                                                                                                
        
                FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2018


                                                                                                                                                                                         
              
                (in millions, unaudited)




                                                                                                                                                                                   
          
                FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2018

                                                                                                                                                                                                                ---

                                         Cost of              Intangible              Selling,               Goodwill and                Acquisition, Quality             Other                   (Benefit)                              Net Earnings
                                          products                           asset                                          general and                     intangible                    integration                                                    remediation                   expense,      provision       of Zimmer
                                            sold,                        amortization                                     administrative                       asset                      and related                                                                                     net        for income        Biomet
                                          excluding                                                                                                         impairment                                                                                                                                  taxes        Holdings,
                                         intangible                                                                                                                                                                                                                                                                     Inc.
                                            asset
                                        amortization                                                                                                                                                                                                                                                                                             Diluted EPS




              
                As Reported              $
     529.0                                    $
        147.6                                            $
              787.7                                  $
              3.8                                               $
           17.4              $
              32.2              $
           (2.2)                $
          (8.5)    $
           162.2    $
             0.79



              Inventory and                            (5.0)                                                                                                                                                                                                                                                                                                                         5.0               0.02
    manufacturing-related
    charges(1)



              Intangible asset                                                                     (147.6)                                                                                                                                                                                                                                                                         147.6               0.72
    amortization(2)



              Intangible asset                                                                                                                                                                                   (3.8)                                                                                                                                                               3.8               0.02
    impairment(3)



              Acquisition, integration                                                                                                                                                                                                                                     (17.4)                                                                                                   17.4               0.08
    and related(4)



              Quality remediation(5)                   (2.0)                                                                                                                                                                                                                                            (32.2)                                                                      34.2               0.17



              Litigation(6)                                                                                                                                     (14.0)                                                                                                                                                                                                              14.0               0.07



              Other charges(7)                                                                                                                                  (25.7)                                                                                                                                                              (0.7)                                           25.0               0.12



              Taxes on specified                                                                                                                                                                                                                                                                                                                                  54.1             (54.1)            (0.26)
    items(8)



              Other certain tax a                                                                                                                                                                                                                                                                                                                                 20.5             (20.5)            (0.10)
    djustments(9)




              
                As Adjusted              $
     522.0                           
          $                                                       $
              748.0                   
              $                                                              
     $                        
     $                            $
          (2.9)                 $
          66.1     $
           334.6    $
             1.63


                                                                                                                                                                                                                                                                             
     
           FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2018

                                                                                                                                                                                                                                                                                               ---

                                                                                                                  Cost of                                  Intangible             Selling,               Goodwill and                Acquisition, Quality              Other            Provision                              Net Earnings
                                                                                                                   products                                               asset                                         general and                      intangible              integration                                                remediation                    expense,       for income      of Zimmer
                                                                                                                     sold,                                            amortization                                    administrative                        asset                and related                                                                                  net            taxes          Biomet
                                                                                                                   excluding                                                                                                                             impairment                                                                                                                                       Holdings,
                                                                                                                  intangible                                                                                                                                                                                                                                                                                 Inc.
                                                                                                                     asset
                                                                                                                 amortization                                                                                                                                                                                                                                                                                                         Diluted EPS




              
                As Reported                                                                                         $
              1,688.5                                          $
        447.9                                           $
              2,380.7                            $
              3.8                                           $
           113.9              $
              112.3              $
           (8.7)                $
            71.6    $
             521.9    $
              2.55



              Inventory and manufacturing-                                                                                                  (24.7)                                                                                                                                                                                                                                                                                                                         24.7                0.12
    related charges(1)



              Intangible asset amortization(2)                                                                                                                                                 (447.9)                                                                                                                                                                                                                                                                    447.9                2.19



              Intangible asset impairment(3)                                                                                                                                                                                                                                                            (3.8)                                                                                                                                                               3.8                0.02



              Acquisition, integration and                                                                                                                                                                                                                                                                                                                    (113.9)                                                                                                     113.9                0.56
    related(4)



              Quality remediation(5)                                                                                                        (13.5)                                                                                                                                                                                                                                          (112.3)                                                                       125.8                0.61



              Litigation(6)                                                                                                                                                                                                                                  (15.5)                                                                                                                                                                                                        15.5                0.08



              Other charges(7)                                                                                                                                                                                                                               (48.4)                                                                                                                                                      (0.7)                                             47.7                0.23



              Taxes on specified items(8)                                                                                                                                                                                                                                                                                                                                                                                                              149.5             (149.5)             (0.74)



              Other certain tax adjustments(9)                                                                                                                                                                                                                                                                                                                                                                                                          34.2              (34.2)             (0.17)




              
                As Adjusted                                                                                         $
              1,650.3                                   
        $                                                      $
              2,316.8             
              $                                                          
     $                         
     $                             $
          (9.4)                 $
          255.3     $
          1,117.5     $
             5.45






              
                (1)        Inventory and manufacturing-related charges relate to excess and obsolete inventory charges on certain product
               lines we intend to discontinue and other inventory and manufacturing-related charges.  The excess and obsolete
               inventory charges on certain product lines are driven by acquisitions where there are competing product lines and we
               have plans to discontinue one of the competing product lines.





              
                (2)        We exclude intangible asset amortization from our non-GAAP financial measures because we internally assess our
               performance against our peers without this amortization.  Due to various levels of acquisitions among our peers,
               intangible asset amortization can vary significantly from company to company.





              
                (3)        We recognized $3.8 million of intangible asset impairment from merger-related in-process research and development
               intangible assets.





              
                (4)        The acquisition, integration and related expenses we have excluded from our non-GAAP financial measures resulted
               from our merger with Biomet in 2015 and various acquisitions we consummated in 2016.  For Biomet, we have
               detailed integration roadmaps that cover a three year period from the merger date to accomplish the tasks we feel
               are necessary to integrate the businesses.  For the various 2016 acquisitions, we also have integration plans that are
               necessary to integrate the businesses.  The acquisition, integration and related expenses include the following types
               of expenses:





              Consulting and professional fees related to third-party integration consulting performed in a variety of areas,
    such as tax, compliance, logistics and human resources, and legal fees related to the consummation of mergers
    and acquisitions.  
              Employee termination benefits related to terminating employees with overlapping responsibilities in various
    areas of our business.  
              Dedicated project personnel expenses which include the salary, benefits, travel expenses and other costs
    directly associated with employees who are 100 percent dedicated to our integration of acquired businesses
    and employees who have been notified of termination, but are continuing to work on transferring their r
    esponsibilities.  
              Contract termination expenses related to terminated contracts, primarily with sales agents and distribution
    agreements.  
              Other various expenses to relocate facilities, integrate information technology, losses incurred on assets
    resulting from the applicable acquisition, and other various expenses.



              
                (5)        We are addressing inspectional observations on Form 483 and a Warning Letter issued by the U.S. Food and Drug
               Administration ("FDA") following its inspections of our Warsaw North Campus facility, among other matters.  This
               quality remediation has required us to devote significant financial resources and is for a discrete period of time.  The
               majority of the expenses are related to consultants who are helping us to update previous documents and redesign
               certain processes.





              
                (6)        We are involved in routine patent litigation, product liability litigation, commercial litigation and other various litigation
               matters.  We review litigation matters from both a qualitative and quantitative perspective to determine if excluding
               the losses or gains will provide our investors with useful incremental information.  Litigation matters can vary in their
               characteristics, frequency and significance to our operating results.  The litigation charges and gains excluded from
               our non-GAAP financial measures in the periods presented relate to product liability matters where we have received
               numerous claims on specific products and intellectual property litigation.  Due to the complexities involved and claims
               filed in multiple districts, the expenses associated with these matters are significant to our operating results.  Once the
               litigation matter has been excluded from our non-GAAP financial measures in a particular period, any additional
               expenses or gains from changes in estimates are also excluded, even if they are not significant, to ensure consistency
               in our non-GAAP financial measures from period-to-period.





              
                (7)        We have incurred other various expenses from specific events or projects that we consider highly variable or have a
               significant impact to our operating results that we have excluded from our non-GAAP measures.  This includes our
               costs of complying with our Deferred Prosecution Agreement ("DPA") with the U.S. government related to certain
               Foreign Corrupt Practices Act matters involving Biomet and certain of its subsidiaries.  Under the DPA, which has a
               three-year term, we are subject to oversight by an independent compliance monitor, which monitorship commenced in
               July 2017.  The excluded costs include the fees paid to the independent compliance monitor and to external legal
               counsel assisting in the matter.





              
                (8)        Represents the tax effects on the previously specified items.  The tax effect for the U.S. jurisdiction is calculated
               based on an effective rate considering federal and state taxes, as well as permanent items.  For jurisdictions outside
               the U.S., the tax effect is calculated based upon the statutory rates where the items were incurred.





              
                (9)        Other certain tax adjustments primarily relate to changes in tax rates on deferred tax liabilities recorded on intangible
               assets recognized in acquisition-related accounting and adjustments from internal restructuring transactions that
               provide us access to offshore funds in a tax efficient manner.


                                                                                                                                                                                          
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                                                                                                                      
         
                RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


                                                                                                                                                                                    
       
                FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2017


                                                                                                                                                                                            
              
                (in millions, unaudited)




                                                                                                                                                                                      
         
                FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2017

                                                                                                                                                                                                                  ---

                                            Cost of               Intangible              Selling,               Goodwill and                Acquisition, Quality             Other                  (Benefit)                                  Net
                                             products                            asset                                          general and                     intangible                   integration                                                    remediation                   expense,      provision       Earnings
                                               sold,                         amortization                                     administrative                       asset                     and related                                                                                     net        for income      of Zimmer
                                             excluding                                                                                                          impairment                                                                                                                                 taxes          Biomet
                                            intangible                                                                                                                                                                                                                                                                  Holdings,
                                               asset                                                                                                                                                                                                                                                                       Inc.
                                           amortization                                                                                                                                                                                                                                                                                             Diluted EPS




              
                As Reported                 $
      500.9                                    $
        152.7                                            $
              711.7                                 $
              32.7                                              $
           61.6              $
              51.1              $
           (2.3)                $
            28.4    $
             98.8    $
              0.48



              Inventory step-up and                       (11.5)                                                                                                                                                                                                                                                                                                                        11.5                0.06
    other inventory and
    manufacturing-related
    charges(1)



              Intangible asset                                                                         (152.7)                                                                                                                                                                                                                                                                         152.7                0.75
    amortization(2)



              Goodwill impairment(3)                                                                                                                                                                                (32.7)                                                                                                                                                              32.7                0.16



              Acquisition, integration                                                                                                                                                                                                                                        (61.6)                                                                                                    61.6                0.30
    and related(4)



              Quality remediation(5)                         1.1                                                                                                                                                                                                                                            (51.1)                                                                       50.0                0.25



              Litigation(6)                                                                                                                                          (8.0)                                                                                                                                                                                                               8.0                0.04



              Other charges(7)                                                                                                                                      (12.0)                                                                                                                                                             (0.4)                                            11.6                0.06



              Taxes on specified items(8)                                                                                                                                                                                                                                                                                                                             79.2             (79.2)             (0.39)



              Other certain tax                                                                                                                                                                                                                                                                                                                                      (2.2)               2.2                0.01
    adjustments(9)




              
                As Adjusted                 $
      490.5                           
          $                                                       $
              691.7                  
              $                                                              
     $                        
     $                            $
          (2.7)                 $
          105.4     $
           349.9     $
             1.72


                                                                                                                                                                                                                                                                                                  
          
           FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2017

                                                                                                                                                                                                                                                                                                                         ---

                                                                                                 Cost of                                  Intangible                          Research and               Selling,             Goodwill and Acquisition,            Quality            Other                (Benefit)                              Net Earnings
                                                                                                  products                                                                asset                                   development                       general and            intangible                                               integration                                remediation        expense,      for income                    of Zimmer
                                                                                                    sold,                                                             amortization                                                                administrative              asset                                                 and related                                                      net           taxes                        Biomet
                                                                                                  excluding                                                                                                                                                                impairment                                                                                                                                                         Holdings,
                                                                                                 intangible                                                                                                                                                                                                                                                                                                                                      Inc.
                                                                                                    asset
                                                                                                amortization                                                                                                                                                                                                                                                                                                                                                             Diluted EPS




              
                As Reported                                                                        $
              1,541.5                                                           $
        452.4                                         $
              274.9                          $
       2,239.6                                                         $
           59.5                 $
             192.3              $
             135.4              $
          (4.5)                $
              6.6    $
              582.4    $
              2.86



              Inventory step-up and                                                                                        (52.7)                                                                                                                                                                                                                                                                                                                                                                              52.7                0.26
    other inventory and
    manufacturing-related
    charges(1)



              Intangible asset                                                                                                                                                                 (452.4)                                                                                                                                                                                                                                                                                                        452.4                2.22
    amortization(2)



              Goodwill and intangible                                                                                                                                                                                                                                                                                                                              (59.5)                                                                                                                                      59.5                0.29
    asset impairment(3)



              Acquisition, integration                                                                                                                                                                                                                                                                                                                                                            (192.3)                                                                                                     192.3                0.94
    and related(4)



              Quality remediation(5)                                                                                        (5.8)                                                                                                                                                                                                                                                                                              (135.4)                                                                        141.2                0.70



              Litigation(6)                                                                                                                                                                                                                                                                   (15.0)                                                                                                                                                                                                           15.0                0.07



              Other charges(7)                                                                                                                                                                                                                            (2.5)                               (29.4)                                                                                                                                                         0.5                                                32.4                0.16



              Taxes on specified                                                                                                                                                                                                                                                                                                                                                                                                                                                          264.4              (264.4)             (1.30)
    items(8)



              Other certain tax                                                                                                                                                                                                                                                                                                                                                                                                                                                            55.6               (55.6)             (0.27)
    adjustments(9)




              
                As Adjusted                                                                        $
              1,483.0                                                    
        $                                                    $
              272.4                          $
       2,195.2                                              
             $                           
     $                   
             $                            $
         (4.0)                 $
           326.6     $
           1,207.9     $
             5.93






              
                (1)        Inventory step-up and other inventory and manufacturing-related charges relate to inventory step-up expense,
              excess and obsolete inventory charges on certain product lines we intend to discontinue and other inventory and
              manufacturing-related charges.  Inventory step-up expense represents the incremental expense of inventory sold
              recognized at its fair value after business combination accounting is applied versus the expense that would have
              been recognized if sold at its cost to manufacture.  Since only the inventory that existed at the business combination
              date was stepped-up to fair value, we believe excluding the incremental expense provides investors useful
              information as to what our costs may have been if we had not been required to increase the inventory's book value
              to fair value.  The excess and obsolete inventory charges on certain product lines are driven by acquisitions where
              there are competing product lines and we have plans to discontinue one of the competing product lines.





              
                (2)        We exclude intangible asset amortization from our non-GAAP financial measures because we internally assess our
              performance against our peers without this amortization.  Due to various levels of acquisitions among our peers,
              intangible asset amortization can vary significantly from company to company.





              
                (3)        In the second quarter of 2017, we recognized $18.8 million and $8.0 million of intangible asset impairment from
              Biomet merger-related in-process research and development and trademark intangible assets, respectively.  In the
              third quarter of 2017, we recognized a goodwill impairment charge of $32.7 million on our Office Based Technologies
              reporting unit.





              
                (4)        The acquisition, integration and related expenses we have excluded from our non-GAAP financial measures resulted
               from our merger with Biomet in 2015 and various acquisitions we consummated in 2016.  For Biomet, we have
               detailed integration roadmaps that cover a three year period from the merger date to accomplish the tasks we feel
               are necessary to integrate the businesses.  For the various 2016 acquisitions, we also have integration plans that are
               necessary to integrate the businesses.  The acquisition, integration and related expenses include the following types
               of expenses:





              Consulting and professional fees related to third-party integration consulting performed in a variety of areas,
    such as tax, compliance, logistics and human resources, and legal fees related to the consummation of mergers
    and acquisitions. 
              Employee termination benefits related to terminating employees with overlapping responsibilities in various
    areas of our business.    
              Dedicated project personnel expenses which include the salary, benefits, travel expenses and other costs
    directly associated with employees who are 100 percent dedicated to our integration of acquired businesses
    and employees who have been notified of termination, but are continuing to work on transferring their
    responsibilities.  
              Contract termination expenses related to terminated contracts, primarily with sales agents and distribution
    agreements.    
              Other various expenses to relocate facilities, integrate information technology, losses incurred on assets
    resulting from the applicable acquisition, and other various expenses.



              
                (5)        We are addressing inspectional observations on Form 483 and a Warning Letter issued by the FDA following its
              inspections of our Warsaw North Campus facility, among other matters.  This quality remediation has required us to
              devote significant financial resources and is for a discrete period of time.  The majority of the expenses are related to
              consultants who are helping us to update previous documents and redesign certain processes.





              
                (6)        We are involved in routine patent litigation, product liability litigation, commercial litigation and other various litigation
              matters.  We review litigation matters from both a qualitative and quantitative perspective to determine if excluding
              the losses or gains will provide our investors with useful incremental information.  Litigation matters can vary in their
              characteristics, frequency and significance to our operating results.  The litigation charges excluded from our non-
              GAAP financial measures in the periods presented relate to product liability matters where we have received
              numerous claims on specific products.  Due to the complexities involved and claims filed in multiple districts, the
              expenses associated with these matters are significant to our operating results.  Once the litigation matter has been
              excluded from our non-GAAP financial measures in a particular period, any additional expenses or gains from
              changes in estimates are also excluded, even if they are not significant, to ensure consistency in our non-GAAP
              financial measures from period-to-period.





              
                (7)        We have incurred other various expenses from specific events or projects that we consider highly variable or have a
              significant impact to our operating results that we have excluded from our non-GAAP measures.  This includes our
              costs of complying with our DPA with the U.S. government related to certain Foreign Corrupt Practices Act matters
              involving Biomet and certain of its subsidiaries.  Under the DPA, which has a three-year term, we are subject to
              oversight by an independent compliance monitor, which monitorship commenced in July 2017.  The excluded costs
              include the fees paid to the independent compliance monitor and to external legal counsel assisting in the matter.





              
                (8)        Represents the tax effects on the previously specified items.  The tax effect for the U.S. jurisdiction is calculated
              based on an effective rate considering federal and state taxes, as well as permanent items.  For jurisdictions outside
              the U.S., the tax effect is calculated based upon the statutory rates where the items were incurred.





              
                (9)        Other certain tax adjustments primarily relate to a tax restructuring that lowered the tax rate on deferred tax liabilities
              recorded on intangible assets recognized in acquisition-related accounting, net favorable resolutions of various tax
              matters, and charges from internal restructuring transactions that provide us access to cash in a tax efficient manner.


                                                              
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                        
          
                RECONCILIATION OF NET CASH PROVIDED BY OPERATING


                                                              
              
                ACTIVITIES TO FREE CASH FLOW


                                                   
          
              FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                
              
                (in millions, unaudited)






                                                              Three Months Ended September
                                                                     30,                                                          Nine Months Ended September 30,



                                                  2018                                   2017                                          2018                                  2017




              Net cash provided by operating          $
          484.1                                         $
              463.5                                    $
         1,367.9  $
            1,179.4
    activities



              Additions to instruments                     (77.6)                                                   (83.1)                                          (203.7)           (255.7)



              Additions to other property, plant           (61.5)                                                   (36.0)                                          (115.2)           (109.8)
    and equipment




              Free cash flow                          $
          345.0                                         $
              344.4                                    $
         1,049.0    $
            813.9


                                                                         
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                          
              
                RECONCILIATION OF GROSS PROFIT & MARGIN TO ADJUSTED GROSS


                                                                               
              
                PROFIT & MARGIN


                                                       
              
                FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                           
              
                (in millions, unaudited)






                                                     Three Months Ended September 30,                                                               Nine Months Ended September 30,



                                             2018                                    2017                                                      2018                                   2017




              Net Sales                          $
      1,836.7                                            $
              1,813.1                                          $
              5,861.9    $
       5,735.0



              Cost of products sold,                 529.0                                                          500.9                                                      1,688.5         1,541.5
    excluding intangible asset
    amortization



              Intangible asset amortization          147.6                                                          152.7                                                        447.9           452.4




              Gross Profit                       $
      1,160.1                                            $
              1,159.5                                          $
              3,725.5    $
       3,741.1





              Inventory step-up and other              5.0                                                           11.5                                                         24.7            52.7
    inventory and manufacturing-
    related charges



              Quality remediation                      2.0                                                          (1.1)                                                        13.5             5.8



              Intangible asset amortization          147.6                                                          152.7                                                        447.9           452.4




              Adjusted gross profit              $
      1,314.7                                            $
              1,322.6                                          $
              4,211.6    $
       4,252.0








              Gross margin                            63.2                           %                               64.0                      %                                  63.6    %       65.2   %



              Inventory step-up and other              0.3                                                            0.6                                                          0.4             0.9
    inventory and manufacturing-
    related charges



              Quality remediation                      0.1                                                          (0.1)                                                         0.2             0.1



              Intangible asset amortization            8.0                                                            8.4                                                          7.6             7.9




              Adjusted gross margin                   71.6                           %                               72.9                      %                                  71.8    %       74.1   %


                                                                     
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                     
           
                RECONCILIATION OF OPERATING PROFIT & MARGIN TO ADJUSTED OPERATING
                                                                                       PROFIT & MARGIN


                                                      
           
                FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                       
              
                (in millions, unaudited)






                                                          Three Months Ended September
                                                                30,                                                                           Nine Months Ended September 30,



                                             2018                                    2017                                                   2018                                  2017




              Operating profit                   $
          223.3                                         $
              211.2                                                  $
       824.3      $
       839.4



              Inventory step-up and other                5.0                                                      11.5                                                        24.7            52.7
    inventory and manufacturing-
    related charges



              Intangible asset amortization            147.6                                                     152.7                                                       447.9           452.4



              Goodwill and intangible asset              3.8                                                      32.7                                                         3.8            59.5
    impairment



              Acquisition, integration and              17.4                                                      61.6                                                       113.9           192.3
    related



              Quality remediation                       34.2                                                      50.0                                                       125.8           141.2



              Litigation                                14.0                                                       8.0                                                        15.5            15.0



              Other charges                             25.7                                                      12.0                                                        48.4            31.9




              Adjusted operating profit          $
          471.0                                         $
              539.7                                                $
       1,604.3    $
       1,784.4








              Operating profit margin                   12.2                         %                            11.7                      %                                 14.1    %       14.6   %



              Inventory step-up and other                0.3                                                       0.6                                                         0.4             0.9
    inventory and manufacturing-
    related charges



              Intangible asset amortization              8.0                                                       8.4                                                         7.6             7.9



              Intangible asset impairment                0.2                                                       1.8                                                         0.1             1.0



              Acquisition, integration and               0.9                                                       3.4                                                         1.9             3.4
    related



              Quality remediation                        1.9                                                       2.8                                                         2.1             2.5



              Litigation                                 0.8                                                       0.4                                                         0.3             0.3



              Other charges                              1.3                                                       0.7                                                         0.9             0.5




              Adjusted operating profit                 25.6                         %                            29.8                      %                                 27.4    %       31.1   %
    margin


                                                                         
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                     
              
                RECONCILIATION OF EFFECTIVE TAX RATE TO ADJUSTED EFFECTIVE TAX RATE


                                                       
              
                FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2018 and 2017


                                                                           
              
                (in millions, unaudited)






                                           Three Months Ended September                                                                         Nine Months Ended September
                                            30,                                                                           30,



                                      2018                              2017                                                       2018                                     2017




     Effective tax rate             (5.5)                    %                           22.4                           %                                        12.1           %  1.1  %


      Inventory step-up and other
       inventory and manufacturing-
       related charges, intangible
       asset amortization, goodwill
       and intangible asset
       impairment, acquisition,
       integration and related,
       quality remediation,
       litigation, other charges and
       other certain tax adjustments  22.0                                                  0.8                                                                     6.5             20.2





      Adjusted effective tax rate     16.5                     %                           23.2                           %                                        18.6           % 21.3  %

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SOURCE Zimmer Biomet Holdings, Inc.