Zimmer Biomet Announces Fourth Quarter and Full-Year 2018 Financial Results

WARSAW, Ind., Feb. 1, 2019 /PRNewswire/ -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) today reported financial results for the quarter and full year ended December 31, 2018. The Company reported fourth quarter net sales of $2.071 billion, an increase of 0.1% over the prior year period, and an increase of 1.6% on a constant currency basis. Diluted loss per share for the fourth quarter was $4.42. The Company's diluted loss per share included goodwill impairment charges of $4.78 per share and legal charges of $0.59 per share primarily related to a previously disclosed patent litigation matter. Fourth quarter adjusted diluted earnings per share were $2.18, an increase of 3.8% over the prior year period.

Full-year 2018 net sales were $7.933 billion, an increase of 1.7% over the prior year, and an increase of 0.8% on a constant currency basis. Diluted loss per share for the full year was $1.86. Adjusted diluted earnings per share for the full year were $7.64, a decrease of 4.9% from the prior year.

"We are encouraged with the solid close to 2018, driven by strong fourth quarter performance in the Asia Pacific and Europe, Middle East and Africa regions, and in our Spine & CMF category," said Bryan Hanson, President and CEO of Zimmer Biomet. "Overall, our financial results for the full year were in-line with our expectations for the progress of the turnaround of the business, and increase our confidence in achieving our 2019 objectives. We look forward to delivering on our near-term commitments to transition to offense and drive enhanced shareholder value, including the launch of a number of exciting new products and platform technologies to expand our ecosystem of differentiated solutions."

Net loss for the fourth quarter was $901.1 million, including goodwill impairment and litigation charges. Net earnings on an adjusted basis were $447.9 million. Operating cash flows for the fourth quarter and full-year 2018 were $379.5 million and $1,747.4 million, respectively. Free cash flows in the fourth quarter and full-year 2018 were $259.4 million and $1,308.4 million, respectively.

In the quarter, the Company paid $49.0 million in dividends and declared a fourth quarter dividend of $0.24 per share.

Guidance

The Company provided the following full-year 2019 financial guidance:

        Projected Year Ending December 31, 2019

    ---

        2019 Sales Growth vs Prior
         Year(1)                                              (0.5%) - 0.5%

    ---

        Adjusted Operating Profit
         Margin(2)                                            27.0% - 28.0%

    ---

        Adjusted Tax Rate(2)                                  17.0% - 18.0%

    ---

        Adjusted Diluted EPS(2)                    
              $7.70 - $7.90

    ---

        Free Cash Flow(3)(4)          
             $1.1 billion - $1.3 billion

    ---

                                                                         
     
     (1)           2019 sales growth vs prior year is provided on an as reported basis and
                                                                                             includes 100 to

                                                                                 
              150 basis points of negative foreign exchange impact

    ---                                                                          ---

                                                                         
     
     (2)           These measures are non-GAAP financial measures 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."

    ---                                                                          ---

                                                                         
     
     (3)           The range includes a potential one-time payment of approximately $170
                                                                                             million for a

                                                                                 
              previously disclosed patent litigation matter

    ---                                                                          ---

                                                                         
     
     (4)           Reconciliation of Projected Free Cash Flow for the Year Ending December 31,
                                                                                             2019

                                                                             ---                                                                                                   ---


       ($ in millions)                                                                                              
              Low                                     
     High

    ---


       Net Cash Provided by Operating Activities                                                                                                                $1,580     $1,730

    ---


       Additions to Instruments and Other Property, Plant and Equipment                                                                                          (480)     (430)

    ---


       Free Cash Flow                                                                                                                                           $1,100     $1,300

    ---

Conference Call

The Company will conduct its fourth quarter and full-year 2018 investor conference call today, February 1, 2019, 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 year, on both a reported basis and a constant currency basis.

                                                      
     
       NET SALES - THREE MONTHS ENDED 
                DECEMBER 31, 2018

                                                          
           
                (in millions, unaudited)




                                                                                                                                               Constant


                                       Net                                                                                            Currency


                                      Sales                                % Change                                          % Change




     
                Geographic Results



     Americas                              $
       1,259                                                (1.2)               %                            (1.0)  %



     EMEA                                       476                                                  0.6                                               4.7



     Asia Pacific                               336                                                  4.6                                               7.2




     
                Total                    $
       2,071                                                  0.1                %                              1.6   %




     
                Product Categories



     
                Knees



     Americas                                $
       433                                                (2.0)               %                            (1.8)  %



     EMEA                                       178                                                (1.8)                                              2.8



     Asia Pacific                               118                                                 10.6                                              14.1




     Total                                      729                                                (0.1)                                              1.6



     
                Hips



     Americas                                   259                                                  1.6                                               1.9



     EMEA                                       136                                                (0.1)                                              4.0



     Asia Pacific                               103                                                (3.2)                                            (1.2)




     Total                                      498                                                  0.1                                               1.8



     
                S.E.T *                       461                                                  1.9                                               3.1



     
                Dental                        104                                                (3.0)                                            (1.8)



     
                Spine & CMF**                 198                                                  2.1                                               3.1



     
                Other                          81                                                (7.5)                                            (6.4)




     
                Total                    $
       2,071                                                  0.1                %                              1.6   %


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

                                                       
       
       NET SALES - YEAR ENDED DECEMBER 31, 2018

                                                         
       
             (in millions, unaudited)




                                                                                                                             Constant


                                       Net                                                                          Currency


                                      Sales                            % Change                         % Change




     
                Geographic Results



     Americas                              $
       4,837                                            (0.2)          %                   (0.1)  %



     EMEA                                     1,802                                              3.2                                 0.1



     Asia Pacific                             1,294                                              6.6                                 5.7




     
                Total                    $
       7,933                                              1.7           %                     0.8   %




     
                Product Categories



     
                Knees



     Americas                              $
       1,643                                            (0.8)          %                   (0.8)  %



     EMEA                                       672                                              4.4                                 1.6



     Asia Pacific                               459                                              5.9                                 5.4




     Total                                    2,774                                              1.5                                 0.7



     
                Hips



     Americas                                   996                                              2.8                                 2.8



     EMEA                                       520                                              0.3                               (2.8)



     Asia Pacific                               405                                              5.4                                 4.2




     Total                                    1,921                                              2.6                                 1.5



     
                S.E.T *                     1,752                                              2.9                                 2.1



     
                Dental                        411                                            (1.8)                              (3.2)



     
                Spine & CMF**                 764                                              0.8                                 0.4



     
                Other                         311                                            (2.6)                              (3.2)




     
                Total                    $
       7,933                                              1.7           %                     0.8   %


               * 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" (and prior to that, labeled "Special items") 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-month period and the year ended December 31, 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 (loss) and diluted earnings (loss) per share for the three-month period and year ended December 31, 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; expenses to comply with the new European Union Medical Device Regulation; other charges; any related effects on our income tax provision associated with these items; the effect of U.S. tax reform; other certain tax adjustments; and provide for the effect of dilutive shares assuming net earnings in periods of a reported net loss.

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 certain forward-looking non-GAAP financial measures for the year ending December 31, 2019. 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 enhancement and remediation efforts and certain legal and tax matters. Other than projected free cash flow for the year ending December 31, 2019, for which a reconciliation is provided, we have not provided quantitative reconciliations of these forward-looking non-GAAP financial measures to the most directly comparable forward-looking GAAP financial measures because the excluded items are not available on a prospective basis without unreasonable efforts. It is probable that these forward-looking non-GAAP financial measures may be materially different from the corresponding GAAP financial measures.

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," "guidance," "confidence," "look forward to" 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: 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 and our Quarterly Report on Form 10-Q for the quarter ended September 30, 2018.. 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 DECEMBER 31, 2018 and 2017

                                                                 
             
         (in millions, except per share amounts, unaudited)




                                                                                                                               2018                  2017




     
                Net Sales                                                                                                         $
          2,071.0       $
            2,068.3



     Cost of products sold, excluding intangible asset amortization                                                                         583.4                   591.4



     Intangible asset amortization                                                                                                          148.0                   151.5



     Research and development                                                                                                               101.2                    95.0



     Selling, general and administrative                                                                                                    998.6                   865.1



     Goodwill and intangible asset impairment                                                                                               975.9                   272.0



     Acquisition, integration and related                                                                                                    19.8                    87.5



     Quality remediation                                                                                                                     34.6                    45.9




     Operating expenses                                                                                                                   2,861.5                 2,108.4




     
                Operating Loss                                                                                                          (790.5)                 (40.1)



     Other expense, net                                                                                                                     (6.9)                  (4.9)



     Interest income                                                                                                                          1.0                     0.8



     Interest expense                                                                                                                      (69.5)                 (80.0)




     Loss before income taxes                                                                                                             (865.9)                (124.2)



     Provision (benefit) for income taxes                                                                                                    36.6               (1,355.4)




     
                Net (Loss) Earnings                                                                                                     (902.5)                1,231.2



     Less: Net Loss attributable to noncontrolling interest                                                                                 (1.4)                  (0.2)




     
                Net (Loss) Earnings of Zimmer Biomet Holdings, Inc.                                                               $
          (901.1)      $
            1,231.4




     
                (Loss) Earnings Per Common Share



     Basic                                                                                                                           $
          (4.42)         $
            6.08



     Diluted                                                                                                                         $
          (4.42)         $
            6.03



     
                Weighted Average Common Shares Outstanding



     Basic                                                                                                                                  204.0                   202.5



     Diluted                                                                                                                                204.0                   204.1



     
                Cash Dividends Declared Per Common Share                                                                             $
          0.24          $
            0.24

                                     
              
                ZIMMER BIOMET HOLDINGS, INC.

                                  
              
                CONSOLIDATED STATEMENTS OF EARNINGS

                            
              
                FOR THE YEARS ENDED DECEMBER 31, 2018 and 2017

                          
              
                (in millions, except per share amounts, unaudited)




                                                           2018                                      2017



                   Net Sales                                      $
              7,932.9                      $
            7,803.3


      Cost of products sold,
       excluding intangible asset
       amortization                                                         2,271.9                                2,132.9


      Intangible asset amortization                                           595.9                                  603.9


      Research and development                                                391.7                                  369.9


      Selling, general and
       administrative                                                       3,379.3                                3,104.7


      Goodwill and intangible asset
       impairment                                                             979.7                                  331.5


      Acquisition, integration and
       related                                                                133.7                                  279.8



     Quality remediation                                                     146.9                                  181.3




     Operating expenses                                                    7,899.1                                7,004.0



                   Operating Profit                                            33.8                                  799.3



     Other expense, net                                                     (15.6)                                 (9.4)



     Interest income                                                           3.3                                    2.2



     Interest expense                                                      (292.6)                               (327.5)



      (Loss) earnings before income
       taxes                                                                (271.1)                                 464.6


      Provision (benefit) for income
       taxes                                                                  108.2                              (1,348.8)



                   Net (Loss) Earnings                                      (379.3)                               1,813.4


      Less: Net Loss attributable to
       noncontrolling interest                                                (0.1)                                 (0.4)



                   Net (Loss) Earnings
                    of Zimmer Biomet
                    Holdings, Inc.                                $
              (379.2)                     $
            1,813.8



                   (Loss) Earnings Per Common
                    Share



     Basic                                                        $
              (1.86)                        $
            8.98



     Diluted                                                      $
              (1.86)                        $
            8.90


                   Weighted Average Common Shares
                    Outstanding



     Basic                                                                   203.5                                  201.9



     Diluted                                                                 203.5                                  203.7


                   Cash Dividends
                    Declared Per Common
                    Share                                            $
              0.96                         $
            0.96

                                                                
         
           ZIMMER BIOMET HOLDINGS, INC.

                                                              
         
         CONDENSED CONSOLIDATED BALANCE SHEETS

                                                                  
         
           (in millions, unaudited)




                                                                                  December 31,                           December 31,


                                                                                          2018                                    2017




     
                Assets



     Cash and cash equivalents                                                                           $
           542.8                  $
        524.4



     Receivables, net                                                                                           1,275.8                      1,544.1



     Inventories                                                                                                2,256.5                      2,068.3



     Other current assets                                                                                         352.3                        428.0




     Total current assets                                                                                       4,427.4                      4,564.8



     Property, plant and equipment, net                                                                         2,015.4                      2,038.6



     Goodwill                                                                                                   9,594.4                     10,668.4



     Intangible assets, net                                                                                     7,684.6                      8,353.4



     Other assets                                                                                                 405.0                        388.8




     
                Total Assets                                                                        $
           24,126.8               $
        26,014.0




     
                Liabilities and Stockholders' Equity



     Current liabilities                                                                               $
           1,896.3                $
        1,844.7



     Current portion of long-term debt                                                                            500.0                      1,225.0



     Other long-term liabilities                                                                                2,015.7                      2,291.3



     Long-term debt                                                                                             8,438.7                      8,917.5



     Stockholders' equity                                                                                      11,276.1                     11,735.5




     
                Total Liabilities and Stockholders' Equity                                          $
           24,126.8               $
        26,014.0


                                                                                                
              
           ZIMMER BIOMET HOLDINGS, INC.

                                                                                              
            
           CONSOLIDATED STATEMENTS OF CASH FLOWS

                                                                                          
     
         FOR THE 
           YEARS
                 ENDED DECEMBER 31, 2018 and 2017

                                                                                                  
              
           (in millions, unaudited)




                                                                                                                                                                  2018                2017




     
                Cash flows provided by (used in) operating activities



     Net (loss) earnings                                                                                                                                              $
         (379.3)      $
          1,813.4



     Depreciation and amortization                                                                                                                                           1,040.5               1,062.7



     Share-based compensation                                                                                                                                                   65.5                  53.7



     Goodwill and intangible asset impairment                                                                                                                                  979.7                 331.5



     Inventory step-up                                                                                                                                                                               32.8



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



     Income taxes                                                                                                                                                            (137.4)            (1,625.8)



     Receivables                                                                                                                                                               213.6                 161.7



     Inventories                                                                                                                                                             (199.5)              (120.1)



     Accounts payable and accrued expenses                                                                                                                                     155.9               (133.3)



     Other assets and liabilities                                                                                                                                                8.4                   5.7




     Net cash provided by operating activities                                                                                                                               1,747.4               1,582.3




     
                Cash flows provided by (used in) investing activities



     Additions to instruments                                                                                                                                                (276.3)              (337.0)



     Additions to other property, plant and equipment                                                                                                                        (162.7)              (156.0)



     Net investment hedge settlements                                                                                                                                           69.2



     Other investing activities                                                                                                                                               (46.8)               (17.8)




     Net cash used in investing activities                                                                                                                                   (416.6)              (510.8)




     
                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 loans                                                                                                                                                  675.0                 192.7



     Payments on term loans                                                                                                                                                (1,425.0)              (940.0)



     Net payments on other debt                                                                                                                                                (3.9)                (0.9)



     Dividends paid to stockholders                                                                                                                                          (195.2)              (193.6)



     Proceeds from employee stock compensation plans                                                                                                                           107.9                 145.5



     Net cash flows from unremitted collections from factoring programs                                                                                                       (36.7)                103.5



     Business combination contingent consideration payments                                                                                                                   (19.8)                (9.1)



     Other financing activities                                                                                                                                                (4.0)                (8.6)




     Net cash used in financing activities                                                                                                                                 (1,302.2)            (1,210.5)




     Effect of exchange rates on cash and cash equivalents                                                                                                                    (10.2)                 29.3




     Increase (decrease) in cash and cash equivalents                                                                                                                           18.4               (109.7)



     Cash and cash equivalents, beginning of period                                                                                                                            524.4                 634.1




     Cash and cash equivalents, end of period                                                                                                                           $
         542.8         $
          524.4


                                                                               
            
                ZIMMER BIOMET HOLDINGS, INC.

                                                                                  
            
                NET SALES BY GEOGRAPHY

                                                                      
          
              FOR THE THREE MONTHS ENDED DECEMBER 31, 2018 and 2017

                                                                                 
            
                (in millions, unaudited)




                                   Three Months Ended
                         December 31,



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




     Americas          $
              1,259.2                $
     1,274.0                                                                    (1.2) %        1.5    %              (2.5)  %  (0.2)   %



     EMEA                            475.6                     472.7                                                                      0.6           4.6                     0.1      (4.1)



     Asia Pacific                    336.2                     321.6                                                                      4.6          10.7                   (3.5)     (2.6)




     Total             $
              2,071.0                $
     2,068.3                                                                      0.1  %        3.6    %              (2.0)  %  (1.5)   %


                                                                                
              
                ZIMMER BIOMET HOLDINGS, INC.

                                                                                
              
                NET SALES BY PRODUCT CATEGORY

                                                                       
           
                FOR THE THREE MONTHS ENDED DECEMBER 31, 2018 and 2017

                                                                                  
              
                (in millions, unaudited)




                                  Three Months Ended
                        December 31,



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




     Knees              $
              729.5                  $
       730.3                                                                        (0.1) %          4.3    %               (2.7)  %   (1.7)  %



     Hips                           497.7                       497.2                                                                          0.1             4.2                    (2.4)      (1.7)



     S.E.T                          461.1                       452.4                                                                          1.9             3.8                    (0.7)      (1.2)



     Dental                         104.4                       107.5                                                                        (3.0)            0.8                    (2.6)      (1.2)



     Spine & CMF                    197.7                       193.8                                                                          2.1             4.6                    (1.5)      (1.0)



     Other                           80.6                        87.1                                                                        (7.5)          (4.9)                   (1.5)      (1.1)




     Total            $
              2,071.0                $
       2,068.3                                                                          0.1  %          3.6    %               (2.0)  %   (1.5)  %


                                                                        
             
                ZIMMER BIOMET HOLDINGS, INC.

                                                                           
             
                NET SALES BY GEOGRAPHY

                                                                    
         
               FOR THE YEARS ENDED DECEMBER 31, 2018 and 2017

                                                                          
             
                (in millions, unaudited)




                                      Years Ended
                         December 31,



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




     Americas          $
              4,837.2            $
     4,844.8                                                                   (0.2) %        2.3    %              (2.4)  %  (0.1)  %



     EMEA                          1,801.9               1,745.2                                                                     3.2           1.7                   (1.6)       3.1



     Asia Pacific                  1,293.8               1,213.3                                                                     6.6           9.2                   (3.5)       0.9




     Total             $
              7,932.9            $
     7,803.3                                                                     1.7  %        3.2    %              (2.4)  %    0.9   %


                                                                       
              
                ZIMMER BIOMET HOLDINGS, INC.

                                                                       
              
                NET SALES BY PRODUCT CATEGORY

                                                                  
          
                FOR THE YEARS ENDED DECEMBER 31, 2018 and 2017

                                                                         
              
                (in millions, unaudited)




                                     Years Ended
                        December 31,



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




     Knees            $
              2,773.7            $
     2,734.0                                                                       1.5 %          3.6    %               (2.9) %   0.8 %



     Hips                         1,921.4               1,871.8                                                                       2.6            4.3                    (2.8)     1.1



     S.E.T                        1,751.8               1,701.8                                                                       2.9            3.9                    (1.8)     0.8



     Dental                         411.2                 418.6                                                                     (1.8)         (1.7)                   (1.5)     1.4



     Spine & CMF                    763.9                 757.9                                                                       0.8            2.1                    (1.7)     0.4



     Other                          310.9                 319.2                                                                     (2.6)         (1.7)                   (1.5)     0.6




     Total            $
              7,932.9            $
     7,803.3                                                                       1.7 %          3.2    %               (2.4) %   0.9 %


                                                                
              
              RECONCILIATION OF REPORTED NET SALES % CHANGE TO

                                                                           
            
                CONSTANT CURRENCY % CHANGE

                                                                                  
            
                (unaudited)




                                      
       
              For the Three Months Ended


                                        
       
                December 31, 2018



                                                                                                                     Foreign                     Constant


                                                                                                                     Exchange                    Currency


                                             % Change                                                                 Impact                     % Change




     
                Geographic Results



     Americas                                  (1.2)                          %                                                       (0.2)  %           (1.0)  %



     EMEA                                        0.6                                                                                   (4.1)                4.7



     Asia Pacific                                4.6                                                                                   (2.6)                7.2



     
                Total                          0.1                           %                                                       (1.5)  %             1.6   %



     
                Product Categories



     
                Knees



     Americas                                  (2.0)                          %                                                       (0.2)  %           (1.8)  %



     EMEA                                      (1.8)                                                                                  (4.6)                2.8



     Asia Pacific                               10.6                                                                                   (3.5)               14.1



     Total                                     (0.1)                                                                                  (1.7)                1.6



     
                Hips



     Americas                                    1.6                                                                                   (0.3)                1.9



     EMEA                                      (0.1)                                                                                  (4.1)                4.0



     Asia Pacific                              (3.2)                                                                                  (2.0)              (1.2)



     Total                                       0.1                                                                                   (1.7)                1.8



     
                S.E.T                          1.9                                                                                   (1.2)                3.1



     
                Dental                       (3.0)                                                                                  (1.2)              (1.8)



     
                Spine & CMF                    2.1                                                                                   (1.0)                3.1



     
                Other                        (7.5)                                                                                  (1.1)              (6.4)



     
                Total                          0.1                           %                                                       (1.5)  %             1.6   %

                                                         
              
            RECONCILIATION OF REPORTED NET SALES % CHANGE TO

                                                                    
          
                CONSTANT CURRENCY % CHANGE

                                                                         
             
                (unaudited)




                                      
      
             For the Year Ended


                                       
      
             December 31, 2018



                                                                                                             Foreign                     Constant


                                                                                                             Exchange                    Currency


                                          % Change                                                            Impact                     % Change




     
                Geographic Results



     Americas                               (0.2)                    %                                                       (0.1)  %            (0.1)   %



     EMEA                                     3.2                                                                               3.1                  0.1



     Asia Pacific                             6.6                                                                               0.9                  5.7



     
                Total                       1.7                     %                                                         0.9   %              0.8   %



     
                Product Categories



     
                Knees



     Americas                               (0.8)                    %                                                              %            (0.8)   %



     EMEA                                     4.4                                                                               2.8                  1.6



     Asia Pacific                             5.9                                                                               0.5                  5.4



     Total                                    1.5                                                                               0.8                  0.7



     
                Hips



     Americas                                 2.8                                                                                                   2.8



     EMEA                                     0.3                                                                               3.1                (2.8)



     Asia Pacific                             5.4                                                                               1.2                  4.2



     Total                                    2.6                                                                               1.1                  1.5



     
                S.E.T                       2.9                                                                               0.8                  2.1



     
                Dental                    (1.8)                                                                              1.4                (3.2)



     
                Spine & CMF                 0.8                                                                               0.4                  0.4



     
                Other                     (2.6)                                                                              0.6                (3.2)



     
                Total                       1.7                     %                                                         0.9   %              0.8   %

                                                                                                                                                                                     
        
                ZIMMER BIOMET HOLDINGS, INC.

                                                                                                                                                                                
          
          RECONCILIATION OF REPORTED TO ADJUSTED RESULTS

                                                                                                                                                                              
        
          FOR THE THREE MONTHS AND YEAR ENDED DECEMBER 31, 2018

                                                                                                                                                                                       
        
                (in millions, unaudited)




                                                                                                                                                                                 
          
          FOR THE THREE MONTHS ENDED DECEMBER 31, 2018

                                                                                                                                                                                                       ---

                                                                       Cost of                       Intangible                                Selling,            Goodwill                                Acquisition,                                     Quality                            Other                 Provision                Net                          Diluted
                                                            products                        asset                                 general and               and                                 integration                                     remediation                           expense,           (benefit)                    (Loss)                        (loss)
                                                             sold,                      amortization                            administrative          intangible                              and related                                                                              net                 for                     Earnings                     earnings
                                                           excluding                                                                                       asset                                                                                                                                           income                       of                           per
                                                          intangible                                                                                    impairment                                                                                                                                          taxes                     Zimmer                        common
                                                             asset                                                                                                                                                                                                                                                                    Biomet                        share
                                                          amortization                                                                                                                                                                                                                                                              Holdings,
                                                                                                                                                                                                                                                                                                                                       Inc.




     
                As Reported                                                 $
     583.4                             $
        148.0                               $
            998.6                                                $
              975.9                          $
           19.8                              $
              34.6                  $
         (6.9)                     $
             36.6   $
          (901.1)  $
            (4.42)



     Inventory and manufacturing-related charges(1)                              (7.8)                                                                                                                                                                                                                                                                                                     5.1               2.7               0.01



     Intangible asset amortization(2)                                                                                 (148.0)                                                                                                                                                                                                                                                             18.1             129.9               0.64



     Goodwill impairment(3)                                                                                                                                                                                                        (975.9)                                                                                                                                                                975.9               4.78



     Acquisition, integration and related(4)                                                                                                                                                                                                                              (19.8)                                                                                                           3.8              16.0               0.08



     Quality remediation(5)                                                      (5.0)                                                                                                                                                                                                                                 (34.6)                                                             10.3              29.3               0.15



     Litigation(6)                                                                                                                                                 (170.5)                                                                                                                                                                                                                50.0             120.5               0.59



     European Union Medical Device Regulation(7)                                                                                                                     (2.1)                                                                                                                                                                                                                 0.3               1.8               0.01



     Other charges(8)                                                                                                                                               (32.8)                                                                                                                                                                             3.9                                  2.5              34.2               0.17



     U.S. tax reform(9)                                                                                                                                                                                                                                                                                                                                                                 (28.9)             28.9               0.14



     Other certain tax adjustments(10)                                                                                                                                                                                                                                                                                                                                                   (9.8)              9.8               0.05



     Effect of dilutive shares assuming net earnings(11)                                                                                                                                                                                                                                                                                                                                                                   (0.02)




     
                As Adjusted                                                 $
     570.6                         
     $                                          $
            793.2                                 
              $                                           
     $                              
     $                                          $
        (3.0)                      $
            88.0     $
          447.9     $
            2.18


                                                                                                                                                                                
     
       FOR THE YEAR ENDED DECEMBER 31, 2018

                                                                                                                                                                                           ---

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




     
                As Reported                                                 $
     2,271.9                             $
        595.9                             $
            3,379.3                                  $
              979.7                         $
           133.7                             $
              146.9                  $
         (15.6)                     $
            108.2    $
          (379.2)  $
            (1.86)



     Inventory and manufacturing-related charges(1)                               (32.5)                                                                                                                                                                                                                                                                                       15.1               17.4               0.08



     Intangible asset amortization(2)                                                                                   (595.9)                                                                                                                                                                                                                                                98.2              497.7               2.45



     Goodwill and intangible asset impairment(3)                                                                                                                                                                       (979.7)                                                                                                                                                  0.9              978.8               4.81



     Acquisition, integration and related(4)                                                                                                                                                                                                                 (133.7)                                                                                                           28.0              105.7               0.52



     Quality remediation(5)                                                       (18.5)                                                                                                                                                                                                                  (146.9)                                                              35.1              130.3               0.64



     Litigation(6)                                                                                                                                                   (186.0)                                                                                                                                                                                                   44.8              141.2               0.69



     European Union Medical Device Regulation(7)                                                                                                                       (3.7)                                                                                                                                                                                                    0.5                3.2               0.02



     Other charges(8)                                                                                                                                                 (79.6)                                                                                                                                                                3.2                                 17.0               65.8               0.32



     U.S. tax reform(9)                                                                                                                                                                                                                                                                                                                                                      (28.9)              28.9               0.14



     Other certain tax adjustments(10)                                                                                                                                                                                                                                                                                                                                         24.4             (24.4)            (0.12)



     Effect of dilutive shares assuming net earnings(11)                                                                                                                                                                                                                                                                                                                                                         (0.05)




     
                As Adjusted                                                 $
     2,220.9                         
     $                                        $
            3,110.0                   
              $                                          
     $                               
     $                                          $
        (12.4)                      $
           343.3     $
         1,565.4     $
            7.64


     
      
      (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) In the third quarter of 2018, we recognized $3.8
                 million of intangible asset impairment from merger-
                 related in-process research and development
                 intangible assets.  In the fourth quarter of 2018, we
                 recognized a goodwill impairment charge of $975.9
                 million.  The impairment was comprised of $401.2
                 million in our Spine less Asia Pacific reporting unit,
                 $567.0 million in our EMEA reporting unit and $7.7
                 million from an insignificant 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 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.  In regards to the product liability
                 matters, 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) The new European Union Medical Device Regulation
                 imposes significant additional premarket and
                 postmarket requirements.  The new regulations will
                 require currently-approved medical devices a
                 transition period until May 2020 to meet the
                 additional requirements.  For certain devices, this
                 transition period can be extended until May 2024.  We
                 are excluding from our non-GAAP financial measures
                 the incremental costs incurred to comply with the
                 regulations related to our currently-approved medical
                 devices.  The incremental costs primarily include
                 third-party consulting necessary to supplement our
                 internal resources.




     
      
      (8) 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 legal entity and operational
                 restructuring as well as 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.




     
      
      (9) In 2018, we finalized our estimates of the effects of
                 the Tax Cuts and Jobs Act of 2017 (the "2017 Tax Act")
                 based upon final guidance issued by U.S. tax
                 authorities.





      
      (10) 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.





      
      (11) Diluted share count used in Adjusted Diluted EPS:

                                            Three Months Ended           Year Ended


                                            December 31, 2018        December 31, 2018






     Diluted shares                                           204.0                   203.5



     Dilutive shares assuming net earnings                      1.4                     1.5




     Adjusted diluted shares                                  205.4                   205.0


                                                                                                                                                                                  
              
                ZIMMER BIOMET HOLDINGS, INC.

                                                                                                                                                                              
         
                RECONCILIATION OF REPORTED TO ADJUSTED RESULTS

                                                                                                                                                                            
        
                FOR THE THREE MONTHS AND YEAR ENDED DECEMBER 31, 2017

                                                                                                                                                                                    
              
                (in millions, unaudited)




                                                                                                                                                                               
         
                FOR THE THREE MONTHS ENDED DECEMBER 31, 2017

                                                                                                                                                                                                           ---

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




              
                As Reported                                     $
      591.4                             $
        151.5                               $
            865.1                                       $
              272.0                                         $
           87.5                              $
              45.9                  $
         (4.9)             $
         (1,355.4)  $
            1,231.4    $
             6.03



              Inventory step-up and other inventory                           (18.1)                                                                                                                                                                                                                                                                                                    8.2                 9.9               0.05
    and manufacturing-related charges(1)



              Intangible asset amortization(2)                                                                      (151.5)                                                                                                                                                                                                                                                            59.3                92.2               0.45



              Goodwill impairment(3)                                                                                                                                                                                    (272.0)                                                                                                                                                         0.1               271.9               1.33



              Acquisition, integration and related(4)                                                                                                                                                                                                                         (87.5)                                                                                                   26.8                60.7               0.30



              Quality remediation(5)                                           (8.0)                                                                                                                                                                                                                                       (45.9)                                                      23.8                30.1               0.15



              Litigation(6)                                                                                                                                       (89.0)                                                                                                                                                                                                               36.1                52.9               0.26



              Other charges(7)                                                                                                                                     (9.3)                                                                                                                                                                                   2.1                           2.8                 8.6               0.04



              U.S. tax reform(8)                                                                                                                                                                                                                                                                                                                                                    1,272.4           (1,272.4)            (6.23)



              Other certain tax adjustments(9)                                                                                                                                                                                                                                                                                                                                         56.8              (56.8)            (0.28)




              
                As Adjusted                                     $
      565.3                         
     $                                          $
            766.8                        
              $                                                          
     $                              
     $                                          $
        (2.8)                 $
         130.9     $
            428.5    $
             2.10


                                                                                                                                                                                                      
         
               FOR THE YEAR ENDED DECEMBER 31, 2017

                                                                                                                                                                                                                            ---

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




              
                As Reported                                         $
     2,132.9                             $
        603.9                              $
              369.9                        $
         3,104.7                                                    $
           331.5                               $
            279.8                       $
             181.3                  $
          (9.4)             $
          (1,348.8)    $
             1,813.8    $
              8.90



              Inventory step-up and other inventory                                (70.8)                                                                                                                                                                                                                                                                                                                                      23.7                   47.1                0.23
    and manufacturing-related charges(1)



              Intangible asset amortization(2)                                                                           (603.9)                                                                                                                                                                                                                                                                                              184.2                  419.7                2.06



              Goodwill and intangible asset impairment(3)                                                                                                                                                                                                                    (331.5)                                                                                                                                            9.0                  322.5                1.58



              Acquisition, integration and related(4)                                                                                                                                                                                                                                                                     (279.8)                                                                                              92.6                  187.2                0.92



              Quality remediation(5)                                               (13.8)                                                                                                                                                                                                                                                                       (181.3)                                                        73.6                  121.5                0.60



              Litigation(6)                                                                                                                                                                                 (104.0)                                                                                                                                                                                                            36.4                   67.6                0.33



              Other charges(7)                                                                                                                                           (2.5)                               (38.7)                                                                                                                                                                               2.6                            2.0                   41.8                0.21



              U.S. tax reform(8)                                                                                                                                                                                                                                                                                                                                                                                            1,272.4              (1,272.4)             (6.25)



              Other certain tax adjustments(9)                                                                                                                                                                                                                                                                                                                                                                                112.4                (112.4)             (0.55)




              
                As Adjusted                                         $
     2,048.3                         
     $                                         $
              367.4                        $
         2,962.0                                                 
     $                                    
     $                                 
             $                                $
         (6.8)                 $
          457.5     $
             1,636.4    $
              8.03



     
     (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.  In the fourth quarter of 2017, we recognized a
              goodwill impairment charge of $272.0 million on our
              Spine less Asia Pacific 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 legal entity and operational
              restructuring as well as 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) The 2017 Tax Act resulted in a net favorable
              provisional adjustment due to the reduction of
              deferred tax liabilities for unremitted earnings and
              revaluation of deferred tax liabilities to a 21
              percent rate, which was partially offset by
              provisional tax charges related to the toll charge
              provision of the 2017 Tax Act.





     
     (9) Other certain tax adjustments primarily relate to tax
              benefits from lower tax rates unrelated to the impact
              of the 2017 Tax Act, net favorable resolutions of
              various tax matters and net favorable adjustments from
              internal restructuring transactions.

                                                               
             
                ZIMMER BIOMET HOLDINGS, INC.


                                                         
          
               RECONCILIATION OF NET CASH PROVIDED BY OPERATING


                                                               
             
                ACTIVITIES TO FREE CASH FLOW


                                                       
       
             FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2018 and 2017


                                                                 
             
                (in millions, unaudited)






                                                                             Three Months Ended December 31,                                        Years Ended December 31,



                                                             2018                                        2017                                  2018                                   2017




     Net cash provided by operating activities                    $
              379.5                                          $
             402.9                             $
         1,747.4  $
          1,582.3



     Additions to instruments                                              (72.6)                                                   (81.3)                                   (276.3)         (337.0)



     Additions to other property, plant and equipment                      (47.5)                                                   (46.2)                                   (162.7)         (156.0)




     Free cash flow                                               $
              259.4                                          $
             275.4                             $
         1,308.4  $
          1,089.3


                                                                              
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                                
              
                RECONCILIATION OF GROSS PROFIT & MARGIN TO ADJUSTED GROSS


                                                                                     
              
                PROFIT & MARGIN


                                                             
              
                FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2018 and 2017


                                                                                
              
                (in millions, unaudited)






                                                                              Three Months Ended                                                                      Years Ended
                                                                    December 31,                                                                     December 31,



                                                           2018                                             2017                                                  2018                     2017




              Net Sales                                          $
              2,071.0                                          $
              2,068.3                                $
       7,932.9    $
       7,803.3



              Cost of products sold, excluding intangible                    583.4                                                        591.4                                     2,271.9         2,132.9
    asset amortization



              Intangible asset amortization                                  148.0                                                        151.5                                       595.9           603.9




              Gross Profit                                       $
              1,339.6                                          $
              1,325.4                                $
       5,065.1    $
       5,066.5





              Inventory step-up and other inventory and                        7.8                                                         18.1                                        32.5            70.8
    manufacturing-related charges



              Quality remediation                                              5.0                                                          8.0                                        18.5            13.8



              Intangible asset amortization                                  148.0                                                        151.5                                       595.9           603.9




              Adjusted gross profit                              $
              1,500.4                                          $
              1,503.0                                $
       5,712.0    $
       5,755.0








              Gross margin                                                    64.7                          %                              64.1                   %                    63.9    %       64.9   %



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



              Quality remediation                                              0.2                                                          0.4                                         0.2             0.3



              Intangible asset amortization                                    7.1                                                          7.3                                         7.5             7.7




              Adjusted gross margin                                           72.4                          %                              72.7                   %                    72.0    %       73.8   %


                                                                                  
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                         
         
                RECONCILIATION OF OPERATING PROFIT (LOSS) & MARGIN TO ADJUSTED OPERATING PROFIT & MARGIN


                                                                
              
                FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2018 and 2017


                                                                                    
              
                (in millions, unaudited)






                                                                             Three Months Ended                                                                          Years Ended
                                                                    December 31,                                                                           December 31,



                                                           2018                                              2017                                                        2018                    2017




              Operating profit (loss)                            $
              (790.5)                                           $
              (40.1)                                        $
      33.8        $
      799.3



              Inventory step-up and other inventory and                        7.8                                                          18.1                                             32.5             70.8
    manufacturing-related charges



              Intangible asset amortization                                  148.0                                                         151.5                                            595.9            603.9



              Goodwill and intangible asset impairment                       975.9                                                         272.0                                            979.7            331.5



              Acquisition, integration and related                            19.8                                                          87.5                                            133.7            279.8



              Quality remediation                                             39.6                                                          53.9                                            165.4            195.1



              Litigation                                                     170.5                                                          89.0                                            186.0            104.0



              European Union Medical Device Regulation     2.1                                                                                                                      3.7



              Other charges                                                   32.8                                                           9.3                                             79.6             41.2




              Adjusted operating profit                            $
              606.0                                             $
              641.2                                      $
      2,210.3      $
      2,425.6








              Operating profit (loss) margin                                (38.2)                          %                             (1.9)                        %                    0.4      %      10.2     %



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



              Intangible asset amortization                                    7.1                                                           7.3                                              7.5              7.7



              Intangible asset impairment                                     47.1                                                          13.2                                             12.4              4.3



              Acquisition, integration and related                             1.0                                                           4.2                                              1.7              3.6



              Quality remediation                                              1.9                                                           2.6                                              2.1              2.5



              Litigation                                                       8.2                                                           4.3                                              2.3              1.3



              European Union Medical Device Regulation     0.1



              Other charges                                                    1.7                                                           0.4                                              1.1              0.6




              Adjusted operating profit margin                                29.3                           %                              31.0                         %                   27.9      %      31.1     %


                                                                             
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                         
              
                RECONCILIATION OF EFFECTIVE TAX RATE TO ADJUSTED EFFECTIVE TAX RATE


                                                           
              
                FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2018 and 2017


                                                                               
              
                (in millions, unaudited)






                                                        Three Months Ended                                                                               Years Ended
                                           December 31,                                                                       December 31,



                                                2018                                2017                                                             2018                    2017




              Effective tax rate              (4.2)                      %                                 1,091.5                           %                      (39.9)       %   (290.3)   %



              Inventory step-up and other      20.7                                                       (1,068.1)                                                   57.9              312.2
    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




              Adjusted effective tax rate      16.5                       %                                    23.4                           %                        18.0        %      21.9   %


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SOURCE Zimmer Biomet Holdings, Inc.