Zimmer Biomet Announces First Quarter 2019 Financial Results

WARSAW, Ind., April 26, 2019 /PRNewswire/ -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) today reported financial results for the quarter ended March 31, 2019. The Company reported first quarter net sales of $1.976 billion. The effect of foreign currency exchange negatively impacted first quarter net sales by 2.8%, resulting in a reported net sales decrease of 2.1% from the prior year period. First quarter net sales increased 0.7% on a constant currency basis. Net earnings for the first quarter were $246 million and $384 million on an adjusted basis. Diluted earnings per share for the first quarter were $1.20, an increase of 41.2% over the prior year period. First quarter adjusted diluted earnings per share were $1.87, a decrease of 2.1% from the prior year period.

"We delivered another solid quarter, driven by overall strong performance in the Asia Pacific and Europe, Middle East and Africa regions," said Bryan Hanson, President and CEO of Zimmer Biomet. "Our accomplishments this quarter affirm our confidence in the progress we are making to turn around the business. Recently launched products and platform technologies will enable our sales force to leverage our complete ecosystem of differentiated solutions and return to offense in the second half of the year."

Geographic and Product Category Sales

The following sales table provides results by geography and product category for the first quarter of 2019, as well as the percentage change compared to the prior year quarter, on both a reported basis and a constant currency basis.

                       
            
              NET SALES - THREE MONTHS ENDED 
             MARCH 31, 2019


                                       
            
              (in millions, unaudited)




                                                                                                                  
        
        Constant


                                                                        Net                                      
        
        Currency


                                                                       Sales                    
      
        % Change    
        
           % Change

                                                                                                                                ---


     
              Geographic Results



     Americas                                                                 $
           1,194          (1.2)%                   (0.9)%



     EMEA                                                                              464           (6.6)                      1.5



     Asia Pacific                                                                      318             1.4                       5.6




     
              Total                                                         $
           1,976          (2.1)%                     0.7%




     
              Product Categories



     
              Knees



     Americas                                                                   $
           409          (1.9)%                   (1.7)%



     EMEA                                                                              176           (7.0)                      1.5



     Asia Pacific                                                                      109             1.8                       6.8




     Total                                                                             694           (2.7)                      0.5



     
              Hips



     Americas                                                                          247           (0.3)                      0.1



     EMEA                                                                              133           (6.4)                      1.7



     Asia Pacific                                                                      104             1.9                       5.7




     Total                                                                             484           (1.6)                      1.7



     
              S.E.T *                                                                440           (0.6)                      1.7



     
              Spine & CMF**                                                          183           (0.1)                      1.7



     
              Dental                                                                 105           (2.9)                    (0.2)



     
              Other                                                                   70          (11.7)                    (9.4)




     
              Total                                                         $
           1,976          (2.1)%                     0.7%






     * Surgical, Sports Medicine, Extremities and Trauma



     ** Craniomaxillofacial

Cash Flow and Balance Sheet

Operating cash flow for the first quarter was $284 million. Free cash flow in the first quarter was $182 million. The Company paid down $110 million of debt in the first quarter and expects to continue using a majority of its 2019 free cash flow to further decrease debt. In addition, the Company paid $49 million in dividends in the quarter and declared a first quarter dividend of $0.24 per share.

Guidance

The Company's prior guidance for 2019 is unchanged.

Conference Call

The Company will conduct its first quarter 2019 investor conference call today, April 26, 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.

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 orthopedic 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.

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 ended March 31, 2019 is presented on a GAAP (reported) basis and on a constant currency basis. Constant currency percentage changes exclude the effects of foreign currency exchange rates. They are calculated by translating current and prior-period sales at the same predetermined exchange rate. The translated results are then used to determine year-over-year percentage increases or decreases.

Net earnings and diluted earnings per share for the three-month period ended March 31, 2019 are presented on a GAAP (reported) basis and on an adjusted basis. Adjusted earnings and adjusted diluted earnings per share exclude the effects of certain inventory and manufacturing-related charges, including charges to discontinue certain product lines; intangible asset amortization; 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 and other certain tax adjustments.

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

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

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

Cautionary Note Regarding Forward-Looking Statements

This release contains forward-looking statements within the meaning of federal securities laws, 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," "would," "predicts," "potential," "strategy," "future," "opportunity," "work toward," "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, expectations and assumptions of management and are subject to significant risks, uncertainties and changes in circumstances that could cause actual outcomes and results to differ materially from the forward-looking statements. 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, including the impact of the U.S. excise tax on medical devices if such tax is not further suspended or repealed; 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, including our Annual Report on Form 10-K for the year ended December 31, 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 expressly 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 note is applicable to all forward-looking statements contained in this release.

                                                           
             
                ZIMMER BIOMET HOLDINGS, INC.


                                                        
              
               CONSOLIDATED STATEMENTS OF EARNINGS


                                                
              
               FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                
              
               (in millions, except per share amounts, unaudited)




                                                                                                                          2019                 2018

                                                                                                                                               ---


     
                Net Sales                                                                                                   $
          1,975.5      $
          2,017.6



     Cost of products sold, excluding intangible asset amortization                                                                   553.4                575.8



     Intangible asset amortization                                                                                                    143.4                150.8



     Research and development                                                                                                         101.7                 95.7



     Selling, general and administrative                                                                                              796.4                801.7



     Acquisition, integration and related                                                                                              10.7                 46.0



     Quality remediation                                                                                                               19.7                 42.6




     Operating expenses                                                                                                             1,625.3              1,712.6




     
                Operating Profit                                                                                                    350.2                305.0



     Other expense, net                                                                                                               (0.5)               (3.6)



     Interest expense, net                                                                                                           (58.0)              (78.0)




     Earnings before income taxes                                                                                                     291.7                223.4



     Provision for income taxes                                                                                                        45.5                 47.2




     
                Net Earnings                                                                                                        246.2                176.2



     Less: Net Earnings attributable to noncontrolling interest                                                                         0.1                  1.5




     
                Net Earnings of Zimmer Biomet Holdings, Inc.                                                                  $
          246.1        $
          174.7

                                                                                                                                                               ===


     
                Earnings Per Common Share



     Basic                                                                                                                       $
          1.20         $
          0.86



     Diluted                                                                                                                     $
          1.20         $
          0.85



     
                Weighted Average Common Shares Outstanding



     Basic                                                                                                                            204.4                203.0



     Diluted                                                                                                                          205.8                204.6

                                                                
         
            ZIMMER BIOMET HOLDINGS, INC.


                                                              
         
         CONDENSED CONSOLIDATED BALANCE SHEETS


                                                                  
         
            (in millions, unaudited)




                                                                                            March 31,                      December 31,


                                                                                                 2019                               2018




     
                Assets



     Cash and cash equivalents                                                                                $
        586.8                  $
        542.8



     Receivables, net                                                                                             1,225.3                      1,275.8



     Inventories                                                                                                  2,310.2                      2,256.5



     Other current assets                                                                                           376.9                        352.3




     Total current assets                                                                                         4,499.2                      4,427.4



     Property, plant and equipment, net                                                                           2,014.0                      2,015.4



     Goodwill                                                                                                     9,570.0                      9,594.4



     Intangible assets, net                                                                                       7,522.5                      7,684.6



     Other assets                                                                                                   683.3                        405.0




     
                Total Assets                                                                             $
        24,289.0               $
        24,126.8




     
                Liabilities and Stockholders' Equity



     Current liabilities                                                                                    $
        1,755.0                $
        1,896.3



     Current portion of long-term debt                                                                              500.0                        525.0



     Other long-term liabilities                                                                                  2,184.1                      2,015.7



     Long-term debt                                                                                               8,310.6                      8,413.7



     Stockholders' equity                                                                                        11,539.3                     11,276.1




     
                Total Liabilities and Stockholders' Equity                                               $
        24,289.0               $
        24,126.8


                                                                                                      
              
            ZIMMER BIOMET HOLDINGS, INC.


                                                                                                 
              
            CONSOLIDATED STATEMENTS OF CASH FLOWS


                                                                              
              
                FOR THE 
            THREE MONTHS
                 ENDED MARCH 31, 2019 and 2018


                                                                                                        
              
            (in millions, unaudited)




                                                                                                                                                                              2019            2018




              
                Cash flows provided by (used in) operating activities



              Net earnings                                                                                                                                                        $
       246.2        $
        176.2



              Depreciation and amortization                                                                                                                                            247.7              263.5



              Share-based compensation                                                                                                                                                  20.3               13.9



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



              Income taxes                                                                                                                                                              24.5                8.6



              Receivables                                                                                                                                                               50.7              146.2



              Inventories                                                                                                                                                             (50.7)            (39.6)



              Accounts payable and accrued expenses                                                                                                                                  (169.2)            (27.7)



              Other assets and liabilities                                                                                                                                            (85.9)            (50.6)




              Net cash provided by operating activities (1)                                                                                                                            283.6              490.5




              
                Cash flows provided by (used in) investing activities



              Additions to instruments                                                                                                                                                (63.7)            (60.4)



              Additions to other property, plant and equipment                                                                                                                        (37.8)            (26.7)



              Net investment hedge settlements                                                                                                                                          10.5



              Investments in other assets                                                                                                                                             (14.5)            (14.6)




              Net cash used in investing activities                                                                                                                                  (105.5)           (101.7)




              
                Cash flows provided by (used in) financing activities



              Proceeds from senior notes                                                                                                                                                                 749.5



              Proceeds from multicurrency revolving facility                                                                                                                                             400.0



              Proceeds from term loans                                                                                                                                                 200.0



              Payments on term loans                                                                                                                                                 (310.0)           (225.0)



              Net payments on other debt                                                                                                                                                                 (0.2)



              Dividends paid to stockholders                                                                                                                                          (49.0)            (48.6)



              Proceeds from employee stock compensation plans                                                                                                                           44.4               47.9



              Net cash flows from unremitted collections from factoring programs                                                                                                      (16.4)            (60.8)



              Business combination contingent consideration payments                                                                                                                                    (13.6)



              Other financing activities                                                                                                                                               (4.2)             (7.4)




              Net cash provided by (used in) financing activities                                                                                                                    (135.2)             841.8




              Effect of exchange rates on cash and cash equivalents                                                                                                                      1.1               10.4




              Increase in cash and cash equivalents                                                                                                                                     44.0            1,241.0



              Cash and cash equivalents, beginning of period                                                                                                                           542.8              524.4




              Cash and cash equivalents, end of period                                                                                                                            $
       586.8      $
        1,765.4






              
                (1)  2019 includes approximately $168 million paid related to a patent litigation matter

                                                               
        
                ZIMMER BIOMET HOLDINGS, INC.


                                                                  
        
                NET SALES BY GEOGRAPHY


                                                        
          
          FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                                 
        
                (in millions, unaudited)




                          Three Months Ended
                   March 31,



                                        2019              2018                                     % Inc /                     Volume Price           Foreign
                                                                                       (Dec)                             / Mix               Exchange




     Americas                               $
     1,194.1                               $
              1,208.1                      (1.2)%  2.0%            (2.9)%   (0.3)%



     EMEA                                        463.9                                             496.5                       (6.6)   3.4              (1.9)    (8.1)



     Asia Pacific                                317.5                                             313.0                         1.4    7.8              (2.2)    (4.2)




     Total                                  $
     1,975.5                               $
              2,017.6                      (2.1)%  3.3%            (2.6)%   (2.8)%


                                                                
       
                ZIMMER BIOMET HOLDINGS, INC.


                                                                
       
                NET SALES BY PRODUCT CATEGORY


                                                         
          
         FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                                  
       
                (in millions, unaudited)




                         Three Months Ended
                  March 31,



                                       2019                2018                                    % (Dec)                     Volume Price          Foreign
                                                                                                                         / Mix              Exchange




     Knees                                   $
       694.1                                $
              713.3                      (2.7)%  3.6%           (3.1)%  (3.2)%



     Hips                                         484.2                                            492.0                       (1.6)   4.8             (3.1)   (3.3)



     S.E.T                                        439.9                                            442.3                       (0.6)   3.1             (1.4)   (2.3)



     Spine & CMF                                  182.8                                            183.1                       (0.1)   4.2             (2.5)   (1.8)



     Dental                                       104.5                                            107.6                       (2.9)   1.4             (1.6)   (2.7)



     Other                                         70.0                                             79.3                      (11.7) (6.8)            (2.6)   (2.3)




     Total                                 $
       1,975.5                              $
              2,017.6                      (2.1)%  3.3%           (2.6)%  (2.8)%


                                      
     
           RECONCILIATION OF REPORTED NET SALES % CHANGE TO


                                        
         
                CONSTANT CURRENCY % CHANGE


                                            
             
                (unaudited)




                                                          For the Three Months Ended


                                          
         
                March 31, 2019



                                                                                                 Foreign   Constant


                                                                                                 Exchange  Currency


                                                          % Change                                Impact   % Change




     
                Geographic Results



     Americas                                              (1.2)%                                 (0.3)%    (0.9)%



     EMEA                                                   (6.6)                                  (8.1)       1.5



     Asia Pacific                                             1.4                                   (4.2)       5.6



     
                Total                                    (2.1)%                                 (2.8)%      0.7%



     
                Product Categories



     
                Knees



     Americas                                              (1.9)%                                 (0.2)%    (1.7)%



     EMEA                                                   (7.0)                                  (8.5)       1.5



     Asia Pacific                                             1.8                                   (5.0)       6.8



     Total                                                  (2.7)                                  (3.2)       0.5



     
                Hips



     Americas                                               (0.3)                                  (0.4)       0.1



     EMEA                                                   (6.4)                                  (8.1)       1.7



     Asia Pacific                                             1.9                                   (3.8)       5.7



     Total                                                  (1.6)                                  (3.3)       1.7



     
                S.E.T                                     (0.6)                                  (2.3)       1.7



     
                Spine & CMF                               (0.1)                                  (1.8)       1.7



     
                Dental                                    (2.9)                                  (2.7)     (0.2)



     
                Other                                    (11.7)                                  (2.3)     (9.4)



     
                Total                                    (2.1)%                                 (2.8)%      0.7%

                                                                                                                                                                      
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                                                                                                  
         
                RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


                                                                                                                                                                
         
                FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                                                                                                                                        
              
                (in millions, unaudited)




                                                                                                                                                                    
          
                FOR THE THREE MONTHS ENDED MARCH 31, 2019

                                                                                                                                                                                               ---

                                                         Cost of                       Intangible                 Research                 Selling,                               Acquisition,                                         Quality           Provision                              Net Earnings                  Net               Diluted
                                              products                        asset                       and                general and                               integration                                         remediation             for                             attributable to                Earnings             earnings
                                               sold,                      amortization                development           administrative                             and related                                                                income                           noncontrolling                    of                   per
                                             excluding                                                                                                                                                                                            taxes                               interest                     Zimmer               common
                                            intangible                                                                                                                                                                                                                                                             Biomet                share
                                               asset                                                                                                                                                                                                                                                             Holdings,
                                            amortization                                                                                                                                                                                                                                                            Inc.




              
                As Reported                          $
     553.4                                  $
             143.4                          $
       101.7                                                                   $
            796.4                    $
           10.7                                      $
            19.7                     $
           45.5    $
           0.1    $
             246.1    $
              1.20



              Inventory and                                        (2.0)                                                                                                                                                                                                                                                                                      3.6                              (1.6)             (0.01)
    manufacturing-related
    charges(1)



              Intangible asset                                                                                    (143.4)                                                                                                                                                                                                                                    23.9                              119.5                0.58
    amortization(2)



              Acquisition, integration and                                                                                                                                                                                                                             (10.7)                                                                                 2.4                                8.3                0.04
    related(3)



              Quality remediation(4)                                                                                                                                                                                                                                                                                      (19.7)                              4.2                               15.5                0.08



              Litigation(5)                                                                                                                                                                                                               1.8                                                                                                                (2.7)                               0.9



              Patent litigation licensing                                                                                                                                                                                                23.5                                                                                                                (5.2)                            (18.3)             (0.09)
    gain(6)



              European Union Medical                                                                                                                   (1.6)                                                                                                                                                                                                  0.2                                1.4                0.01
    Device Regulation(7)



              Other charges(8)                                                                                                                                                                                                         (22.7)                                                                                                                 4.4             0.6                17.7                0.09



              Other certain tax                                                                                                                                                                                                                                                                                                                               5.3                              (5.3)             (0.03)
    adjustments(9)



              
                As Adjusted                          $
     551.4                         
     $                                               $
       100.1                                                                   $
            799.0         
             $                                         
     $                                        $
           81.6    $
           0.7    $
             384.2    $
              1.87


                                                                                                                                         
     
        FOR THE THREE MONTHS ENDED MARCH 31, 2018

                                                                                                                                                       ---

                                                               Cost of                       Intangible                Selling, general                 Acquisition,                                   Quality                Provision              Net                          Diluted
                                                products sold,                      asset                         and                        integration                                   remediation             for income              Earnings                      earnings
                                                  excluding                     amortization                administrative                   and related                                                              taxes                of Zimmer                       per
                                                  intangible                                                                                                                                                                                Biomet                       common
                                                    asset                                                                                                                                                                                  Holdings,                      share
                                                amortization                                                                                                                                                                                 Inc.




              
                As Reported                                $
     575.8                                        $
              150.8                                 $
              801.7                                 $
             46.0                 $
           42.6                     $
           47.2    $
          174.7    $
           0.85



              Inventory and manufacturing-                               (7.2)                                                                                                                                                                                                                 (5.1)            12.3             0.06
    related charges(1)



              Intangible asset amortization(2)                                                                                 (150.8)                                                                                                                                                          31.2            119.6             0.58



              Acquisition, integration and                                                                                                                                                                                      (46.0)                                                           9.8             36.2             0.18
    related(3)



              Quality remediation(4)                                     (3.6)                                                                                                                                                                               (42.6)                             10.3             35.9             0.18



              Litigation(5)                                                                                                                                                       (5.7)                                                                                                          1.4              4.3             0.02



              European Union Medical                                                                                                                                              (0.3)                                                                                                                          0.3
    Device Regulation(7)



              Other charges(8)                                                                                                                                                   (10.6)                                                                                                          3.1              7.5             0.04



              Other certain tax                                                                                                                                                                                                                                                                (0.1)             0.1
    adjustments(9)




              
                As Adjusted                                $
     565.0                         
     $                                                             $
              785.1                      
     $                                
          $                                $
           97.8    $
          390.9    $
           1.91







     
     (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) 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.  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.





     
     (4) 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.





     
     (5) 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.  In regards to these 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.





     
     (6) In the first quarter of 2019, we settled a patent
              infringement lawsuit out of court, and the other
              party agreed to pay us an upfront, lump-sum amount
              for a non-exclusive license to the patent.





     
     (7) The new European Union Medical Device Regulation
              imposes significant additional premarket and
              postmarket requirements.  The new regulations provide
              a transition period until May 2020 for currently-
              approved medical devices 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 establish initial
              compliance 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 that have a significant impact to our operating
              results that we have excluded from our non-GAAP
              measures.  These include costs related to legal
              entity and operational restructuring transactions 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) Other certain tax adjustments relate to various
              discrete tax period adjustments.

                                               
           
                ZIMMER BIOMET HOLDINGS, INC.


                                     
              
             RECONCILIATION OF NET CASH PROVIDED BY OPERATING


                                               
           
                ACTIVITIES TO FREE CASH FLOW


                                    
              
             FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                 
           
                (in millions, unaudited)






                                                                                                                    Three Months Ended March 31,



                                                                                                           2019                    2018

                                                                                                                                   ---


     Net cash provided by operating activities                                                                 $
        283.6                      $
         490.5



     Additions to instruments                                                                                     (63.7)                           (60.4)



     Additions to other property, plant and equipment                                                             (37.8)                           (26.7)




     Free cash flow                                                                                            $
        182.1                      $
         403.4

                                                                                                                                                         ===

                                                        
           
                ZIMMER BIOMET HOLDINGS, INC.


                                         
              
             RECONCILIATION OF GROSS PROFIT & MARGIN TO ADJUSTED GROSS


                                                            
             
                PROFIT & MARGIN


                                             
              
             FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                          
           
                (in millions, unaudited)






                                                                                                                        Three Months Ended March 31,



                                                                                                              2019                          2018

                                                                                                                                            ---


              Net Sales                                                                                             $
        1,975.5                       $
      2,017.6



              Cost of products sold, excluding intangible                                                                 553.4                             575.8
    asset amortization



              Intangible asset amortization                                                                               143.4                             150.8




              Gross Profit                                                                                          $
        1,278.7                       $
      1,291.0





              Inventory and manufacturing-related charges                                                                   2.0                               7.2



              Quality remediation                                                                                                                   3.6



              Intangible asset amortization                                                                               143.4                             150.8




              Adjusted gross profit                                                                                 $
        1,424.1                       $
      1,452.6

                                                                                                                                                                ===






              Gross margin                                                                                                64.7%                            64.0%



              Inventory and manufacturing-related charges                                                                   0.1                               0.4



              Quality remediation                                                                                                                   0.1



              Intangible asset amortization                                                                                 7.3                               7.5




              Adjusted gross margin                                                                                       72.1%                            72.0%


                                                  
             
                ZIMMER BIOMET HOLDINGS, INC.


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


                                       
              
               FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                    
             
                (in millions, unaudited)






                                                                                                                        Three Months Ended March 31,



                                                                                                              2019                          2018

                                                                                                                                            ---


     Operating profit                                                                                               $
         350.2                    $
        305.0



     Inventory and manufacturing-related charges                                                                           2.0                            7.2



     Intangible asset amortization                                                                                       143.4                          150.8



     Acquisition, integration and related                                                                                 10.7                           46.0



     Quality remediation                                                                                                  19.7                           46.2



     Litigation                                                                                                          (1.8)                           5.7



     Patent litigation licensing gain                                                                                   (23.5)



     European Union Medical Device Regulation                                                                              1.6                            0.3



     Other charges                                                                                                        22.7                           10.6




     Adjusted operating profit                                                                                      $
         525.0                    $
        571.8

                                                                                                                                                            ===






     Operating profit margin                                                                                             17.7%                         15.1%



     Inventory and manufacturing-related charges                                                                           0.1                            0.4



     Intangible asset amortization                                                                                         7.3                            7.5



     Acquisition, integration and related                                                                                  0.5                            2.3



     Quality remediation                                                                                                   1.0                            2.3



     Litigation                                                                                                          (0.1)                           0.3



     Patent litigation licensing gain                                                                                    (1.2)



     European Union Medical Device Regulation                                                                              0.1



     Other charges                                                                                                         1.2                            0.4




     Adjusted operating profit margin                                                                                    26.6%                         28.3%


                                                       
              
                ZIMMER BIOMET HOLDINGS, INC.


                                   
              
                RECONCILIATION OF EFFECTIVE TAX RATE TO ADJUSTED EFFECTIVE TAX RATE


                                            
              
                FOR THE THREE MONTHS ENDED MARCH 31, 2019 and 2018


                                                               
              
                (unaudited)






                                                                                                                                     Three Months Ended March
                                                                                                                                      31,



                                                                                                                                2019           2018

                                                                                                                                               ---


              Effective tax rate                                                                                              15.6%         21.1%



              Inventory and manufacturing-related charges,                                                                      1.9          (1.1)
    intangible asset amortization, acquisition,
    integration and related, quality remediation,
    litigation, patent litigation licensing gain,
    European Union Medical Device Regulation,
    other charges and other certain tax adjustments

                                                                                                                                               ---


              Adjusted effective tax rate                                                                                     17.5%         20.0%

                                                                                                                                               ===

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SOURCE Zimmer Biomet Holdings, Inc.