Zimmer Biomet Announces Third Quarter 2020 Financial Results

WARSAW, Ind., Nov. 6, 2020 /PRNewswire/ -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) today reported financial results for the quarter ended September 30, 2020. The Company reported third quarter net sales of $1.929 billion, an increase of 2.0% over the prior year period, and an increase of 1.1% on a constant currency basis. Net earnings for the third quarter were $242.5 million. Net earnings on an adjusted basis were $376.8 million.

Diluted earnings per share were $1.16 for the third quarter, a decrease of 44.2% from the prior year period. Adjusted diluted earnings per share were $1.81 for the third quarter, an increase of 2.3% over the prior year period.

"While the stronger than expected recovery of elective procedures in the third quarter was encouraging, we also remain focused on ZB's strong operational execution, which continues to drive confidence in our underlying business," said Bryan Hanson, President and CEO of Zimmer Biomet. "It is important to note that the challenges and fluidity around COVID-19 persist as we move into the end of the year. Still, we will continue to transform our business, invest for greater value and prioritize innovation to better position the Company for accelerated growth over the long term. I am so proud of our global team for the support we provide healthcare professionals and patients every day and our ongoing commitment to the ZB mission to better the lives of people around the world."

While the recovery from COVID-19 continued in the third quarter, the pace of procedure volume and patient returns slowed toward the end of the period, with overall performance still negatively impacted by the pandemic. Stronger recovery was seen in the Americas and Asia Pacific in the quarter, with a slower return in regions within Europe, the Middle East and Africa (EMEA).

Please see the attached schedules accompanying this press release for additional details on performance in the quarter, including sales by Zimmer Biomet's three geographies and five product categories.

Recent Highlights

Aligned with Zimmer Biomet's active portfolio management strategy and the ongoing transformation of the business, the Company has invested in priority and right-to-win areas to drive long-term growth, including two recently completed acquisitions. Collectively, these deals total approximately $80 million in initial spend and up to $98 million in deferred and milestone payments and add new or soon-to-be launched product offerings to the Zimmer Biomet portfolio:

    --  Incisive LLC, a privately-held operating room (OR) solutions company in
        the expanding $1.2 billion global integrated OR market; Incisive's
        technology drives efficiency in the surgical setting through a
        comprehensive offering of "smart OR" infrastructure, including surgical
        booms and lights with a smaller footprint as well as proprietary data
        analytics and artificial intelligence capabilities; this approach
        reduces acquisition and construction costs and is especially attractive
        to ambulatory surgery center (ASC) customers; revenues will be recorded
        in the Company's S.E.T. segment

    --  Relign Corp., a privately-held company in the attractive and growing
        $1.6 billion arthroscopy market and overall $5 billion sports medicine
        market; Relign's offerings include the consolidation of three
        differentiated arthroscopy tower components into a single system, a
        first in the industry, and address a key portfolio gap for Zimmer Biomet
        in the sports medicine and broader ASC markets; revenues will be
        recorded in the Company's S.E.T. segment

Geographic and Product Category Sales

The following sales tables provide results by geography and product category for the three and nine-month periods ended September 30, 2020, as well as the percentage change compared to the prior year periods, on both a reported basis and a constant currency basis.


                                                                        
       
       NET SALES - THREE MONTHS ENDED SEPTEMBER 30, 2020


                                                                          
       
           
                (in millions, unaudited)






                                                                                                                                           Constant


                                                      Net                                                                                           Currency


                                                     Sales                             % Change                                   % Change



                              Geographic Results



     Americas                                             $
       1,216.5                                              3.2                                           3.3
                                                                                                                      %                                            %



     EMEA                                                      366.2                                            (2.3)                                        (5.7)



     Asia Pacific                                              346.6                                              2.3                                           0.7



                              Total                        $
       1,929.3                                              2.0                                           1.1
                                                                                                                      %                                            %



                              Product Categories



     
              
                Knees



     Americas                                               $
       402.6                                              0.9                                           0.9
                                                                                                                      %                                            %



     EMEA                                                      126.6                                            (6.4)                                        (9.5)



     Asia Pacific                                              119.5                                              1.7                                         (0.1)




     Total                                                     648.7                                            (0.5)                                        (1.4)



     
              
                Hips



     Americas                                                  268.6                                              7.9                                           8.0



     EMEA                                                      109.7                                              0.8                                         (2.6)



     Asia Pacific                                              105.8                                              4.4                                           2.9




     Total                                                     484.1                                              5.4                                           4.4



     
              
                S.E.T *                           359.9                                              3.3                                           2.5


                              Dental, Spine & CMFT**            295.5                                              7.3                                           6.5



     
              
                Other                             141.1                                           (10.3)                                       (11.1)



                              Total                        $
       1,929.3                                              2.0                                           1.1
                                                                                                                      %                                            %








     * Sports Medicine, Extremities and Trauma



     ** Craniomaxillofacial and Thoracic


                                                                            
     
       
       NET SALES - NINE MONTHS ENDED SEPTEMBER 30, 2020


                                                                               
     
      
                 (in millions, unaudited)






                                                                                                                                                Constant


                                                          Net                                                                                            Currency


                                                         Sales                           % Change                                      % Change



                                  Geographic Results



     Americas                                                 $
       3,051.5                                         (14.9)                                          (14.8)
                                                                                                                        %                                               %



     EMEA                                                          983.0                                         (23.0)                                          (22.7)



     Asia Pacific                                                  904.7                                          (8.8)                                           (9.0)



                                  Total                        $
       4,939.2                                         (15.7)                                          (15.6)
                                                                                                                        %                                               %



                                  Product Categories


                                  Knees



     Americas                                                 $
       1,003.9                                         (17.9)                                          (17.9)
                                                                                                                        %                                               %



     EMEA                                                          344.5                                         (27.4)                                          (27.0)



     Asia Pacific                                                  304.3                                         (13.6)                                          (13.4)




     Total                                                       1,652.7                                         (19.4)                                          (19.2)


                                  Hips



     Americas                                                      671.8                                         (10.3)                                          (10.2)



     EMEA                                                          291.9                                         (20.6)                                          (20.4)



     Asia Pacific                                                  282.7                                          (7.0)                                           (7.2)




     Total                                                       1,246.4                                         (12.3)                                          (12.2)


                                  S.E.T *                           946.1                                         (10.9)                                          (10.8)


                                  Dental, Spine & CMFT**            729.7                                         (14.7)                                          (14.7)


                                  Other                             364.3                                         (22.2)                                          (22.2)



                                  Total                        $
       4,939.2                                         (15.7)                                          (15.6)
                                                                                                                        %                                               %








     * Sports Medicine, Extremities and Trauma



     ** Craniomaxillofacial and Thoracic

Cash Flow and Balance Sheet

Cash provided by operating activities for the third quarter was $381.3 million and free cash flow was $287.2 million. At September 30, 2020, the Company had $967.3 million in cash and cash equivalents on the balance sheet. In the third quarter, the Company paid $49.6 million in dividends and declared a dividend of $0.24 per share. As previously announced, Zimmer Biomet refinanced $1.5 billion in debt that came due April 1, 2020, renegotiated the terms of its $1.5 billion revolver and secured an additional $1.0 billion credit facility. No borrowings are outstanding under these credit facilities.

Financial Guidance

While Zimmer Biomet saw encouraging recovery in elective procedures during the third quarter, there continues to be uncertainty around the scope and duration of COVID-19 and its ongoing impact. Therefore, the Company is currently unable to quantify the expected impact on its results of operations, financial condition and cash flows, which could be material, for 2020 and is not providing fourth quarter financial guidance at this time.

Conference Call

The Company will conduct its third quarter 2020 investor conference call today, November 6, 2020, at 8:30 a.m. ET. The audio webcast can be accessed via Zimmer Biomet's Investor Relations website at https://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 and nine-month periods ended September 30, 2020 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 (loss) and diluted earnings (loss) per share for the three and nine-month periods ended September 30, 2020 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; goodwill and intangible asset impairment; restructuring and other cost reduction initiative expenses; quality remediation expenses; acquisition, integration and related expenses; certain litigation gains and charges; expenses to establish initial compliance with the European Union Medical Device Regulation; other charges; any related effects on our income tax provision associated with these items; tax adjustments relating to the impacts of tax only amortization in Switzerland; the effect of Switzerland tax reform; other certain tax adjustments; and, with respect to earnings per share information, provide for the effect of dilutive shares assuming net earnings in a period 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.

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including statements regarding the impact of the COVID-19 pandemic on our business, and any statements about our forecasts, expectations, plans, intentions, strategies or prospects. 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 effects of the COVID-19 global pandemic and other adverse public health developments on the global economy, our business and operations and the business and operations of our suppliers and customers, including the deferral of elective procedures and our ability to collect accounts receivable; the risks and uncertainties related to our ability to successfully execute our restructuring plans; the success of our quality and operational excellence initiatives, including ongoing quality remediation efforts at our Warsaw North Campus facility; the ability to remediate matters identified in inspectional observations or warning letters issued by the U.S. Food and Drug Administration (FDA), while continuing to satisfy the demand for our products; compliance with the Deferred Prosecution Agreement entered into in January 2017; the impact of substantial indebtedness on our ability to service our debt obligations and/or refinance amounts outstanding under our debt obligations at maturity on terms favorable to us, or at all; 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; 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, suppliers and lenders and on our operating results and businesses generally; challenges relating to changes in and compliance with governmental laws and regulations affecting our U.S. and international businesses, including regulations of the FDA and foreign government regulators, such as more stringent requirements for regulatory clearance of 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; breaches or failures of our information technology systems or products, including by cyberattack, unauthorized access or theft; 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, intellectual property and commercial litigation losses; 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. A further list and description of these risks and uncertainties and other factors can be found in our Annual Report on Form 10-K for the year ended December 31, 2019, including in the sections captioned "Cautionary Note Regarding Forward-Looking Statements" and "Item 1A. Risk Factors," and our subsequent filings with the Securities and Exchange Commission (SEC). Copies of these filings are available online at www.sec.gov, www.zimmerbiomet.com or on request from us. These factors should not be construed as exhaustive and should be read in conjunction with the other cautionary statements that are included in our filings with the SEC. 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 press 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 press release.




                                     
              
                
                  ZIMMER BIOMET HOLDINGS, INC.


                             
              
                
                  CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS


                        
              
                
                  FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                          
              
                
                  (in millions, except per share amounts, unaudited)




                                                                          2020                               2019



                                  Net Sales                                      $
              1,929.3                  $
          1,892.4


      Cost of products sold,
       excluding intangible asset
       amortization                                                                          569.4                            535.7


      Intangible asset amortization                                                          149.7                            146.6


      Research and development                                                                85.9                            114.4


      Selling, general and
       administrative                                                                        790.0                            826.4


      Restructuring and other cost
       reduction initiatives                                                                  16.2                              5.4



     Quality remediation                                                                      9.8                             20.7


      Acquisition, integration and
       related                                                                                 9.1                            (2.6)




     Operating expenses                                                                   1,630.1                          1,646.6



                                  Operating Profit                                           299.2                            245.8


      Other income (expense), net                                                             10.6                            (4.4)


      Interest expense, net                                                                 (54.0)                          (56.8)



      Earnings before income taxes                                                           255.8                            184.6


      Provision (benefit) for income
       taxes                                                                                   9.7                          (247.4)



                                  Net Earnings                                               246.1                            432.0


      Less: Net earnings
       attributable to
       noncontrolling interest                                                                 3.6                              0.9



                                  Net Earnings of
                                   Zimmer Biomet
                                   Holdings, Inc.                                  $
              242.5                    $
          431.1



                                  Earnings Per Common Share



     Basic                                                                         $
              1.17                     $
          2.10



     Diluted                                                                       $
              1.16                     $
          2.08


                                  Weighted Average Common Shares
                                   Outstanding



     Basic                                                                                  207.1                            205.3



     Diluted                                                                                208.5                            207.0




                                     
              
                
                  ZIMMER BIOMET HOLDINGS, INC.


                             
              
                
                  CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS


                         
              
                
                  FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                          
              
                
                  (in millions, except per share amounts, unaudited)




                                                                          2020                                        2019



                                  Net Sales                                      $
              4,939.2                       $
          5,856.5


      Cost of products sold,
       excluding intangible asset
       amortization                                                                        1,481.0                               1,670.4


      Intangible asset amortization                                                          445.0                                 436.9


      Research and development                                                               272.0                                 328.2


      Selling, general and
       administrative                                                                      2,283.9                               2,461.6


      Goodwill and intangible asset
       impairment                                                                            645.0                                  70.1


      Restructuring and other cost
       reduction initiatives                                                                  89.2                                  17.0



     Quality remediation                                                                     35.9                                  63.1


      Acquisition, integration and
       related                                                                                15.7                                   8.5




     Operating expenses                                                                   5,267.7                               5,055.8



                                  Operating (Loss) Profit                                  (328.5)                                800.7


      Other income (expense), net                                                             17.4                                 (9.6)


      Interest expense, net                                                                (158.9)                              (174.5)



      (Loss) earnings before income
       taxes                                                                               (470.0)                                616.6


      Provision (benefit) for income
       taxes                                                                                   1.2                               (193.5)



                                  Net (Loss) Earnings                                      (471.2)                                810.1


      Less: Net earnings (loss)
       attributable to
       noncontrolling interest                                                                 1.4                                 (0.8)



                                  Net (Loss) Earnings
                                   of Zimmer Biomet
                                   Holdings, Inc.                                $
              (472.6)                        $
          810.9



                                  (Loss) Earnings Per Common
                                   Share



     Basic                                                                       $
              (2.29)                         $
          3.96



     Diluted                                                                     $
              (2.29)                         $
          3.93


                                  Weighted Average Common Shares
                                   Outstanding



     Basic                                                                                  206.8                                 204.8



     Diluted                                                                                206.8                                 206.3


                                                                  
         
            
                 ZIMMER BIOMET HOLDINGS, INC.


                                                                
         
         
                 CONDENSED CONSOLIDATED BALANCE SHEETS


                                                                    
         
            
                 (in millions, unaudited)




                                                                            September 30,                                       December 31,


                                                                                     2020                                                2019



                                  Assets


      Cash and cash equivalents                                                                        $
              967.3                         $
        617.9



     Receivables, net                                                                                           1,340.7                             1,363.9



     Inventories                                                                                                2,492.2                             2,385.0


      Other current assets                                                                                         352.4                               357.1



      Total current assets                                                                                       5,152.6                             4,723.9


      Property, plant and equipment,
       net                                                                                                       2,042.5                             2,077.4



     Goodwill                                                                                                   9,038.8                             9,599.7


      Intangible assets, net                                                                                     6,850.6                             7,257.6



     Other assets                                                                                                 941.0                               980.1



                                  Total Assets                                                      $
              24,025.5                      $
        24,638.7



                                  Liabilities and Stockholders'
                                   Equity



     Current liabilities                                                                            $
              1,816.2                       $
        1,941.5


      Current portion of long-term
       debt                                                                                                        450.0                             1,500.0


      Other long-term liabilities                                                                                2,040.9                             2,083.0



     Long-term debt                                                                                             7,840.2                             6,721.4


      Stockholders' equity                                                                                      11,878.2                            12,392.8



                                  Total Liabilities and
                                   Stockholders' Equity                                             $
              24,025.5                      $
        24,638.7


                                           
              
                
                  ZIMMER BIOMET HOLDINGS, INC.


                                  
              
                
                  CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS


                               
              
                
                  FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                             
              
                
                  (in millions, unaudited)




                                                                            2020                                                 2019



                                  Cash flows provided by (used in)
                                   operating activities



     Net (loss) earnings                                                                $
              (471.2)                            $
        810.1


      Depreciation and amortization                                                                    767.3                                   752.2



     Share-based compensation                                                                          62.0                                    61.6


      Goodwill and intangible asset
       impairment                                                                                      645.0                                    70.1


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



     Income taxes                                                                                    (55.0)                                (356.3)



     Receivables                                                                                       13.6                                   109.5



     Inventories                                                                                    (108.6)                                (106.0)


      Accounts payable and accrued
       expenses                                                                                      (131.4)                                (162.7)


      Other assets and liabilities                                                                      57.7                                  (16.0)



      Net cash provided by operating
       activities (1)                                                                                  779.4                                 1,162.5



                                  Cash flows provided by (used in)
                                   investing activities



     Additions to instruments                                                                       (222.8)                                (239.5)


      Additions to other property, plant
       and equipment                                                                                  (89.8)                                (155.3)


      Net investment hedge settlements                                                                  43.0                                    37.5


      Acquisition of intellectual property
       rights                                                                                                                               (197.6)


      Investments in other assets                                                                     (28.3)                                 (36.4)



      Net cash used in investing
       activities                                                                                    (297.9)                                (591.3)



                                  Cash flows provided by (used in)
                                   financing activities


      Proceeds from senior notes                                                                     1,497.1


      Redemption of senior notes                                                                   (1,500.0)



     Proceeds from term loans                                                                                                                200.0



     Payments on term loans                                                                                                                (750.0)


      Net payments on other debt                                                                                                              (5.0)


      Dividends paid to stockholders                                                                 (148.7)                                (147.3)


      Proceeds from employee stock
       compensation plans                                                                               97.7                                   125.9


      Net cash flows from unremitted
       collections from factoring programs                                                            (39.6)                                 (15.4)


      Business combination contingent
       consideration payments                                                                         (13.0)



     Debt issuance costs                                                                             (22.3)


      Other financing activities                                                                       (6.7)                                  (5.4)



      Net cash used in financing
       activities                                                                                    (135.5)                                (597.2)



      Effect of exchange rates on cash and
       cash equivalents                                                                                  3.4                                   (4.3)



      Increase (decrease) in cash and cash
       equivalents                                                                                     349.4                                  (30.3)


      Cash and cash equivalents, beginning
       of period                                                                                       617.9                                   542.8



      Cash and cash equivalents, end of
       period                                                                              $
              967.3                             $
        512.5





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


                                                                                            
        
        
                  ZIMMER BIOMET HOLDINGS, INC.


                                                                                               
        
        
                  NET SALES BY GEOGRAPHY


                                                                                        
     
          
          FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                                              
        
        
                  (in millions, unaudited)




                                   Three Months Ended September 30,



                   2020                             2019                        % Inc /                                      Volume /                          Price          Foreign
                                                                               (Dec)                                          Mix                                           Exchange




     Americas          $
     1,216.5                                  $
     1,179.2                                                    3.2                                   6.7             (3.4)   (0.1)
                                                                                                                                                                       %
                                                                                                                                  %                                                     %       %



     EMEA                   366.2                                       374.6                                                  (2.3)                                (4.8)            (0.9)     3.4



     Asia Pacific           346.6                                       338.6                                                    2.3                                   2.1             (1.4)     1.6




     Total             $
     1,929.3                                  $
     1,892.4                                                    2.0                                   3.7             (2.6)
                                                                                                                                                                       %                        %
                                                                                                                                  %                                                     %     0.9



                                                                                                      
        
        
                  ZIMMER BIOMET HOLDINGS, INC.


                                                                                                     
        
        
                  NET SALES BY PRODUCT CATEGORY


                                                                                              
         
          
          FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                                                        
        
        
                  (in millions, unaudited)




                                             Three Months Ended September 30,



                           2020                               2019                          % Inc /                                               Volume /               Price           Foreign
                                                                                           (Dec)                                                   Mix                                 Exchange




     Knees                       $
       648.7                                    $
       651.9                                                           (0.5)                        1.4             (2.8)
                                                                                                                                                                                  %                        %
                                                                                                                                                       %                                           %     0.9



     Hips                             484.1                                         459.2                                                             5.4                         7.3             (2.9)     1.0



     S.E.T                            359.9                                         348.5                                                             3.3                         4.9             (2.4)     0.8



     Dental, Spine & CMFT             295.5                                         275.5                                                             7.3                         9.0             (2.5)     0.8



     Other                            141.1                                         157.3                                                          (10.3)                     (10.1)            (1.0)     0.8




     Total                     $
       1,929.3                                  $
       1,892.4                                                             2.0                         3.7             (2.6)
                                                                                                                                                       %                          %                        %
                                                                                                                                                                                                   %     0.9


                                                                                          
        
        
                  ZIMMER BIOMET HOLDINGS, INC.


                                                                                             
        
        
                  NET SALES BY GEOGRAPHY


                                                                                      
     
          
          FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                                            
        
        
                  (in millions, unaudited)




                                   Nine Months Ended September 30,



                   2020                             2019                      % (Dec)                                      Volume /                         Price          Foreign
                                                                                                                            Mix                                          Exchange




     Americas          $
     3,051.5                                 $
     3,587.6                                                (14.9)                               (11.9)           (2.9) (0.1)
                                                                                                                                %                                    %
                                                                                                                                                                                     %     %



     EMEA                   983.0                                    1,276.5                                                (23.0)                               (21.5)           (1.2) (0.3)



     Asia Pacific           904.7                                      992.4                                                 (8.8)                                (7.8)           (1.2)   0.2




     Total             $
     4,939.2                                 $
     5,856.5                                                (15.7)                               (13.4)           (2.2) (0.1)
                                                                                                                                %                                    %
                                                                                                                                                                                     %     %


                                                                                                
        
        
                  ZIMMER BIOMET HOLDINGS, INC.


                                                                                               
        
        
                  NET SALES BY PRODUCT CATEGORY


                                                                                        
         
          
          FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                                                  
        
        
                  (in millions, unaudited)




                                           Nine Months Ended September 30,



                           2020                             2019                      % (Dec)                                               Volume /              Price          Foreign
                                                                                                                                             Mix                               Exchange




     Knees                     $
     1,652.7                                 $
     2,049.5                                                         (19.4)                    (16.7)           (2.5) (0.2)
                                                                                                                                                 %                         %
                                                                                                                                                                                           %     %



     Hips                         1,246.4                                    1,421.1                                                         (12.3)                     (9.5)           (2.7) (0.1)



     S.E.T                          946.1                                    1,062.3                                                         (10.9)                     (8.5)           (2.3) (0.1)



     Dental, Spine & CMFT           729.7                                      855.2                                                         (14.7)                    (13.5)           (1.2)



     Other                          364.3                                      468.4                                                         (22.2)                    (20.6)           (1.6)




     Total                     $
     4,939.2                                 $
     5,856.5                                                         (15.7)                    (13.4)           (2.2) (0.1)
                                                                                                                                                 %                         %
                                                                                                                                                                                           %     %


                                                                             
          
          
                ZIMMER BIOMET HOLDINGS, INC.


                                                                   
              
            
          RECONCILIATION OF REPORTED NET SALES % CHANGE TO


                                                                              
          
          
                CONSTANT CURRENCY % CHANGE


                                                                                  
          
            
                  (unaudited)






                                                       For the Three Months Ended


                                          
     
     
                September 30, 2020



                                                                                                                           Foreign                     Constant


                                                                                                                           Exchange                    Currency


                                                % Change                                                                    Impact                     % Change



                     Geographic Results



     Americas                                       3.2                                                                                       (0.1)
                                                       %                                                                                                            %
                                                                                                                                                  %               3.3



     EMEA                                         (2.3)                                                                                        3.4              (5.7)



     Asia Pacific                                   2.3                                                                                         1.6                0.7


                     Total                           2.0                                                                                         0.9                1.1
                                                       %                                                                                          %                 %


                     Product Categories


                     Knees



     Americas                                       0.9                                                                                             %             0.9
                                                       %                                                                                                            %



     EMEA                                         (6.4)                                                                                        3.1              (9.5)



     Asia Pacific                                   1.7                                                                                         1.8              (0.1)



     Total                                        (0.5)                                                                                        0.9              (1.4)



     
                
     Hips



     Americas                                       7.9                                                                                       (0.1)               8.0



     EMEA                                           0.8                                                                                         3.4              (2.6)



     Asia Pacific                                   4.4                                                                                         1.5                2.9



     Total                                          5.4                                                                                         1.0                4.4


                     S.E.T                           3.3                                                                                         0.8                2.5


                     Dental, Spine & CMFT            7.3                                                                                         0.8                6.5


                     Other                        (10.3)                                                                                        0.8             (11.1)


                     Total                           2.0                                                                                         0.9                1.1
                                                       %                                                                                          %                 %


                                                                             
         
          
                ZIMMER BIOMET HOLDINGS, INC.


                                                                   
              
           
          RECONCILIATION OF REPORTED NET SALES % CHANGE TO


                                                                              
         
          
                CONSTANT CURRENCY % CHANGE


                                                                                 
          
            
                  (unaudited)






                                                       For the Nine Months Ended


                                          
     
     
                September 30, 2020



                                                                                                                          Foreign                     Constant


                                                                                                                          Exchange                    Currency


                                                % Change                                                                   Impact                     % Change



                     Geographic Results



     Americas                                    (14.9)                                                                                      (0.1)
                                                       %                                                                                                            %
                                                                                                                                                  %            (14.8)



     EMEA                                        (23.0)                                                                                      (0.3)            (22.7)



     Asia Pacific                                 (8.8)                                                                                        0.2              (9.0)


                     Total                        (15.7)                                                                                      (0.1)
                                                       %                                                                                                            %
                                                                                                                                                  %            (15.6)


                     Product Categories


                     Knees



     Americas                                    (17.9)                                                                                            %          (17.9)
                                                       %                                                                                                            %



     EMEA                                        (27.4)                                                                                      (0.4)            (27.0)



     Asia Pacific                                (13.6)                                                                                      (0.2)            (13.4)



     Total                                       (19.4)                                                                                      (0.2)            (19.2)



     
                
     Hips



     Americas                                    (10.3)                                                                                      (0.1)            (10.2)



     EMEA                                        (20.6)                                                                                      (0.2)            (20.4)



     Asia Pacific                                 (7.0)                                                                                        0.2              (7.2)



     Total                                       (12.3)                                                                                      (0.1)            (12.2)


                     S.E.T                        (10.9)                                                                                      (0.1)            (10.8)


                     Dental, Spine & CMFT         (14.7)                                                                                                       (14.7)


                     Other                        (22.2)                                                                                                       (22.2)


                     Total                        (15.7)                                                                                      (0.1)
                                                       %                                                                                                            %
                                                                                                                                                  %            (15.6)


                                                                                                                                                                                                                                          
              
                
                  ZIMMER BIOMET HOLDINGS, INC.


                                                                                                                                                                                                                                   
            
                
                  RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


                                                                                                                                                                                                                               
            
                
                  FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                                                                                                                                                                                 
            
                
                  (in millions, except per share amounts, unaudited)






                                                                                                                                                                                                                                   
            
                
                  FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2020

                                                                                                                                                                                                                                                                          ---

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




              
                
                  As Reported              $
     569.4                                        $
        149.7                                             $
              85.9                                          $
              790.0                                                                        $
           16.2                                     $
             9.8              $
           9.1              $
             10.6               $
              9.7    $
              242.5    $
              1.16



              Inventory and manufacturing-                            (2.3)                                                                                                                                                                                                                                                                                                                                                                                             4.3                (2.0)             (0.01)
    related charges(1)



              Intangible asset amortization(2)                                                                        (149.7)                                                                                                                                                                                                                                                                                                                                          39.3                110.4                0.53



              Restructuring and other cost                                                                                                                                                                                                                                                                                       (16.2)                                                                                                                                 6.5                  9.7                0.05
    reduction initiatives(4)



              Quality remediation(5)                                  (0.2)                                                                                                                                                                                                                                                                                                          (9.8)                                                                              3.2                  6.8                0.03



              Acquisition, integration and related(6)                                                                                                                                                                                                                                                                                                                                                          (9.1)                                                    1.9                  7.2                0.03



              Litigation(7)                                                                                                                                                                                                                  (19.3)                                                                                                                                                                                                                     6.8                 12.5                0.06



              European Union Medical Device                                                                                                                                         (2.0)                                                                                                                                                                                                                                                                               1.1                  0.9                0.01
    Regulation(8)



              Other charges(9)                                                                                                                                                                                                                (0.3)                                                                                                                                                                                      (8.6)                        (4.7)               (3.6)             (0.02)



              Tax adjustments relating to                                                                                                                                                                                                                                                                                                                                                                                                                             (1.9)                 1.9                0.01
    the impacts of tax only
    amortization in Switzerland(10)



              Switzerland tax reform(11)                                                                                                                                                                                                                                                                                                                                                                                                                                6.5                (6.5)             (0.03)



              Other certain tax adjustments(12)                                                                                                                                                                                                                                                                                                                                                                                                                         3.0                (3.0)             (0.01)



              
                
                  As Adjusted              $
     566.9                         
             $                                                           $
              83.9                                          $
              770.4                                                                     
     $                                              
     $                  
             $                        $
             2.0                $
            75.7     $
             376.8     $
             1.81



                                                                                                                                                                                                                                        
         
         
               FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2019

                                                                                                                                                                                                                                                                 ---

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




              
                
                  As Reported                      $
      535.7                                        $
        146.6                                             $
              114.4                                 $
         826.4                                                                         $
           5.4                                      $
              20.7                   $
         (2.6)           $
         (247.4)              $
          0.9   $
             431.1   $
              2.08



              Inventory and manufacturing-                                    (11.6)                                                                                                                                                                                                                                                                                                                                                        6.8                                         4.8               0.02
    related charges(1)



              Intangible asset amortization(2)                                                                                 (146.6)                                                                                                                                                                                                                                                                                                     27.0                                       119.6               0.58



              Restructuring and other cost                                                                                                                                                                                                                                                                                    (5.4)                                                                                                         1.3                                         4.1               0.02
    reduction initiatives(4)



              Quality remediation(5)                                           (0.8)                                                                                                                                                                                                                                                                                              (20.7)                                                    4.8                                        16.7               0.08



              Acquisition, integration and related(6)                                                                                                                                                                                                                                                                                                                                                              2.6                     (0.5)                                      (2.1)            (0.01)



              Litigation(7)                                                                                                                                                                                                              (42.8)                                                                                                                                                                                             8.7                                        34.1               0.16



              European Union Medical Device                                                                                                                                                  (11.4)                                                                                                                                                                                                                                         2.1                                         9.3               0.05
    Regulation(8)



              Other charges(9)                                                                                                                                                                                                           (18.5)                                                                                                                                                                                             4.6                       0.1               13.8               0.07



              Switzerland tax reform(11)                                                                                                                                                                                                                                                                                                                                                                                                  263.8                                     (263.8)            (1.27)



              Other certain tax adjustments(12)                                                                                                                                                                                                                                                                                                                                                                                             1.2                                       (1.2)            (0.01)



              
                
                  As Adjusted                      $
      523.3                           
              $                                                        $
              103.0                                 $
         765.1                                                               
            $                                       
     $                                
             $                        $
         72.4               $
          1.0   $
             366.4   $
              1.77


                                                                                                                                                                                                                                                              
        
                
                  ZIMMER BIOMET HOLDINGS, INC.


                                                                                                                                                                                                                                                         
          
          
                  RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


                                                                                                                                                                                                                                                     
          
          
                  FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                                                                                                                                                                                                       
          
          
                  (in millions, except per share amounts, unaudited)




                                                                                                                                                                                                                                                          
          
          
                  FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2020

                                                                                                                                                                                                                                                                                        ---

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




              
                
                  As Reported              $
     1,481.0                                        $
        445.0                                            $
              272.0                             $
        2,283.9                                                                           $
              645.0                                              $
              89.2              $
            35.9                $
            15.7                 $
              17.4    $
             1.2    $
            (472.6)   $
              (2.29)



              Inventory and manufacturing-                              (4.3)                                                                                                                                                                                                                                                                                                                                                                                                                     10.2               (5.9)               (0.03)
    related charges(1)



              Intangible asset amortization(2)                                                                          (445.0)                                                                                                                                                                                                                                                                                                                                                                   77.5               367.5                  1.78



              Goodwill and intangible asset                                                                                                                                                                                                                                                                             (645.0)                                                                                                                                                                    5.7               639.3                  3.09


              impairment(3)



              Restructuring and other cost                                                                                                                                                                                                                                                                                                                                            (89.2)                                                                                                      18.7                70.5                  0.34
    reduction initiatives(4)



              Quality remediation(5)                                      0.1                                                                                                                                                                                                                                                                                                                                     (35.9)                                                                            7.3                28.5                  0.14



              Acquisition, integration and related(6)                                                                                                                                                                                                                                                                                                                                                                                           (15.7)                                             2.9                12.8                  0.06



              Litigation(7)                                                                                                                                                                                                  (100.4)                                                                                                                                                                                                                                                              18.7                81.7                  0.40



              European Union Medical Device                                                                                                                                          (19.1)                                                                                                                                                                                                                                                                                                        3.2                15.9                  0.07
    Regulation(8)



              Other charges(9)                                                                                                                                                                                                (18.1)                                                                                                                                                                                                                                          (12.5)               7.9               (2.3)               (0.01)



              Tax adjustments relating to                                                                                                                                                                                                                                                                                                                                                                                                                                                       (18.1)               18.1                  0.09
    the impacts of tax only
    amortization in Switzerland(10)



              Switzerland tax reform(11)                                                                                                                                                                                                                                                                                                                                                                                                                                                           6.5               (6.5)               (0.03)



              Other certain tax adjustments(12)                                                                                                                                                                                                                                                                                                                                                                                                                                                    6.1               (6.1)               (0.03)



              Effect of dilutive shares assuming                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        (0.02)
    net earnings(13)




              
                
                  As Adjusted              $
     1,476.8                         
              $                                                         $
              252.9                             $
        2,165.4                                                       
              $                                                              
     $                          
            $                           
     $                            $
              4.9      $
          147.8     $
            740.9      $
              3.56


                                                                                                                                                                                                                                                           
     
         
                  FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2019

                                                                                                                                                                                                                                                                                   ---

                                                       Cost of                         Intangible             Research and               Selling, general             Intangible               Restructuring Quality                          Acquisition,                    Provision                                        Net earnings               Net (Loss)               Diluted
                                                                 products                             asset                                               development                   and                             asset                                  and other cost                                                               remediation              integration           (benefit)                        (loss)                      Earnings of       (loss)
                                                                   sold,                          amortization                                                                    administrative                     impairment                                   reduction                                                                                          and related           for income                  attributable to                     Zimmer        earnings
                                                                 excluding                                                                                                                                                                                       initiatives                                                                                                                  taxes                    noncontrolling                      Biomet       per common
                                                                intangible                                                                                                                                                                                                                                                                                                                                                 interest                      Holdings,         share
                                                                   asset                                                                                                                                                                                                                                                                                                                                                                                    Inc.
                                                               amortization




              
                
                  As Reported                      $
     1,670.4                                       $
        436.9                                          $
              328.2                              $
       2,461.6                                                      $
              70.1                                                  $
              17.0                   $
            63.1                     $
           8.5                $
              (193.5)   $
          (0.8)    $
              810.9    $
              3.93



              Inventory and manufacturing-                                     (47.7)                                                                                                                                                                                                                                                                                                                                                                                        19.8                                  27.9                0.14
    related charges(1)



              Intangible asset amortization(2)                                                                                 (436.9)                                                                                                                                                                                                                                                                                                                                       85.0                                 351.9                1.71



              Intangible asset impairment(3)                                                                                                                                                                                                                                                            (70.1)                                                                                                                                                                5.5                                  64.6                0.31



              Restructuring and other cost                                                                                                                                                                                                                                                                                                                               (17.0)                                                                                               4.0                                  13.0                0.06
    reduction initiatives(4)



              Quality remediation(5)                                            (1.5)                                                                                                                                                                                                                                                                                                                     (63.1)                                                             14.9                                  49.7                0.24



              Acquisition, integration and                                                                                                                                                                                                                                                                                                                                                                                                   (8.5)                            2.5                                   6.0                0.03
    related(6)



              Litigation(7)                                                                                                                                                                                                        (48.0)                                                                                                                                                                                                                                     7.9                                  40.1                0.19



              Litigation settlement gain(14)                                                                                                                                                                                         23.5                                                                                                                                                                                                                                    (5.2)                               (18.3)             (0.09)



              European Union Medical                                                                                                                                                      (18.1)                                                                                                                                                                                                                                                                              3.2                                  14.9                0.07
    Device Regulation(8)



              Other charges(9)                                                                                                                                                             (4.3)                                   (78.8)                                                                                                                                                                                                                                    17.8              1.3                  64.0                0.31



              Switzerland tax reform(11)                                                                                                                                                                                                                                                                                                                                                                                                                                    263.8                               (263.8)             (1.27)



              Other certain tax adjustments(12)                                                                                                                                                                                                                                                                                                                                                                                                                              12.6                                (12.6)             (0.06)



              
                
                  As Adjusted                      $
     1,621.2                            
            $                                                     $
              305.8                              $
       2,358.3                                       
              $                                                         
       $                               
             $                                
     $                          $
              238.3      $
          0.5     $
            1,148.3    $
              5.57



     
     
     (1)  Inventory and manufacturing-related
                 charges include excess and obsolete
                 inventory charges on certain product
                 lines we intend to discontinue and
                 other inventory and manufacturing-
                 related charges.  In the nine-month
                 period ended September 30, 2019,
                 inventory and manufacturing-related
                 charges also included a $20.8
                 million charge incurred to terminate
                 a raw material supply agreement.





     
     
     (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 first quarter of 2020, we
                 recognized goodwill impairment
                 charges of $470.0 million and $142.0
                 million related to our EMEA and
                 Dental reporting units,
                 respectively.  In the second
                 quarters of 2020 and 2019, we
                 recognized $33.0 million and $70.1
                 million, respectively, of in-
                 process research and development
                 ("IPR&D") intangible asset
                 impairments on certain IPR&D
                 projects.





     
     
     (4)  In December 2019, our Board of
                 Directors approved, and we
                 initiated, a new global
                 restructuring program that includes
                 a reorganization of key businesses
                 and an overall effort to reduce
                 costs in order to accelerate
                 decision-making and focus the
                 organization on priorities to drive
                 growth.  Restructuring and other
                 cost reduction initiatives also
                 include other cost reduction
                 initiatives that have the goal of
                 reducing costs across the
                 organization.





     
     
     (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 previous 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)  The acquisition, integration and
                 related gains and expenses we have
                 excluded from our non-GAAP
                 financial measures resulted from
                 various acquisitions.





     
     
     (7)  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, patent litigation and
                 commercial litigation related to a
                 common matter in multiple
                 jurisdictions.  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.





     
     
     (8)  The European Union Medical Device
                 Regulation imposes significant
                 additional premarket and postmarket
                 requirements.  The new regulations
                 provide a transition period until
                 May 2021 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.





     
     
     (9)  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,
                 distribution and manufacturing
                 optimization, including contract
                 terminations, gains and losses from
                 changes in fair value on our equity
                 investments, 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, we were subject to
                 oversight by an independent
                 compliance monitor, which
                 monitorship concluded in August
                 2020.  We expect the one-count
                 criminal information filed against
                 us in 2017 to be dismissed with
                 prejudice in February 2021 and the
                 DPA to conclude at that time.  The
                 excluded costs include the fees paid
                 to the independent compliance
                 monitor and to external legal
                 counsel assisting in the matter.





     
     
     (10) Represents tax adjustments relating
                 to the impacts of tax only
                 amortization resulting from Swiss
                 Tax Reform as well as certain
                 restructuring transactions in
                 Switzerland.





     
     
     (11) Switzerland passed the Federal Act on
                 Tax Reform and AHV Financing (TRAF),
                 effective January 1, 2020. Certain
                 provisions of the TRAF were enacted
                 in the third quarter of 2019,
                 resulting in provisional adjustments
                 to our deferred taxes, generating a
                 net tax benefit.





     
     
     (12) Other certain tax adjustments relate
                 to various discrete tax period
                 adjustments.





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


                               Nine Months
                                Ended


                               September
                                30, 2020






     Diluted shares                       206.8


      Dilutive shares assuming
       net earnings                          1.4



      Adjusted diluted shares              208.2


               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

     
     
     (14)  patent.


                                                       
          
              
                  ZIMMER BIOMET HOLDINGS, INC.


                                               
            
            
                RECONCILIATION OF NET CASH PROVIDED BY OPERATING


                                                       
          
              
                  ACTIVITIES TO FREE CASH FLOW


                                             
       
             
              FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                         
          
              
                  (in millions, unaudited)






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



                                                  2020                                  2019                                          2020                    2019




     Net cash provided by operating                    $
          381.3                                       $
              577.9                   $
              779.4  $
            1,162.5


     activities



     Additions to instruments                               (63.5)                                                 (94.7)                            (222.8)           (239.5)



     Additions to other property, plant and                 (30.6)                                                 (58.6)                             (89.8)           (155.3)


     equipment




     Free cash flow                                    $
          287.2                                       $
              424.6                   $
              466.8    $
            767.7


                                                                 
             
                
                  ZIMMER BIOMET HOLDINGS, INC.


                                                       
          
              
                  RECONCILIATION OF GROSS PROFIT & MARGIN TO ADJUSTED GROSS


                                                                      
              
                
                  PROFIT & MARGIN


                                                     
         
              
                  FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                   
             
                
                  (in millions, unaudited)






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



                                             2020                                   2019                                                         2020                  2019




              Net Sales                          $
         1,929.3                                        $
              1,892.4                            $
              4,939.2  $
       5,856.5



              Cost of products sold,                    569.4                                                      535.7                                        1,481.0       1,670.4
    excluding intangible asset


              amortization



              Intangible asset amortization             149.7                                                      146.6                                          445.0         436.9




              Gross Profit                       $
         1,210.2                                        $
              1,210.1                            $
              3,013.2  $
       3,749.2





              Inventory and manufacturing-                2.3                                                       11.6                                            4.3          47.7
    related charges



              Quality remediation                         0.2                                                        0.8                                          (0.1)          1.5



              Intangible asset amortization             149.7                                                      146.6                                          445.0         436.9




              Adjusted gross profit              $
         1,362.4                                        $
              1,369.1                            $
              3,462.4  $
       4,235.3








              Gross margin                               62.7                                                       63.9                                           61.0          64.0
                                                               %                                                         %                                             %            %



              Inventory and manufacturing-                0.1                                                        0.6                                            0.1           0.8


              related charges



              Quality remediation



              Intangible asset amortization               7.8                                                        7.9                                            9.0           7.5




              Adjusted gross margin                      70.6                                                       72.4                                           70.1          72.3
                                                               %                                                         %                                             %            %


                                                                  
           
                
                  ZIMMER BIOMET HOLDINGS, INC.


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


                                                        
       
             
                  FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                    
           
                
                  (in millions, unaudited)






                                                                         Three Months Ended                                                                                 Nine Months Ended

                                                                         September 30,                                                                                 September 30,



                                                  2020                                2019                                                       2020                                      2019




              Operating profit (loss)                   $
       299.2                                       $
              245.8                                                $
              (328.5)            $
      800.7



              Inventory and manufacturing-                   2.3                                                    11.6                                                                4.3                  47.7


              related charges



              Intangible asset amortization                149.7                                                   146.6                                                              445.0                 436.9



              Goodwill and intangible asset                                                                                                                     645.0                             70.1


              impairment



              Restructuring and other cost                  16.2                                                     5.4                                                               89.2                  17.0


              reduction initiatives



              Quality remediation                           10.0                                                    21.5                                                               35.8                  64.6



              Acquisition, integration and                   9.1                                                   (2.6)                                                              15.7                   8.5


              related



              Litigation                                    19.3                                                    42.8                                                              100.4                  48.0



              Litigation settlement gain                                                                                                                                                       (23.5)



              European Union Medical                         2.0                                                    11.4                                                               19.1                  18.1


              Device Regulation



              Other charges                                  0.3                                                    18.5                                                               18.1                  83.1




              Adjusted operating profit                 $
       508.1                                       $
              501.0                                                $
              1,044.1           $
      1,571.2








              Operating profit (loss) margin                15.5                                                    13.0                                                              (6.7)                 13.7
                                                                  %                                                      %                                                                 %                    %



              Inventory and manufacturing-                   0.1                                                     0.6                                                                0.1                   0.8


              related charges



              Intangible asset amortization                  7.8                                                     7.9                                                                9.0                   7.5



              Goodwill and intangible asset                                                                                                                      13.1                              1.2
    impairment



              Restructuring and other cost                   0.8                                                     0.3                                                                1.8                   0.3
    reduction initiatives



              Quality remediation                            0.5                                                     1.1                                                                0.7                   1.1



              Acquisition, integration and                   0.5                                                   (0.1)                                                               0.3                   0.1


              related



              Litigation                                     1.0                                                     2.3                                                                2.0                   0.8



              Litigation settlement gain                                                                                                                                                        (0.4)



              European Union Medical                         0.1                                                     0.6                                                                0.4                   0.3


              Device Regulation



              Other charges                                                                       0.8                                                              0.4                              1.4




              Adjusted operating profit margin              26.3                                                    26.5                                                               21.1                  26.8
                                                                  %                                                      %                                                                 %                    %


                                                                                                              
              
                
                  ZIMMER BIOMET HOLDINGS, INC.


                                                                                          
              
                
                  RECONCILIATION OF EFFECTIVE TAX RATE TO ADJUSTED EFFECTIVE TAX RATE


                                                                                            
              
                
                  FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2020 and 2019


                                                                                                                      
              
                
                  (unaudited)






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



                                                                                          2020                                  2019                                                         2020                                          2019




     Effective tax rate                                                                   3.8                                                      (134.1)                                                                (0.3)
                                                                                                                                                         %                                                                                                                              %
                                                                                             %                                                                                                                                %                                                    (31.4)



     Tax effect of adjustments made                                                       9.8                                                          7.2                                                                  15.8                                                        3.8


     to earnings before taxes(1)



     Tax adjustments relating to the                                                    (0.7)                                                                                                                              3.8


     impacts of tax only


     amortization in Switzerland



     Switzerland tax reform                                                               2.5                                                        142.8                                                                 (1.4)                                                      42.8



     Other certain tax adjustments                                                        1.2                                                          0.6                                                                 (1.3)                                                       2.0




     Adjusted effective tax rate                                                         16.6                                                         16.5                                                                  16.6
                                                                                                                                                         %                                                                                                                              %
                                                                                             %                                                                                                                                %                                                      17.2





                                  (1)
                Includes inventory and manufacturing-related charges; intangible asset amortization; goodwill and intangible asset impairment; restructuring and other cost reduction initiatives; quality remediation; acquisition, integration and
                                   related; litigation; litigation settlement gain; European Union Medical Device Regulation; and other charges


                                   
          
               
                ZIMMER BIOMET HOLDINGS, INC.


                                 
         
                
               RECONCILIATION OF DEBT TO NET DEBT


                               
         
            
               AS OF SEPTEMBER 30, 2020 and DECEMBER 31, 2019


                                     
          
               
                (in millions, unaudited)






                                       September 30,                                                     December 31,
                                        2020                                                               2019



     Debt, both
      current and
      long-term                                       $
            8,290.2                                               $
        8,221.4


     Cash and cash equivalents                                (967.3)                                                    (617.9)



     Net debt                                         $
            7,322.9                                               $
        7,603.5


                                           Media             
     
                
     
                    Investors

    ---


       Meredith Weissman                                    
     Keri Mattox



       (703) 346-3127                                       
     (215) 275-2431


                          meredith.weissman@zimmerbiomet.com 
     
                
     keri.mattox@zimmerbiomet.com




                                                             
     Ezgi Yagci


                                                             
     (617) 549-2443


                                                             
     
                
     ezgi.yagci@zimmerbiomet.com

View original content to download multimedia:http://www.prnewswire.com/news-releases/zimmer-biomet-announces-third-quarter-2020-financial-results-301167806.html

SOURCE Zimmer Biomet Holdings, Inc.