Zimmer Biomet Announces Fourth Quarter and Full-Year 2020 Financial Results

WARSAW, Ind., Feb. 5, 2021 /PRNewswire/ -- Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) today reported financial results for the quarter and year ended December 31, 2020. The Company reported fourth quarter net sales of $2.085 billion, a decrease of 1.9% from the prior year period, and a decrease of 3.7% on a constant currency basis. Net sales for the full year were $7.025 billion, a decrease of 12.0% from the prior year, and a decrease of 12.4% on a constant currency basis. Net earnings for the fourth quarter were $333.7 million, or $440.7 million on an adjusted basis, and for the full year net loss was $138.9 million and net earnings on an adjusted basis were $1,181.6 million.

Diluted earnings per share were $1.59 for the fourth quarter, an increase of 3.2% over the prior year period. Adjusted diluted earnings per share were $2.11 for the fourth quarter, a decrease of 8.3% from the prior year period. Full-year diluted loss per share was $0.67 and full-year adjusted diluted earnings per share were $5.67, a decrease of 28.0% from the prior year.

"The fourth quarter saw continued pressure from COVID and its impact on the recovery of elective procedures, yet our core business remained strong as did our operational execution to close out 2020," said Bryan Hanson, President and CEO of Zimmer Biomet. "Against that backdrop, we continue the transformation of our business in order to drive growth and increase shareholder value, as underscored by today's announcement that we intend to spin off our Spine and Dental businesses. This transaction will position us to prioritize resources, simplify our operating models and deliver greater value through two independent publicly traded companies. Our team remains confident and focused as we continue to deliver on our mission and serve patients, providers and our customers."

Please see the attached schedules accompanying this press release for additional details on performance in the quarter and full-year 2020, 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, key recent highlights include:

    --  Acquisition of A&E Medical Corp., a privately-held company that
        manufactures and sells innovative and differentiated products in the
        sternal closure market; expanded Zimmer Biomet's sternal closure
        portfolio to be one of the most comprehensive in a space growing at a
        high single digit percentage rate annually; revenues are recorded in the
        Company's Dental, Spine and CMFT segment.
    --  Launch of a large-scale, multimedia, direct-to-patient campaign, "Don't
        Let Pain Gain on You", in the U.S., focused on education and support for
        patients around elective procedures like joint replacement surgery,
        especially during the COVID pandemic.
    --  Partnership with Hospital for Special Surgery (HSS) to advance
        innovation on the mymobility® with Apple Watch® remote care management
        system that will enable patients and practices around the world to
        leverage HSS' expertise in orthopedic patient care through Zimmer
        Biomet's platform.
    --  Formal launch of the Zimmer Biomet Foundation, a philanthropic 501(c)(3)
        organization that further strengthens the Company's ongoing commitment
        to empowering diverse and underserved communities, supporting STEM
        education, enabling community health and providing disaster relief;
        launch included announcement of a partnership with the National
        Association for the Advancement of Colored People (NAACP) Empowerment
        Programs, Inc., with a commitment of $2 million over the next three
        years to support partnered efforts with NAACP to end racial injustice
        and advance diversity and equality.
    --  In conjunction with Q4 earnings, announcement of the intention to pursue
        a plan to spin off the Company's Spine and Dental businesses to form a
        new and independent, publicly traded company ("NewCo"); planned
        transaction will enhance the focus of both Zimmer Biomet and NewCo to
        meet the needs of patients and customers and achieve faster growth and
        greater value for all stakeholders.

Geographic and Product Category Sales

The following sales tables provide results by geography and product category for the three-month period and year ended December 31, 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 DECEMBER 31, 2020


                                                                                                               
      
              (in millions, unaudited)






                                                                                                                                                                                     Constant


                                                                                         Net                                                                                                  Currency


                                                                                        Sales                                         % Change                              % Change




     
              Geographic Results



     Americas*                                                                                $
        1,283.9                                                    (0.3) 
      %                                (0.3)  
       %



     EMEA                                                                                           408.3                                                   (13.2)                                    (17.5)



     Asia Pacific                                                                                   393.1                                                      7.1                                        2.0




     
              Total                                                                         $
        2,085.3                                                    (1.9) 
      %                                (3.7)  
       %




     
              Product Categories



     
              Knees



     Americas*                                                                                  $
        457.2                                                      0.8  
      %                                  0.8   
       %



     EMEA                                                                                           142.5                                                   (20.8)                                    (24.1)



     Asia Pacific                                                                                   137.4                                                      8.1                                        2.9




     Total                                                                                          737.1                                                    (3.1)                                     (4.8)



     
              Hips



     Americas*                                                                                      269.7                                                      1.0                                        1.0



     EMEA                                                                                           115.9                                                   (12.2)                                    (16.2)



     Asia Pacific                                                                                   118.5                                                      6.2                                        1.3




     Total                                                                                          504.1                                                    (1.3)                                     (3.4)



     
              S.E.T **                                                                            375.9                                                    (1.5)                                     (3.3)



     
              Dental, Spine & CMFT***                                                             314.0                                                      2.6                                        0.8



     
              Other                                                                               154.2                                                    (7.5)                                     (9.3)




     
              Total                                                                         $
        2,085.3                                                    (1.9) 
      %                                (3.7)  
       %








     * The Americas net sales in the three months ended December 31, 2020 include the benefit



        of expanded strategic sales, favorable bulk orders and shipment timing



     ** Sports Medicine, Extremities and Trauma



     *** Craniomaxillofacial and Thoracic


                                                            
            
       NET SALES - YEAR ENDED DECEMBER 31, 2020


                                                                   
       
             (in millions, unaudited)






                                                                                                                                      Constant


                                                 Net                                                                                           Currency


                                                Sales                                       % Change                       % Change




     
                Geographic Results



     Americas                                        $
       4,335.4                                                  (11.1)          %                     (11.0) %



     EMEA                                               1,391.3                                                  (20.4)                                (21.3)



     Asia Pacific                                       1,297.8                                                   (4.5)                                 (6.0)




     
                Total                              $
       7,024.5                                                  (12.0)          %                     (12.4) %




     
                Product Categories



     
                Knees



     Americas                                        $
       1,461.1                                                  (12.9)          %                     (12.8) %



     EMEA                                                 487.0                                                  (25.6)                                (26.2)



     Asia Pacific                                         441.7                                                   (7.8)                                 (9.1)




     Total                                              2,389.8                                                  (15.0)                                (15.3)



     
                Hips



     Americas                                             941.5                                                   (7.4)                                 (7.3)



     EMEA                                                 407.8                                                  (18.4)                                (19.3)



     Asia Pacific                                         401.2                                                   (3.4)                                 (4.9)




     Total                                              1,750.5                                                   (9.4)                                 (9.9)



     
                S.E.T *                               1,322.0                                                   (8.4)                                 (8.8)



     
                Dental, Spine & CMFT**                1,043.7                                                  (10.1)                                (10.6)



     
                Other                                   518.5                                                  (18.4)                                (18.8)




     
                Total                              $
       7,024.5                                                  (12.0)          %                     (12.4) %








     * Sports Medicine, Extremities and Trauma



     ** Craniomaxillofacial and Thoracic

Cash Flow and Balance Sheet

Cash provided by operating activities for the fourth quarter was $425.1 million and free cash flow was $328.5 million. At December 31, 2020, the Company had $802.1 million in cash and cash equivalents on the balance sheet. In the fourth quarter, the Company paid $49.8 million in dividends and declared a dividend of $0.24 per share. Cash provided by operating activities for the full year was $1.205 billion and free cash flow was $795.3 million. In the full year, the Company paid $198.5 million in dividends and declared dividends of $0.96 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

There continues to be uncertainty around the ongoing impact of COVID-19. 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 full year 2021 and is not providing financial guidance at this time.

Conference Call

The Company will conduct its fourth quarter and full-year 2020 investor conference call today, February 5, 2021, 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 or any other website referenced herein is not incorporated by reference into, and is not a part of, this document.

Note on Non-GAAP Financial Measures

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

Sales change information for the three-month period and the year ended December 31, 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-month period and the year ended December 31, 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 items, which are detailed in the reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures presented later in this press release.

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.



       
                
                  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




                                                                      
       
                ZIMMER BIOMET HOLDINGS, INC.


                                                                  
         
          CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS


                                                              
          
         FOR THE THREE MONTHS ENDED DECEMBER 31, 2020 and 2019


                                                               
          
         (in millions, except per share amounts, unaudited)




                                                                                                                            2020                 2019




     
                Net Sales                                                                                                     $
          2,085.3      $
          2,125.7



     Cost of products sold, excluding intangible asset amortization                                                                     647.3                582.2



     Intangible asset amortization                                                                                                      152.6                147.4



     Research and development                                                                                                           100.0                121.1



     Selling, general and administrative                                                                                                893.9                882.2



     Restructuring and other cost reduction initiatives                                                                                  27.7                 33.0



     Quality remediation                                                                                                                 15.0                 19.3



     Acquisition, integration and related                                                                                                 8.1                  3.7




     Operating expenses                                                                                                               1,844.6              1,788.9




     
                Operating Profit                                                                                                      240.7                336.8



     Other income (expense), net                                                                                                          8.0                  4.8



     Interest expense, net                                                                                                             (53.1)              (52.4)




     Earnings before income taxes                                                                                                       195.6                289.2



     Benefit for income taxes                                                                                                         (138.2)              (32.2)




     
                Net Earnings                                                                                                          333.8                321.4



     Less: Net earnings attributable to noncontrolling interest                                                                           0.1                  0.7




     
                Net Earnings of Zimmer Biomet Holdings, Inc.                                                                    $
          333.7        $
          320.7




     
                Earnings Per Common Share



     Basic                                                                                                                         $
          1.61         $
          1.56



     Diluted                                                                                                                       $
          1.59         $
          1.54



     
                Weighted Average Common Shares Outstanding



     Basic                                                                                                                              207.4                205.8



     Diluted                                                                                                                            209.3                207.8



                                                                        
        
                ZIMMER BIOMET HOLDINGS, INC.


                                                                   
           
          CONDENSED CONSOLIDATED STATEMENTS OF EARNINGS


                                                                  
           
          FOR THE YEARS ENDED DECEMBER 31, 2020 and 2019


                                                                
           
          (in millions, except per share amounts, unaudited)




                                                                                                                                2020               2019




     
                Net Sales                                                                                                         $
        7,024.5       $
          7,982.2



     Cost of products sold, excluding intangible asset amortization                                                                     2,128.3               2,252.6



     Intangible asset amortization                                                                                                        597.6                 584.3



     Research and development                                                                                                             372.0                 449.3



     Selling, general and administrative                                                                                                3,177.8               3,343.8



     Goodwill and intangible asset impairment                                                                                             645.0                  70.1



     Restructuring and other cost reduction initiatives                                                                                   116.9                  50.0



     Quality remediation                                                                                                                   50.9                  82.4



     Acquisition, integration and related                                                                                                  23.8                  12.2




     Operating expenses                                                                                                                 7,112.3               6,844.7




     
                Operating (Loss) Profit                                                                                                (87.8)              1,137.5



     Other income (expense), net                                                                                                           25.4                 (4.8)



     Interest expense, net                                                                                                              (212.0)              (226.9)




     (Loss) earnings before income taxes                                                                                                (274.4)                905.8



     Benefit for income taxes                                                                                                           (137.0)              (225.7)




     
                Net (Loss) Earnings                                                                                                   (137.4)              1,131.5



     Less: Net earnings (loss) attributable to noncontrolling interest                                                                      1.5                 (0.1)




     
                Net (Loss) Earnings of Zimmer Biomet Holdings, Inc.                                                               $
        (138.9)      $
          1,131.6




     
                (Loss) Earnings Per Common Share



     Basic                                                                                                                           $
        (0.67)         $
          5.52



     Diluted                                                                                                                         $
        (0.67)         $
          5.47



     
                Weighted Average Common Shares Outstanding



     Basic                                                                                                                                207.0                 205.1



     Diluted                                                                                                                              207.0                 206.7



                                                                
         
            ZIMMER BIOMET HOLDINGS, INC.


                                                              
         
         CONDENSED CONSOLIDATED BALANCE SHEETS


                                                                  
         
            (in millions, unaudited)




                                                                                  December 31,                           December 31,


                                                                                          2020                                    2019




     
                Assets



     Cash and cash equivalents                                                                           $
           802.1                  $
        617.9



     Receivables, net                                                                                           1,452.7                      1,363.9



     Inventories                                                                                                2,450.7                      2,385.0



     Other current assets                                                                                         377.8                        357.1




     Total current assets                                                                                       5,083.3                      4,723.9



     Property, plant and equipment, net                                                                         2,047.7                      2,077.4



     Goodwill                                                                                                   9,261.8                      9,599.7



     Intangible assets, net                                                                                     7,055.5                      7,257.6



     Other assets                                                                                                 969.4                        980.1




     
                Total Assets                                                                        $
           24,417.7               $
        24,638.7




     
                Liabilities and Stockholders' Equity



     Current liabilities                                                                               $
           2,056.9                $
        1,941.5



     Current portion of long-term debt                                                                            500.0                      1,500.0



     Other long-term liabilities                                                                                2,034.9                      2,083.0



     Long-term debt                                                                                             7,626.5                      6,721.4



     Stockholders' equity                                                                                      12,199.4                     12,392.8




     
                Total Liabilities and Stockholders' Equity                                          $
           24,417.7               $
        24,638.7



                                                     
              
                ZIMMER BIOMET HOLDINGS, INC.


                                            
              
                CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS


                                            
              
                FOR THE YEARS ENDED DECEMBER 31, 2020 and 2019


                                                      
              
                (in millions, unaudited)




                                                                       2020                                         2019



                   Cash flows provided by (used in) operating
                    activities



     Net (loss) earnings                                                           $
              (137.4)                  $
        1,131.5



     Depreciation and amortization                                                             1,032.7                         1,006.1



     Share-based compensation                                                                     79.7                            84.3


      Goodwill and intangible asset impairment                                                    645.0                            70.1


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



     Income taxes                                                                              (279.1)                        (427.3)



     Receivables                                                                                (70.0)                         (93.8)



     Inventories                                                                                (40.8)                        (125.2)


      Accounts payable and accrued expenses                                                      (95.1)                         (42.0)



     Other assets and liabilities                                                                 69.5                          (17.9)



      Net cash provided by operating activities
       (1)                                                                                     1,204.5                         1,585.8



                   Cash flows provided by (used in) investing
                    activities



     Additions to instruments                                                                  (291.7)                        (315.9)


      Additions to other property, plant and
       equipment                                                                                (117.5)                        (207.1)



     Net investment hedge settlements                                                             53.5                            48.1


      Acquisition of intellectual property rights                                                 (0.4)                        (197.6)


      Business combination investments, net of
       acquired cash                                                                            (235.5)                         (37.1)



     Investments in other assets                                                                (22.2)                         (19.7)



      Net cash used in investing activities                                                     (613.8)                        (729.3)



                   Cash flows provided by (used in) financing
                    activities



     Proceeds from senior notes                                                                1,497.1                           549.2



     Redemption of senior notes                                                              (1,750.0)                        (500.0)



     Proceeds from term loans                                                                                                   200.0



     Payments on term loans                                                                                                   (960.0)



     Net payments on other debt                                                                                                 (5.3)



     Dividends paid to stockholders                                                            (198.5)                        (196.7)


      Proceeds from employee stock compensation
       plans                                                                                      129.8                           158.2


      Net cash flows from unremitted collections
       from factoring programs                                                                   (54.6)                         (12.2)


      Business combination contingent
       consideration payments                                                                    (15.0)                          (2.9)



     Debt issuance costs                                                                        (22.3)                          (3.5)



     Other financing activities                                                                  (8.3)                          (6.7)



      Net cash used in financing activities                                                     (421.8)                        (779.9)



      Effect of exchange rates on cash and cash
       equivalents                                                                                 15.3                           (1.5)



      Increase in cash and cash equivalents                                                       184.2                            75.1


      Cash and cash equivalents, beginning of
       period                                                                                     617.9                           542.8



      Cash and cash equivalents, end of period                                        $
              802.1                     $
        617.9






     
                (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 DECEMBER 31, 2020 and 2019


                                                                                             
         
                (in millions, unaudited)




                                    Three Months Ended
                           December 31,



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




     Americas                                         $
       1,283.9      $
       1,288.2                                                                  (0.3) %          3.5    %               (3.8)   %       %



     EMEA                                                    408.3             470.4                                                                 (13.2)         (17.6)                     0.1       4.3



     Asia Pacific                                            393.1             367.1                                                                    7.1             4.4                    (2.4)      5.1




     Total                                            $
       2,085.3      $
       2,125.7                                                                  (1.9) %        (1.0)   %               (2.7)   %  1.8   %







                                                                                           
         
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                          
         
                NET SALES BY PRODUCT CATEGORY


                                                                                      
      
           FOR THE THREE MONTHS ENDED DECEMBER 31, 2020 and 2019


                                                                                             
         
                (in millions, unaudited)




                                    Three Months Ended
                           December 31,



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




     Knees                                              $
       737.1        $
       760.6                                                                  (3.1) %        (1.6)   %               (3.2)   %  1.7   %



     Hips                                                    504.1             510.4                                                                  (1.3)          (0.4)                   (3.0)      2.1



     S.E.T                                                   375.9             381.8                                                                  (1.5)          (0.9)                   (2.4)      1.8



     Dental, Spine & CMFT                                    314.0             306.1                                                                    2.6             2.1                    (1.3)      1.8



     Other                                                   154.2             166.8                                                                  (7.5)          (6.7)                   (2.6)      1.8




     Total                                            $
       2,085.3      $
       2,125.7                                                                  (1.9) %        (1.0)   %               (2.7)   %  1.8   %







                                                                                 
         
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                    
         
                NET SALES BY GEOGRAPHY


                                                                         
             
           FOR THE YEARS ENDED DECEMBER 31, 2020 and 2019


                                                                                   
         
                (in millions, unaudited)




                                  Years Ended
                      December 31,



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



      Americas                                $
     4,335.4      $
     4,875.8                                                    (11.1)        %        (7.9)  %               (3.1) % (0.1) %



     EMEA                                       1,391.3         1,746.9                                                    (20.4)                (20.5)                  (0.8)     0.9


      Asia Pacific                               1,297.8         1,359.5                                                     (4.5)                 (4.5)                  (1.5)     1.5




     Total                                   $
     7,024.5      $
     7,982.2                                                    (12.0)        %       (10.0)  %               (2.4) %   0.4  %







                                                                                 
         
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                
         
                NET SALES BY PRODUCT CATEGORY


                                                                         
             
           FOR THE YEARS ENDED DECEMBER 31, 2020 and 2019


                                                                                   
         
                (in millions, unaudited)




                                  Years Ended
                      December 31,



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




     Knees                                   $
     2,389.8      $
     2,810.1                                                    (15.0)        %       (12.6)  %               (2.7) %   0.3  %



     Hips                                       1,750.5         1,931.5                                                     (9.4)                 (7.1)                  (2.8)     0.5



     S.E.T                                      1,322.0         1,444.1                                                     (8.4)                 (6.5)                  (2.3)     0.4


      Dental, Spine &
       CMFT                                      1,043.7         1,161.3                                                    (10.1)                 (9.4)                  (1.2)     0.5



     Other                                        518.5           635.2                                                    (18.4)                (16.9)                  (1.9)     0.4




     Total                                   $
     7,024.5      $
     7,982.2                                                    (12.0)        %       (10.0)  %               (2.4) %   0.4  %







                                                                  
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                        
              
                RECONCILIATION OF REPORTED NET SALES % CHANGE TO


                                                                   
              
                CONSTANT CURRENCY % CHANGE


                                                                           
              
                (unaudited)






                                        
       
             For the Three Months Ended


                                          
       
                December 31, 2020



                                                                                                                       Foreign           Constant


                                                                                                                       Exchange          Currency


                                               % Change                                                                 Impact           % Change




     
                Geographic Results



     Americas                                    (0.3)                          %                                                    %           (0.3)   %



     EMEA                                       (13.2)                                                                          4.3              (17.5)



     Asia Pacific                                  7.1                                                                           5.1                 2.0



     
                Total                          (1.9)                          %                                               1.8   %           (3.7)   %



     
                Product Categories



     
                Knees



     Americas                                      0.8                           %                                                    %             0.8    %



     EMEA                                       (20.8)                                                                          3.3              (24.1)



     Asia Pacific                                  8.1                                                                           5.2                 2.9



     Total                                       (3.1)                                                                          1.7               (4.8)



     
                Hips



     Americas                                      1.0                                                                                              1.0



     EMEA                                       (12.2)                                                                          4.0              (16.2)



     Asia Pacific                                  6.2                                                                           4.9                 1.3



     Total                                       (1.3)                                                                          2.1               (3.4)



     
                S.E.T                          (1.5)                                                                          1.8               (3.3)



     
                Dental, Spine & CMFT             2.6                                                                           1.8                 0.8



     
                Other                          (7.5)                                                                          1.8               (9.3)



     
                Total                          (1.9)                          %                                               1.8   %           (3.7)   %







                                                                
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                      
              
                RECONCILIATION OF REPORTED NET SALES % CHANGE TO


                                                                 
              
                CONSTANT CURRENCY % CHANGE


                                                                         
              
                (unaudited)






                                        
      
              For the Year Ended


                                         
      
              December 31, 2020



                                                                                                                   Foreign              Constant


                                                                                                                   Exchange             Currency


                                             % Change                                                               Impact              % Change




     
                Geographic Results



     Americas                                 (11.1)                        %                                                 (0.1) %           (11.0)  %



     EMEA                                     (20.4)                                                                            0.9              (21.3)



     Asia Pacific                              (4.5)                                                                            1.5               (6.0)



     
                Total                       (12.0)                        %                                                   0.4  %           (12.4)  %



     
                Product Categories



     
                Knees



     Americas                                 (12.9)                        %                                                 (0.1) %           (12.8)  %



     EMEA                                     (25.6)                                                                            0.6              (26.2)



     Asia Pacific                              (7.8)                                                                            1.3               (9.1)



     Total                                    (15.0)                                                                            0.3              (15.3)



     
                Hips



     Americas                                  (7.4)                                                                          (0.1)              (7.3)



     EMEA                                     (18.4)                                                                            0.9              (19.3)



     Asia Pacific                              (3.4)                                                                            1.5               (4.9)



     Total                                     (9.4)                                                                            0.5               (9.9)



     
                S.E.T                        (8.4)                                                                            0.4               (8.8)



     
                Dental, Spine & CMFT        (10.1)                                                                            0.5              (10.6)



     
                Other                       (18.4)                                                                            0.4              (18.8)



     
                Total                       (12.0)                        %                                                   0.4  %           (12.4)  %







                                                                                                                                                                                                                
         
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                                                                                                                                       
              
           RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


                                                                                                                                                                                                   
              
           FOR THE THREE MONTHS ENDED DECEMBER 31, 2020 and 2019


                                                                                                                                                                                                     
              
           (in millions, except per share amounts, unaudited)






                                                                                                                                                                                                        
              
           FOR THE THREE MONTHS ENDED DECEMBER 31, 2020

                                                                                                                                                                                                                                   ---

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



                   As Reported                   $
      647.3                                $
        152.6                                      $
              100.0                              $
         893.9                                                                      $
           27.7                 $
              15.0           $
           8.1              $
              8.0             $
           (138.2)    $
             333.7    $
              1.59


      Inventory and manufacturing-
       related charges(1)                           (49.9)                                                                                                                                                                                                                                                                                                                                     26.1                 23.8                0.11


      Intangible asset
       amortization(2)                                                                       (152.6)                                                                                                                                                                                                                                                                                           38.5                114.1                0.55


      Restructuring and other cost
       reduction initiatives(4)                                                                                                                                                                                                                                                (27.7)                                                                                                           9.8                 17.9                0.09


      Quality remediation(5)                           1.0                                                                                                                                                                                                                                                      (15.0)                                                                           4.6                  9.4                0.04


      Acquisition, integration and
       related(6)                                                                                                                                                                                                                                                                                                                       (8.1)                                                   2.5                  5.6                0.03



     Litigation(7)                                                                                                                                                                          (59.4)                                                                                                                                                                                            18.2                 41.2                0.20


      European Union Medical Device
       Regulation(8)                                                                                                                                 (6.2)                                                                                                                                                                                                                                      2.0                  4.2                0.02



     Other charges(9)                                                                                                                                                                        (6.4)                                                                                                                                                               (1.3)                       (0.4)                 5.5                0.03


      Impacts of Swiss tax
       reform(10)                                                                                                                                                                                                                                                                                                                                                                              16.6               (16.6)             (0.08)


      Other certain tax
       adjustments(11)                                                                                                                                                                                                                                                                                                                                                                         98.1               (98.1)             (0.47)


                   As Adjusted                   $
      598.4                            
     $                                                  $
              93.8                              $
         828.1                                                   
              $                                  
     $                  
           $                        $
             6.7                $
           77.8     $
             440.7    $
              2.11







                                                                                                                                                                             
              
            FOR THE THREE MONTHS ENDED DECEMBER 31, 2019

                                                                                                                                                                                                         ---

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



                   As Reported                   $
     582.2                                     $
        147.4                                     $
              121.1                             $
              882.2                                                       $
           33.0                 $
              19.3             $
           3.7              $
          (32.2)    $
            320.7    $
              1.54


      Inventory and manufacturing-
       related charges(1)                           (6.2)                                                                                                                                                                                                                                                                                                    3.5                 2.7                0.01


      Intangible asset
       amortization(2)                                                                           (147.4)                                                                                                                                                                                                                                                    31.2               116.2                0.56


      Restructuring and other cost
       reduction initiatives(4)                                                                                                                                                                                                                                        (33.0)                                                                                1.6                31.4                0.16


      Quality remediation(5)                        (3.7)                                                                                                                                                                                                                                              (19.3)                                                5.4                17.6                0.08


      Acquisition, integration and
       related(6)                                                                                                                                                                                                                                                                                                                 (3.7)                      3.9               (0.2)



     Litigation(7)                                                                                                                                                                                 (17.0)                                                                                                                                                   3.1                13.9                0.07


      European Union Medical Device
       Regulation(8)                                                                                                                                   (12.8)                                                                                                                                                                                               13.7               (0.9)



     Other charges(9)                                                                                                                                  (1.5)                                       (35.9)                                                                                                                                                   8.4                29.0                0.14


      Impacts of Swiss tax
       reform(10)                                                                                                                                                                                                                                                                                                                                           51.2              (51.2)             (0.25)


      Other certain tax
       adjustments(11)                                                                                                                                                                                                                                                                                                                                       1.1               (1.1)             (0.01)


                   As Adjusted                   $
     572.3                            
          $                                                $
              106.8                             $
              829.3                                              
         $                             
     $                  
             $                         $
          90.9     $
            478.1    $
              2.30







                                                                                                                                                                                                                          
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                                                                                                                                                                                 
              
                RECONCILIATION OF REPORTED TO ADJUSTED RESULTS


                                                                                                                                                                                                                 
              
                FOR THE YEAR ENDED DECEMBER 31, 2020 and 2019


                                                                                                                                                                                                               
              
                (in millions, except per share amounts, unaudited)




                                                                                                                                                                                                                      
              
                FOR THE YEAR ENDED DECEMBER 31, 2020

                                                                                                                                                                                                                                                  ---

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



                   As Reported                   $
     2,128.3                                $
        597.6                                        $
              372.0                            $
        3,177.8                                               $
              645.0                                        $
              116.9              $
            50.9            $
            23.8                  $
              25.4    $
            (137.0)    $
             (138.9)  $
              (0.67)


      Inventory and manufacturing-
       related charges(1)                            (54.2)                                                                                                                                                                                                                                                                                                                                                                      36.3                   17.9                 0.09


      Intangible asset
       amortization(2)                                                                        (597.6)                                                                                                                                                                                                                                                                                                                           116.0                  481.6                 2.33


      Goodwill and intangible asset
       impairment(3)                                                                                                                                                                                                                                         (645.0)                                                                                                                                                              5.7                  639.3                 3.09


      Restructuring and other cost
       reduction initiatives(4)                                                                                                                                                                                                                                                                                      (116.9)                                                                                                     28.5                   88.4                 0.43


      Quality remediation(5)                            1.1                                                                                                                                                                                                                                                                                       (50.9)                                                                          11.9                   37.9                 0.18


      Acquisition, integration and
       related(6)                                                                                                                                                                                                                                                                                                                                                           (23.8)                                                5.4                   18.4                 0.09



     Litigation(7)                                                                                                                                                                           (159.8)                                                                                                                                                                                                                            36.9                  122.9                 0.59


      European Union Medical Device
       Regulation(8)                                                                                                                                   (25.3)                                                                                                                                                                                                                                                                     5.2                   20.1                 0.10



     Other charges(9)                                                                                                                                                                         (24.5)                                                                                                                                                                                                      (13.8)                 7.5                    3.2                 0.01


      Impacts of Swiss tax
       reform(10)                                                                                                                                                                                                                                                                                                                                                                                                                 5.0                  (5.0)              (0.03)


      Other certain tax
       adjustments(11)                                                                                                                                                                                                                                                                                                                                                                                                          104.2                (104.2)              (0.50)


      Effect of dilutive shares
       assuming net earnings(12)                                                                                                                                                                                                                                                                                                                                                                                                                                         (0.04)



                   As Adjusted                   $
     2,075.2                            
     $                                                   $
              346.7                            $
        2,993.5                            
              $                                                             
     $                    
             $                       
     $                            $
              11.6      $
            225.6      $
            1,181.6     $
              5.67







                                                                                                                                                                                                                              
         
            FOR THE YEAR ENDED DECEMBER 31, 2019

                                                                                                                                                                                                                                                  ---

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



                   As Reported                    $
     2,252.6                                   $
        584.3                                      $
              449.3                       $
              3,343.8                                      $
              70.1                                              $
              50.0           $
            82.4                    $
            12.2                $
              (225.7)   $
          (0.1)    $
            1,131.6    $
              5.47


      Inventory and manufacturing-
       related charges(1)                             (53.9)                                                                                                                                                                                                                                                                                                                                                     23.3                                  30.6                0.15


      Intangible asset
       amortization(2)                                                                            (584.3)                                                                                                                                                                                                                                                                                                       116.2                                 468.1                2.26


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


      Restructuring and other cost
       reduction initiatives(4)                                                                                                                                                                                                                                                                                     (50.0)                                                                                        5.6                                  44.4                0.22


      Quality remediation(5)                           (5.2)                                                                                                                                                                                                                                                                                 (82.4)                                                              20.3                                  67.3                0.33


      Acquisition, integration and
       related(6)                                                                                                                                                                                                                                                                                                                                                              (12.2)                             6.3                                   5.9                0.03



     Litigation(7)                                                                                                                                                                               (65.0)                                                                                                                                                                                                         11.0                                  54.0                0.26


      Litigation settlement gain(13)                                                                                                                                                                23.5                                                                                                                                                                                                         (5.2)                               (18.3)             (0.09)


      European Union Medical Device
       Regulation(8)                                                                                                                                     (30.9)                                                                                                                                                                                                                                                  16.9                                  14.0                0.07



     Other charges(9)                                                                                                                                    (5.8)                                  (114.7)                                                                                                                                                                                                         26.3              1.3                  92.9                0.45


      Impacts of Swiss tax
       reform(10)                                                                                                                                                                                                                                                                                                                                                                                               315.0                               (315.0)             (1.52)


      Other certain tax
       adjustments(11)                                                                                                                                                                                                                                                                                                                                                                                           13.7                                (13.7)             (0.07)


                   As Adjusted                    $
     2,193.5                            
        $                                                 $
              412.6                       $
              3,187.6                           
          $                                                        
         $                    
           $                               
     $                            $
              329.2      $
          1.2     $
            1,626.4    $
              7.87




     
     (1)  Inventory and manufacturing-related
               charges in the three months and year
               ended December 31, 2020 and 2019 are
               primarily related to excess and
               obsolete inventory charges on
               certain product lines we intend to
               discontinue and other charges.  The
               year ended December 31, 2019 also
               included a $20.8 million charge
               incurred to terminate a raw material
               supply agreement in the annual
               period.  The excess and obsolete
               inventory charges on certain product
               lines are driven by overlapping
               product lines in our portfolio and
               we have plans to discontinue one of
               the product lines, or from decisions
               not to spend additional funds to
               keep certain products up-to-date
               on the latest quality standards,
               such as the European Union Medical
               Device Regulation.





     
     (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)  We exclude certain acquisition and
               integration  related gains and
               expenses from our non-GAAP results.





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





     
     (11) Other certain tax adjustments relate
               to various discrete tax period
               adjustments.  In the 2020 periods,
               the adjustments are primarily
               related to the resolution of or
               changes in estimates of significant
               uncertain tax positions as a result
               of settlements or favorable rulings.
                In the 2019 periods, the
                adjustments are primarily changes in
               tax rates on deferred tax
               liabilities recorded on intangible
               assets recognized in acquisition-
               related accounting and adjustments
               from internal restructuring
               transactions that provide us access
               to offshore funds in a tax efficient
               manner.





     
     (12) Due to the reported net loss for this
               period, the effect of dilutive
               shares assuming net earnings is
               shown as an adjustment.  Diluted
               share count used in Adjusted Diluted
               EPS is:

                               Year Ended


                                December
                                31, 2020






     Diluted shares                      207.0


      Dilutive shares assuming
       net earnings                         1.4



      Adjusted diluted shares             208.4




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





                                                                
           
                ZIMMER BIOMET HOLDINGS, INC.


                                                      
              
             RECONCILIATION OF NET CASH PROVIDED BY OPERATING


                                                                
           
                ACTIVITIES TO FREE CASH FLOW


                                               
              
             FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2020 and 2019


                                                                  
           
                (in millions, unaudited)






                                              Three Months Ended                                               Years Ended
                                   December 31,                                                December 31,



                              2020                                  2019                                          2020                           2019



     Net cash
      provided by
      operating
      activities                   $
              425.1                                    $
              423.3                           $
           1,204.5  $
          1,585.8


     Additions to instruments               (68.9)                                              (76.4)                                   (291.7)         (315.9)


     Additions to other
      property, plant and
      equipment                             (27.7)                                              (51.8)                                   (117.5)         (207.1)



     Free cash flow                $
              328.5                                    $
              295.1                             $
           795.3  $
          1,062.8







                                                                              
             
                ZIMMER BIOMET HOLDINGS, INC.


                                                                        
       
              RECONCILIATION OF GROSS PROFIT & MARGIN TO ADJUSTED GROSS


                                                                                    
              
                PROFIT & MARGIN


                                                                     
        
             FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2020 and 2019


                                                                                
             
                (in millions, unaudited)






                                                       Three Months Ended                                                                    Years Ended
                                             December 31,                                                                  December 31,



                                       2020                                    2019                                                        2020                   2019




     Net Sales                             $
              2,085.3                                   $
              2,125.7                                    $
       7,024.5    $
       7,982.2


      Cost of products sold, excluding
       intangible asset amortization                    647.3                                                 582.2                                         2,128.3         2,252.6


      Intangible asset amortization                     152.6                                                 147.4                                           597.6           584.3



      Gross Profit                          $
              1,285.4                                   $
              1,396.1                                    $
       4,298.6    $
       5,145.3




      Inventory and manufacturing-
       related charges                                   49.9                                                   6.2                                            54.2            53.9



     Quality remediation                               (1.0)                                                  3.7                                           (1.1)            5.2


      Intangible asset amortization                     152.6                                                 147.4                                           597.6           584.3



      Adjusted gross profit                 $
              1,486.9                                   $
              1,553.4                                    $
       4,949.3    $
       5,788.7








     Gross margin                                       61.6                   %                              65.7                         %                  61.2    %       64.5   %


      Inventory and manufacturing-
       related charges                                    2.4                                                   0.3                                             0.8             0.7



     Quality remediation                                                                  0.2


      Intangible asset amortization                       7.3                                                   6.9                                             8.5             7.3




     Adjusted gross margin                              71.3                   %                              73.1                         %                  70.5    %       72.5   %







                                                                                 
              
                ZIMMER BIOMET HOLDINGS, INC.


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


                                                                   
           
                FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2020 and 2019


                                                                                   
              
                (in millions, unaudited)






                                                        Three Months Ended                                                
              
                Years Ended
                                            December 31,                                                                    December 31,



                                       2020                                      2019                                                       2020                              2019



      Operating profit
       (loss)                                $
              240.7                                       $
              336.8                                                 $
      (87.8)             $
      1,137.5


      Inventory and manufacturing-
       related charges                                  49.9                                                     6.2                                                       54.2                     53.9


      Intangible asset amortization                    152.6                                                   147.4                                                      597.6                    584.3


      Goodwill and intangible asset
       impairment                                                                                                                                               645.0                    70.1


      Restructuring and other cost
       reduction initiatives                            27.7                                                    33.0                                                      116.9                     50.0



     Quality remediation                               14.0                                                    23.0                                                       49.8                     87.6


      Acquisition, integration and
       related                                           8.1                                                     3.7                                                       23.8                     12.2



     Litigation                                        59.4                                                    17.0                                                      159.8                     65.0


      Litigation settlement gain                                                                                                                                                      (23.5)


      European Union Medical Device
       Regulation                                        6.2                                                    12.8                                                       25.3                     30.9



     Other charges                                      6.4                                                    37.4                                                       24.5                    120.5



      Adjusted operating
       profit                                $
              565.0                                       $
              617.3                                                $
      1,609.1              $
      2,188.5







      Operating profit (loss) margin                    11.5                      %                             15.8                         %                            (1.2)    %               14.2    %


      Inventory and manufacturing-
       related charges                                   2.4                                                     0.3                                                        0.8                      0.7


      Intangible asset amortization                      7.3                                                     6.9                                                        8.5                      7.3


      Goodwill and intangible asset
       impairment                                                                                                                                                 9.2                     0.9


      Restructuring and other cost
       reduction initiatives                             1.3                                                     1.6                                                        1.7                      0.6



     Quality remediation                                0.7                                                     1.1                                                        0.7                      1.1


      Acquisition, integration and
       related                                           0.4                                                     0.2                                                        0.3                      0.2



     Litigation                                         2.8                                                     0.8                                                        2.3                      0.8


      Litigation settlement gain                                                                                                                                                       (0.3)


      European Union Medical Device
       Regulation                                        0.3                                                     0.6                                                        0.4                      0.4



     Other charges                                      0.4                                                     1.7                                                        0.2                      1.5



      Adjusted operating profit margin                  27.1                      %                             29.0                         %                             22.9     %               27.4    %







                                                                                           
              
                ZIMMER BIOMET HOLDINGS, INC.


                                                                       
              
                RECONCILIATION OF EFFECTIVE TAX RATE TO ADJUSTED EFFECTIVE TAX RATE


                                                                    
              
                FOR THE THREE MONTHS AND YEARS ENDED DECEMBER 31, 2020 and 2019


                                                                                              
              
                (unaudited)






                                                             Three Months Ended                                                                         Years Ended
                                             December 31,                                                                 December 31,



                                                   2020                                  2019                                                     2020                                        2019



     Effective tax rate                          (70.7)                          %                         (11.1)                        %                                     49.9                           %               (24.9)   %


     Tax effect of
      adjustments made to
      earnings before
      taxes(1)                                     27.2                                                        9.0                                                                6.0                                              5.4


     Tax adjustments relating
      to the impacts of tax
      only amortization in
      Switzerland                                (10.2)                                                                                                                        13.8


     Switzerland tax reform                        18.6                                                       17.7                                                             (15.7)                                            34.8


     Other certain tax
      adjustments                                  50.1                                                        0.4                                                             (38.0)                                             1.5



     Adjusted effective tax
      rate                                         15.0                           %                           16.0                         %                                     16.0                           %                 16.8   %





                  (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 DECEMBER 31, 2020 and 2019


                                            
          
                (in millions, unaudited)






                                                     December 31, 2020                        December 31, 2019




     Debt, both current and long-term                                   $
              8,126.5                    $
        8,221.4



     Cash and cash equivalents                                                    (802.1)                         (617.9)




     Net debt                                                           $
              7,324.4                    $
        7,603.5

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SOURCE Zimmer Biomet Holdings, Inc.