Nextremity Solutions, Inc. Announces New Strategic Direction for Company Following Zimmer Biomet Announcement

WARSAW, IND., Oct. 31, 2016 (GLOBE NEWSWIRE) — Nextremity Solutions, Inc., a musculoskeletal product development company located in “The Orthopedic Capital of the World” Warsaw, IN, recently finalized an exclusive global distribution agreement with Zimmer Biomet for its first four commercialized products, which address unmet clinical needs in forefoot elective surgery.

“Bringing this agreement to closure validates the strategy that our Executive Management Team put into motion at the beginning of the year with the support of our Board of Directors. This strategic shift in our business strategy enables us to focus our efforts on product development and micro-commercialization of innovative technologies in musculoskeletal healthcare,” stated Rod K. Mayer, President and CEO of Nextremity Solutions, Inc.

i3TM Strategic Solutions is Nextremity Solutions’ new strategy to deliver value for Nextremity shareholders and for their industry partners.  Through the i3 Strategic Solutions strategy, Nextremity will continue to work with surgeons who are thought leaders in their respective fields to develop and commercialize innovative solutions, at present to the foot and ankle market.  In addition to delivering innovative products, Nextremity Solutions, Inc. is committed to establishing effective packaging and delivery systems, creating effective marketing and educational support materials, and providing products with proven sales and clinical efficacy to their industry partners.

“Nextremity Solutions, Inc. has learned a lot over the last 4 years, and we’re taking the best of what we do and doing more of it, more profitably, every day.  We’re passionate about serving surgeons, patients, and our industry partners.  This has led us to the introduction of i3 Strategic Solutions and we couldn’t be more excited about our future,” stated Ryan D. Schlotterback, Executive Director, Product Development for Nextremity Solutions, Inc.

“It’s what we call our “micro-commercialization” model and is what makes our solutions very different – and more effective,” commented Schlotterback.

Schlotterback further stated, “i3 Strategic Solutions embodies our vision for Nextremity Solutions and is the right model for our future.  We are committed to our micro-commercialization strategy and believe that we have the opportunity to deliver solutions to the market in a way that truly leverages our strengths and the strengths of our industry partners, while creating the greatest level of value for everyone involved.  We have a very strong internal pipeline and have several external opportunities that we’ve been presented with over the last 6 months that we plan to support with our new model.”

To learn more about i3 Strategic Solutions, visit www.i3strategicsolutions.com.

If you’re a surgeon inventor or have a product idea that you think would be a good fit for Nextremity Solutions, Inc., they can be contacted at 732-383-7901.
 
About Nextremity Solutions, Inc.

Nextremity Solutions, Inc. is a privately held musculoskeletal product development company offering innovative solutions and approaches to unmet clinical needs in the mind of surgeons and for the benefit of patients worldwide.

For further information, visit www.nextremitysolutions.com or call Dave Temple, Director of Marketing & Corporate Communications at 574-635-3022.

Dave Temple
Director of Marketing & Corporate Communications
574-635-3022

NASS 2016: Interest grows in surgical robotics for spinal procedures

BY

Mazor Robotics (NSDQ:MZOR) unveiled its next-generation robot-assisted surgery system and Globus Medical (NYSE:GMED) for the 1st time showcased the functional prototype of its Excelsius platform at the NASS 2016 meeting in Boston last week, signifying an increased interest in robotic surgeons among major players.

Mazor developed 3 generations of products over 15 years and does 95% of its business in spine surgery, according to Barclays. The Caesarea, Israel-based company’s next-gen Mazor X system, presented at this year’s North American Spine Society meeting, helps surgeons develop a pre-operative plan, make automated calculations, and provide intraoperative guidance to ensure that the plan is followed for each patient. It can also measure the length of time for each case, demographics and other important variables to improve case management.

“The Mazor X system is aimed at addressing unmet needs for a number of stakeholders including hospital management, vendors, patients, payors, and surgeons,” Barclays analysts wrote.

The list price of the robot surgeon is $900,000 and Mazor is also listing a brain model at $199k. Mazor’s agreement with Medtronic (NYSE:MDT) calls for it to receive $1,500 for the disposable and a midpoint $1,000 synergy fee if Medtronic implants are used. Mazor is selling the system and gets the full price, but a 20% commission goes to Medtronic during phase 1 of the agreement. In phase 2, there’s a distributor agreement, so the sale to Medtronic is at 40% to 45% less than list price.

Globus unveiled its investigational robotics system, Excelsius, telling Leerink Partners that it anticipates approval and launch in early- to mid-2017, with revenue unlikely until the 2nd half of next year.

 

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DePuy Synthes announces availability of ‘Expert Tibial Nail PROtect’ to reduce implant related infections

October 31, 2016

DePuy Synthes, part of the Johnson & Johnson Family of Companies, today announced the availability of Expert Tibial Nail PROtect, the only tibial nail with a resorbable antibiotic coating designed to provide additional protection from bacterial colonization for patients who are at high risk of infection. Infection following fracture fixation is recognised as an increasingly important clinical problem, and can result in prolonged treatment, impaired fracture healing and in some cases, for example people with diabetes, may result in limb amputation.

Designed in collaboration with leading AO surgeons, Expert Tibial Nail PROtect addresses a growing clinical demand to reduce the incidence of implant related infections. Infection can occur in up to 14.4% of all open tibia fractures treated with intramedullary nailing (without an antibacterial coating). Open tibial shaft fractures are often associated with a high incidence of complications, due to the precarious blood supply to the tibia, the high risk of infection and the necessity of rapid surgical intervention.

“Infection following fracture fixation is one of the most severe problems we face in daily practice, with potentially devastating consequences for the patient,” said Prof. Dr. med Michael Raschke, Clinical Director, University of Muenster, Germany. “A biofilm can form on an implant within 12–18 hours post-surgery which may trigger an infection.”

“Expert Tibial Nail PROtect provides me with an additional tool to help reduce infection rates and benefit my patients’ outcomes,” concluded Prof. Dr. med. Gerhard Schmidmaier, Head of Trauma Department, Heidelberg University Hospital, Germany.

Adding locally administered antibiotics to general prophylactic antibiotics has been shown to reduce the infection rate for patients with severe fractures from 14.4% to 2.4%. Expert Tibial Nail PROtect offers a treatment option developed to deliver targeted protection and prevent a bacterial biofilm forming on the implant thus decreasing the risk of infection.

“By adding the PROtect coating to the existing Expert Tibial Nail, we are providing surgeons with the technology to address their highest risk trauma patients,” said Elmar Zurbriggen, DePuy Synthes Franchise Lead for Europe, Middle East and Africa. “By preventing bacterial colonization on the implant surface, we hope that patients will experience an improved recovery process while reducing the need for additional treatment costs for healthcare providers.”

The Expert Tibial Nail’s use in tibia fracture repair, demonstrates improved patient outcomes, which is why it was selected for application of the PROtect antibiotic coating. The design of Expert Tibial Nail itself has been shown to reduce operating time, hospital stay, full weight bearing time and union time.

Clinical experience has provided evidence to support the benefits of using Expert Tibial Nail PROtect. It demonstrates the performance and safety of the PROtect coating with intramedullary nails. Studies have reported no deep infections, and treatment costs for patients with an infection following a tibia fracture were shown to be up to 3.5 times higher compared to those for patients with no infection. These are attributed to the additional surgery required to manage the infection (e.g. implant removal, bone grafting, amputation) and the prolonged hospital stay as well as readmissions and treatment in the intensive care unit for patients with an infection.

Source:

http://www.depuysynthes.com/

 

Medtronic, Intuitive Surgical Lead U.S. Surgical Navigation and Robotics Systems Market Driven by Replacement Sales

VANCOUVER, BC–(Marketwired – October 25, 2016) – According to a new series of reports on the U.S. market for surgical navigation and robotics systems by iData Research (www.idataresearch.com), the market is driven by replacement sales to new facilities. The continuous improvement in navigation software as well as hardware will entice facilities to continually upgrade their systems to the most current versions. Also, the entrance of new companies who are looking to provide navigation systems at a more budget-friendly price will expand the market to smaller facilities who, in the past, could not afford the top-of-the-line systems.

The overall market for image guided surgery (IGS) systems reflects the overlap between different market segments. For example, revenues stemming from neurosurgery and spinal navigation systems are often associated with a single system that has both applications. In addition, both the ENT and orthopedic navigation markets include systems with applications in spinal and neurosurgical navigation, respectively.

“Newer systems entering the market both on the higher and lower ends of the price spectrum will stabilize the average selling price as institutions upgrade these systems,” explains Dr. Kamran Zamanian, CEO of iData. “For example, ENT departments often have lower budgets for navigation systems than their neurosurgical or spinal counterparts.”

The largest segment in the U.S. surgical navigation market is represented by navigation systems with spinal applications, accounting for nearly 40% of the total market. Many of the systems sold are able to perform multiple applications; in particular, most neurosurgical and spinal navigation are performed by the same systems. The neurosurgery navigation system market is the most mature. The use of IGS for neurosurgical procedures has become the standard of care. Also, IGS systems with neurosurgical capabilities command the highest ASP. The growth of the neurosurgery navigation system market is supplemented by upgrades from facilities that already have such systems as well as sales to new facilities, although the latter makes up a smaller portion of the total revenue.

Medtronic leads the surgical navigation systems market in the United States. The company has established itself through brand recognition and by making systems compatible with their implant products. Medtronic is expected to remain a strong competitor in the market. Intuitive Surgical leads the surgical robotics market in the United States. It remains the dominant competitor in the U.S. and promotes robotics applications in surgery. However, other companies are expanding robotic options in orthopedic and other procedural areas. Other leading competitors in surgical navigation include Brainlab and Stryker, which also hold significant market shares in the United States, in addition to a number of other companies with smaller installed bases. In the surgical robotics systems market companies such as Medtech, Mazor Robotics, and Stryker’s Mako system are strong contenders.

For Further Information

More on the surgical navigation and robotics systems market in the U.S. can be found in a series of reports published by iData Research entitled the U.S. Market Report Suite for Surgical Navigation and Robotic Systems. The suite covers reports on the following markets: surgical navigation systems for neurosurgery, spinal surgery, ENT (ear/nose/throat), and orthopedic hip and knee applications. The segmentation for surgical robotics systems includes spinal, neurosurgery, minimally invasive surgery (MIS), radiosurgery, catheter and orthopedic robotically assisted systems.

The iData report series on robotics and surgical navigation covers the U.S., Japan, China, India, Australia, and 15 countries in Europe including Germany, France, the United Kingdom (U.K.), Italy, Spain, Benelux (Belgium, Netherlands and Luxemburg), Scandinavia (Finland, Denmark, Sweden and Norway), Portugal, Austria and Switzerland. Reports provide a comprehensive analysis including units sold, procedure numbers, market value, forecasts, as well as detailed competitive market shares and analysis of major players’ success strategies in each market and segment. To find out more about robotics and surgical navigation market data or procedure data, register online or email us at info@idataresearch.net for a U.S. Market Report Suite for Surgical Navigation and Robotic Systems brochure and synopsis.

About iData Research

iData Research (www.idataresearch.com) is an international market research and consulting group focused on providing market intelligence for medical device and pharmaceutical companies. iData covers research in: Operating Room Equipment, Surgical Microscopes, Robotics and Surgical Navigation, Laparoscopy, Urology, Gynecology, Vascular Access, Endoscopy, Interventional Cardiology, Cardiac Surgery, Cardiac Rhythm Management, Electrophysiology, Ultrasound, X-Ray Imaging, Diagnostic Imaging, Oncology, Spinal Implants and VCF, Spinal MIS, Orthopedic Soft Tissue Repair and Regeneration, Orthopedic Trauma, Large & Small Joints, Anesthesiology, Wound Management, Orthopedics, Ophthalmics, Dental Operatory Equipment and more.

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Misonix Hands-On Lab Generates Strong Interest in BoneScalpel® at NASS

FARMINGDALE, N.Y., Oct. 31, 2016 /PRNewswire/ — Misonix, Inc. (NASDAQ: MSON), an international surgical device company that designs, manufactures and markets innovative therapeutic ultrasonic products for spine surgery, neurosurgery, wound debridement, skull based surgery, laparoscopic surgery and other surgical applications, recently participated in the North American Spine Society (NASS) 2016 Annual Meeting in Boston, MA from October 26-29.

NASS is a global multidisciplinary medical society that utilizes education, research and advocacy to foster the highest quality, ethical, and evidence-based spine care. The NASS 2016 Annual Meeting represented the largest spine meeting and exhibit in the world. It was attended by thousands of spine surgeons gathered to discuss new innovative options, trends, and outcomes in spine surgery.

While at the Misonix exhibit meeting attendees engaged with leading surgeons, including Dr. Nicholas Renaldo, Medical Director of Spine Surgery at Vassar Brothers Medical Center, Poughkeepsie NY; Dr. Eric Woodard, Chief of the Section of Neurosurgery, New England Baptist Hospital, Boston MA; and Dr. Connor Telles from Sierra Pacific Orthopedics in Fresno, CA, to learn about their surgical experiences with the BoneScalpel.

Misonix also hosted – by invitation only – several leading surgeons in the “Innovation Room” where the invited surgeons met with members of the Misonix engineering group to learn more about future innovations under development.  Gaining feedback directly from the surgeons at the event is a critical step in assuring that the next generation technologies under development reflect end-user recommendations.

In addition to the Company’s booth presence, Misonix hosted a BoneScalpel hands-on cadaveric workshop entitled, Ultrasonic BoneScalpel Techniques in Complex Spine facilitated by Isador Lieberman, MD, Director of the Scoliosis and Spine Tumor Center at the Texas Back Institute in Plano, TX.  Dr. Lieberman demonstrated his clinical usage of the BoneScalpel with attendees having the opportunity for trialing the BoneScalpel ultrasonic bone-cutting instrument.  More than 35 spine surgeons were trained on the use of BoneScalpel at the lab.

Commenting further on the week’s events was Dr. Juan Uribe, University of South Florida, Tampa, FL, who presented his experience with the BoneScalpel at Friday’s NASS Solutions Showcase.  “The advantages of less blood loss, precise cuts, savings in operating room time, and less hand fatigue are among the many reasons that BoneScalpel is now a requirement for a high percentage of the cases I currently perform. In fact, BoneScalpel has changed the way I practice spine surgery,” added Dr. Uribe.

Stavros Vizirgianakis, interim chief executive officer of Misonix, said, “We are gratified that these key opinion leaders in the spinal and neurosurgical space have adopted our technology into their practices and enthusiastically share their expertise and experiences with others in their profession. This is a very positive reflection on the efficacy of the BoneScalpel, our ultrasonic technology, and the skill sets of these surgical professionals to produce improved patient outcomes, and to do so, in a very efficient manner. We are pleased to be associated with these leading surgical professionals.”

Dr. Isadore Lieberman, who facilitied the BoneScalpel cadaveric workshop, said, “I was extremely pleased with the turnout for the workshop and the continued high level of interest in the BoneScalpel by my peers and colleagues at this year’s NASS meeting. In my opinion, BoneScalpel continues to be one of the most important innovations in spine surgery in the past several years and given the number of attendees who participated in the workshop this year, clearly people are taking notice of the importance of this technology.”

Misonix Senior Vice President of Global Sales and Marketing, Scott Ludecker, commented, “BoneScalpel’s ability to mitigate the potential for soft tissue collateral damage and minimize blood loss during complex spine surgeries are some of the key benefits which have drawn the spinal surgeon community to BoneScalpel. These attributes are universally understood as being cornerstones for better patient outcomes.  Events like this week’s hands-on cadaver workshop are idea forums for surgeons to experience for themselves the benefits of our technology. Having leading surgeons like Dr. Lieberman available to share his personal experience with them is invaluable.”

About Misonix
Misonix, Inc. designs, develops, manufactures and markets therapeutic ultrasonic medical devices. Misonix’s therapeutic ultrasonic platform is the basis for several innovative medical technologies. Addressing a combined market estimated to be in excess of $1.5 billion annually; Misonix’s proprietary ultrasonic medical devices are used in spine surgery, neurosurgery, orthopedic surgery, wound debridement, cosmetic surgery, laparoscopic surgery, and other surgical and medical applications.  Additional information is available on the Company’s Web site at www.misonix.com.

Safe Harbor Statement
With the exception of historical information contained in this press release, content herein may contain “forward looking statements” that are made pursuant to the Safe Harbor Provisions of the Private Securities Litigation Reform Act of 1995. These statements are based on management’s current expectations and are subject to uncertainty and changes in circumstances. Investors are cautioned that forward-looking statements involve risks and uncertainties that could cause actual results to differ materially from the statements made. These factors include general economic conditions, delays and risks associated with the performance of contracts, risks associated with international sales and currency fluctuations, uncertainties as a result of research and development, acceptable results from clinical studies, including publication of results and patient/procedure data with varying levels of statistical relevancy, risks involved in introducing and marketing new products, potential acquisitions, consumer and industry acceptance, litigation and/or court proceedings, including the timing and monetary requirements of such activities, the timing of finding strategic partners and implementing such relationships, regulatory risks including approval of pending and/or contemplated 510(k) filings, the ability to achieve and maintain profitability in the Company’s business lines, and other factors discussed in the Company’s Annual Report on Form 10-K, subsequent Quarterly Reports on Form 10-Q and Current Reports on Form 8-K. The Company disclaims any obligation to update its forward-looking relationships.

Corporate Contact Investor Contact
Misonix Contact: Joe Diaz
Richard Zaremba Lytham Partners
631-694-9555 602-889-9700
invest@misonix.com info@misonix.com

Logo – http://photos.prnewswire.com/prnh/20160201/328020LOGO

 

SOURCE Misonix, Inc.

Related Links

http://www.misonix.com

Zimmer Biomet Reports Third Quarter 2016 Financial Results

WARSAW, Ind., Oct. 31, 2016 /PRNewswire/ — Zimmer Biomet Holdings, Inc. (NYSE and SIX: ZBH) today reported financial results for the quarter ended September 30, 2016.  The Company reported third quarter net sales of $1.83 billion, an increase of 4.0% compared to the third quarter of 2015.  On an adjusted constant currency basis, revenue increased 3.5% over the prior year period, with the recently acquired LDR Holding Corporation contributing 190 basis points.  Diluted earnings per share for the quarter were $0.78, an increase of 609.1% over the prior year period, and adjusted diluted earnings per share were $1.79, an increase of 9.1% over the prior year period.

“Zimmer Biomet’s third quarter performance was highlighted by further acceleration of our global S.E.T. category, as well as our continued strength in the Asia Pacific region,” said David Dvorak, President and CEO of Zimmer Biomet.  “We believe that our comprehensive and expanding portfolio of musculoskeletal solutions positions us extremely well to address the evolving needs of customers in the dynamic healthcare environment in which they operate.  Going forward, we will continue to focus on enhancements to our commercial and operational execution to more fully leverage our opportunities to improve the quality of life for patients and create value for our stockholders.”

Net earnings for the third quarter were $158.8 million, an increase of 612.5% over the prior year period, and $362.4 million on an adjusted basis, an increase of 7.1% over the prior year period.  Operating cash flow for the third quarter was $352.6 million.

In addition, during the quarter, Zimmer Biomet announced several strategic acquisitions to broaden and complement the Company’s musculoskeletal offerings.  In July, the Company completed the acquisition of a market leader in cervical disc replacement, LDR Holding Corporation.  In August, Zimmer Biomet announced the acquisition of CD Diagnostics, a company focused on developing immunoassays and biomarker testing to inform musculoskeletal treatment decisions that improve patient outcomes.  Earlier this month, the Company completed the acquisition of all outstanding shares of Medtech SA, developer of the ROSA® robotics platform for a range of minimally invasive brain, neurological and spinal procedures.

In the quarter, the Company paid $47.9 million in dividends and declared a third quarter dividend of $0.24 per share.  The Company also repaid $200 million on its outstanding term loan during the quarter, and borrowed $750 million under a new term loan to repay borrowings under its revolving credit facility.

Guidance
The Company updated its full-year 2016 constant currency revenue and adjusted earnings per share guidance.  The Company now estimates full-year revenue to be in a range of $7.630 billion to $7.650 billion, an increase of approximately 27% on a reported basis, or 2.4% to 2.7% on an adjusted pro forma basis, in each case as compared to the prior year. The Company now expects foreign currency translation to decrease revenue for the full year by approximately 0.3%, compared to its previous estimate of 0.5%.  Revenue growth, excluding the contribution from LDR Holding Corporation, on a constant currency adjusted pro forma basis, is now expected to be in a range of 1.65% to 1.90% for the full year 2016.  Previously, the Company estimated full-year revenue growth to be in a range of 2.5% to 3.0% on a similar basis.

Additionally, the Company now expects its full-year 2016 diluted earnings per share to be in a range of $1.50 to $1.60, and $7.90 to $7.95 on an adjusted basis.  Previously, the Company estimated diluted earnings per share to be in a range of $1.50 to $1.75 on a reported basis, and $7.90 to $8.00 on an adjusted basis.

Conference Call
The Company will conduct its third quarter 2016 investor conference call today, October 31, 2016, at 8:00 a.m. Eastern Time.  The live audio webcast can be accessed via Zimmer Biomet’s Investor Relations website at http://investor.zimmerbiomet.com.  It will be archived for replay following the conference call.

Individuals in the U.S. and Canada who wish to dial into the conference call may do so by dialing (888) 312-9837 and entering conference ID 8873986.  For a complete listing of international toll-free and local numbers, please visit http://investor.zimmerbiomet.com.  A digital recording will be available 24 hours after the completion of the conference call, from November 1, 2016 to November 30, 2016.  To access the recording, U.S. callers should dial (888) 203-1112 and international callers should dial +1 (719) 457-0820, and enter the Access Code ID 8873986.

Sales Tables
The following sales tables provide results by geography and product category, as well as the percentage change compared to the prior year period on a reported basis, and for the quarterly period, on an adjusted constant currency basis.

 

NET SALES – THREE MONTHS ENDED SEPTEMBER 30, 2016
(in millions, unaudited)
Adjusted
Constant
Net Reported Currency
Sales % Change % Change
Geographic Results
Americas $     1,176 3.7 % 3.7 %
EMEA 369 (1.7) 0.9
Asia Pacific 288 13.7 6.4
Total $     1,833 4.0 3.5
Product Categories
Knees
   Americas $       397 (0.9) (0.9)
   EMEA 130 (2.8) 0.3
   Asia Pacific 104 7.2 2.6
       Total 631 (0.1) (0.1)
Hips
   Americas 239 (0.3) (0.2)
   EMEA 112 (3.7) (1.4)
   Asia Pacific 90 15.7 5.9
       Total 441 1.7 0.6
S.E.T (1) 402 8.5 7.8
Dental 96 (7.3) (7.6)
Spine & CMF 184 24.3 23.9
Other 79 5.4 5.2
Total $     1,833 4.0 3.5
(1) Surgical, Sports Medicine, Foot and Ankle, Extremities and Trauma

 

 

NET SALES – NINE MONTHS ENDED SEPTEMBER 30, 2016
(in millions, unaudited)
Net
Sales % Change
Geographic Results
Americas $     3,534 43.8 %
EMEA 1,286 33.4
Asia Pacific 851 32.5
Total $     5,671 39.5
Product Categories
Knees
   Americas $     1,244 30.9
   EMEA 473 28.3
   Asia Pacific 315 27.8
       Total 2,032 29.8
Hips
   Americas 733 35.9
   EMEA 388 21.4
   Asia Pacific 265 29.3
       Total 1,386 30.3
S.E.T (1) 1,216 49.8
Dental 322 46.4
Spine & CMF 470 83.7
Other 245 65.6
Total $     5,671 39.5
(1) Surgical, Sports Medicine, Foot and Ankle, Extremities and Trauma

 

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

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

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

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

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.

Net earnings and diluted earnings per share for the three-month period ended September 30, 2016 and projected diluted earnings per share for the full-year 2016 are presented on a GAAP (reported) basis and an adjusted basis.  Adjusted earnings and earnings per share measures exclude the effects of inventory step-up and other inventory and manufacturing related charges, certain claims, special items, intangible asset amortization, financing and other expenses/gains related to the Biomet merger and other acquisitions, the tax effects of these items and other certain tax adjustments.  Special items include expenses resulting directly from our business combinations and/or global restructuring, quality and operational excellence initiatives, including employee termination benefits, certain contract terminations, consulting and professional fees, dedicated project personnel, asset impairment or loss on disposal charges and other items.  Other certain tax adjustments primarily include internal restructuring transactions that provide the Company access to offshore funds in a tax efficient manner and adjustments to deferred tax liabilities recognized as part of acquisition-related accounting.

Sales growth information for the three and nine month periods ended September 30, 2016 is presented on a GAAP (reported) basis and, for the three-month period, on an adjusted constant currency basis.  Adjusted growth rates reflect the impact of the previously announced divesture remedies.  Constant currency growth rates 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.  Projected revenue growth information for the full-year 2016 is presented on a GAAP (reported) basis, an adjusted pro forma basis, an adjusted pro forma constant currency basis and an adjusted pro forma constant currency basis excluding the contribution from LDR Holding Corporation.  Pro forma revenue growth refers to a comparison against revenue for the prior year that has been adjusted to reflect the inclusion of Biomet revenue on a GAAP basis.  Adjusted pro forma revenue growth refers to a comparison against pro forma revenue for the prior year adjusted to reflect the impact of the previously announced divestiture remedies.  Adjusted pro forma constant currency revenue growth excludes the effects of changes in foreign currency exchange rates in both years.

We use these non-GAAP financial measures internally to evaluate the performance of the business and believe they are useful measures that provide meaningful supplemental information to investors to consider when evaluating the performance of the Company.  We believe 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 operating results, to perform trend analysis, to better identify operating trends that may otherwise be masked or distorted by these types of items and to provide additional transparency of certain items.  In addition, certain of these non-GAAP financial measures are used as performance metrics in our incentive compensation programs.

Reconciliations of these non-GAAP financial measures to the most directly comparable GAAP measures are included in this press release.

Cautionary Statement Regarding Forward-Looking Statements
This communication contains forward-looking statements within the meaning of the safe harbor provisions of the Private Securities Litigation Reform Act of 1995.  Forward-looking statements may be identified by the use of forward-looking terms such as “may,” “will,” “expects,” “believes,” “anticipates,” “plans,” “estimates,” “projects,” “assumes,” “guides,” “targets,” “forecasts,” “sees” and “seeks” or the negative of such terms or other variations on such terms or comparable terminology.  All statements other than statements of historical or current fact are, or may be deemed to be, forward-looking statements.  Such statements are based upon the current beliefs and expectations of management and are subject to significant risks and uncertainties that could cause actual outcomes and results to differ materially.  These risks and uncertainties include, but are not limited to: the possibility that the anticipated synergies and other benefits from mergers and acquisitions will not be realized, or will not be realized within the expected time periods; the risks and uncertainties related to our ability to successfully integrate the operations, products, employees and distributors of acquired companies; the effect of the potential disruption of management’s attention from ongoing business operations due to integration matters related to mergers and acquisitions; the effect of mergers and acquisitions on our relationships with customers, vendors and lenders and on our operating results and businesses generally; Biomet’s compliance with its Deferred Prosecution Agreement, as extended; the outcome of government investigations; price and product competition; the success of our quality and operational excellence initiatives; changes in customer demand for our products and services caused by demographic changes or other factors; the impact of healthcare reform measures; reductions in reimbursement levels by third-party payors and cost containment efforts of healthcare purchasing organizations; dependence on new product development, technological advances and innovation; shifts in the product category or regional sales mix of our products and services; supply and prices of raw materials and products; control of costs and expenses; the ability to obtain and maintain adequate intellectual property protection; the ability to form and implement alliances; challenges relating to changes in and compliance with governmental laws and regulations, including regulations of the U.S. Food and Drug Administration (the “FDA”) and foreign government regulators, such as more stringent requirements for regulatory clearance of products; the ability to remediate matters identified in any inspectional observations or warning letters issued by the FDA, while continuing to satisfy the demand for our products; changes in tax obligations arising from tax reform measures or examinations by tax authorities; product liability and intellectual property litigation losses; the ability to retain the independent agents and distributors who market our products; dependence on a limited number of suppliers for key raw materials and outsourced activities; changes in general industry and market conditions, including domestic and international growth rates and general domestic and international economic conditions, including interest rate and currency exchange rate fluctuations; and the impact of the ongoing economic uncertainty affecting countries in the Euro zone on the ability to collect accounts receivable in affected countries.  For a further list and description of such risks and uncertainties, see our reports filed with the U.S. Securities and Exchange Commission.  Copies of these filings, as well as subsequent filings, are available online at www.sec.govwww.zimmerbiomet.com or on request from us.  We disclaim any intention or obligation to update or revise any forward-looking statements, whether as a result of new information, future events or otherwise, except as may be set forth in our periodic reports.  Readers of this communication are cautioned not to place undue reliance on these forward-looking statements, since, while management believes the assumptions on which the forward-looking statements are based are reasonable, there can be no assurance that these forward-looking statements will prove to be accurate.  This cautionary statement is applicable to all forward-looking statements contained in this communication.

 

 ZIMMER BIOMET HOLDINGS, INC. 
 CONSOLIDATED STATEMENTS OF EARNINGS 
 FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
 (in millions, except per share amounts, unaudited) 
2016 2015
 Net Sales  $     1,832.8 $     1,762.2
 Cost of products sold, excluding intangible asset amortization 479.3 552.1
 Intangible asset amortization 164.3 122.6
 Research and development 95.6 83.3
 Selling, general and administrative 727.7 692.3
 Special items 170.4 195.9
      Operating expenses 1,637.3 1,646.2
 Operating Profit  195.5 116.0
 Other (expense) income, net (1.1) 4.3
 Interest income 0.6 2.3
 Interest expense (91.5) (90.8)
 Earnings before income taxes 103.5 31.8
 (Benefit) provision for income taxes (54.4) 9.6
 Net Earnings  157.9 22.2
 Less: Net Loss attributable to noncontrolling interest (0.9)
 Net Earnings of Zimmer Biomet Holdings, Inc.  $        158.8 $          22.2
 Earnings Per Common Share 
     Basic $          0.79 $          0.11
     Diluted $          0.78 $          0.11
 Weighted Average Common Shares Outstanding 
     Basic 200.1 203.5
     Diluted 202.9 205.7
 Cash Dividends Declared Per Common Share  $          0.24 $          0.22

 

 

 ZIMMER BIOMET HOLDINGS, INC. 
 CONSOLIDATED STATEMENTS OF EARNINGS 
 FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
 (in millions, except per share amounts, unaudited) 
2016 2015
 Net Sales  $     5,670.8 $     4,064.2
 Cost of products sold, excluding intangible asset amortization 1,760.0 1,131.3
 Intangible asset amortization 424.7 176.0
 Research and development 269.9 182.9
 Selling, general and administrative 2,176.6 1,560.6
 Certain claims 7.7
 Special items 397.0 751.9
      Operating expenses 5,028.2 3,810.4
 Operating Profit  642.6 253.8
 Other expense, net (8.7) (44.6)
 Interest income 2.7 7.4
 Interest expense (267.8) (196.6)
 Earnings before income taxes 368.8 20.0
 Provision for income taxes 133.9 0.5
 Net Earnings  234.9 19.5
 Less: Net Loss attributable to noncontrolling interest (1.4) (0.5)
 Net Earnings of Zimmer Biomet Holdings, Inc.  $        236.3 $          20.0
 Earnings Per Common Share 
     Basic $          1.18 $          0.11
     Diluted $          1.17 $          0.11
 Weighted Average Common Shares Outstanding 
     Basic 199.9 182.1
     Diluted 202.3 184.7
 Cash Dividends Declared Per Common Share  $          0.72 $          0.66

 

 

ZIMMER BIOMET HOLDINGS, INC. 
CONDENSED CONSOLIDATED BALANCE SHEETS 
 (in millions, unaudited) 
September 30, December 31,
2016 2015
 Assets 
 Current Assets: 
   Cash and cash equivalents $               475.3 $            1,459.3
   Short-term investments 13.4 164.6
   Receivables, net 1,603.6 1,446.5
   Inventories 2,070.0 2,254.1
   Other current assets 535.8 529.2
       Total current assets 4,698.1 5,853.7
 Property, plant and equipment, net 2,080.8 2,062.6
 Goodwill 10,770.1 9,934.2
 Intangible assets, net 9,001.1 8,746.3
 Other assets 486.4 563.8
 Total Assets  $          27,036.5 $          27,160.6
 Liabilities and Stockholders’ Equity 
 Current liabilities $            2,312.1 $            1,617.9
 Other long-term liabilities 3,972.0 4,155.9
 Long-term debt 11,006.2 11,497.4
 Stockholders’ equity 9,746.2 9,889.4
 Total Liabilities and Stockholders’ Equity  $          27,036.5 $          27,160.6

 

 

ZIMMER BIOMET HOLDINGS, INC. 
 CONSOLIDATED STATEMENTS OF CASH FLOWS 
 FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
(in millions, unaudited) 
2016 2015
 Cash flows provided by (used in) operating activities 
 Net earnings $        234.9 $          19.5
 Depreciation and amortization 787.3 428.1
 Share-based compensation 45.9 34.7
 Biomet merger consideration compensation expense 164.1
 Intangible asset impairment 28.0
 Income tax benefit from stock option exercises 26.8 77.7
 Excess income tax benefits from employee stock compensation plans (10.3)
 Inventory step-up 300.9 137.1
 Gain on divestiture of assets (8.9)
 Changes in operating assets and liabilities, net of acquired assets and liabilities
     Income taxes (152.2) 29.9
     Receivables (80.3) 29.4
     Inventories 44.2 (196.5)
     Accounts payable and accrued expenses (76.0) (293.8)
     Other assets and liabilities (154.5) (23.7)
 Net cash provided by operating activities 1,005.0 387.3
 Cash flows provided by (used in) investing activities 
 Additions to instruments (251.3) (186.0)
 Additions to other property, plant and equipment (130.1) (118.6)
 Purchases of investments (1.4) (179.0)
 Sales of investments 273.3 578.8
 Proceeds from divestiture of assets 57.9
 Biomet acquisition, net of acquired cash (7,760.1)
 LDR acquisition, net of acquired cash (1,021.1)
 Other business combination investments, net of acquired cash (421.9)
 Other investing activities 7.8 (19.6)
 Net cash used in investing activities (1,544.7) (7,626.6)
 Cash flows provided by (used in) financing activities 
 Proceeds from senior notes 7,628.2
 Proceeds from term loan 750.0 3,000.0
 Redemption of senior notes (2,740.0)
 Payments on term loan (700.0) (150.0)
 Net (payments) proceeds on other debt (33.1) 0.8
 Dividends paid to stockholders (140.3) (112.3)
 Proceeds from employee stock compensation plans 113.5 77.0
 Restricted stock witholdings (5.3) (10.5)
 Excess income tax benefits from employee stock compensation plans 10.3
 Debt issuance costs (3.4) (58.4)
 Repurchase of common stock (415.5)
 Net cash (used in) provided by financing activities (434.1) 7,645.1
 Effect of exchange rates on cash and cash equivalents (10.2) (22.2)
 (Decrease) increase in cash and cash equivalents (984.0) 383.6
 Cash and cash equivalents, beginning of period 1,459.3 1,083.3
 Cash and cash equivalents, end of period $        475.3 $     1,466.9

 

 

 ZIMMER BIOMET HOLDINGS, INC. 

 NET SALES BY GEOGRAPHY 

 FOR THE THREE and NINE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 

 (in millions, unaudited) 

 Three Months Ended September 30,   Nine Months Ended September 30, 
2016 2015 % Inc / (Dec) 2016 2015 % Inc
 Americas $     1,175.9 $     1,133.5 3.7 % $     3,534.1 $     2,458.2 43.8 %
 EMEA 368.8 375.2 (1.7) 1,286.0 964.2 33.4
 Asia Pacific 288.1 253.5 13.7 850.7 641.8 32.5
 Total $     1,832.8 $     1,762.2 4.0 $     5,670.8 $     4,064.2 39.5
 ZIMMER BIOMET HOLDINGS, INC. 

 NET SALES BY PRODUCT CATEGORY 

 FOR THE THREE and NINE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 

 (in millions, unaudited) 

 Three Months Ended September 30,   Nine Months Ended September 30, 
2016 2015 % Inc / (Dec) 2016 2015 % Inc
 Knees $        631.3 $        632.0 (0.1) % $     2,031.5 $     1,564.8 29.8 %
 Hips 440.6 433.5 1.7 1,385.7 1,063.9 30.3
 S.E.T 402.1 370.4 8.5 1,215.6 811.3 49.8
 Dental 95.9 103.4 (7.3) 322.5 220.2 46.4
 Spine & CMF 183.6 147.7 24.3 470.6 256.1 83.7
 Other 79.3 75.2 5.4 244.9 147.9 65.6
 Total $     1,832.8 $     1,762.2 4.0 $     5,670.8 $     4,064.2 39.5

 

 

ZIMMER BIOMET HOLDINGS, INC.
RECONCILIATION OF REPORTED % CHANGE TO
ADJUSTED CONSTANT CURRENCY % CHANGE AND
% CHANGE EXCLUDING LDR HOLDING CORPORATION
(unaudited)
For the Three Months Ended
September 30, 2016
Adjusted
Foreign Constant
Divestiture Exchange Currency
 % Change  Impact Impact % Change
Geographic Results
Americas 3.7 % % % 3.7 %
EMEA (1.7) (2.6) 0.9
Asia Pacific 13.7 (0.9) 8.2 6.4
Total 4.0 (0.1) 0.6 3.5
Product Categories
Knees
   Americas (0.9) (0.9)
   EMEA (2.8) (3.1) 0.3
   Asia Pacific 7.2 (1.9) 6.5 2.6
       Total (0.1) (0.3) 0.3 (0.1)
Hips
   Americas (0.3) (0.1) (0.2)
   EMEA (3.7) (2.3) (1.4)
   Asia Pacific 15.7 9.8 5.9
       Total 1.7 1.1 0.6
S.E.T 8.5 (0.1) 0.8 7.8
Dental (7.3) 0.3 (7.6)
Spine & CMF 24.3 0.4 23.9
Other 5.4 0.2 5.2
       Total 4.0 (0.1) 0.6 3.5
Impact of LDR Holding Corporation (1.9) (1.9)
% Change excluding LDR Holding Corporation 2.1 (0.1) 0.6 1.6

 

 

 ZIMMER BIOMET HOLDINGS, INC. 
 RECONCILIATION OF NET EARNINGS AND ADJUSTED NET EARNINGS 
 FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
 (in millions, unaudited) 
 Three Months
 Ended September 30, 
2016 2015
Net Earnings of Zimmer Biomet Holdings, Inc. $       158.8 $         22.2
Inventory step-up and other inventory
   and manufacturing-related charges 22.8 132.6
Intangible asset amortization 164.3 122.6
Special items
   Biomet merger-related 113.8 146.6
   Other special items 56.6 49.3
Merger-related income in other (expense) income, net (2.6) (11.9)
Taxes on above items (1) (111.6) (129.2)
Other certain tax adjustments(2) (39.7) 6.2
Adjusted Net Earnings $       362.4 $       338.4
(1)  The tax effect for the U.S. jurisdiction is calculated based on an effective rate considering federal and state taxes,
as well as permanent items.  For jurisdictions outside the U.S., the tax effect is calculated based upon the statutory
rates where the items were incurred.
(2)  Other certain tax adjustments primarily include a favorable adjustment to certain deferred tax liabilities recognized
as part of acquisition-related accounting partially by internal restructuring transactions that provide the
Company access to offshore funds in a tax efficient manner.
 ZIMMER BIOMET HOLDINGS, INC. 
 RECONCILIATION OF NET EARNINGS AND ADJUSTED NET EARNINGS 
 FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
 (in millions, unaudited) 
 Nine Months 
 Ended September 30, 
2016 2015
Net Earnings of Zimmer Biomet Holdings, Inc. $       236.3 $         20.0
Inventory step-up and other inventory
   and manufacturing-related charges 357.7 151.2
Certain claims 7.7
Intangible asset amortization 424.7 176.0
Special items
   Biomet merger-related 313.5 563.0
   Other special items 83.5 188.9
Merger-related (income) expense in other (expense) income, net (1.1) 33.1
Interest expense on Biomet merger financing 70.0
Taxes on above items (1) (297.0) (363.6)
Biomet merger-related measurement period tax adjustments (2)  52.7
Other certain tax adjustments(3) 6.4 35.9
Adjusted Net Earnings $    1,176.7 $       882.2
(1)  The tax effect for the U.S. jurisdiction is calculated based on an effective rate considering federal and state taxes,
as well as permanent items.  For jurisdictions outside the U.S., the tax effect is calculated based upon the statutory
rates where the items were incurred.
(2)  The 2016 period includes negative effects from finalizing the tax accounts for the Biomet merger.  Under the
applicable U.S. GAAP rules, these measurement period adjustments are recognized on a prospective basis
in the period of change.
(3)  Other certain tax adjustments primarily include a favorable adjustment to certain deferred tax liabilities recognized
as part of acquisition-related accounting offset by internal restructuring transactions that provide the
Company access to offshore funds in a tax efficient manner.

 

 

 ZIMMER BIOMET HOLDINGS, INC. 
                           RECONCILIATION OF DILUTED EPS AND ADJUSTED DILUTED EPS 
 FOR THE THREE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
 (unaudited) 
 Three Months 
 Ended September 30, 
2016 2015
Diluted EPS $                   0.78 $                   0.11
Inventory step-up and other inventory
   and manufacturing-related charges 0.11 0.64
Intangible asset amortization 0.81 0.60
Special items
   Biomet merger-related 0.56 0.71
   Other special items 0.28 0.24
Merger-related income in other (expense) income, net (0.01) (0.06)
Taxes on above items (1) (0.55) (0.64)
Other certain tax adjustments(2) (0.19) 0.04
Adjusted Diluted EPS $                   1.79 $                   1.64
(1)  The tax effect for the U.S. jurisdiction is calculated based on an effective rate considering federal and state taxes,

as well as permanent items.  For jurisdictions outside the U.S., the tax effect is calculated based upon the statutory

rates where the items were incurred.

(2)  Other certain tax adjustments primarily include a favorable adjustment to certain deferred tax liabilities recognized

as part of acquisition-related accounting partially offset by internal restructuring transactions that provide the

Company access to offshore funds in a tax efficient manner.

 ZIMMER BIOMET HOLDINGS, INC. 
                           RECONCILIATION OF DILUTED EPS AND ADJUSTED DILUTED EPS 
 FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
 (unaudited) 
 Nine Months 
 Ended September 30, 
2016 2015
Diluted EPS $                   1.17 $                   0.11
Inventory step-up and other inventory
   and manufacturing-related charges 1.77 0.82
Certain claims 0.04
Intangible asset amortization 2.10 0.95
Special items
   Biomet merger-related 1.55 3.05
   Other special items 0.41 1.02
Merger-related (income) expense in other (expense) income, net (0.01) 0.18
Interest expense on Biomet merger financing 0.38
Taxes on above items (1) (1.47) (1.98)
Biomet merger-related measurement period tax adjustments (2)  0.26
Other certain tax adjustments(3) 0.04 0.21
Adjusted Diluted EPS $                   5.82 $                   4.78
(1)  The tax effect for the U.S. jurisdiction is calculated based on an effective rate considering federal and state taxes,

as well as permanent items.  For jurisdictions outside the U.S., the tax effect is calculated based upon the statutory

rates where the items were incurred.

(2)  The 2016 period includes negative effects from finalizing the tax accounts for the Biomet merger.  Under the

applicable U.S. GAAP rules, these measurement period adjustments are recognized on a prospective basis

in the period of change.

(3)  Other certain tax adjustments primarily include a favorable adjustment to certain deferred tax liabilities recognized

as part of acquisition-related accounting partially offset by internal restructuring transactions that provide the

Company access to offshore funds in a tax efficient manner.

 

 

  ZIMMER BIOMET HOLDINGS, INC. 
  SUMMARY OF EXPENSES INCLUDED IN SPECIAL ITEMS 
 FOR THE THREE and NINE MONTHS ENDED SEPTEMBER 30, 2016 and 2015 
 (in millions, unaudited) 
 Three Months   Nine Months 
Ended September 30, Ended September 30,
2016 2015 2016 2015
 Biomet-related 
 Merger consideration compensation expense $          – $          – $          – $   164.1
 Retention plans 73.0
 Consulting and professional fees 59.0 28.0 138.4 114.6
 Employee termination benefits 7.1 14.2 14.3 79.1
 Dedicated project personnel 21.9 36.8 64.8 45.9
 Relocated facilities 9.5 1.6 17.5 2.5
 Contract terminations 3.5 59.2 28.8 75.1
 Information technology integration 4.8 1.1 9.3 1.1
 Intangible asset impairment 28.0
 Other 8.0 5.7 12.4 7.6
 Total Biomet-related 113.8 146.6 313.5 563.0
 Other 
 Consulting and professional fees 14.6 30.2 30.3 109.5
 Employee termination benefits 3.2 1.1 3.2 1.9
 Dedicated project personnel 8.2 6.4 11.5 28.9
 Impairment/loss on disposal of assets 1.1 2.3
 LDR merger consideration compensation expense 24.1 24.1
 Relocated facilities 0.2
 Certain litigation matters 3.7 3.7 20.3
 Contract terminations 0.1 1.1
 Information technology integration 0.8 1.8 1.1 1.8
 Contingent consideration adjustments 0.1 2.4
 Accelerated software amortization 1.5
 Other 1.9 9.7 7.2 20.3
 Total Other 56.6 49.3 83.5 188.9
 Special items $   170.4 $   195.9 $   397.0 $   751.9

 

 

ZIMMER BIOMET HOLDINGS, INC.
RECONCILIATION OF 2016 PROJECTED REVENUE % GROWTH TO
2016 PROJECTED ADJUSTED PRO FORMA % GROWTH AND
2016 PROJECTED CONSTANT CURRENCY ADJUSTED PRO FORMA % GROWTH
(unaudited)
 Projected Year Ended December 31, 2016:   High   Low
 Revenue % growth 27.00 % 27.00 %
 Effect from product divestitures (0.90) (0.90)
 Effect from full year of Biomet revenue (23.40) (23.70)
    Adjusted pro forma % growth 2.70 2.40
 Effect of LDR revenue (1.10) (1.10)
 Foreign exchange impact 0.30 0.35
    Constant currency adjusted pro forma % growth 1.90 % 1.65 %

 

 

 ZIMMER BIOMET HOLDINGS, INC. 
 RECONCILIATION OF 2016 PROJECTED DILUTED EPS 
 AND PROJECTED ADJUSTED DILUTED EPS 
 (unaudited) 
Projected Year Ended December 31, 2016: High Low
Diluted EPS $                      1.60 $            1.50
Inventory step-up and other inventory and manufacturing related
   charges, intangible asset amortization, special items and other expense 7.90 8.00
Taxes on above items(1) and other certain tax adjustments (1.55) (1.60)
Adjusted Diluted EPS $                      7.95 $            7.90
(1)  The tax effect for the U.S. jurisdiction is estimated based on an effective rate considering federal and state taxes,

as well as permanent items.  For jurisdictions outside the U.S., the tax effect is estimated based upon the statutory

rates where the items were or are projected to be incurred.

 

 

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SOURCE Zimmer Biomet Holdings, Inc.

News Provided by Acquire Media

Anika Reports Third Quarter 2016 Financial Results

October 26, 2016

BEDFORD, Mass.–(BUSINESS WIRE)–Anika Therapeutics, Inc. (NASDAQ: ANIK), a global, integrated orthopedic medicines company specializing in therapeutics based on its proprietary hyaluronic acid (“HA”) technology, today reported financial results for the third quarter ended September 30, 2016, along with business progress in the period.

“We continued to deliver solid financial results in the third quarter, while expanding globally and advancing our deep and differentiated pipeline to drive sustained growth,” said Charles H. Sherwood, Ph.D., President and Chief Executive Officer. “Last quarter, we had a productive meeting with the FDA regarding the CINGAL regulatory submission and continue to gain alignment on additional clinical and non-clinical work required to bring this important treatment to the U.S. Our confidence in the future success of CINGAL in the U.S. has been reaffirmed by how well CINGAL has been received by physicians in Canada and Europe, where we recently launched. We are well-positioned to achieve our operational and financial objectives for 2016 and to create significant near- and long-term value for patients and shareholders.”

Third Quarter Financial Results

  • Total revenue for the third quarter of 2016 increased 9% to $25.8 million, compared to $23.7 million for the third quarter of 2015.
  • Worldwide Orthobiologics revenue grew 10% year-over-year in the third quarter of 2016. MONOVISC revenue increased 33% year-over-year in the third quarter of 2016, and it was the Company’s main revenue growth driver during the period.
  • International Orthobiologics revenue grew 27% year-over-year in the first nine months of 2016 as a result of the Company’s global commercial expansion efforts. Domestically, we believe ORTHOVISC maintained its position as the leading multiple-injection product while MONOVISC continued to hold the number two position in the single-injection segment.
  • Total operating expenses for the third quarter of 2016 were $12.1 million, compared to $10.5 million for the third quarter of 2015, commensurate with the Company’s growth in revenue, increased commercial efforts, and active pipeline.
  • Net income for the third quarter of 2016 increased $0.6 million to $9.0 million, or $0.59 per diluted share, compared to $8.4 million, or $0.55 per diluted share, for the third quarter of 2015.

Recent Business Highlights
The Company made key commercial, operational, pipeline, and financial advancements, including:

  • Meeting with the U.S. Food and Drug Administration (FDA) in late September about the New Drug Application (NDA) for CINGAL, during which the Company and FDA aligned on one additional Phase III clinical trial to supplement the strong stable of existing pivotal data.
  • Advancing its product pipeline with continued progress on enrolling patients in the FastTRACK Phase III HYALOFAST Study for cartilage repair, as well as the Phase III MONOVISC study for the treatment of osteoarthritis pain in the hip.
  • Showcasing data from four recent studies evaluating the clinical utility of our HA-based bioscaffold, HYALOFAST, at the 13th World Congress of the International Cartilage Repair Society (ICRS).
  • Completing the Company’s $25 million accelerated share repurchase program, with a total of 531,067 shares repurchased by Anika.
  • Progressing with the consolidation of the Company’s global manufacturing operations at Anika’s Bedford, Mass. global headquarters.

Conference Call Information
Anika’s management will hold a conference call and webcast to discuss its financial results and business highlights tomorrow, Thursday, October 27th at 9:00 am ET. The conference call can be accessed by dialing 1-855-468-0611 (toll-free domestic) or 1-484-756-4332 (international). A live audio webcast will be available in the “Investor Relations” section of Anika’s website, www.anikatherapeutics.com. An accompanying slide presentation may also be accessed via the Anika website. A replay of the webcast will be available on Anika’s website approximately two hours after the completion of the event.

About Anika Therapeutics, Inc.
Anika Therapeutics, Inc. (NASDAQ: ANIK) is a global, integrated orthopedic medicines company based in Bedford, Massachusetts. Anika is committed to improving the lives of patients with degenerative orthopedic diseases and traumatic conditions with clinically meaningful therapies along the continuum of care, from palliative pain management to regenerative cartilage repair. The Company has over two decades of global expertise developing, manufacturing, and commercializing more than 20 products based on its proprietary hyaluronic acid (HA) technology. Anika’s orthopedic medicine portfolio includes ORTHOVISC®, MONOVISC®, and CINGAL®, which alleviate pain and restore joint function by replenishing depleted HA, and HYALOFAST®, a solid HA-based scaffold to aid cartilage repair and regeneration. For more information about Anika, please visit www.anikatherapeutics.com.

Forward-Looking Statements
The statements made in the last sentence of the second paragraph of this press release, which are not statements of historical fact, are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These statements include, but are not limited to, those relating to the Company’s future growth and creation of value, and the Company’s ability and positioning to meet its 2016 financial and operational goals. These statements are based upon the current beliefs and expectations of the Company’s management and are subject to significant risks, uncertainties, and other factors. The Company’s actual results could differ materially from any anticipated future results, performance, or achievements described in the forward-looking statements as a result of a number of factors including, but not limited to, (i) the Company’s ability to successfully commence and/or complete clinical trials of its products on a timely basis or at all; (ii) the Company’s ability to obtain pre-clinical or clinical data to support domestic and international pre-market approval applications, 510(k) applications, or new drug applications, or to timely file and receive FDA or other regulatory approvals or clearances of its products; (iii) that such approvals will not be obtained in a timely manner or without the need for additional clinical trials, other testing or regulatory submissions, as applicable; (iv) the Company’s research and product development efforts and their relative success, including whether we have any meaningful sales of any new products resulting from such efforts; (v) the cost effectiveness and efficiency of the Company’s clinical studies, manufacturing operations, and production planning; (vi) the strength of the economies in which the Company operates or will be operating, as well as the political stability of any of those geographic areas; (vii) future determinations by the Company to allocate resources to products and in directions not presently contemplated; (viii) the Company’s ability to successfully commercialize its products, in the U.S. and abroad; (ix) the Company’s ability to provide an adequate and timely supply of its products to its customers; and (x) the Company’s ability to achieve its growth targets. Additional factors and risks are described in the Company’s periodic reports filed with the Securities and Exchange Commission (SEC), and they are available on the SEC’s website at www.sec.gov. Forward-looking statements are made based on information available to the Company on the date of this press release, and the Company assumes no obligation to update the information contained in this press release.

Anika Therapeutics, Inc. and Subsidiaries
Condensed Consolidated Statements of Operations
(in thousands, except per share data)
(unaudited)
For the Three Months Ended September 30, For the Nine Months Ended September 30,
2016 2015 2016 2015
Product revenue $ 25,783 $ 23,676 $ 74,636 $ 62,089
Licensing, milestone and contract revenue 6 5 17 16
Total revenue 25,789 23,681 74,653 62,105
Operating expenses:
Cost of product revenue 4,998 5,176 16,488 14,764
Research & development 2,822 2,061 7,773 5,971
Selling, general & administrative 4,280 3,309 12,525 10,302
Total operating expenses 12,100 10,546 36,786 31,037
Income from operations 13,689 13,135 37,867 31,068
Interest income, net 93 34 214 82
Income before income taxes 13,782 13,169 38,081 31,150
Provision for income taxes 4,830 4,789 13,619 11,435
Net income $ 8,952 $ 8,380 $ 24,462 $ 19,715
Basic net income per share:
Net income $ 0.61 $ 0.56 $ 1.66 $ 1.32
Basic weighted average common shares outstanding 14,625 14,967 14,726 14,945
Diluted net income per share:
Net income $ 0.59 $ 0.55 $ 1.61 $ 1.29
Diluted weighted average common shares outstanding 15,077 15,316 15,163 15,311
Anika Therapeutics, Inc. and Subsidiaries
Condensed Consolidated Balance Sheets
(in thousands, except share data and per share data)
(unaudited)
September 30, December 31,
ASSETS 2016 2015
Current assets:
Cash and cash equivalents $ 98,047 $ 110,707
Investments 22,250 27,751
Accounts receivable, net of reserves of $224 and $167 at September 30, 2016 and December 31, 2015, respectively 21,833 21,652
Inventories 18,020 14,938
Prepaid expenses and other current assets 924 1,385
Total current assets 161,074 176,433
Property and equipment, net 51,058 40,108
Long-term deposits and other 69 69
Intangible assets, net 11,171 11,656
Goodwill 7,690 7,482
Total Assets $ 231,062 $ 235,748
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Accounts payable $ 1,949 $ 8,302
Accrued expenses and other current liabilities 5,423 4,778
Income taxes payable 217 4,198
Total current liabilities 7,589 17,278
Other long-term liabilities 2,556 781
Long-term deferred revenue 59 66
Deferred tax liability 6,315 6,775
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $.01 par value; 1,250,000 shares authorized, no shares issued and outstanding at September 30, 2016 and December 31, 2015, respectively
Common stock, $.01 par value; 60,000,000 and 30,000,000 shares authorized, 14,623,225 and 15,036,808 shares issued and outstanding at September30, 2016 and December 31, 2015, respectively 146 150
Additional paid-in-capital 60,374 81,685
Accumulated other comprehensive loss (6,101 ) (6,649 )
Retained earnings 160,124 135,662
Total stockholders’ equity 214,543 210,848
Total Liabilities and Stockholders’ Equity $ 231,062 $ 235,748
Anika Therapeutics, Inc. and Subsidiaries
Supplemental Financial Data
Revenue by Product Line and Product Gross Margin
(in thousands, except percentages)
(unaudited)
For the Three Months Ended September 30, For the Nine Months Ended September 30,
2016 % 2015 % 2016 % 2015 %
Orthobiologics $ 22,428 87 % $ 20,461 86 % $ 65,319 88 % $ 51,717 83 %
Surgical 1,173 5 % 1,413 6 % 3,924 5 % 4,450 7 %
Dermal 594 2 % 412 2 % 1,558 2 % 1,132 2 %
Other 1,588 6 % 1,390 6 % 3,835 5 % 4,790 8 %
Product Revenue $ 25,783 100 % $ 23,676 100 % $ 74,636 100 % $ 62,089 100 %
Product Gross Profit $ 20,785 $ 18,500 $ 58,148 $ 47,325
Product Gross Margin

81%

78%

78%

76%

Product Revenue by Geographic Region
(in thousands, except percentages)
(unaudited)
For the Three Months Ended September 30, For the Nine Months Ended September 30,
2016 % 2015

%

2016

%

2015

%

Geographic Location:
United States $ 21,126 82 % $ 19,239 82 % $ 61,032 82 % $ 51,048 82 %
Europe 2,703 10 % 1,977 8 % 8,240 11 % 6,294 10 %
Other 1,954 8 % 2,460 10 % 5,364 7 % 4,747 8 %
Product Revenue $ 25,783 100 % $ 23,676 100 % $ 74,636 100 % $ 62,089 100 %

Contacts

Anika Therapeutics, Inc.
Charles H. Sherwood, Ph.D., President and CEO
or
Sylvia Cheung, CFO
781-457-9000

EOS imaging Reports 40% Revenue Growth for the Third Quarter of 2016

October 27, 2016

PARIS–(BUSINESS WIRE)–EOS imaging (Paris:EOSI) (Euronext, FR0011191766 – EOSI – Eligible for PEA-PME savings schemes in France), the pioneer in 2D/3D orthopaedic medical imaging, today announced its consolidated revenue for the third quarter and nine months ended September 30, 2016.

€ millions Sept. 2016

9 months

Sept. 2015

9 months

% change

Equipment sales 16,93 12,29 +38%
As a % of total revenues 82% 82%
Sales of maintenance 3,18 2,04 +56%
As a % of total revenues 15% 14%
Sales of consumables and services 0,65 0,60 +8%
As a % of total revenues 3% 4%
Total revenues 20,75 14,93 +39%
Unaudited data

Marie Meynadier, Chief Executive Officer of EOS imaging, said, “We delivered another quarter of strong growth, building on our positive momentum in 2016 in all three of our key geographical markets and particularly in the important North American one. The combination of our low dose 2D/3D imaging technology and EOSapps continues to position EOS as a standard of care in the evaluation and treatment of musculoskeletal conditions. We expect adoption to increase as we execute our commercial plan and portfolio development and further enhance the value of our solutions for a growing number of medical teams and patients.”

  • Continued sharp increase in sales in the first nine months of 2016

EOS reported total revenue of €20.8 million for the nine months ended September 30, 2016 as compared to €14.9 million for the nine months ended September 30, 2015, an increase of 39%.

The Company sold 41 EOS® systems in the first nine months of 2016, as compared to 30 systems in the same period last year. Revenues from sales of equipment totalled €16.9 million, an increase of 38%.

Sales of maintenance contracts increased 56% to €3.18 million, reflecting the continued increase in the installed base of EOS systems under contract.

Sales of consumables and services were €0.65 million in the first nine months of 2016, an increase of 8%.

  • The strong growth in sales was driven by continued momentum in the United States
€ millions Sept. 2016

9 months

Sept. 2015

9 months

% change
EMEA 7,27 6,12 +19%
North America 11,57 7,35 +57%
Asia-Pacific 1,92 1,47 +31%
Total revenues 20,75 14,93 +39%
Unaudited data

EOS reported continued sales momentum in North America in the first nine months of 2016, generating revenue of €11.6 million, an increase of 57% compared to the same period last year. Sales in North America represented 56% of total revenues for the first nine months of 2016.

Sales in the EMEA region were €7.27 million, an increase of 19%, and sales in the Asia-Pacific region were €1.92 million, an increase of 31%.

  • Third quarter of 2016: up 40% to €6.6 million
€ millions Q1 Q2 Q3 Q1 Q2 Q3 ∆ Q1 ∆ Q2 ∆ Q3
2016 2016 2016 2015 2015 2015
Sales of equipment 4,09 7,36 5,46 2.50 6.00 3.79 +64% +23% +44%
as a % of total revenues 77% 83% 83% 75% 87% 80%
Sales of maintenance 0,99 1,23 0,96 0.63 0.69 0.72 +58% +78% +33%
as a % of total revenues 18% 14% 14% 19% 10% 15%
Sales of consumables and services 0,24 0,22 0,19 0.19 0.19 0.23 +27% +16% -18%
as a % of total revenues 5 % 3% 3% 6% 3% 5%
Total revenues 5,33 8,82 6,60 3.32 6.88 4.74 +60% +28% +40%
Unaudited data

EOS imaging sold 13 EOS® systems in the first nine months of 2016 and generated revenues of €6.60 million, an increase of 40% as compared to the same period last year.

About EOS imaging

EOS imaging designs, develops, and markets EOS®, an innovative medical imaging system dedicated to osteoarticular pathologies and orthopaedics, as well as associated solutions. The Company is authorized to market in 51 countries, including the United States (FDA), Japan, China and the European Union (EC). The Group posted 2015 revenues of €21.8 million and employs 122 people. The Group is based in Paris and has five subsidiaries in Besançon (France), Cambridge (Massachusetts), Montreal (Canada), Frankfurt (Germany) and Singapore.

EOS imaging has been chosen to be included in the new EnterNext© PEA-PME 150 index, composed of 150 French companies and listed on Euronext and Alternext markets in Paris.

EOS imaging is listed on Compartment C of Euronext Paris
ISIN: FR0011191766 – Ticker: EOSI

Contacts

EOS imaging
Anne Renevot, +33 (0)1 55 25 61 24
CFO
investors@eos-imaging.com
or
NewCap
Financial communication and investor relations
Valentine Brouchot, +33 (0)1 44 71 94 96
eosimaging@newcap.eu
or
Press relations
Annie-Florence Loyer, +33 (0)1 44 71 00 12/ +33 (6) 88 20 35 59
afloyer@newcap.fr
or
Daphné Boccara, +33 (0)1 44 71 94 93
dboccara@newcap.fr
or
The Ruth Group (US)
Press relations
Joanna Zimmerman, 646-536-7006
jzimmerman@theruthgroup.com

NuVasive Secures Magnetic Resonance (MR) FDA Conditional Clearance for MAGEC System

SAN DIEGO, CA — (Marketwired) — 10/27/16 — NuVasive, Inc. (NASDAQ: NUVA), a leading medical device company focused on transforming spine surgery with minimally disruptive, procedurally-integrated solutions, today announced FDA clearance for magnetic resonance imaging (MRI) under certain conditions on patients treated with the innovative MAGEC® system. MAGEC is the only noninvasive solution for growth modulation in pediatric spinal deformity cleared by the FDA.

Early onset scoliosis (EOS) patients often suffer from comorbidities which makes their treatment complex and often requires them to undergo multiple MRIs. The lack of guidance on MR conditions was historically a hurdle for some surgeons in widely adopting MAGEC as a treatment option for their EOS patients.

“Having clear, defined guidance for conditional MRI compatibility with MAGEC helps alleviate uncertainty that may have limited surgeons from using the innovative MAGEC system,” said Suken A. Shah, M.D., Division Chief of the Spine and Scoliosis Center, Clinical Fellowship Director, Nemours/Alfred I. duPont Hospital for Children. “This clearance opens up the door for more patients and their families to benefit from this life changing technology.”

The clearance includes MR conditions using a 1.5 Tesla (T) Static Magnetic Field MRI machine at a maximum spatial field gradient of 3000 gauss/cm (30 T/m) with a maximum MR System reported, whole body averaged specific absorption rate (SAR) of 0.5 W/kg at 1.5T. Under the scan conditions defined, the MAGEC System is expected to produce a maximum temperature rise of no more than 3.7 degrees Celsius after 15 minutes of continuous scanning. The 1.5 T MRI machine is the global standard. The complete MRI safety information is included in the product labeling.

“As the only noninvasive growth modulation system on the market, this clearance is a key milestone in overcoming a known barrier in the treatment of children with EOS,” said Jason Hannon, NuVasive’s president and chief operating officer. “NuVasive is consistently on the cutting-edge of the latest treatment options and we work diligently to bring that innovation to as many patients as possible around the world.”

MAGEC System

MAGEC is comprised of a sterile, single use spinal rod that is surgically implanted to brace the spine during growth and includes a small internal magnet that is controlled by an external remote controller. Periodic lengthening of the rod is performed to follow the growth of the spine, and can be performed external to the body in an office setting. The magnetic technology helps eliminate traditional planned distraction surgeries and simplifies care for the EOS patient population.

About NuVasive

NuVasive, Inc. (NASDAQ: NUVA) is a world leader in minimally invasive, procedurally-integrated spine solutions. From complex spinal deformity to degenerative spinal conditions, NuVasive is transforming spine surgery with innovative technologies designed to deliver reproducible and clinically proven surgical outcomes. NuVasive’s highly differentiated, procedurally-integrated solutions include access instruments, implantable hardware and software systems for surgical planning and reconciliation technology that centers on achieving the global alignment of the spine. With $811 million in revenues (2015), NuVasive has an approximate 2,200 person workforce in more than 40 countries around the world. For more information, please visit www.nuvasive.com.

Forward-Looking Statements

NuVasive cautions you that statements included in this news release that are not a description of historical facts are forward-looking statements that involve risks, uncertainties, assumptions and other factors which, if they do not materialize or prove correct, could cause NuVasive’s results to differ materially from historical results or those expressed or implied by such forward-looking statements. The potential risks and uncertainties which contribute to the uncertain nature of these statements include, among others, risks associated with acceptance of the Company’s surgical products and procedures by spine surgeons, development and acceptance of new products or product enhancements, clinical and statistical verification of the benefits achieved via the use of NuVasive’s products (including the iGA™ platform), the Company’s ability to effectually manage inventory as it continues to release new products, its ability to recruit and retain management and key personnel, and the other risks and uncertainties described in NuVasive’s news releases and periodic filings with the Securities and Exchange Commission. NuVasive’s public filings with the Securities and Exchange Commission are available at www.sec.gov . NuVasive assumes no obligation to update any forward-looking statement to reflect events or circumstances arising after the date on which it was made.

Investor Contact:
Suzanne Hatcher
NuVasive, Inc.
858-458-2240
Email contact

Media Contact:
Michael Farrington
NuVasive, Inc.
858-909-1940
Email contact

Source: NuVasive, Inc.

Smith & Nephew Invests $55 Million in New Advanced Medical Technology Manufacturing Plant

26 October 2016

Smith & Nephew, the global medical equipment company, (NYSE:SNN; LSE:SN), inaugurated today its new manufacturing facility for sports medicine orthopedic devices in Coyol Free Zone, Alajuela, Costa Rica.

The new facility required an investment of USD $55 million and will add up to 250 new job positions to the 1,700 existing ones, with the British firm, based in London, employing a total of 1,950 employees in Costa Rica.

The President of the Republic, Luis Guillermo Solís, as well as relevant representatives of the company and the government, attended the event.

“The Government of Costa Rica is pleased to inaugurate the new plant of Smith & Nephew in Coyol, with a capacity to expand the operation by up to 250 new employees. This is the result of the effort of the country to reinforce the conditions to compete and the alliance we have with business and productive sectors. Costa Rica is a stable and growing economy, with low inflation rates, and one of the top ranking countries for competitiveness. The expansion of Smith and Nephew comes to reaffirm the operation and our country’s capacity to attract foreign investment”, stated Luis Guillermo Solis Rivera, President of the Republic.

Smith & Nephew is a leader in Sports Medicine, providing a broad array of innovative instruments and implants necessary to perform minimally invasive surgery of the joints. This includes the repair of soft tissue injuries and degenerative conditions of the knee, hip and shoulder.

“The manufacturing sector, especially the one of medical devices, is key to the process of diversification and consolidation of Costa Rica in global value chains (GVC), impacting positively on exports and investment and re investment indexes. Costa Rica has been working to be a counterpart capable of responding to the requirements, both in terms of talent and human skills, and in business climate and incentives. These conditions converge and enable a productive ecosystem that is moving away more and more from the manufacture and more into higher added value manufacturing activities, activities with more technological content, productive and business sophistication, as well as complex research, development and innovation activities. In this scenario where Smith & Nephew takes the decision to expand local operations, they are showing the commitment of the company with Costa Rica, as well as the potential of the country. From the main government, we will continue working to promote and maintain appropriate conditions for the development of the company in the country, efforts that I promise myself as representative of this sector and the Executive Branch”, said the Minister of Foreign Commerce, Alexander Mora.

Smith & Nephew’s position within the global Sports Medicine market was strengthened significantly in 2014, with the acquisition of ArthroCare Corporation. The transaction added highly complementary products to the existing portfolio, as well as manufacturing expertise in Costa Rica. The new Coyol facility replaces the previous site at Heredia.

The new manufacturing plant will support the global demand for Smith & Nephew’s COBLATION technology. COBLATION is an arthroscopic procedure that involves the creation and application of an energy field, which is used for the precise removal of soft tissue with minimal damage to untargeted tissue.

Jorge Sequeira, General Director of CINDE indicated, “Smith & Nephew is part of the growing Life Sciences sector that exported US$2.200 million in medical devices last year, and this year we expect exports to close at US $2.500 million. We are sure that Smith & Nephew will continue growing in the country, taking advantage of our enormous human talent to successfully develop their operation”.

“Sports Medicine is a fast growing market where unmet clinical needs lend room for procedural and technological innovation,” said Olivier Bohuon, Chief Executive Officer of Smith & Nephew.  “We are proud to open this new facility in Costa Rica, which, alongside our established sites in the U.S., gives us the state-of-the-art manufacturing platform that will support our ambition to expand our pioneering Sports Medicine business.”

In this regard, Andrés Salazar, General Manager and Vice President of Operations for Smith & Nephew in Costa Rica said: “From the new manufacturing facility, Smith & Nephew will manufacture medical devices that will help improve the health of thousands of people around the world. We are very proud of this new phase that begins today, and excited by the prospects for the future.”

Smith & Nephew is looking to hire staff in manufacturing, engineering and supply chain. Interested candidates can send their resume to eduardo.ramos@smith-nephew.com.

Contacts

Media

Ignacio Solís
Milenio Comunicación
+(506)2291-0660 ext 109

Charles Reynolds
Smith & Nephew
+44 (0)1923 477314

Ben Atwell / Matthew Cole
FTI Communications
+44 (0) 20 3727 1000

Investor/Analyst

Ingeborg Oie
Smith & Nephew
+44 (0)20 7401 7646

About Smith & Nephew

Smith & Nephew is a global medical technology business dedicated to helping healthcare professionals improve people’s lives. With leadership positions in Orthopaedic Reconstruction, Advanced Wound Management, Sports Medicine and Trauma & Extremities, Smith & Nephew has over 15,000 employees and a presence in more than 100 countries. Annual sales in 2015 were more than $4.6 billion. Smith & Nephew is a member of the FTSE100 (LSE: SN, NYSE: SNN).

For more information about Smith & Nephew, please visit our corporate website www.smith-nephew.com, follow @SmithNephewplc on Twitter or visit SmithNephewplc on Facebook.com

Forward-looking Statements

This document may contain forward-looking statements that may or may not prove accurate. For example, statements regarding expected revenue growth and trading margins, market trends and our product pipeline are forward-looking statements. Phrases such as “aim”, “plan”, “intend”, “anticipate”, “well-placed”, “believe”, “estimate”, “expect”, “target”, “consider” and similar expressions are generally intended to identify forward-looking statements. Forward-looking statements involve known and unknown risks, uncertainties and other important factors that could cause actual results to differ materially from what is expressed or implied by the statements. For Smith & Nephew, these factors include: economic and financial conditions in the markets we serve, especially those affecting health care providers, payers and customers; price levels for established and innovative medical devices; developments in medical technology; regulatory approvals, reimbursement decisions or other government actions; product defects or recalls or other problems with quality management systems or failure to comply with related regulations; litigation relating to patent or other claims; legal compliance risks and related investigative, remedial or enforcement actions; disruption to our supply chain or operations or those of our suppliers; competition for qualified personnel; strategic actions, including acquisitions and dispositions, our success in performing due diligence, valuing and integrating acquired businesses; disruption that may result from transactions or other changes we make in our business plans or organisation to adapt to market developments; and numerous other matters that affect us or our markets, including those of a political, economic, business, competitive or reputational nature. Please refer to the documents that Smith & Nephew has filed with the U.S. Securities and Exchange Commission under the U.S. Securities Exchange Act of 1934, as amended, including Smith & Nephew’s most recent annual report on Form 20-F, for a discussion of certain of these factors. Any forward-looking statement is based on information available to Smith & Nephew as of the date of the statement. All written or oral forward-looking statements attributable to Smith & Nephew are qualified by this caution. Smith & Nephew does not undertake any obligation to update or revise any forward-looking statement to reflect any change in circumstances or in Smith & Nephew’s expectations.

Trademark of Smith & Nephew. Certain marks registered US Patent and Trademark Office.