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收购成员2024-08-162024-08-160001136869ZBH:二万二十人建筑计划成员2023-12-310001136869美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 累计定义福利计划调整成员2023-01-012023-09-3000011368692024-07-012024-09-300001136869美国 GAAP: 公共股成员2023-07-012023-09-300001136869美国 GAAP: 公平价值投注 2 会员美国 GAAP: 公平价值评估重复成员2023-12-310001136869美国 GAAP: 公共股成员ZBH: 身体会员2024-09-3000011368692023-01-012023-12-310001136869ZBH: 二千二十四三十四个四天循环信用协议会员SRT: 最大会员数2024-09-300001136869美国会计师范围:高级笔记成员ZBH:二千三名成员ZBH: 三点五点五人工百元2024-09-300001136869ZBH:四月二千二十三次收购成员SRT: 最大会员数2023-04-280001136869美国 GAAP: 合约终止会员ZBH:二万二十人建筑计划成员2024-01-012024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他当前资产成员美国 GAAP: 外国人转换转寄会员2024-09-300001136869美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 外国人转换转寄会员美国 GAAP: 累积收益损失净现金流入母成员2023-07-012023-09-300001136869美国 GAAP: 累积其他全面收入会员2023-12-310001136869美国 GAAP: 库务库共同成员2024-06-300001136869ZBH: 其他国家会员2024-01-012024-09-300001136869ZBH: 二千二十四四年信用协议会员ZBH: 多货币循环设施会员2024-06-2800011368692022-12-310001136869美国 GAAP: 其他重组成员ZBH:二万二十人建筑计划成员2024-01-012024-09-300001136869美国 GAAP: 利息费用月份2024-09-300001136869美国 GAAP: 公平价值评估重复成员2024-09-300001136869ZBH: 二千二十四四年信用协议会员SRT: 最大会员数2024-09-300001136869美国会计师范围:高级笔记成员ZBH: 五点特沃泽行人百年ZBH:二万三十四成员2024-08-150001136869美国会计师范围:高级笔记成员ZBH: 五点三五个人工百分ZBH: 二万二十二岁会员2024-09-300001136869美国高级协会:发展科技权益会员2023-01-012023-12-310001136869美国 GAAP: 公平价值投注 3 成员美国 GAAP: 公平价值评估重复成员2024-01-012024-09-300001136869美国 GAAP: 累计定义福利计划调整成员2024-01-012024-09-300001136869美国会计师范围:高级笔记成员ZBH: 二千二十三月ZBH: 三点七零工作百万年级笔记入息 2023 年成员2023-09-300001136869国家:美国2023-01-012023-09-300001136869ZBH: 二千二十三个建筑计划成员ZBH:雇员保养福利会员2024-07-012024-09-300001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员ZBH: 远期开始利率 WAPS 会员2024-01-012024-09-300001136869美国 GAAP: 销售成本会员2024-01-012024-09-300001136869美国 GAAP: 公共股成员ZBH: 身体会员2023-02-140001136869美国 GAAP: 合约终止会员ZBH:二万二十人建筑计划成员2023-12-310001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他当前资产成员美国 GAAP: 外国人转换转寄会员2023-12-310001136869美国 GAAP: 现金存款会员ZBH: 远期开始利率 WAPS 会员2023-07-012023-09-300001136869美国 GAAP: 公共股成员ZBH: 身体会员2023-02-142023-02-140001136869美国 GAAP: 库务库共同成员2024-01-012024-09-300001136869美国 GAAP: 库务库共同成员2024-09-300001136869ZBH:经销商和视频介入医疗科学科技收购会员美国 GAAP: 客户关系会员2024-09-300001136869ZBH:跨期利息率交易成年会员2024-09-300001136869美国 GAAP: 现金存款会员2023-07-012023-09-300001136869美国 GAAP: 利息费用月份2024-07-012024-09-300001136869美国 GAAP: 累计定义福利计划调整成员2024-09-300001136869美国 GAAP: 公平价值投注 3 成员美国 GAAP: 公平价值评估重复成员2023-12-310001136869ZBH: 二千九十九重组计划成员2023-12-310001136869美国 GAAP: 保留权益成员2023-09-300001136869ZBH: 二千九十九重组计划成员美国 GAAP: 其他重组成员2024-09-300001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 外国人转换转寄会员2024-01-012024-09-300001136869美国 GAAP: 软件和软件开发成本会员2023-12-310001136869美国 GAAP: 额外付费无法成员2023-12-310001136869美国 GAAP: 操作区段成员SRT: 亚洲区会员2023-01-012023-09-300001136869SRT: 美国会员2023-07-012023-09-300001136869ZBH:二千二十三次收购成员2024-01-012024-09-300001136869美国 GAAP: 公平价值评估重复成员2023-12-310001136869ZBH: 其他产品类别成员2023-07-012023-09-300001136869美国 GAAP: 非控制权益成员2024-09-300001136869美国 GAAP: 跨期利率交易成员2023-01-012023-09-300001136869货币:瑞士法郎美国 GAAP: 外国人交易协议成员2024-09-300001136869ZBH: 二千九十九重组计划成员美国 GAAP: 合约终止会员2023-12-310001136869美国 GAAP: 额外付费无法成员2024-07-012024-09-300001136869ZBH: 其他产品类别成员2024-01-012024-09-300001136869ZBH: 二千九十九重组计划成员ZBH:雇员保养福利会员2024-09-300001136869ZBH:雇员保养福利会员ZBH:二万二十人建筑计划成员2024-09-300001136869职业税务委员会:税务年度 2013 至 2015 年会员2024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 跨期利率交易成员美国 GAAP: 公平价值评估重复成员2023-12-310001136869美国 GAAP: 操作区段成员美国高级联合会:美国2023-01-012023-09-300001136869ZBH: 无承诺信贷便利会员2023-08-280001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 公平价值投注 2 会员美国 GAAP: 跨期利率交易成员美国 GAAP: 公平价值评估重复成员2024-09-300001136869ZBH: 膝盖成员2023-01-012023-09-300001136869美国 GAAP: 公共股成员2024-09-300001136869美国 GAAP: 商标和贸易名称会员2024-01-012024-09-300001136869ZBH:十一月二千二十三次收购成员SRT: 最大会员数2023-11-150001136869美国 GAAP: 非指定成员美国 GAAP: 外国人交易协议成员SRT: 最大会员数2024-09-300001136869美国 GAAP: 额外付费无法成员2023-01-012023-09-300001136869美国 GAAP: 累计定义福利计划调整成员2023-12-310001136869SRT: 美国会员2024-01-012024-09-300001136869美国 GAAP: 非控制权益成员2023-07-012023-09-300001136869美国 GAAP: 非指定成员美国 GAAP: 其他当前资产成员美国 GAAP: 外国人转换转寄会员2023-12-310001136869ZBH:累计定义利益计划调整净优先服务负担额及未确认精算金额损失成员美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 累计定义福利计划调整成员2023-07-012023-09-300001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员2023-07-012023-09-300001136869ZBH: 船长会员2024-01-012024-09-300001136869美国 GAAP: 销售成本会员2024-07-012024-09-300001136869ZBH: 二千二十三个建筑计划成员2024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他当前责任成员美国 GAAP: 跨期利率交易成员2024-09-300001136869ZBH: 船长会员2023-07-012023-09-300001136869ZBH: 二千二十三个建筑计划成员2024-01-012024-09-300001136869瑞士银行:二千二十六名会员ZBH:二点四分二五个百分之一ZBH: 欧元人会员2024-09-300001136869ZBH: 企业项目成员2024-07-012024-09-300001136869ZBH:二万二十人建筑计划成员2024-01-012024-09-300001136869ZBH: 二千二十三个建筑计划成员美国 GAAP: 其他重组成员2024-01-012024-09-300001136869美国职业协会:知识产权会员2023-09-300001136869ZBH: 二千九十九重组计划成员2024-01-012024-09-300001136869ZBH: 其他国家会员2024-07-012024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他当前责任成员美国 GAAP: 跨期利率交易成员2023-12-310001136869ZBH: 二千二十三个建筑计划成员ZBH:雇员保养福利会员2024-09-300001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员2024-07-012024-09-300001136869SRT: 最低成员ZBH: 二千二十四四年信用协议会员2024-09-300001136869ZBH: 建筑物和设备成员2024-09-300001136869ZBH:二千二十三十三十四天循环信用协议会员2024-06-280001136869美国 GAAP: 利率 WAP 会员美国 GAAP: 利息费用月份2023-07-012023-09-300001136869ZBH: 二千九十九重组计划成员2024-07-012024-09-300001136869ZBH: 设定成员2023-07-012023-09-300001136869ZBH: 其他产品类别成员2024-07-012024-09-300001136869ZBH: 无承诺信贷便利会员2024-09-300001136869ZBH:经销商和视频介入医疗科学科技收购会员SRT: 最大会员数2024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 外国人转换转寄会员美国 GAAP: 其他责任成员2023-12-310001136869美国 GAAP: 操作区段成员SRT: 亚洲区会员2023-07-012023-09-300001136869美国会计师范围:高级笔记成员ZBH: 二千三十五个月ZBH: 四点四分五个人工作人员2024-09-300001136869美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 外国人转换转寄会员美国 GAAP: 累积收益损失净现金流入母成员2023-01-012023-09-300001136869美国 GAAP: 非指定成员美国 GAAP: 外国人转换转寄会员美国 GAAP: 其他非营运收入成本一月2023-01-012023-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 利率 WAP 会员美国 GAAP: 其他责任成员2024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他资产成员美国 GAAP: 跨期利率交易成员2024-09-300001136869美国会计师范围:高级笔记成员ZBH: 二千四十五个青年ZBH: 四分四五人行百元2024-09-300001136869美国 GAAP: 非控制权益成员2023-01-012023-09-300001136869美国会计师范围:高级笔记成员ZBH: 五点特沃泽行人百年ZBH:二万三十四成员2024-09-300001136869美国 GAAP: 累积转译调整成员2024-09-300001136869ZBH:累计定义利益计划调整净优先服务负担额及未确认精算金额损失成员美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 累计定义福利计划调整成员2023-01-012023-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 利率 WAP 会员美国 GAAP: 其他责任成员2023-12-310001136869美国 GAAP: 现金存款会员ZBH: 远期开始利率 WAPS 会员2024-01-012024-09-300001136869美国 GAAP: 客户关系会员2023-01-012023-12-310001136869ZBH: 二千二十三个建筑计划成员2023-12-310001136869美国会计师范围:高级笔记成员ZBH: 五点三五个人工百分ZBH: 二万二十二岁会员2023-12-310001136869ZBH:累计公平价值调整对冲责任承担金额成员ZBH: 长期债务非流动成员2023-12-310001136869ZBH: 短期贷款成员2023-01-012023-09-300001136869美国 GAAP: 额外付费无法成员2024-01-012024-09-300001136869ZBH: 二千九十九重组计划成员ZBH:雇员保养福利会员2024-07-012024-09-300001136869美国 GAAP: 累积其他全面收入会员2023-01-012023-09-300001136869ZBH:二千二十三次收购成员美国 GAAP: 客户关系会员2023-12-310001136869美国 GAAP: 现金存款会员美国 GAAP: 外国人转换转寄会员2024-07-012024-09-300001136869美国 GAAP: 操作区段成员SRT: 亚洲区会员2024-01-012024-09-300001136869ZBH: 正交系统成员美国 GAAP: 后续事件成员2024-10-010001136869美国会计师范围:高级笔记成员ZBH:二万二十四会员ZBH: 一点四五人工作人数2023-12-310001136869美国 GAAP: 保留权益成员2023-01-012023-09-300001136869美国 GAAP: 重新分类外累积其他全面会员2023-07-012023-09-300001136869美国 GAAP: 保留权益成员2023-12-310001136869美国会计师范围:高级笔记成员瑞士银行:二千二十六名会员ZBH: 三分星级五人工作人数2024-09-300001136869美国 GAAP: 净投资成员美国 GAAP: 利息费用月份美国 GAAP: 跨期利率交易成员2023-07-012023-09-300001136869ZBH: 其他产品类别成员2023-01-012023-09-300001136869美国会计师范围:高级笔记成员ZBH: 二千四十五个青年ZBH: 四分四五人行百元2023-12-310001136869ZBH:跨期利息率交易成年会员2023-09-300001136869美国会计师范围:高级笔记成员ZBH: 二千三十五个月ZBH: 四点四分五个人工作人员2023-12-310001136869ZBH: 膝盖成员2024-07-012024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 跨期利率交易成员美国 GAAP: 其他责任成员2024-09-300001136869ZBH:累计公平价值调整对冲责任承担金额成员ZBH: 长期债务非流动成员2024-09-300001136869美国会计师范围:高级笔记成员ZBH: 二千二十三月ZBH: 三点七零工作百万年级笔记入息 2023 年成员2023-01-012023-09-300001136869美国 GAAP: 非控制权益成员2022-12-310001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他当前责任成员美国 GAAP: 外国人转换转寄会员2024-09-300001136869美国 GAAP: 利率 WAP 会员美国 GAAP: 现金存款会员2024-07-012024-09-300001136869美国 GAAP: 库务库共同成员2023-06-300001136869美国 GAAP: 公共股成员2024-01-012024-09-300001136869美国会计师范围:高级笔记成员ZBH: 二千三十九月ZBH: 五分七五人工百元2024-09-300001136869美国 GAAP: 保留权益成员2024-07-012024-09-300001136869美国 GAAP: 操作区段成员SRT: 亚洲区会员2024-07-012024-09-300001136869美国 GAAP: 利率 WAP 会员美国 GAAP: 利息费用月份2024-01-012024-09-300001136869美国 GAAP: 现金存款会员美国 GAAP: 外国人转换转寄会员2023-07-012023-09-300001136869ZBH: 无承诺信贷便利会员2023-12-310001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 公平价值投注 2 会员美国 GAAP: 外国人转换转寄会员美国 GAAP: 公平价值评估重复成员2023-12-310001136869美国 GAAP: 公共股成员2023-09-300001136869美国 GAAP: 利息费用月份2024-01-012024-09-300001136869美国 GAAP: 公共股成员2023-06-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 公平价值投注 2 会员美国 GAAP: 外国人转换转寄会员美国 GAAP: 公平价值评估重复成员2024-09-300001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员ZBH: 远期开始利率 WAPS 会员2024-07-012024-09-300001136869美国 GAAP: 跨期利率交易成员2023-07-012023-09-300001136869美国 GAAP: 保留权益成员2023-07-012023-09-300001136869美国 GAAP: 重新分类外累积其他全面会员2023-01-012023-09-300001136869美国 GAAP: 公共股成员ZBH: 身体会员2024-01-012024-09-300001136869美国 GAAP: 累积其他全面收入会员2023-06-300001136869ZBH: 膝盖成员2024-01-012024-09-300001136869美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 外国人转换转寄会员美国 GAAP: 累积收益损失净现金流入母成员2024-01-012024-09-300001136869美国 GAAP: 库务库共同成员2024-07-012024-09-300001136869ZBH: 二千九十九重组计划成员ZBH:雇员保养福利会员2024-01-012024-09-300001136869美国 GAAP: 公共股成员2023-12-310001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 跨期利率交易成员美国 GAAP: 其他责任成员2023-12-310001136869ZBH: 二千二十三个建筑计划成员美国 GAAP: 其他重组成员2024-09-300001136869美国 GAAP: 累积其他全面收入会员2024-07-012024-09-300001136869美国高级会计师范围:进程中研究与开发会员ZBH:二千二十三次收购成员2023-12-310001136869ZBH: 二千二十四三十四个四天循环信用协议会员2024-06-280001136869美国高级协会:发展科技权益会员2024-01-012024-09-300001136869美国高级会计师范围:进程中研究与开发会员ZBH: 身体会员2023-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他当前责任成员美国 GAAP: 外国人转换转寄会员2023-12-310001136869ZBH:十一月二千二十三次收购成员2023-11-152023-11-1500011368692023-06-3000011368692023-09-300001136869美国 GAAP: 非指定成员美国 GAAP: 外国人转换转寄会员美国 GAAP: 其他非营运收入成本一月2024-07-012024-09-300001136869ZBH:雇员保养福利会员ZBH:二万二十人建筑计划成员2023-12-310001136869美国 GAAP: 累积其他全面收入会员2024-06-300001136869美国会计师范围:高级笔记成员ZBH: 二千三十一个月ZBH: 二点六零人数2023-12-310001136869美国 GAAP: 保留权益成员2024-09-300001136869ZBH: 乐器成员2023-12-310001136869ZBH:经销商和视频介入医疗科学科技收购会员2024-01-012024-09-300001136869ZBH:四月二千二十三次收购成员2023-04-282023-04-280001136869ZBH: 其他应变成员2024-09-300001136869ZBH: 二千九十九重组计划成员美国 GAAP: 合约终止会员2024-01-012024-09-300001136869美国会计师范围:高级笔记成员ZBH:二万二十四会员ZBH: 一点四五人工作人数2024-09-300001136869ZBH:跨期利息率交易成年会员2023-01-012023-09-300001136869美国 GAAP: 公共股成员2024-06-300001136869ZBH:十月二千二十三次收购成员2023-10-062023-10-060001136869美国 GAAP: 非指定成员美国 GAAP: 外国人转换转寄会员美国 GAAP: 其他非营运收入成本一月2023-07-012023-09-300001136869美国 GAAP: 利率 WAP 会员美国 GAAP: 现金存款会员2023-01-012023-09-300001136869美国 GAAP: 公平价值投注 3 成员美国 GAAP: 公平价值评估重复成员2024-09-300001136869ZBH: 其他国家会员2023-01-012023-09-300001136869美国 GAAP: 指定加工仪器成员2024-09-300001136869SRT: 最低成员美国 GAAP: 非指定成员美国 GAAP: 外国人交易协议成员2024-09-300001136869美国会计师范围:高级笔记成员瑞士银行:二千二十六名会员ZBH: 三分星级五人工作人数2023-12-310001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员2023-01-012023-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 跨期利率交易成员美国 GAAP: 公平价值评估重复成员2024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 其他资产成员美国 GAAP: 外国人转换转寄会员2023-12-310001136869美国 GAAP: 现金存款会员2023-01-012023-09-3000011368692024-09-300001136869ZBH:二千二十三次收购成员2023-12-310001136869ZBH: 二千二十三个建筑计划成员美国 GAAP: 合约终止会员2024-09-300001136869ZBH: 二千九十九重组计划成员2019-12-310001136869美国 GAAP: 非指定成员美国 GAAP: 外国人转换转寄会员2024-09-300001136869美国会计师范围:国家会员2024-09-300001136869ZBH: 二千二十四三十四个四天循环信用协议会员2024-06-282024-06-280001136869美国 GAAP: 额外付费无法成员2022-12-310001136869美国会计师范围:国家会员2023-12-310001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 公平价值投注 2 会员美国 GAAP: 利率 WAP 会员美国 GAAP: 公平价值评估重复成员2024-09-300001136869美国 GAAP: 跨期利率交易成员2024-09-300001136869ZBH: 二千九十九重组计划成员美国 GAAP: 其他重组成员2023-12-310001136869货币:美元美国 GAAP: 外国人交易协议成员2024-09-300001136869ZBH: 身体会员2023-02-142023-02-140001136869ZBH: 对冲责任成员承担金额2023-12-310001136869ZBH: 企业项目成员2023-01-012023-09-300001136869美国 GAAP: 利息费用月份2023-07-012023-09-300001136869国家:美国2024-07-012024-09-300001136869美国 GAAP: 累积其他全面收入会员2024-09-300001136869ZBH: 设定成员2024-01-012024-09-300001136869ZBH: 二千二十四三十四个四天循环信用协议会员SRT: 最低成员2024-09-300001136869美国 GAAP: 累积转译调整成员2023-12-310001136869美国 GAAP: 非控制权益成员2024-07-012024-09-300001136869瑞士银行:二千二十六名会员ZBH:二点四分二五个百分之一ZBH: 欧元人会员2023-12-310001136869美国 GAAP: 客户关系会员2024-01-012024-09-300001136869美国高级会计师范围:进程中研究与开发会员ZBH:经销商和视频介入医疗科学科技收购会员2024-09-300001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员ZBH: 远期开始利率 WAPS 会员2023-01-012023-09-300001136869美国 GAAP: 利率 WAP 会员美国 GAAP: 利息费用月份2023-01-012023-09-300001136869美国 GAAP: 销售成本会员2023-07-012023-09-300001136869美国 GAAP: 建筑进行中成员2023-12-310001136869ZBH: 二千九十九重组计划成员美国 GAAP: 其他重组成员2024-01-012024-09-300001136869ZBH:十一月二千二十三次收购成员2023-11-150001136869ZBH: 二千二十四四年信用协议会员ZBH: 多货币循环设施会员2024-06-282024-06-280001136869ZBH: 欧元人会员2024-01-012024-09-300001136869美国 GAAP: 非控制权益成员2023-06-300001136869美国 GAAP: 库务库共同成员2023-09-300001136869ZBH:两点四分二五百分之二千二十六成员2024-01-012024-09-300001136869美国 GAAP: 指定加工仪器成员美国 GAAP: 利率 WAP 会员美国 GAAP: 公平价值投注 2 会员美国 GAAP: 公平价值评估重复成员2023-12-310001136869美国 GAAP: 公共股成员SRT: 最大会员数ZBH: 身体会员2023-02-140001136869美国 GAAP:指定或符合资格的现金流入成员累积净利润损失美国 GAAP: 重新分类外累积其他全面会员ZBH: 远期开始利率 WAPS 会员2023-07-012023-09-300001136869美国 GAAP: 非控制权益成员2023-12-310001136869美国 GAAP: 重新分类外累积其他全面会员美国 GAAP: 累计定义福利计划调整成员2024-07-012024-09-30ISO422: 欧元ISO417: 美元xbrli: 股份xbrli: 纯ISO 417: 日元xbrli: 股份ZBH: 骨科应用ISO417: 瑞士法郎ZBH: 区段ISO417: 美元

 

 

美国

证券交易委员会

华盛顿特区20549

 

表单 10-Q

 

季度报告 根据第13或15(d)条的报告

证券交易所法案(1934年)

截至2021年6月30日的季度报告 2020年9月30日, 2024

委员会文件号 001-16407

 

齐默巴奥米特控股公司

(根据其章程规定的注册人准确名称)

 

特拉华州

13-4151777

(国家或其他管辖区的

公司成立或组织)

(美国国内国税局雇主

唯一识别号码)

东主街345号。, 华沙, 所在 46580

,(主要行政办公地址)

电话:(574) 373-3333

 

在法案第12(b)条的规定下注册的证券:

每一类的名称

交易标志

在其上注册的交易所的名称

普通股票,面值为$0.01

ZBH。

请使用moomoo账号登录查看New York Stock Exchange

2.425% Notes due 2026。

ZBH 26。

请使用moomoo账号登录查看New York Stock Exchange

1.164% Notes due 2027。

ZBH 27。

请使用moomoo账号登录查看New York Stock Exchange

请在检查标记处注明注册人(1)是否已在证券交易法第13或15(d)条所规定的过去12个月(或注册人需要提交此类报告的较短期间)内提交了所有必须提交的报告,并且(2)自过去90天以来一直受到此类提交要求的限制。

在检查标记中表明注册人是否已经在过去的12个月内(或者为注册人需要提交这些文件的较短期间)根据S-T法规405规定,递交了每个互动数据文件。 ☒ 不是 ☐

请勾选是否注册人是大型加速报告人、加速报告人、非加速报告人、小型报告公司或新兴成长公司。请参考交易所法案120亿.2中“大型加速报告人”、“加速报告人”、“小型报告公司”和“新兴成长公司”的定义。

大型加速报告人

 

 

加速文件提交人

 

 

 

 

 

非加速文件提交人

较小的报告公司

 

 

 

 

新兴成长公司

 

 

如果是新兴成长型公司,请在复选框中打勾,以确定注册人是否选择不使用在1934年证券交易法第13(a)条项下提供的任何新的或修订的财务会计准准则的延长过渡期。

请在复选标志处注明公司是否为壳公司(根据交易所法令第12b-2条的定义)。 是 ☐ 不

截至2024年10月25日, 199,073,712 注册公司每股面值$0.01的普通股已发行。

 

 


 

齐默巴奥米特控股公司

10-Q表格索引

2024年9月30日

 

 

 

 

页面

 

 

 

第一部分-财务信息

 

 

 

 

 

 

 

第 1 项。

 

财务报表(未经审计)

 

3

 

 

截至2024年9月30日和2023年9月30日的三个月和九个月的简明合并收益表

 

3

 

 

截至2024年9月30日和2023年9月30日的三个月和九个月的简明综合综合收益表

 

4

 

 

截至 2024 年 9 月 30 日和 2023 年 12 月 31 日的简明合并资产负债表

 

5

 

 

截至2024年9月30日和2023年9月30日的三个月和九个月的简明合并股东权益表

 

6

 

 

截至2024年9月30日和2023年9月30日的九个月简明合并现金流量表

 

7

 

 

中期简明合并财务报表附注

 

8

 

 

 

 

 

第 2 项。

 

管理层对财务状况和经营业绩的讨论和分析

 

27

 

 

 

 

 

第 3 项。

 

关于市场风险的定量和定性披露

 

35

 

 

 

 

 

第 4 项。

 

控制和程序

 

35

 

 

 

第二部分-其他信息

 

 

 

 

 

 

 

第 1 项。

 

法律诉讼

 

37

 

 

 

 

 

第 1A 项。

 

风险因素

 

37

 

 

 

 

 

第 2 项。

 

未注册的股权证券销售和所得款项的使用

 

37

 

 

 

 

 

第 3 项。

 

优先证券违约

 

37

 

 

 

 

 

第 4 项。

 

矿山安全披露

 

38

 

 

 

 

 

第 5 项。

 

其他信息

 

38

 

 

 

 

 

第 6 项。

 

展品

 

39

 

 

 

签名

 

40

 

2


 

第一部分– 财务信息财务信息

第 1 项。财务口头声明

齐默巴奥米特控股公司及其子公司

简明合并 综合损失表 收益报表

(以百万计,除每股金额外,未经审计)

 

 

三个月之内结束

 

 

九个月结束

 

 

 

2020年9月30日

 

 

2020年9月30日

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

净销售额

 

$

1,824.2

 

 

$

1,753.6

 

 

$

5,655.4

 

 

$

5,454.1

 

销售产品成本,不包括无形资产摊销

 

 

538.6

 

 

 

518.6

 

 

 

1,604.5

 

 

 

1,545.0

 

无形资产摊销

 

 

148.2

 

 

 

145.0

 

 

 

434.3

 

 

 

416.6

 

研发

 

 

111.6

 

 

 

116.9

 

 

 

328.9

 

 

 

345.4

 

销售、一般及行政费用

 

 

709.7

 

 

 

674.9

 

 

 

2,182.9

 

 

 

2,116.6

 

重组和其他成本削减措施

 

 

32.2

 

 

 

24.3

 

 

 

198.1

 

 

 

90.6

 

收购、整合、出售和相关

 

 

4.4

 

 

 

7.3

 

 

 

9.9

 

 

 

16.4

 

营业费用

 

 

1,544.7

 

 

 

1,487.0

 

 

 

4,758.6

 

 

 

4,530.6

 

营业利润

 

 

279.5

 

 

 

266.6

 

 

 

896.7

 

 

 

923.5

 

其他收入,净额

 

 

5.1

 

 

 

3.8

 

 

 

7.0

 

 

 

10.3

 

利息费用,净额

 

 

(54.3

)

 

 

(51.1

)

 

 

(156.1

)

 

 

(150.9

)

所得税前利润

 

 

230.3

 

 

 

219.2

 

 

 

747.6

 

 

 

782.8

 

所得税(益)费用

 

 

(18.9

)

 

 

56.4

 

 

 

82.5

 

 

 

177.4

 

净收益

 

 

249.2

 

 

 

162.8

 

 

 

665.1

 

 

 

605.4

 

减:归属于非控股权益的净收益

 

 

0.2

 

 

 

0.2

 

 

 

0.8

 

 

 

0.6

 

齐默巴奥米特控股公司净收益

 

$

249.1

 

 

$

162.7

 

 

$

664.3

 

 

$

604.8

 

 

 

 

 

 

 

 

 

 

 

 

 

每股普通股收益

 

 

 

 

 

 

 

 

 

 

 

 

基本

 

$

1.23

 

 

$

0.78

 

 

$

3.25

 

 

$

2.89

 

稀释的

 

$

1.23

 

 

$

0.77

 

 

$

3.24

 

 

$

2.88

 

加权平均普通股数

 

 

 

 

 

 

 

 

 

 

 

 

基本

 

 

202.3

 

 

 

208.9

 

 

 

204.4

 

 

 

209.0

 

稀释的

 

 

203.0

 

 

 

210.0

 

 

 

205.2

 

 

 

210.1

 

随附说明是这些简明合并财务报表的一部分。

3


 

齐默巴奥米特控股公司及其子公司

综合收益的压缩综合财务状况表综合收益的情况

(以百万计,未经审计)

 

 

三个月之内结束

 

 

九个月结束

 

 

 

2020年9月30日

 

 

2020年9月30日

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

齐默巴奥米特控股公司净收益

 

$

249.1

 

 

$

162.7

 

 

$

664.3

 

 

$

604.8

 

其他全面收益(亏损):

 

 

 

 

 

 

 

 

 

 

 

 

外币累计翻译调整,扣除税后

 

 

61.1

 

 

 

(22.7

)

 

 

21.2

 

 

 

(36.7

)

未实现现金流量套期交易(亏损)收益,扣除税后

 

 

(49.9

)

 

 

33.8

 

 

 

22.8

 

 

 

89.7

 

避险重新分类调整,税后净额

 

 

(17.1

)

 

 

(19.1

)

 

 

(52.9

)

 

 

(57.4

)

往期服务成本和未确认精算假设调整,税后净额

 

 

(1.1

)

 

 

(0.7

)

 

 

(2.3

)

 

 

(2.8

)

其他综合收益(税后净额)总额

 

 

(7.0

)

 

 

(8.7

)

 

 

(11.2

)

 

 

(7.2

)

归属于的综合收益

 

 

 

 

 

 

 

 

 

 

 

 

齐默巴奥米特控股

 

$

242.1

 

 

$

154.0

 

 

$

653.1

 

 

$

597.6

 

随附说明是这些简明合并财务报表的一部分。

4


 

齐默巴奥米特控股公司及其子公司

压缩的综合资产负债表TED资产负债表

(以百万为单位,除每股金额外,未经审计)

 

 

2020年9月30日

 

 

12月31日

 

 

 

2024

 

 

2023

 

资产

 

 

 

 

 

 

流动资产:

 

 

 

 

 

 

现金及现金等价物

 

$

569.0

 

 

$

415.8

 

应收帐款,减信用损失准备金

 

 

1,481.5

 

 

 

1,442.4

 

存货

 

 

2,368.7

 

 

 

2,385.2

 

预付费用和其他流动资产

 

 

444.8

 

 

 

366.1

 

流动资产合计

 

 

4,864.0

 

 

 

4,609.5

 

物业、厂房和设备,净值

 

 

2,107.2

 

 

 

2,060.4

 

商誉

 

 

8,912.3

 

 

 

8,818.5

 

无形资产, 净额

 

 

4,665.3

 

 

 

4,856.4

 

其他

 

 

1,171.6

 

 

 

1,152.1

 

总资产

 

$

21,720.3

 

 

$

21,496.9

 

负债和股东权益

 

 

 

 

 

 

流动负债:

 

 

 

 

 

 

应付账款

 

$

322.4

 

 

$

410.6

 

其他流动负债

 

 

1,536.0

 

 

 

1,546.9

 

开多次数

 

 

1,713.0

 

 

 

900.0

 

总流动负债

 

 

3,571.3

 

 

 

2,857.4

 

其他长期负债

 

 

1,028.1

 

 

 

1,283.4

 

长期债务

 

 

4,737.7

 

 

 

4,867.9

 

总负债

 

 

9,337.1

 

 

 

9,008.7

 

承诺和事后约定(注15)

 

 

 

 

 

 

股东权益:

 

 

 

 

 

 

齐默巴奥米特控股股东权益:

 

 

 

 

 

 

普通股,每股面值为 $0.0001;0.01面值$之一亿股授权, 317.4万股,截至2024年9月30日(316.2截至2023年12月发布的100万美元

 

 

3.2

 

 

 

3.2

 

实收资本

 

 

10,017.5

 

 

 

9,846.1

 

保留盈余

 

 

10,903.7

 

 

 

10,384.5

 

累计其他综合损失

 

 

(202.2

)

 

 

(191.0

)

库存股票,117.8截至2024年9月30日,发行了100万股(110.6截至2023年12月,发行了100万美元)

 

 

(8,347.5

)

 

 

(7,562.3

)

齐默巴奥米特控股公司股东权益总额

 

 

12,374.7

 

 

 

12,480.5

 

非控股权益

 

 

8.5

 

 

 

7.7

 

股东权益总计

 

 

12,383.2

 

 

 

12,488.1

 

负债和股东权益总计

 

$

21,720.3

 

 

$

21,496.9

 

随附说明是这些简明合并财务报表的一部分。

5


 

ZIMMER BIOMEt 持有INGS,INC. 及其子公司

简明合并 综合损失表 股东权益表

(以百万计,除每股金额外,未经审计)

 

 

 

齐默巴奥米特控股股东

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

累积的

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

其他

 

 

 

 

 

 

 

 

 

 

 

总费用

 

 

 

普通股份。

 

 

实收资本

 

 

留存收益

 

 

综合

 

 

库藏股

 

 

非控制权益

 

 

股东权益

 

 

 

数量

 

 

数量

 

 

资本

 

 

收益

 

 

(损失)收益

 

 

数量

 

 

数量

 

 

利息

 

 

股权

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2024年7月1日余额

 

 

317.2

 

 

$

3.2

 

 

$

9,974.9

 

 

$

10,702.5

 

 

$

(195.2

)

 

 

(112.3

)

 

$

(7,744.3

)

 

$

8.4

 

 

$

12,749.4

 

净收益

 

 

-

 

 

 

-

 

 

 

-

 

 

 

249.1

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

0.2

 

 

 

249.3

 

其他综合损失

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(7.0

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(7.0

)

宣布现金分红派息
($
0.24每股)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(47.9

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(47.9

)

股票补偿计划

 

 

0.2

 

 

 

-

 

 

 

42.6

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

42.6

 

股份回购

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(5.5

)

 

 

(603.3

)

 

 

-

 

 

 

(603.3

)

2024年9月30日的余额

 

 

317.4

 

 

$

3.2

 

 

$

10,017.5

 

 

$

10,903.7

 

 

$

(202.2

)

 

 

(117.8

)

 

$

(8,347.5

)

 

$

8.5

 

 

$

12,383.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2023年7月1日余额

 

 

315.8

 

 

$

3.2

 

 

$

9,766.0

 

 

$

9,902.3

 

 

$

(177.8

)

 

 

(107.0

)

 

$

(7,122.2

)

 

$

7.1

 

 

$

12,378.6

 

净收益

 

 

-

 

 

 

-

 

 

 

-

 

 

 

162.7

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

0.2

 

 

 

162.9

 

其他综合损失

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(8.7

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(8.7

)

宣布现金分红派息
($
0.24每股)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(50.1

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(50.1

)

股票补偿计划

 

 

0.2

 

 

 

-

 

 

 

35.4

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

35.4

 

2023年9月30日结余

 

 

316.0

 

 

$

3.2

 

 

$

9,801.4

 

 

$

10,014.9

 

 

$

(186.5

)

 

 

(107.0

)

 

$

(7,122.2

)

 

$

7.2

 

 

$

12,518.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2024年1月1日的余额为

 

 

316.2

 

 

$

3.2

 

 

$

9,846.1

 

 

$

10,384.5

 

 

$

(191.0

)

 

 

(110.6

)

 

$

(7,562.3

)

 

$

7.7

 

 

$

12,488.1

 

净收益

 

 

-

 

 

 

-

 

 

 

-

 

 

 

664.3

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

0.8

 

 

 

665.1

 

其他综合损失

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(11.2

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(11.2

)

宣布现金分红派息
($
0.72每股)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(146.5

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(146.5

)

股票补偿计划

 

 

1.0

 

 

 

-

 

 

 

148.0

 

 

 

1.4

 

 

 

-

 

 

 

-

 

 

 

1.4

 

 

 

-

 

 

 

150.8

 

Embody公司的收购考虑

 

 

0.2

 

 

 

-

 

 

 

23.4

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

23.4

 

股份回购

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(7.2

)

 

 

(786.7

)

 

 

-

 

 

 

(786.7

)

2024年9月30日的余额

 

 

317.4

 

 

$

3.2

 

 

$

10,017.5

 

 

$

10,903.7

 

 

$

(202.2

)

 

 

(117.8

)

 

$

(8,347.5

)

 

$

8.5

 

 

 

12,383.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2023年1月1日的余额

 

 

313.8

 

 

$

3.1

 

 

$

9,504.4

 

 

$

9,559.3

 

 

$

(179.3

)

 

 

(104.8

)

 

$

(6,867.2

)

 

$

6.7

 

 

$

12,027.0

 

净收益

 

 

-

 

 

 

-

 

 

 

-

 

 

 

604.8

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

0.6

 

 

 

605.4

 

其他综合损失

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(7.2

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(7.2

)

宣布现金分红派息
($
0.72每股)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(150.6

)

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

(150.6

)

股票补偿计划

 

 

1.0

 

 

 

-

 

 

 

148.9

 

 

 

1.4

 

 

 

-

 

 

 

-

 

 

 

1.0

 

 

 

-

 

 

 

151.3

 

Embody公司的收购考虑

 

 

1.2

 

 

 

0.1

 

 

 

150.4

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

 

150.5

 

股份回购

 

 

-

 

 

 

-

 

 

 

(2.3

)

 

 

-

 

 

 

-

 

 

 

(2.2

)

 

 

(256.0

)

 

 

-

 

 

 

(258.3

)

2023年9月30日结余

 

 

316.0

 

 

$

3.2

 

 

$

9,801.4

 

 

$

10,014.9

 

 

$

(186.5

)

 

 

(107.0

)

 

$

(7,122.2

)

 

$

7.2

 

 

$

12,518.0

 

 

随附说明是这些简明合并财务报表的一部分。

6


 

ZIMMER BioMet 控股有限公司和子公司

简明合并财务报表现金流量表

(以百万计,未经审计)

 

 

 

 

 

 

截至9月30日的九个月

 

 

 

2024

 

 

2023

 

来自经营活动的现金流量:

 

 

 

 

 

 

净收益

 

$

665.1

 

 

$

605.4

 

调整以协调净收益与提供的现金
业务活动提供的

 

 

 

 

 

 

折旧和摊销

 

 

732.7

 

 

 

710.5

 

股权酬金

 

 

79.9

 

 

 

74.5

 

经营性资产和负债的变化,已获取资产和负债净额

 

 

 

 

 

 

所得税

 

 

(181.2

)

 

 

23.4

 

应收账款

 

 

(40.1

)

 

 

15.5

 

存货

 

 

(38.0

)

 

 

(212.2

)

应付账款及应计费用

 

 

(204.7

)

 

 

(219.5

)

其他资产和负债

 

 

(20.5

)

 

 

(4.5

)

经营活动提供的净现金

 

 

993.1

 

 

 

993.2

 

投资性活动提供的现金流量:

 

 

 

 

 

 

添加到仪器

 

 

(188.4

)

 

 

(232.8

)

其他固定资产的追加

 

 

(152.3

)

 

 

(228.3

)

净投资套期保值结算

 

 

19.3

 

 

 

27.2

 

业务组合投资,已获取现金净额

 

 

(116.3

)

 

 

(32.9

)

购置无形资产

 

 

(119.6

)

 

 

(98.4

)

其他投资活动

 

 

(39.7

)

 

 

7.0

 

投资活动中使用的净现金

 

 

(596.9

)

 

 

(558.1

)

筹资活动提供的现金流量:

 

 

 

 

 

 

循环设施的净支付

 

 

(50.0

)

 

 

(20.0

)

优先票据的收入

 

 

700.0

 

 

 

-

 

赎回高级票据

 

 

-

 

 

 

(86.3

)

分期贷款支付

 

 

-

 

 

 

(33.9

)

分红派息给股东的款项

 

 

(148.0

)

 

 

(150.7

)

员工股票补偿计划的收益

 

 

81.6

 

 

 

81.8

 

业务组合的应计款项支付

 

 

(3.5

)

 

 

(10.3

)

业务组合中的递延支付款项

 

 

(8.8

)

 

 

(4.0

)

回购普通股

 

 

(795.8

)

 

 

(281.9

)

其他融资活动

 

 

(19.4

)

 

 

(6.8

)

融资活动产生的净现金流量

 

 

(243.9

)

 

 

(512.1

)

汇率对现金及现金等价物的影响

 

 

1.0

 

 

 

(6.5

)

现金及现金等价物的变动

 

 

153.3

 

 

 

(83.5

)

年初现金及现金等价物余额

 

 

415.8

 

 

 

375.7

 

现金及现金等价物期末余额

 

$

569.0

 

 

$

292.1

 

 

随附说明是这些简明合并财务报表的一部分。

7


 

齐默巴奥米特控股公司及其子公司

临时简短会议注意事项合并财务报表

(未经审计)

1. 报告基础

此处呈现的财务数据未经审计,应与2024年8月7日提交的本公司第8-k表格文件中附带的合并财务报表和附注一起阅读。在2024年3月31日结束的季度,我们首席经营决策者审阅的业务部门营业利润指标已经进行了修订。这些修订并未导致我们的营运部门或可报告部门发生变化。相反,某些成本在我们的业务单位之间被重新分配,导致我们的营运部门的营业利润指标发生变化。以前属于我们美洲营运部门的某些产品类别总部成本,主要是研发和市场营销,现在已包含在公司项目中,而来自我们营运部门的某些支持功能成本现在已包含在公司项目中。公司项目既不视为营运部门,也不视为可报告部门。2024年8月7日提交的本公司第8-k表格文件仅用于重新整理我们在截至2023年12月31日的年度10-k表格文件中包含的财务信息和相关披露,以反映我们的营运部门的营业利润指标的变化。

在我们看来,随附的未经审计的简明合并财务报表包括所有调整,仅包括正常循环调整,以便公平陈述所呈现的中期财务状况、经营成果和现金流量。截至2023年12月31日的简明合并资产负债表数据来源于审计财务报表,但未包括美国通用会计准则(“GAAP”)要求的所有披露内容。中期数据不应被视为全年结果的指标。

 

本季度10-Q表格中报告的金额均以百万计算。因此,各项元件的总和可能由于四舍五入而不等于报告的总金额。此外,表格内的某些列和行合计可能由于使用四舍五入的数字而不相等。所呈现的百分比是根据基础未进行舍入的金额计算的。

 

“我们”、“我们的”和类似字词,“齐默巴奥米特”和“公司”指的是齐默巴奥米特控股公司及其子公司。“齐默巴奥米特控股”仅指母公司。

 

我们将重新分类某些之前期间的金额以符合当前期间的展示。

2. 重要会计政策

使用估计 - 附带的未经审计的简明合并基本报表按照通用会计准则编制,根据该准则,我们需要进行可能影响资产和负债金额的估计和假设,并在基本报表日期报告资产和负债的金额以及附表资产和负债的金额和财务期间收入和费用的金额。我们已对我们的资产和负债的认定做出了最佳估计。实际结果可能与这些估计有实质性差异。

 

尚未采用的会计准则 - 2023年11月,财务会计准则委员会(“FASB”)发布了《会计准则修订(ASU)2023-07》,改进报告段披露,这是对ASC主题280 - 段报告的修正。ASU要求提供更详细和细分的段信息,包括报告段费用类别和每个可报告段金额的披露。ASU还要求某些年度披露也在中间期进行。ASU于2023年12月15日后开始的财政年度有效,并于2024年12月15日后开始的财政年度的中间期适用。指导意见将进行回顾性应用,除非回顾性采纳不切实际。我们目前正在评估这项ASU对我们披露的影响。我们将从2024年12月31日结束的年度10-k表开始执行这项ASU。

 

2023年12月,FASB发布《ASU 2023-09》,改进所得税披露,这是对ASC主题740 - 所得税的修正。ASU通过要求提供有关实体有效税率调和更详细的细分信息以及要求提供有关所得税的额外披露和细分,以及其他改进所得税披露有效性的修正来提高所得税披露的透明度。ASU于2024年12月15日后开始的财政年度有效。指导意见将前瞻性应用,并可以选择回顾性应用指导意见。允许提前采纳这项ASU。我们目前正在评估这项ASU对我们的基本报表和披露的影响。

8


 

3. 营业收入

按地区划分的净销售额如下(单位:百万美元):

 

 

 

三个月之内结束

 

 

九个月结束

 

 

 

2020年9月30日

 

 

2020年9月30日

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

美国

 

$

1,052.3

 

 

$

1,031.4

 

 

$

3,257.7

 

 

$

3,160.6

 

国际

 

 

771.9

 

 

 

722.2

 

 

 

2,397.7

 

 

 

2,293.5

 

总费用

 

$

1,824.2

 

 

$

1,753.6

 

 

$

5,655.4

 

 

$

5,454.1

 

 

按产品类别划分的净销售额如下(单位:百万美元):

 

 

 

三个月之内结束

 

 

九个月结束

 

 

 

2020年9月30日

 

 

2020年9月30日

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

膝盖

 

$

745.1

 

 

$

706.3

 

 

$

2,334.3

 

 

$

2,240.1

 

臀部

 

 

481.5

 

 

 

465.3

 

 

 

1,479.1

 

 

 

1,462.5

 

SEt

 

 

454.2

 

 

 

423.2

 

 

 

1,376.4

 

 

 

1,299.3

 

其他

 

 

143.4

 

 

 

158.8

 

 

 

465.6

 

 

 

452.2

 

总费用

 

$

1,824.2

 

 

$

1,753.6

 

 

$

5,655.4

 

 

$

5,454.1

 

 

S.E.t.包括体育医学、四肢、创伤、颅颌面和胸腔(“CMFT”)产品类别的销售。其他包括来自我们的科技、外科和水泥产品类别的销售。

 

这个净销售报告与我们的可报告营业部门有所不同,后者基于我们的高级管理组织结构以及我们如何分配资源以实现营业利润目标。我们的每个可报告营业部门都销售上述所有产品类别。因此,与上述报告和我们的可报告营业部门唯一的区别在于地理分组。

 

4. 重组

 

2023年12月,我们的管理层批准了一项旨在优化我们的成本结构并推动公司整体效率的新全球重组计划(“2023重组计划”)。预计2023重组计划将导致总额约 $120百万美元。税前重组费用包括员工解雇福利;销售代理商合同终止费用;以及其他费用,例如咨询费用。 根据我们的2023重组计划产生的费用将报告在我们的“重组和其他成本降低计划”财务报表行项目中。 以下表格总结了与2023重组计划相关的承认的负债(以百万美元计):

 

 

 

员工

 

 

 

 

 

 

 

 

 

 

 

 

终止

 

 

合同

 

 

 

 

 

 

 

 

 

福利

 

 

终止协议

 

 

其他

 

 

总费用

 

2024年9月30日结束的三个月发生的费用

 

$

2.1

 

 

$

0.1

 

 

$

0.8

 

 

$

3.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2023年12月31日的余额

 

$

9.2

 

 

$

-

 

 

$

5.0

 

 

$

14.2

 

2024年9月30日结束的九个月发生的费用

 

 

83.2

 

 

 

3.1

 

 

 

10.7

 

 

 

97.0

 

现金支付

 

 

(61.0

)

 

 

(1.6

)

 

 

(9.9

)

 

 

(72.5

)

外币兑换率变动

 

 

0.8

 

 

 

-

 

 

 

0.2

 

 

 

1.0

 

非现金交易活动

 

 

-

 

 

 

-

 

 

 

1.7

 

 

 

1.7

 

2024年9月30日余额

 

$

32.2

 

 

$

1.5

 

 

$

7.7

 

 

$

41.4

 

 

 

 

 

 

 

 

 

 

 

 

 

2023年重组计划开始以来发生的费用

 

$

92.4

 

 

$

3.1

 

 

$

14.3

 

 

$

109.8

 

 

 

 

 

 

 

 

 

 

 

 

 

预计将在2023年重组计划中确认的费用

 

$

93.0

 

 

$

10.0

 

 

$

17.0

 

 

$

120.0

 

 

9


 

In December 2021, our management approved a global restructuring program (the “2021 Restructuring Plan”) intended to further reduce costs and to reorganize our global operations in preparation for the spinoff of ZimVie. The 2021 Restructuring Plan is expected to result in total pre-tax restructuring charges of approximately $173 million. The pre-tax restructuring charges consist of employee termination benefits; contract terminations for sales agents; and other charges, such as consulting fees and project management expenses. The expenses incurred under our 2021 Restructuring Plan are reported in our “Restructuring and other cost reduction initiatives” financial statement line item. The following table summarizes the liabilities recognized related to the 2021 Restructuring Plan (in millions):

 

 

 

Employee

 

 

 

 

 

 

 

 

 

 

 

 

Termination

 

 

Contract

 

 

 

 

 

 

 

 

 

Benefits

 

 

Terminations

 

 

Other

 

 

Total

 

Expenses incurred in the three months ended September 30, 2024

 

$

0.1

 

 

$

0.2

 

 

$

0.5

 

 

$

0.8

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Balance, December 31, 2023

 

$

4.2

 

 

$

17.6

 

 

$

2.9

 

 

$

24.7

 

Expenses incurred in the nine months ended September 30, 2024

 

 

(1.0

)

 

 

0.3

 

 

 

2.7

 

 

 

2.0

 

Cash payments

 

 

(1.4

)

 

 

(7.5

)

 

 

(2.9

)

 

 

(11.8

)

Balance, September 30, 2024

 

$

1.8

 

 

$

10.4

 

 

$

2.7

 

 

$

14.9

 

 

 

 

 

 

 

 

 

 

 

 

 

Expense incurred since the start of the 2021 Restructuring Plan

 

$

58.1

 

 

$

74.1

 

 

$

38.9

 

 

$

171.1

 

 

 

 

 

 

 

 

 

 

 

 

 

Expense estimated to be recognized for the 2021 Restructuring Plan

 

$

58.1

 

 

$

74.9

 

 

$

40.0

 

 

$

173.0

 

 

In December 2019, our Board of Directors approved, and we initiated, a global restructuring program (the “2019 Restructuring Plan”) with an objective of reducing structural costs to allow us to further invest in higher priority growth opportunities. The 2019 Restructuring Plan is expected to result in total pre-tax restructuring charges of approximately $400 million. The pre-tax restructuring charges consist of employee termination benefits; contract terminations for facilities and sales agents; and other charges, such as consulting fees, project management expenses and relocation costs, including costs to close a manufacturing facility. The remaining costs relate to the closure of a manufacturing facility, which is expected to be completed in 2025.

 

The following tables summarize the location on our condensed consolidated statement of earnings and type of cost for our 2019 Restructuring Plan (in millions):

 

 

 

 

 

Three Months Ended September 30, 2024

 

 

 

Employee

 

 

 

 

 

 

 

 

 

 

 

 

Termination

 

 

Contract

 

 

 

 

 

 

 

 

 

Benefits

 

 

Terminations

 

 

Other

 

 

Total

 

Cost of products sold, excluding intangible asset amortization

 

$

-

 

 

$

-

 

 

$

7.7

 

 

$

7.7

 

Restructuring and other cost reduction initiatives

 

 

4.6

 

 

 

-

 

 

 

2.7

 

 

 

7.3

 

 

 

$

4.6

 

 

$

-

 

 

$

10.4

 

 

$

15.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended September 30, 2024

 

 

 

Employee

 

 

 

 

 

 

 

 

 

 

 

 

Termination

 

 

Contract

 

 

 

 

 

 

 

 

 

Benefits

 

 

Terminations

 

 

Other

 

 

Total

 

Cost of products sold, excluding intangible asset amortization

 

$

-

 

 

$

-

 

 

$

8.6

 

 

$

8.6

 

Restructuring and other cost reduction initiatives

 

 

20.8

 

 

 

-

 

 

 

8.2

 

 

 

29.0

 

 

 

$

20.8

 

 

$

-

 

 

$

16.8

 

 

$

37.6

 

 

The following table summarizes the liabilities recognized related to the 2019 Restructuring Plan (in millions):

10


 

 

 

 

Employee

 

 

 

 

 

 

 

 

 

 

 

 

Termination

 

 

Contract

 

 

 

 

 

 

 

 

 

Benefits

 

 

Terminations

 

 

Other

 

 

Total

 

Balance, December 31, 2023

 

$

43.8

 

 

$

5.6

 

 

$

2.9

 

 

$

52.3

 

Expenses incurred in the nine months ended September 30, 2024

 

 

20.8

 

 

 

-

 

 

 

16.8

 

 

 

37.6

 

Cash payments

 

 

(30.6

)

 

 

(1.5

)

 

 

(18.6

)

 

 

(50.7

)

Foreign currency exchange rate changes

 

 

2.2

 

 

 

-

 

 

 

-

 

 

 

2.2

 

Balance, September 30, 2024

 

$

36.2

 

 

$

4.1

 

 

$

1.1

 

 

$

41.4

 

 

 

 

 

 

 

 

 

 

 

 

 

Expense incurred since the start of the 2019 Restructuring Plan

 

$

146.5

 

 

$

35.0

 

 

$

175.5

 

 

$

357.0

 

 

 

 

 

 

 

 

 

 

 

 

 

Expense estimated to be recognized for the 2019 Restructuring Plan

 

$

157.0

 

 

$

35.0

 

 

$

208.0

 

 

$

400.0

 

 

We do not include restructuring charges in the operating profit of our reportable segments. We report the expenses for other cost reduction and optimization initiatives in our “Restructuring and other cost reduction initiatives” financial statement line item because these activities also have the goal of reducing costs across the organization. However, since the cost reduction initiative expenses are not considered restructuring, they have been excluded from the amounts presented in this note.

 

5. Inventories

 

 

September 30,

 

 

December 31,

 

 

 

2024

 

 

2023

 

 

 

(in millions)

 

Finished goods

 

$

1,871.9

 

 

$

1,831.2

 

Work in progress

 

 

188.6

 

 

 

246.5

 

Raw materials

 

 

308.2

 

 

 

307.5

 

Inventories

 

$

2,368.7

 

 

$

2,385.2

 

 

6. Property, Plant and Equipment

 

 

September 30,

 

 

December 31,

 

 

 

2024

 

 

2023

 

 

 

(in millions)

 

Land

 

$

19.0

 

 

$

18.9

 

Buildings and equipment

 

 

2,308.4

 

 

 

2,245.9

 

Capitalized software costs

 

 

578.3

 

 

 

552.2

 

Instruments

 

 

3,748.2

 

 

 

3,748.6

 

Construction in progress

 

 

242.2

 

 

 

200.6

 

 

 

 

6,896.1

 

 

 

6,766.2

 

Accumulated depreciation

 

 

(4,788.9

)

 

 

(4,705.8

)

Property, plant and equipment, net

 

$

2,107.2

 

 

$

2,060.4

 

We had $17.9 million and $30.8 million of property, plant and equipment included in accounts payable as of September 30, 2024 and December 31, 2023, respectively.

 

7. Acquisitions

 

On April 2, 2024, we completed the acquisition of all the outstanding shares of a third party orthopedics distributor in the EMEA market. Prior to the acquisition, the distributor sold our products to its customers. The acquisition is expected to improve our margins and allow us to better serve the end customers.

 

On April 29, 2024, we completed the acquisition of all the outstanding shares of V.I.M.S. Vidéo Interventionnelle Médicale Scientifique, a privately-held medical device company based in France, which expands our portfolio in the sports medicine market.

 

11


 

On August 16, 2024, we completed the acquisition of all the outstanding shares of a privately-held medical device company based in the United States, which expands our portfolio in the CMFT market.

 

Initial consideration related to these three acquisitions was $132.2 million with additional consideration up to $66.6 million, subject to the achievement of future regulatory milestones and commercial milestones. We determined the fair value of the additional consideration to be $26.5 million as of the acquisition dates.

 

The goodwill related to these acquisitions represents the excess of the consideration transferred over the fair value of the net assets acquired. The goodwill related to these acquisitions is generated from the operational synergies, cross-selling opportunities and future development we expect to achieve from the technologies acquired. No goodwill is expected to be deductible for income tax purposes. The goodwill related to the April acquisitions is included in the EMEA operating segment and reporting unit. The goodwill related to the August acquisition is included in the Americas operating segment and the Americas CMFT reporting unit. The goodwill related to these acquisitions was the only significant activity related to our consolidated goodwill balance in the three and nine-month periods ended September 30, 2024, other than changes related to foreign currency exchange rate translation adjustments.

 

The purchase price allocations for the three acquisitions described above are preliminary as of September 30, 2024. We need additional time to evaluate the technology and tax attributes of those transactions, which may change the recognized intangible assets and tax assets and liabilities. There may be differences between the preliminary estimates of fair value and the final acquisition accounting. The final estimates of fair value are expected to be completed as soon as possible, but no later than one year after the respective acquisition dates.

 

The following table summarizes the estimates of fair value of the assets acquired and liabilities assumed related to the three acquisitions described above (in millions):

 

Current assets

 

$

20.0

 

Intangible assets subject to amortization:

 

 

 

   Technology

 

 

26.0

 

   Trademarks and trade names

 

 

1.1

 

   Customer relationships

 

 

38.5

 

Intangible assets not subject to amortization:

 

 

 

   In-process research and development (IPR&D)

 

 

7.0

 

Goodwill

 

 

84.7

 

Other assets

 

 

4.3

 

Total assets acquired

 

 

181.7

 

Current liabilities

 

 

7.6

 

Deferred income taxes

 

 

14.9

 

Other long-term liabilities

 

 

0.5

 

Total liabilities assumed

 

 

23.0

 

Net assets acquired

 

$

158.7

 

 

The weighted average amortization periods selected for technology, trademarks and trade names and customer relationships were 10 years, 10 years and 9 years, respectively. Upon receiving regulatory approval subsequent to the applicable acquisition date, the $7.0 million of IPR&D was reclassified to a definite-lived intangible asset and began amortizing over the applicable estimated useful life.

 

On February 14, 2023, we completed the acquisition of all the outstanding shares of Embody, Inc. ("Embody"), a medical device company focused on soft tissue healing, that expands our portfolio for the sports medicine market. The initial consideration consisted of the issuance of 1.1 million shares of our common stock valued at $135.0 million and $19.5 million of cash for a total value of $154.5 million. The fair value of our common stock was determined to be $127.34 per share, which represented the average of our high and low stock prices on the acquisition date. The Embody acquisition includes additional consideration of up to $120.0 million in fair value of our common shares and cash, subject to achieving a future regulatory milestone after closing and commercial milestones based on sales growth over a three-year period. We assigned a fair value of $94.0 million for this contingent consideration as of the acquisition date. The estimated fair value of the contingent consideration liability was calculated based on the probability of achieving the specified regulatory milestone and by simulating numerous potential outcomes for the commercial milestones and discounting to present value the estimated payments.

On April 28, 2023, we completed the acquisition of all the outstanding shares of a privately-held orthopedics medical device company that expands our portfolio in the orthopedics market ("April 2023 acquisition"). The initial consideration consisted of $15.0 million of cash and includes consideration of up to $8.0 million in cash, subject to achieving future regulatory milestones.

12


 

 

On October 6, 2023, we completed the acquisition of all the outstanding shares of a privately-held orthopedics medical device company that provides us new surgical technology that can be used in procedures across multiple product categories (“October 2023 acquisition”). The initial consideration consisted of $42.2 million of cash and includes additional consideration of up to $33.0 million in cash contingent upon achieving certain commercial milestones based on sales growth over a three-year period. We assigned a fair value of $21.5 million for this contingent consideration as of the acquisition date. The estimated fair value of the contingent liability was calculated based on the probability of achieving the commercial milestones and discounting to present value the estimated payments.

 

On November 15, 2023, we completed the acquisition of a privately-held technology company by acquiring certain assets, liabilities and employees of the technology company (“November 2023 acquisition”). The November 2023 acquisition expands our technology and data capabilities and solutions across multiple product categories to better serve our customers. The initial consideration consisted of $60.7 million of cash and includes additional consideration of up to $20.0 million in cash contingent upon achieving a commercial milestone based on a certain sales target which must be achieved by December 31, 2025. We assigned a fair value of $15.0 million for this contingent consideration as of the acquisition date. The estimated fair value of the contingent liability was calculated based on the probability of achieving the commercial milestone and discounting to present value the estimated payment.

 

These four acquisitions are collectively referred to in this report as the “2023 acquisitions”. Refer to Note 10 for information regarding the issuance of common stock and cash payments related to the contingent consideration liabilities that have occurred subsequent to the acquisition dates.

 

The goodwill related to the 2023 acquisitions represents the excess of the consideration transferred over the fair value of the net assets acquired. The goodwill related to the 2023 acquisitions is generated from the operational synergies and cross-selling opportunities we expect to achieve from the technologies acquired. A portion of the goodwill is expected to be deductible for U.S. income tax purposes. The goodwill related to the Embody, the October 2023 and the November 2023 acquisitions is included in the Americas operating segment and the Americas Orthopedics reporting unit. The goodwill related to the April 2023 acquisition is included in the Asia Pacific operating segment and reporting unit. The goodwill related to the first two of the 2023 acquisition was the only significant activity related to our consolidated goodwill balance in the three and nine-month periods ended September 30, 2023, other than changes related to foreign currency exchange rate translation adjustments.

 

The purchase price allocations for the Embody acquisition, the October 2023 acquisition and the April 2023 acquisition were final as of September 30, 2024. The purchase price allocation for the November 2023 acquisition is preliminary as of September 30, 2024. We need additional time to evaluate the tax attributes of the transaction, which may change the recognized tax assets and liabilities. There may be differences between the preliminary estimates of fair value and the final acquisition accounting. The final estimates of fair value are expected to be completed as soon as possible, but no later than one year after the acquisition date.

 

The following table summarizes the estimates of fair value of the assets acquired and liabilities assumed related to the 2023 acquisitions (in millions):

 

Current assets

 

$

13.1

 

Intangible assets subject to amortization:

 

 

 

   Technology

 

 

144.0

 

   Trademarks and trade names

 

 

3.5

 

   Customer relationships

 

 

40.1

 

Intangible assets not subject to amortization:

 

 

 

   IPR&D

 

 

36.3

 

Goodwill

 

 

215.0

 

Other assets

 

 

4.8

 

Total assets acquired

 

 

456.8

 

Current liabilities

 

 

8.2

 

Deferred income taxes

 

 

37.7

 

Total liabilities assumed

 

 

45.9

 

Net assets acquired

 

$

410.9

 

 

The weighted average amortization periods selected for technology, customer relationships and trademarks and trade names were 15 years, 8 years and 13 years, respectively. Upon receiving regulatory approval subsequent to the Embody acquisition date, the $36.3 million of IPR&D was reclassified to a definite-lived intangible asset and began amortizing over the applicable estimated useful life.

13


 

 

In the three and nine-month periods ended September 30, 2024, there were no material adjustments to the preliminary values of any of the acquisitions.

 

We have not included pro forma information and certain other information under GAAP for any of the acquisitions described in this Note because they did not have a material impact on our financial position or results of operations.

 

In the nine-month period ended September 30, 2024, we recognized intangible assets of $164.8 million related to agreements we have entered into in order to acquire the ownership rights or gain access to various technologies. The weighted average amortization period selected for these intangible assets was 8 years. The contractual payments under these agreements are included in "Acquisition of intangible assets" in our condensed consolidated statements of cash flows. We have recognized current liabilities of approximately $60.0 million for the remaining portion of the payments which represents a noncash investing activity for the nine-month period ended September 30, 2024.

 

In the nine-month period ended September 30, 2023, we entered into agreements to acquire intellectual property rights through the buyout of certain licensing arrangements. These new agreements and the related payments replace the variable royalty payments that otherwise would have been due under the terms of previous licensing arrangements through 2030. These new agreements benefit us by expanding our ownership of intellectual property that we may use in the future. We recognized intangible assets of $80.5 million related to these agreements which will be amortized through 2030. The payments under these agreements have been included in "Acquisition of intangible assets" in our condensed consolidated statements of cash flows.

 

8. Debt

Our debt consisted of the following (in millions):

 

 

September 30,

 

 

December 31,

 

 

 

2024

 

 

2023

 

Current portion of long-term debt

 

 

 

 

 

 

Uncommitted Credit Facility

 

$

-

 

 

$

50.0

 

1.450% Senior Notes due 2024

 

 

850.0

 

 

 

850.0

 

3.550% Senior Notes due 2025

 

$

863.0

 

 

$

-

 

Total current portion of long-term debt

 

$

1,713.0

 

 

$

900.0

 

Long-term debt

 

 

 

 

 

 

3.550% Senior Notes due 2025

 

$

-

 

 

$

863.0

 

3.050% Senior Notes due 2026

 

 

600.0

 

 

 

600.0

 

5.350% Senior Notes due 2028

 

 

500.0

 

 

 

500.0

 

3.550% Senior Notes due 2030

 

 

257.5

 

 

 

257.5

 

2.600% Senior Notes due 2031

 

 

750.0

 

 

 

750.0

 

5.200% Senior Notes due 2034

 

 

700.0

 

 

 

-

 

4.250% Senior Notes due 2035

 

 

253.4

 

 

 

253.4

 

5.750% Senior Notes due 2039

 

 

317.8

 

 

 

317.8

 

4.450% Senior Notes due 2045

 

 

395.4

 

 

 

395.4

 

2.425% (500.0M) Euro Notes due 2026

 

 

558.1

 

 

 

552.3

 

1.164% (€500.0M) Euro Notes due 2027

 

 

558.1

 

 

 

552.3

 

Debt discount and issuance costs

 

 

(30.8

)

 

 

(29.1

)

Adjustment related to interest rate swaps

 

 

(121.8

)

 

 

(144.7

)

Total long-term debt

 

$

4,737.7

 

 

$

4,867.9

 

 

On August 15, 2024, we completed the offering of $700.0 million aggregate principal amount of our 5.200% Senior Notes due September 15, 2034. Interest is payable on these Senior Notes March 15 and September 15 of each year until maturity. We received net proceeds of $700.0 million.

 

In the nine-month period ended September 30, 2023, we redeemed $83.0 million outstanding principal amount on a short-term term loan by paying $33.9 million in cash and by transferring all our common shares we owned of a publicly traded company we previously spun-off. The transfer of the common shares as part of the settlement resulted in a $49.1 million noncash financing activity. In the nine-month period ended September 30, 2023 we also redeemed $86.3 million outstanding principal amount of our 3.700% Senior Notes due 2023.

14


 

 

On June 28, 2024, we entered into a new five-year revolving credit agreement (the “2024 Five-Year Credit Agreement”) and a new 364-day revolving credit agreement (the “2024 364-Day Revolving Credit Agreement”), as described below. Borrowings under these credit agreements will be used for general corporate purposes.

 

The 2024 Five-Year Credit Agreement contains a five-year unsecured revolving facility of $1.5 billion (the “2024 Five-Year Revolving Facility”). The 2024 Five-Year Credit Agreement replaced the previous revolving credit agreement entered into on July 7, 2023 (the “2023 Five-Year Credit Agreement”), which contained a five-year unsecured revolving facility of $1.5 billion (the “2023 Five-Year Revolving Facility”). There were no outstanding borrowings under the 2023 Five-Year Credit Agreement at the time it was terminated.

 

The 2024 Five-Year Credit Agreement will mature on June 28, 2029, with two one-year extensions exercisable at our discretion and subject to required lender consent. The 2024 Five-Year Credit Agreement also includes an uncommitted incremental feature allowing us to request an increase of the facility by an aggregate amount of up to $500.0 million.

 

Borrowings under the 2024 Five-Year Credit Agreement bear interest at floating rates, based upon either an adjusted term secured overnight financing rate (“Term SOFR”) for the applicable interest period or an alternate base rate, in each case, plus an applicable margin determined by reference to our senior unsecured long-term debt credit rating. We pay a facility fee on the aggregate amount of the 2024 Five-Year Revolving Facility at a rate determined by reference to our senior unsecured long-term debt credit rating.

 

The 2024 Five-Year Credit Agreement contains customary affirmative and negative covenants and events of default for unsecured financing arrangements, including, among other things, limitations on consolidations, mergers, and sales of assets. The 2024 Five-Year Credit Agreement also requires us to maintain a consolidated indebtedness to consolidated EBITDA ratio of no greater than 4.5 to 1.0 as of the last day of any period of four consecutive fiscal quarters (with such ratio subject to increase to 5.0 to 1.0 for a period of time in connection with a qualified material acquisition and certain other restrictions). We were in compliance with all covenants under the 2024 Five-Year Credit Agreement as of September 30, 2024. As of September 30, 2024, there were no outstanding borrowings under the 2024 Five-Year Credit Agreement.

 

The 2024 364-Day Revolving Credit Agreement is an unsecured revolving credit facility in the principal amount of $1.0 billion (the “2024 364-Day Revolving Facility”). The 2024 364-Day Revolving Credit Agreement replaced a credit agreement entered into on July 7, 2023, which was also a 364-day unsecured revolving credit facility of $1.0 billion (the “2023 364-Day Revolving Facility”). There were no borrowings outstanding under the 2023 364-Day Revolving Facility when it was terminated.

 

The 2024 364-Day Revolving Facility will mature on June 27, 2025. Borrowings under the 2024 364-Day Revolving Credit Agreement bear interest at floating rates based upon either an adjusted Term SOFR for the applicable interest period or an alternate base rate, in each case, plus an applicable margin determined by reference to our senior unsecured long-term debt credit rating. We pay a facility fee on the aggregate amount of the 2024 364-Day Revolving Facility at a rate determined by reference to our senior unsecured long-term debt credit rating.

 

The 2024 364-Day Revolving Credit Agreement contains customary affirmative and negative covenants and events of default for an unsecured financing arrangement including, among other things, limitations on consolidations, mergers, and sales of assets. The 2024 364-Day Revolving Credit Agreement also requires us to maintain a consolidated indebtedness to consolidated EBITDA ratio of no greater than 4.5 to 1.0 as of the last day of any period of four consecutive fiscal quarters (with such ratio subject to increase to 5.0 to 1.0 in connection with a qualified material acquisition and certain other restrictions). We were in compliance with all covenants under the 2024 364-Day Revolving Credit Agreement as of September 30, 2024. As of September 30, 2024, there were no outstanding borrowings under the 2024 364-Day Revolving Credit Agreement.

 

On August 28, 2023, we entered into an uncommitted facility letter (the "Uncommitted Credit Facility"), which provides that from time to time, we may request, and the lender in its absolute and sole discretion may provide, short-term loans. Borrowings under the Uncommitted Credit Facility may be used only for general corporate and working capital purposes. The Uncommitted Credit Facility provides that the aggregate principal amount of outstanding borrowings at any time shall not exceed $300.0 million. Each borrowing under the Uncommitted Credit Facility will mature on the maturity date specified by the lender at the time of the advance, which will be no more than 90 days following the date of the advance. The Uncommitted Credit Facility and borrowings thereunder are unsecured. Borrowings under the Uncommitted Credit Facility bear interest at floating rates, based upon either Term SOFR for the applicable interest period, the prime rate, or lender’s cost of funds, in each case, plus an applicable margin determined at the time of each borrowing. The Uncommitted Credit Facility includes customary affirmative and negative covenants and events of default for unsecured uncommitted financing arrangements. We were in compliance with all covenants under the Uncommitted Credit Facility as of September 30, 2024. As of September 30, 2024, there were no outstanding borrowings under the Uncommitted Credit Facility.

15


 

Borrowings under our revolving credit facilities have been executed with underlying notes that have maturities of three months or less. At maturity of the underlying note, we elect to either repay the note, borrow the same amount, or some combination thereof. On our condensed consolidated statements of cash flows, we present the borrowings and repayments of these underlying notes as net cash inflows or outflows due to their short-term nature.

 

The estimated fair value of our senior notes, which includes our Euro notes, as of September 30, 2024, based on quoted prices for the specific securities from transactions in over-the-counter markets (Level 2), was $6,441.8 million.

 

9. Accumulated Other Comprehensive Income

Accumulated other comprehensive income (loss) (“AOCI”) refers to certain gains and losses that under GAAP are included in comprehensive income but are excluded from net earnings as these amounts are initially recorded as an adjustment to stockholders’ equity. Amounts in AOCI may be reclassified to net earnings upon the occurrence of certain events.

Our AOCI is comprised of foreign currency translation adjustments, unrealized gains and losses on cash flow hedges and unrecognized prior service costs and gains and losses in actuarial assumptions related to our defined benefit plans. Foreign currency translation adjustments are reclassified to net earnings upon sale or upon a complete or substantially complete liquidation of an investment in a foreign entity. Unrealized gains and losses on cash flow hedges are reclassified to net earnings when the hedged item affects net earnings. Amounts related to defined benefit plans that are in AOCI are reclassified over the service periods of employees in the plan.

The following table shows the changes in the components of AOCI gains (losses), net of tax (in millions):

 

 

Foreign

 

 

Cash

 

 

Defined

 

 

 

 

 

 

Currency

 

 

Flow

 

 

Benefit

 

 

Total

 

 

 

Translation

 

 

Hedges

 

 

Plan Items

 

 

AOCI

 

Balance at December 31, 2023

 

$

(159.4

)

 

$

63.3

 

 

$

(94.9

)

 

$

(191.0

)

AOCI before reclassifications

 

 

21.2

 

 

 

22.8

 

 

 

-

 

 

 

44.0

 

Reclassifications to statements of earnings

 

 

-

 

 

 

(52.9

)

 

 

(2.3

)

 

 

(55.2

)

Balance at September 30, 2024

 

$

(138.2

)

 

$

33.2

 

 

$

(97.2

)

 

$

(202.2

)

The following table shows the reclassification adjustments from AOCI (in millions):

 

 

Amount of Gain (Loss)

 

 

 

 

 

Reclassified from AOCI

 

 

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

 

 

September 30,

 

 

September 30,

 

 

Location on

Component of AOCI

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

Statements of Earnings

Cash flow hedges

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Foreign exchange forward contracts

 

$

21.0

 

 

$

23.3

 

 

$

64.7

 

 

$

69.9

 

 

Cost of products sold

Forward starting interest rate swaps

 

 

(0.2

)

 

 

(0.1

)

 

 

(0.6

)

 

 

(0.5

)

 

Interest expense, net

 

 

 

20.8

 

 

 

23.2

 

 

 

64.1

 

 

 

69.4

 

 

Total before tax

 

 

3.7

 

 

 

4.1

 

 

 

11.2

 

 

 

12.0

 

 

Provision for income taxes

 

 

$

17.1

 

 

$

19.1

 

 

$

52.9

 

 

$

57.4

 

 

Net of tax

Defined benefit plans

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prior service cost and unrecognized actuarial loss

 

$

0.7

 

 

$

0.8

 

 

$

2.0

 

 

$

3.1

 

 

Other income, net

 

 

(0.4

)

 

 

0.1

 

 

 

(0.3

)

 

 

0.3

 

 

Provision for income taxes

 

 

$

1.1

 

 

$

0.7

 

 

$

2.3

 

 

$

2.8

 

 

Net of tax

Total reclassifications

 

$

18.2

 

 

$

19.8

 

 

$

55.2

 

 

$

60.2

 

 

Net of tax

 

16


 

The following table shows the tax effects on each component of AOCI recognized in our condensed consolidated statements of comprehensive income (in millions):

 

 

Three Months Ended September 30, 2024

 

 

Nine Months Ended September 30, 2024

 

 

 

Before Tax

 

 

Tax

 

 

Net of Tax

 

 

Before Tax

 

 

Tax

 

 

Net of Tax

 

Foreign currency cumulative translation adjustments

 

$

34.9

 

 

 

(26.2

)

 

$

61.1

 

 

$

19.7

 

 

 

(1.5

)

 

$

21.2

 

Unrealized cash flow hedge gains

 

 

(54.0

)

 

 

(4.1

)

 

 

(49.9

)

 

 

33.5

 

 

 

10.7

 

 

 

22.8

 

Reclassification adjustments on cash flow hedges

 

 

(20.8

)

 

 

(3.7

)

 

 

(17.1

)

 

 

(64.1

)

 

 

(11.2

)

 

 

(52.9

)

Adjustments to prior service cost and unrecognized actuarial assumptions

 

 

(0.7

)

 

 

0.4

 

 

 

(1.1

)

 

 

(2.0

)

 

 

0.3

 

 

 

(2.3

)

Total Other Comprehensive Income (Loss)

 

$

(40.6

)

 

$

(33.6

)

 

$

(7.0

)

 

$

(12.9

)

 

$

(1.7

)

 

$

(11.2

)

 

 

 

Three Months Ended September 30, 2023

 

 

Nine Months Ended September 30, 2023

 

 

 

Before Tax

 

 

Tax

 

 

Net of Tax

 

 

Before Tax

 

 

Tax

 

 

Net of Tax

 

Foreign currency cumulative translation adjustments

 

$

(7.3

)

 

$

15.4

 

 

$

(22.7

)

 

$

(26.2

)

 

$

10.5

 

 

$

(36.7

)

Unrealized cash flow hedge gains

 

 

40.5

 

 

 

6.7

 

 

 

33.8

 

 

 

108.3

 

 

 

18.6

 

 

 

89.7

 

Reclassification adjustments on cash flow hedges

 

 

(23.2

)

 

 

(4.1

)

 

 

(19.1

)

 

 

(69.4

)

 

 

(12.0

)

 

 

(57.4

)

Adjustments to prior service cost and unrecognized actuarial assumptions

 

 

(0.8

)

 

 

(0.1

)

 

 

(0.7

)

 

 

(3.1

)

 

 

(0.3

)

 

 

(2.8

)

Total Other Comprehensive Income (Loss)

 

$

9.2

 

 

$

17.9

 

 

$

(8.7

)

 

$

9.6

 

 

$

16.8

 

 

$

(7.2

)

10. Fair Value Measurement of Assets and Liabilities

The following financial assets and liabilities are recorded at fair value on a recurring basis (in millions):

 

 

As of September 30, 2024

 

 

 

 

 

 

Fair Value Measurements at Reporting Date Using:

 

Description

 

Recorded
Balance

 

 

Quoted Prices
in Active
Markets for
Identical
Assets
(Level 1)

 

 

Significant
Other
Observable
Inputs
(Level 2)

 

 

Significant
Unobservable
Inputs
(Level 3)

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

Derivatives designated as hedges, current and long-term

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency forward contracts

 

$

28.3

 

 

$

-

 

 

$

28.3

 

 

$

-

 

Cross-currency interest rate swaps

 

 

18.2

 

 

 

-

 

 

 

18.2

 

 

 

-

 

Total Assets

 

$

46.5

 

 

$

-

 

 

$

46.5

 

 

$

-

 

 

 

 

 

 

 

 

 

 

 

 

 

Liabilities

 

 

 

 

 

 

 

 

 

 

 

 

Derivatives designated as hedges, current and long-term

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency forward contracts

 

$

4.4

 

 

$

-

 

 

$

4.4

 

 

$

-

 

Cross-currency interest rate swaps

 

 

66.2

 

 

 

-

 

 

 

66.2

 

 

 

-

 

Interest rate swaps

 

 

121.8

 

 

 

-

 

 

 

121.8

 

 

 

-

 

Contingent consideration related to acquisitions

 

 

142.7

 

 

 

-

 

 

 

-

 

 

 

142.7

 

Total Liabilities

 

$

335.1

 

 

$

-

 

 

$

192.4

 

 

$

142.7

 

 

17


 

 

 

As of December 31, 2023

 

 

 

 

 

 

Fair Value Measurements at Reporting Date Using:

 

Description

 

Recorded
Balance

 

 

Quoted Prices
in Active
Markets for
Identical
Assets
(Level 1)

 

 

Significant
Other
Observable
Inputs
(Level 2)

 

 

Significant
Unobservable
Inputs
(Level 3)

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

Derivatives designated as hedges, current and long-term

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency forward contracts

 

$

54.4

 

 

$

-

 

 

$

54.4

 

 

$

-

 

Cross-currency interest rate swaps

 

 

5.4

 

 

 

-

 

 

 

5.4

 

 

 

-

 

Derivatives not designated as hedges, current and long-term

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency forward contracts

 

 

0.4

 

 

 

-

 

 

 

0.4

 

 

 

-

 

Total Assets

 

$

60.2

 

 

$

-

 

 

$

60.2

 

 

$

-

 

 

 

 

 

 

 

 

 

 

 

 

 

Liabilities

 

 

 

 

 

 

 

 

 

 

 

 

Derivatives designated as hedges, current and long-term

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency forward contracts

 

$

3.7

 

 

$

-

 

 

$

3.7

 

 

$

-

 

Cross-currency interest rate swaps

 

 

68.1

 

 

 

-

 

 

 

68.1

 

 

 

-

 

Interest rate swaps

 

 

144.7

 

 

 

-

 

 

 

144.7

 

 

 

-

 

Derivatives not designated as hedges, current and long-term

 

 

 

 

 

 

 

 

 

 

 

 

Foreign currency forward contracts

 

 

1.6

 

 

 

-

 

 

 

1.6

 

 

 

-

 

Contingent consideration related to acquisitions

 

 

141.7

 

 

 

-

 

 

 

-

 

 

 

141.7

 

Total Liabilities

 

$

359.8

 

 

$

-

 

 

$

218.1

 

 

$

141.7

 

We value our foreign currency forward contracts using a market approach based on foreign currency exchange rates obtained from active markets, and we perform ongoing assessments of counterparty credit risk.

We value our interest rate swaps using a market approach based on publicly available market yield curves and the terms of our swaps, and we perform ongoing assessments of counterparty credit risk. The valuation of our cross-currency interest rate swaps also includes consideration of foreign currency exchange rates.

Contingent payments related to acquisitions consist of sales-based payments and regulatory milestones, and are valued using discounted cash flow techniques. The fair value of sales-based payments is based upon significant unobservable inputs such as probability-weighted future revenue estimates and simulating the numerous potential outcomes, and changes as revenue estimates increase or decrease. The fair value of the regulatory milestones is based on the probability of success in obtaining the specified regulatory approval.

Contingent payments related to the Embody acquisition are to be settled by issuance of our common stock and cash payments. The Embody acquisition is discussed in Note 7. During the nine-month period ended September 30, 2024, we issued 0.2 million shares of our common stock valued at $23.4 million and paid $1.5 million of cash for a commercial milestone related to the Embody acquisition. The fair value of common stock was determined to be $123.87 per share, which represented the average of our high and low stock prices on the settlement date. To minimize dilution from issuing shares for the milestone settlement, we repurchased 0.2 million shares of our common stock in February of 2024.

The following table provides a reconciliation of the beginning and ending balances of items measured at fair value on a recurring basis in the tables above that used significant unobservable inputs (Level 3) (in millions):

 

 

 

Level 3 - Liabilities

 

Contingent payments related to acquisitions

 

 

 

Beginning balance December 31, 2023

 

$

141.7

 

New contingent consideration related to acquisitions

 

 

26.5

 

Change in estimates

 

 

2.4

 

Settlements

 

 

(28.9

)

Foreign currency impact

 

 

1.0

 

Ending balance September 30, 2024

 

$

142.7

 

 

18


 

Changes in estimates for contingent payments related to acquisitions are recognized in the Acquisition, integration, divestiture and related line item on our condensed consolidated statements of earnings.

11. Derivative Instruments and Hedging Activities

We are exposed to certain market risks relating to our ongoing business operations, including foreign currency exchange rate risk, commodity price risk, interest rate risk and credit risk. We manage our exposure to these and other market risks through regular operating and financing activities. Currently, the only risks that we manage through the use of derivative instruments are interest rate risk and foreign currency exchange rate risk.

Interest Rate Risk

Derivatives Designated as Fair Value Hedges

We currently use fixed-to-variable interest rate swaps to manage our exposure to interest rate risk from our cash investments and debt portfolio. These derivative instruments are designated as fair value hedges under GAAP. Changes in the fair value of the derivative instrument are recorded in current earnings and are offset by gains or losses on the underlying debt instrument.

As of September 30, 2024 and December 31, 2023, the following amounts were recorded on our condensed consolidated balance sheets related to cumulative basis adjustments for fair value hedges (in millions):

 

 

 

Carrying Amount of the Hedged Liabilities

 

 

 

Cumulative Amount of Fair Value Hedging Adjustment Included in the Carrying Amount of the Hedged Liabilities

 

Balance Sheet Line Item

 

September 30, 2024

 

 

December 31, 2023

 

 

 

September 30, 2024

 

 

December 31, 2023

 

Long-term debt

 

$

874.4

 

 

$

851.3

 

 

 

$

(121.8

)

 

$

(144.7

)

 

Derivatives Designated as Cash Flow Hedges

In 2014, we entered into forward starting interest rate swaps that were designated as cash flow hedges of our thirty-year tranche of senior notes due 2045 we expected to issue in 2015. The forward starting interest rate swaps mitigated the risk of changes in interest rates prior to the completion of the notes offering. The interest rate swaps were settled, and the remaining loss to be recognized at September 30, 2024 was $23.4 million, which will be recognized using the effective interest rate method over the remaining maturity period of the hedged notes.

Foreign Currency Exchange Rate Risk

We operate on a global basis and are exposed to the risk that our financial condition, results of operations and cash flows could be adversely affected by changes in foreign currency exchange rates. To reduce the potential effects of foreign currency exchange rate movements on net earnings, we enter into derivative financial instruments in the form of foreign currency exchange forward contracts with major financial institutions. We also designated our Euro Notes as net investment hedges of investments in foreign subsidiaries. We are primarily exposed to foreign currency exchange rate risk with respect to transactions and net assets denominated in Euros, Swiss Francs, Japanese Yen, British Pounds, Chinese Renminbi, Canadian Dollars, Australian Dollars, Korean Won, Swedish Krona, Czech Koruna, Thai Baht, Taiwan Dollars, South African Rand, Russian Rubles, Indian Rupees, Turkish Lira, Polish Zloty, Danish Krone, and Norwegian Krone. We do not use derivative financial instruments for trading or speculative purposes.

Derivatives Designated as Net Investment Hedges

We are exposed to the impact of foreign exchange rate fluctuations in the investments in our wholly-owned foreign subsidiaries that are denominated in currencies other than the U.S. Dollar. In order to mitigate the volatility in foreign exchange rates, we issued Euro Notes in December 2016 and November 2019 and designated 100 percent of the Euro Notes to hedge our net investment in certain wholly-owned foreign subsidiaries that have a functional currency of the Euro. All changes in the fair value of a hedging instrument designated as a net investment hedge are recorded as a component of AOCI in the condensed consolidated balance sheets.

At September 30, 2024, we had receive-fixed-rate, pay-fixed-rate cross-currency interest swaps with notional amounts outstanding of Euro 550 million, Japanese Yen 54.1 billion and Swiss Franc 125 million. These transactions further hedge our net investment in certain wholly-owned foreign subsidiaries that have a functional currency of Euro, Japanese Yen and Swiss Franc. All changes in the fair value of a derivative instrument designated as a net investment hedge are recorded as a component of AOCI in the condensed consolidated balance sheets. The portion of this change related to the excluded component will be amortized into earnings over the life of the derivative while the remainder will be recorded in AOCI until the hedged net investment is sold or substantially liquidated. We recognize the excluded component in interest expense, net on our condensed consolidated statements of earnings. The

19


 

net cash received or paid related to the receive-fixed-rate, pay-fixed-rate component of the cross-currency interest rate swaps is reflected in investing cash flows in our condensed consolidated statements of cash flows. In the nine-month period ended September 30, 2024, Euro 150 million of these cross-currency interest rate swaps matured at a loss of $10.0 million. In the nine-month period ended September 30, 2023, Euro 100 million and Swiss Franc 50 million of these cross-currency interest rate swaps matured at a gain of $6.0 million and loss of $3.0 million, respectively. The settlement of these gains and losses with the counterparties is reflected in investing cash flows in our condensed consolidated statements of cash flows and will remain in AOCI on our condensed consolidated balance sheet until the hedged net investment is sold or substantially liquidated.

Derivatives Designated as Cash Flow Hedges

Our revenues are generated in various currencies throughout the world. However, a significant amount of our inventory is produced in U.S. Dollars. Therefore, movements in foreign currency exchange rates may have different proportional effects on our revenues compared to our cost of products sold. To minimize the effects of foreign currency exchange rate movements on cash flows, we hedge intercompany sales of inventory expected to occur within the next 30 months with foreign currency exchange forward contracts. We designate these derivative instruments as cash flow hedges.

We perform quarterly assessments of hedge effectiveness by verifying and documenting the critical terms of the hedge instrument and confirming that forecasted transactions have not changed significantly. We also assess on a quarterly basis whether there have been adverse developments regarding the risk of a counterparty default. For derivatives which qualify as hedges of future cash flows, the gains and losses are temporarily recorded in AOCI and then recognized in cost of products sold when the hedged item affects net earnings. On our condensed consolidated statements of cash flows, the settlements of these cash flow hedges are recognized in operating cash flows.

For foreign currency exchange forward contracts and options outstanding at September 30, 2024, we had obligations to purchase U.S. Dollars and sell Euros, Japanese Yen, British Pounds, Canadian Dollars, Australian Dollars, Korean Won, Swedish Krona, Czech Koruna, Thai Baht, Taiwan Dollars, South African Rand, Indian Rupees, Polish Zloty, Danish Krone, and Norwegian Krone and obligations to purchase Swiss Francs and sell U.S. Dollars. These derivatives mature at dates ranging from October 2024 through February 2027. As of September 30, 2024, the notional amounts of outstanding forward contracts and options entered into with third parties to purchase U.S. Dollars were $1,455.4 million. As of September 30, 2024, the notional amounts of outstanding forward contracts and options entered into with third parties to purchase Swiss Francs were $454.4 million.

Derivatives Not Designated as Hedging Instruments

We enter into foreign currency forward exchange contracts with terms of one to three months to manage currency exposures for monetary assets and liabilities denominated in a currency other than an entity’s functional currency. As a result, any foreign currency remeasurement gains/losses recognized in earnings are generally offset with gains/losses on the foreign currency forward exchange contracts in the same reporting period. The net amount of these offsetting gains/losses is recorded in other income, net. Any outstanding contracts are recorded on the balance sheet at fair value as of the end of the reporting period. The notional amounts of these contracts are generally in a range of $1.25 billion to $1.75 billion per quarter.

Income Statement Presentation

Derivatives Designated as Cash Flow Hedges

Derivative instruments designated as cash flow hedges had the following effects, before taxes, on AOCI and net earnings on our condensed consolidated statements of earnings, condensed consolidated statements of comprehensive income and condensed consolidated balance sheets (in millions):

 

 

Amount of Gain (Loss)

 

 

 

 

Amount of Gain (Loss)

 

 

 

Recognized in AOCI

 

 

 

 

Reclassified from AOCI

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

Location on

 

September 30,

 

 

September 30,

 

Derivative Instrument

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

Statements of Earnings

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Foreign exchange
   forward contracts

 

$

(54.0

)

 

$

40.5

 

 

$

33.5

 

 

$

108.3

 

 

Cost of products sold

 

$

21.0

 

 

$

23.3

 

 

$

64.7

 

 

$

69.9

 

Forward starting
   interest rate swaps

 

 

-

 

 

 

-

 

 

 

-

 

 

 

-

 

 

Interest expense, net

 

 

(0.2

)

 

 

(0.1

)

 

 

(0.6

)

 

 

(0.5

)

 

 

$

(54.0

)

 

$

40.5

 

 

$

33.5

 

 

$

108.3

 

 

 

 

$

20.8

 

 

$

23.2

 

 

$

64.1

 

 

$

69.4

 

20


 

The fair value of outstanding derivative instruments designated as cash flow hedges and recorded on our condensed consolidated balance sheet at September 30, 2024, together with settled derivatives where the hedged item has not yet affected earnings, was a net unrealized gain of $41.0 million, or $33.2 million after taxes, which is deferred in AOCI. A gain of $53.0 million, or $43.6 million after taxes, is expected to be reclassified to earnings in cost of products sold, and a loss of $0.7 million, or $0.6 million after taxes, is expected to be reclassified to earnings in interest expense, net over the next twelve months.

 

The following table presents the effect of fair value, cash flow and net investment hedge accounting on our condensed consolidated statements of earnings (in millions):

 

 

 

Location and Amount of Gain/(Loss) Recognized in Income on Fair Value, Cash Flow and Net Investment Hedging Relationships

 

 

 

Three Months Ended

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

Nine Months Ended

 

 

 

September 30, 2024

 

 

September 30, 2023

 

 

September 30, 2024

 

 

September 30, 2023

 

 

 

Cost of

 

 

Interest

 

 

Cost of

 

 

Interest

 

 

Cost of

 

 

Interest

 

 

Cost of

 

 

Interest

 

 

 

Products

 

 

Expense,

 

 

Products

 

 

Expense,

 

 

Products

 

 

Expense,

 

 

Products

 

 

Expense,

 

 

 

Sold

 

 

Net

 

 

Sold

 

 

Net

 

 

Sold

 

 

Net

 

 

Sold

 

 

Net

 

Total amounts of income and expense line items presented in the statements of earnings in which the effects of fair value, cash flow and net investment hedges are recorded

 

$

538.6

 

 

$

(54.3

)

 

$

518.6

 

 

$

(51.1

)

 

$

1,604.5

 

 

$

(156.1

)

 

$

1,545.0

 

 

$

(150.9

)

        The effects of fair value, cash flow and net investment hedging:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

             Gain (loss) on fair value hedging
                  relationships

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                       Interest rate swaps

 

 

-

 

 

 

(10.5

)

 

 

-

 

 

 

(10.5

)

 

 

-

 

 

 

(31.7

)

 

 

-

 

 

 

(28.1

)

             Gain (loss) on cash flow hedging
                  relationships

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                       Foreign exchange forward contracts

 

 

21.0

 

 

 

-

 

 

 

23.3

 

 

 

-

 

 

 

64.7

 

 

 

-

 

 

 

69.9

 

 

 

-

 

                       Forward starting interest rate swaps

 

 

-

 

 

 

(0.2

)

 

 

-

 

 

 

(0.1

)

 

 

-

 

 

 

(0.6

)

 

 

-

 

 

 

(0.5

)

             Gain on net investment hedging
                  relationships

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                       Cross-currency interest rate swaps

 

 

-

 

 

 

7.7

 

 

 

-

 

 

 

8.2

 

 

 

-

 

 

 

24.1

 

 

 

-

 

 

 

25.4

 

 

Derivatives Not Designated as Hedging Instruments

The following gains (losses) from these derivative instruments were recognized on our condensed consolidated statements of earnings (in millions):

 

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

Location on

 

September 30,

 

 

September 30,

 

Derivative Instrument

 

Statements of Earnings

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Foreign exchange forward contracts

 

Other income, net

 

$

(10.7

)

 

$

7.8

 

 

$

10.5

 

 

$

8.0

 

These gains/(losses) do not reflect offsetting gains of $7.0 million and losses of $9.3 million in the three-month periods ended September 30, 2024 and 2023, respectively, and offsetting losses of $17.2 million and $23.1 million in the nine-month periods ended September 30, 2024 and 2023, respectively, recognized in other income (expense), net as a result of foreign currency remeasurement of monetary assets and liabilities denominated in a currency other than an entity’s functional currency.

21


 

Balance Sheet Presentation

As of September 30, 2024 and December 31, 2023, all derivatives designated as fair value hedges, cash flow hedges and net investment hedges are recorded at fair value on our condensed consolidated balance sheets. On our condensed consolidated balance sheets, we recognize individual forward contracts with the same counterparty on a net asset/liability basis if we have a master netting agreement with the counterparty. Under these master netting agreements, we are able to settle derivative instrument assets and liabilities with the same counterparty in a single transaction, instead of settling each derivative instrument separately. We have master netting agreements with substantially all of our counterparties. The fair value of derivative instruments on a gross basis is as follows (in millions):

 

 

As of September 30, 2024

 

 

As of December 31, 2023

 

 

 

Balance

 

 

 

 

Balance

 

 

 

 

 

Sheet

 

Fair

 

 

Sheet

 

Fair

 

 

 

Location

 

Value

 

 

Location

 

Value

 

Asset Derivatives Designated as Hedges

 

 

 

 

 

 

 

 

 

 

Foreign exchange forward contracts

 

Other current assets

 

$

38.4

 

 

Other current assets

 

$

58.4

 

Foreign exchange forward contracts

 

Other assets

 

 

7.8

 

 

Other assets

 

 

17.2

 

Cross-currency interest rate swaps

 

Other assets

 

 

18.2

 

 

Other assets

 

 

5.4

 

Total asset derivatives

 

 

 

$

64.4

 

 

 

 

$

81.0

 

 

 

 

 

 

 

 

 

 

 

Asset Derivatives Not Designated as Hedges

 

 

 

 

 

 

 

 

 

 

Foreign exchange forward contracts

 

Other current assets

 

$

-

 

 

Other current assets

 

$

1.2

 

 

 

 

 

 

 

 

 

 

 

Liability Derivatives Designated as Hedges

 

 

 

 

 

 

 

 

 

 

Foreign exchange forward contracts

 

Other current liabilities

 

$

13.0

 

 

Other current liabilities

 

$

13.9

 

Cross-currency interest rate swaps

 

Other current liabilities

 

 

60.3

 

 

Other current liabilities

 

 

33.3

 

Foreign exchange forward contracts

 

Other long-term liabilities

 

 

9.3

 

 

Other long-term liabilities

 

 

11.0

 

Cross-currency interest rate swaps

 

Other long-term liabilities

 

 

5.9

 

 

Other long-term liabilities

 

 

34.8

 

Interest rate swaps

 

Other long-term liabilities

 

 

121.8

 

 

Other long-term liabilities

 

 

144.7

 

Total liability derivatives

 

 

 

$

210.3

 

 

 

 

$

237.7

 

 

 

 

 

 

 

 

 

 

 

Liability Derivatives Not Designated as Hedges

 

 

 

 

 

 

 

 

 

 

Foreign exchange forward contracts

 

Other current liabilities

 

$

-

 

 

Other current liabilities

 

$

2.4

 

The table below presents the effects of our master netting agreements on our condensed consolidated balance sheets (in millions):

 

 

 

 

As of September 30, 2024

 

 

As of December 31, 2023

 

Description

 

Location

 

Gross
Amount

 

 

Offset

 

 

Net Amount in
Balance Sheet

 

 

Gross
Amount

 

 

Offset

 

 

Net Amount in
Balance Sheet

 

Asset Derivatives

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flow hedges

 

Other current assets

 

$

38.4

 

 

$

12.2

 

 

$

26.2

 

 

$

58.4

 

 

$

13.0

 

 

$

45.4

 

Cash flow hedges

 

Other assets

 

 

7.8

 

 

 

5.7

 

 

 

2.1

 

 

 

17.2

 

 

 

8.2

 

 

 

9.0

 

Derivatives Not Designated as Hedges

 

Other current assets

 

 

-

 

 

 

-

 

 

 

-

 

 

 

1.2

 

 

 

0.8

 

 

 

0.4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Liability Derivatives

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash flow hedges

 

Other current liabilities

 

 

13.0

 

 

 

12.2

 

 

 

0.8

 

 

 

13.9

 

 

 

13.0

 

 

 

0.9

 

Cash flow hedges

 

Other long-term liabilities

 

 

9.3

 

 

 

5.7

 

 

 

3.6

 

 

 

11.0

 

 

 

8.2

 

 

 

2.8

 

Derivatives Not Designated as Hedges

 

Other current liabilities

 

 

-

 

 

 

-

 

 

 

-

 

 

 

2.4

 

 

 

0.8

 

 

 

1.6

 

22


 

The following net investment hedge gains (losses) were recognized on our condensed consolidated statements of comprehensive income (in millions):

 

 

Amount of Gain (Loss)

 

 

 

Recognized in AOCI

 

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

Derivative Instrument

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Euro Notes

 

$

(44.4

)

 

$

32.2

 

 

$

(11.6

)

 

$

8.4

 

Cross-currency interest rate swaps

 

 

(66.8

)

 

 

32.5

 

 

 

4.6

 

 

 

36.2

 

 

 

$

(111.2

)

 

$

64.7

 

 

$

(7.0

)

 

$

44.6

 

 

 

12. Income Taxes

We operate on a global basis and are subject to numerous and complex tax laws and regulations. Additionally, tax laws continue to undergo rapid changes in both application and interpretation by various countries, including state aid interpretations and initiatives led by the Organisation for Economic Cooperation and Development ("OECD"). Our income tax filings are subject to examinations by taxing authorities throughout the world. Income tax audits may require an extended period of time to reach resolution and may result in significant income tax adjustments when interpretation of tax laws or allocation of company profits is disputed. Although ultimate timing is uncertain, the net amount of tax liability for unrecognized tax benefits may change within the next twelve months due to changes in audit status, expiration of statutes of limitations, settlements of tax assessments and other events. Management’s best estimate of such change is within the range of a $70 million decrease to a $20 million increase.

We are under continuous audit by the IRS and have disputes with the IRS and other foreign taxing authorities in the jurisdictions where we operate. In addition, some jurisdictions in which we operate require payment of disputed taxes to petition a court or taxing authority, or we may elect to make such payments prior to final resolution. We record any prepayments as income tax receivables when we believe our position is more likely than not to be upheld. We assess our position on these disputes at each reporting period. During the course of these audits and disputes, we receive proposed adjustments from taxing authorities that may be material. Therefore, there is a possibility that an adverse outcome in these audits or disputes could have a material effect on our results of operations and financial condition. Our U.S. federal income tax returns have been audited through 2019.

In September 2024, we reached agreement with the IRS for tax years 2010-2012 primarily related to the reallocation of profits between certain U.S. and foreign subsidiaries. All issues related to these years are considered effectively settled.

The IRS has proposed adjustments for tax years 2013-2015, primarily related to transfer pricing involving our cost sharing agreement between the U.S. and Switzerland affiliated companies and the reallocation of profits between certain of our U.S. and foreign subsidiaries. This includes a proposed increase to our U.S. federal taxable income, which would result in additional tax expense related to 2013 of approximately $370 million, subject to interest and penalties. We strongly believe that the position of the IRS, with regard to this matter, is inconsistent with the applicable U.S. Treasury Regulations governing our cost sharing agreement. We intend to continue to vigorously contest the adjustment, and we will pursue all available administrative and, if necessary, judicial remedies. If we pursue judicial remedies in the U.S. Tax Court for years 2013-2015, a number of years will likely elapse before such matters are finally resolved. No payment of any amount related to this matter is required to be made, if at all, until all applicable proceedings have been completed.

The IRS has proposed adjustments for tax years 2016-2019, primarily related to the U.S. taxation of foreign earnings and profits, which could result in additional material tax expense if we are unsuccessful in defending our position. This includes a proposed increase to our U.S. federal taxable income, which would result in additional tax expense of approximately $312 million, subject to interest. We strongly believe that the position of the IRS, with regard to this matter, is inconsistent with the applicable U.S. Treasury Regulations. We intend to continue to vigorously contest the adjustment, and we will pursue all available administrative and, if necessary, judicial remedies. If we pursue judicial remedies in the U.S. Tax Court for years 2016-2019, a number of years will likely elapse before such matters are finally resolved. No payment of any amount related to this matter is required to be made, if at all, until all applicable proceedings have been completed.

In the three and nine-month periods ended September 30, 2024, our effective tax rate (“ETR”) was negative 8.2 percent and positive 11.0 percent, respectively, compared to positive 25.7 percent and positive 22.7 percent in the three and nine-month periods ended September 30, 2023, respectively. The negative 8.2 percent ETR and positive 11.0 percent in the three and nine-month periods ended September 30, 2024, respectively, were primarily driven by a net favorable impact of changes to unrecognized tax benefits. The positive 25.7 percent and positive 22.7 percent ETR in the three and nine-month periods ended September 30, 2023, respectively, was primarily driven by discrete tax effects of certain tax returns and the reorganization of the ownership structure of certain wholly-owned subsidiaries in the second quarter of 2023. Absent discrete tax events, we expect our future ETR will be lower than the U.S. corporate income tax rate of 21.0 percent due to our mix of earnings between U.S. and foreign locations, which generally have lower corporate income tax rates. Our ETR in future periods could also potentially be impacted by: changes in our mix of pre-tax earnings;

23


 

changes in tax rates, tax laws or their interpretation, including the European Union adoption of Pillar Two proposals which began to take effect in 2024; the outcome of various federal, state and foreign audits, appeals, and litigation; and the expiration of certain statutes of limitations. Currently, we cannot reasonably estimate the impact of these items on our financial results.

 

13. Earnings Per Share

The following is a reconciliation of weighted average shares for the basic and diluted shares computations (in millions):

 

 

Three Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Weighted average shares outstanding for basic net earnings per share

 

 

202.3

 

 

 

208.9

 

 

 

204.4

 

 

 

209.0

 

Effect of dilutive stock options and other equity awards

 

 

0.7

 

 

 

1.1

 

 

 

0.8

 

 

 

1.1

 

Weighted average shares outstanding for diluted net earnings per share

 

 

203.0

 

 

 

210.0

 

 

 

205.2

 

 

 

210.1

 

During the three and nine-month periods ended September 30, 2024, an average of 4.6 million options and 3.0 million options, respectively, to purchase shares of common stock were not included in the computation of diluted earnings per share because the effect would have been antidilutive. During the three and nine-month periods ended September 30, 2023, an average of 2.2 million and 2.0 million options, respectively, to purchase shares of common stock were not included for the same reason.

14. Segment Information

We design, manufacture and market orthopedic reconstructive products; sports medicine, biologics, extremities and trauma products; craniomaxillofacial and thoracic products (“CMFT”); surgical products; and a suite of integrated digital and robotic technologies that leverage data, data analytics and artificial intelligence. Our chief operating decision maker (“CODM”) allocates resources to achieve our operating profit goals through three operating segments. These operating segments, which also constitute our reportable segments, are Americas; EMEA; and Asia Pacific.

Our CODM evaluates performance based upon segment operating profit exclusive of operating expenses and income pertaining to intangible asset amortization, certain inventory and manufacturing-related charges, restructuring and other cost reduction initiatives, acquisition, integration, divestiture and related, litigation, certain European Union Medical Device Regulation (“EU MDR”) expenses, other charges and corporate functions (collectively referred to as “Corporate items”). Corporate functions include finance, corporate legal, information technology, human resources and other corporate departments as well as stock-based compensation and certain operations, distribution, quality assurance, regulatory assurance, research and development ("R&D") and marketing expenses. Intercompany transactions have been eliminated from segment operating profit.

Our Americas operating segment is comprised principally of the U.S. and includes other North, Central and South American markets. Our EMEA operating segment is comprised principally of Europe and includes the Middle East and African markets. Our Asia Pacific operating segment is comprised principally of Japan, China and Australia and includes other Asian and Pacific markets. The Americas, EMEA and Asia Pacific operating segments include the commercial operations as well as regional headquarter expenses to operate in those markets. Our operating segments do not include many centralized, product category expenses such as R&D and global marketing that benefit all regions.

In the three-month period ended March 31, 2024, the segment operating profit measures our CODM reviews were revised. Certain product category headquarter costs, primarily R&D and marketing, that were previously in our Americas operating segment are now included in Corporate items. In addition, certain support function costs from our operating segments are now included in Corporate items. We have reclassified these product category headquarter and support function expenses in the prior periods to conform to the current period presentation.

24


 

Net sales and operating profit by segment are as follows (in millions):

 

 

 

Net Sales

 

 

Operating Profit

 

 

 

Three Months Ended

 

 

Three Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Americas

 

$

1,135.9

 

 

$

1,113.6

 

 

$

605.5

 

 

$

594.2

 

EMEA

 

 

376.2

 

 

 

337.9

 

 

 

121.7

 

 

 

101.0

 

Asia Pacific

 

 

312.0

 

 

 

302.1

 

 

 

122.3

 

 

 

112.5

 

Total

 

$

1,824.2

 

 

$

1,753.6

 

 

 

 

 

 

 

Corporate items

 

 

 

 

 

 

 

 

(421.8

)

 

 

(396.1

)

Intangible asset amortization

 

 

 

 

 

 

 

 

(148.2

)

 

 

(145.0

)

Operating profit

 

 

 

 

 

 

 

$

279.5

 

 

$

266.6

 

 

 

Net Sales

 

 

Operating Profit

 

 

 

Nine Months Ended

 

 

Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

Americas

 

$

3,521.7

 

 

$

3,411.0

 

 

$

1,881.7

 

 

$

1,823.0

 

EMEA

 

 

1,253.4

 

 

 

1,166.4

 

 

 

424.4

 

 

 

382.5

 

Asia Pacific

 

 

880.3

 

 

 

876.7

 

 

 

336.7

 

 

 

318.0

 

Total

 

$

5,655.4

 

 

$

5,454.1

 

 

 

 

 

 

 

Corporate items

 

 

 

 

 

 

 

 

(1,311.8

)

 

 

(1,183.4

)

Intangible asset amortization

 

 

 

 

 

 

 

 

(434.3

)

 

 

(416.6

)

Operating profit

 

 

 

 

 

 

 

$

896.7

 

 

$

923.5

 

 

15. Commitments and Contingencies

From time to time, we are involved in various legal proceedings, including product liability, intellectual property, stockholder matters, tax disputes, commercial disputes, employment matters, whistleblower and qui tam claims and investigations, governmental proceedings and investigations, and other legal matters that arise in the normal course of our business, including those described below. On a quarterly and annual basis, we review relevant information with respect to loss contingencies and update our accruals, disclosures and estimates of reasonably possible losses or ranges of loss based on such reviews. We establish liabilities for loss contingencies on an undiscounted basis when it is probable that a loss has been incurred and the amount of the loss can be reasonably estimated. If the reasonable estimate of a known or probable loss is a range, and no amount within the range is a better estimate than any other, the minimum amount of the range is accrued. For matters where a loss is believed to be reasonably possible, but not probable, or if no reasonable estimate of known or probable loss is available, no accrual has been made.

When determining the estimated loss or range of loss, significant judgment is required. Estimates of probable losses resulting from litigation and other contingencies are inherently difficult to predict, particularly when the matters are in early procedural stages with incomplete facts or legal discovery, involve unsubstantiated or indeterminate claims for damages, and/or potentially involve penalties, fines or punitive damages. In addition to the matters described herein, we remain subject to the risk of future governmental, regulatory and legal actions. Governmental and regulatory actions may lead to product recalls, injunctions and other restrictions on our operations and monetary sanctions, which may include substantial civil or criminal penalties. Actions involving intellectual property could result in a loss of patent protection or the ability to market products, which could lead to significant sales reductions or cost increases, or otherwise materially affect the results of our operations.

We recognize litigation-related charges and gains in Selling, general and administrative expense on our condensed consolidated statement of earnings. During the three and nine-month periods ended September 30, 2024, we recognized $3.8 million and $8.3 million, respectively, of net litigation-related charges. During the three and nine-month periods ended September 30, 2023, we recognized $2.7 million and $3.8 million, respectively, of net litigation-related charges. At September 30, 2024 and December 31, 2023, accrued litigation liabilities were $155.3 million and $244.1 million, respectively. These litigation-related charges and accrued liabilities reflect all of our litigation-related contingencies and not just the matters discussed below. The ultimate cost of litigation could be materially different than the amount of the current estimates and accruals and could have a material adverse impact on our financial condition and results of operations.

25


 

Litigation

Durom Cup-related claims: On July 22, 2008, we temporarily suspended marketing and distribution of the Durom Cup in the U.S. Subsequently, a number of product liability lawsuits were filed against us in various U.S. and foreign jurisdictions. The plaintiffs seek damages for personal injury, and they generally allege that the Durom Cup contains defects that result in complications and revision of the device. We have settled the majority of these claims in the U.S., but other lawsuits are pending in various foreign jurisdictions and additional claims may be asserted in the future. The majority of claims outside the U.S. are pending in Germany, Netherlands and Italy.

We rely on significant estimates in determining the provisions for Durom Cup-related claims, including our estimate of the number of claims that we will receive and the average amount we will pay per claim. The actual number of claims and the actual amount we pay per claim may differ from our estimates. For various reasons, we cannot reasonably estimate the possible loss or range of loss that may result from Durom Cup-related claims in excess of the losses we have accrued. Although we are vigorously defending these lawsuits, their ultimate resolution is uncertain. We accrued a litigation-related charge in this matter based on an estimate of the reasonably possible loss, as discussed above.

Zimmer M/L Taper, M/L Taper with Kinectiv Technology, and Versys Femoral Head-related claims (“Metal Reaction” claims): We are a defendant in a number of product liability lawsuits relating to our M/L Taper and M/L Taper with Kinectiv Technology hip stems, and Versys Femoral Head implants. The plaintiffs seek damages for personal injury, alleging that defects in the products lead to corrosion at the head/stem junction resulting in, among other things, pain, inflammation and revision surgery.

The majority of the cases are consolidated in an MDL that was created on October 3, 2018 in the U.S. District Court for the Southern District of New York (In Re: Zimmer M/L Taper Hip Prosthesis or M/L Taper Hip Prosthesis with Kinectiv Technology and Versys Femoral Head Products Liability Litigation). Most of the cases in the MDL have been resolved. Other related cases are pending in various state and federal courts and in courts in Canada, and additional claims may be asserted in the future. Although we are vigorously defending these lawsuits, their ultimate resolution is uncertain. We accrued a litigation-related charge in this matter based on an estimate of the reasonably possible loss, as discussed above.

Biomet metal-on-metal hip implant claims: Biomet is a defendant in a number of product liability lawsuits relating to metal-on-metal hip implants, most of which involve the M2a-Magnum hip system. Cases were originally consolidated in an MDL in the U.S. District Court for the Northern District of Indiana (In Re: Biomet M2a Magnum Hip Implant Product Liability Litigation), but the majority of the claims in the U.S. have been settled. Trials may still occur in the future, and although each case will be tried on its particular facts, a verdict and subsequent final judgment for the plaintiff in one or more of these cases could have a substantial impact on our potential liability. Lawsuits are pending in various foreign jurisdictions and additional claims are expected to be asserted. We continue to refine our estimates of the potential liability to resolve the remaining claims and lawsuits. Although we are vigorously defending these lawsuits, their ultimate resolution is uncertain. We accrued a litigation-related charge in this matter based on an estimate of the reasonably possible loss, as discussed above.

Other Contingencies

Contractual obligations: We have entered into development, distribution and other contractual arrangements that may result in future payments dependent upon various events such as the achievement of certain product R&D milestones, sales milestones, or, at our discretion, maintenance of exclusive rights to distribute a product. Since there is uncertainty on the timing or whether such payments will have to be made, they have not been recognized on our condensed consolidated balance sheets. These estimated payments could range from $0 to approximately $320 million.

 

16. Subsequent Event

 

Subsequent to September 30, 2024, we acquired 100 percent of OrthoGrid Systems, Inc (“OrthoGrid”), a privately-held medical technology company. OrthoGrid provides us an artificial intelligence-powered, fluoroscopy-based surgical assistance platform for total hip replacement as well as two additional orthopedic applications. Additional information on the OrthoGrid acquisition has not been provided because it is not expected to have a material effect on our financial position, results of operations or cash flows.

26


 

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

The following discussion and analysis should be read in conjunction with the interim condensed consolidated financial statements and corresponding notes included elsewhere in this Form 10-Q. Amounts reported in millions within this Quarterly Report on Form 10-Q are computed based on the actual amounts. As a result, the sum of the components may not equal the total amount reported in millions due to rounding. In addition, certain columns and rows within tables may not sum to the totals due to the use of rounded numbers. Percentages presented are calculated from the underlying unrounded amounts.

Executive Level Overview

Results for the Three and Nine-Month Periods ended September 30, 2024

In the three and nine-month periods ended September 30, 2024, our net sales increased 4.0 percent and 3.7 percent, respectively, when compared to the same prior year periods. Net sales growth in both periods was driven by a combination of market growth, new product introductions and commercial execution across the organization. These favorable items were negatively impacted by our transition in July 2024 to a new enterprise resource planning ("ERP") software system for a significant portion of our U.S. and Canada sales and commercial operations. As a result of this ERP implementation, we experienced operational challenges which affected our ability to fulfill certain customer orders. This disruption mostly affected our U.S. net sales, but our International net sales were also impacted as shipments to our international affiliates were delayed. Through the quarter we saw improvement in our shipping levels to our end customers. We expect our shipping levels to return to similar levels that existed prior to the implementation by the end of the year. For the full year 2024, we estimate this ERP implementation will have less than a one percent impact to our net sales. In addition, our net sales experienced negative effects of 0.1 percent and 1.1 percent from changes in foreign currency exchange rates in the three and nine-month periods ended September 30, 2024, respectively.

Our net earnings were $249.1 million and $664.3 million in the three and nine-month periods ended September 30, 2024, respectively, compared to $162.7 million and $604.8 million in the same prior year periods, respectively. The increase in earnings in the three and nine-month periods was primarily due to a tax benefit recognized resulting from an agreement with the IRS for tax years 2010-2012, the net sales increase, lower expenses due to our 2023 Restructuring Plan and cost savings initiatives, and lower research and development ("R&D") spending on the European Union Medical Device Regulation ("EU MDR"). These favorable items were partially offset by charges from our 2023 Restructuring Plan which was instituted at the end of 2023 and continued into 2024, including $83.2 million in employee termination benefits-related charges recognized in the nine-month period ended September 30, 2024, and from additional expenses related to our U.S. and Canada ERP implementation.

2024 Outlook

We expect year-over-year revenue growth of mid-single digits in 2024 to be driven by a combination of market growth, new product introductions and commercial execution. Based on recent foreign currency exchange rates, we expect foreign currency to negatively affect year-over-year net sales by approximately 0.75 percent. We estimate operating profit will increase in 2024 when compared to 2023 due to higher net sales, leverage from fixed operating expenses and lower expenses due to our restructuring plans. However, we estimate these favorable items may be partially offset by higher intangible asset amortization and increased restructuring-related costs to implement our plans. We estimate our net interest expense will increase slightly due to higher interest rates. We expect our provision for income taxes will increase in 2024 when compared to 2023 due to larger favorable tax settlements in 2023.

 

Results of Operations

We review sales by two geographies, the United States and International, and by the following product categories: Knees; Hips; S.E.T. (Sports Medicine, Extremities, Trauma, Craniomaxillofacial and Thoracic); and Other. This sales analysis differs from our reportable operating segments, which are based upon our senior management organizational structure and how we allocate resources toward achieving operating profit goals. We review sales by these geographies because the underlying market trends in any particular geography tend to be similar across product categories, because we primarily sell the same products in all geographies and many of our competitors publicly report in this manner. Our business is seasonal in nature to some extent, as many of our products are used in elective surgical procedures, which typically decline during the summer months and can increase at the end of the year once annual deductibles have been met on health insurance plans.

27


 

Net Sales by Geography

The following tables present our net sales by geography and the percentage changes (dollars in millions):

 

 

Three Months Ended

 

 

 

 

 

 

 

September 30,

 

 

 

 

 

 

 

2024

 

 

2023

 

 

% Inc

 

 

United States

 

$

1,052.3

 

 

$

1,031.4

 

 

 

2.0

 

 %

International

 

 

771.9

 

 

 

722.2

 

 

 

6.9

 

 

Total

 

$

1,824.2

 

 

$

1,753.6

 

 

 

4.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended

 

 

 

 

 

 

 

September 30,

 

 

 

 

 

 

 

2024

 

 

2023

 

 

% Inc

 

 

United States

 

$

3,257.7

 

 

$

3,160.6

 

 

 

3.1

 

 %

International

 

 

2,397.7

 

 

 

2,293.5

 

 

 

4.5

 

 

Total

 

$

5,655.4

 

 

$

5,454.1

 

 

 

3.7

 

 

 

 

 

 

 

 

 

 

 

 

 

Net Sales by Product Category

The following tables present our net sales by product category and the percentage changes (dollars in millions):

 

 

Three Months Ended

 

 

 

 

 

 

 

September 30,

 

 

 

 

 

 

 

2024

 

 

2023

 

 

% Inc / (Dec)

 

 

Knees

 

$

745.1

 

 

$

706.3

 

 

 

5.5

 

 %

Hips

 

 

481.5

 

 

 

465.3

 

 

 

3.5

 

 

S.E.T.

 

 

454.2

 

 

 

423.2

 

 

 

7.3

 

 

Other

 

 

143.4

 

 

 

158.8

 

 

 

(9.7

)

 

Total

 

$

1,824.2

 

 

$

1,753.6

 

 

 

4.0

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Nine Months Ended

 

 

 

 

 

 

 

September 30,

 

 

 

 

 

 

 

2024

 

 

2023

 

 

% Inc

 

 

Knees

 

$

2,334.3

 

 

$

2,240.1

 

 

 

4.2

 

 %

Hips

 

 

1,479.1

 

 

 

1,462.5

 

 

 

1.1

 

 

S.E.T.

 

 

1,376.4

 

 

 

1,299.3

 

 

 

5.9

 

 

Other

 

 

465.6

 

 

 

452.2

 

 

 

3.0

 

 

Total

 

$

5,655.4

 

 

$

5,454.1

 

 

 

3.7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The following tables present our net sales by geography for our Knees and Hips product categories, which represent our most significant product categories (dollars in millions):

 

 

Three Months Ended September 30,

 

 

 

 

 

 

Nine Months Ended September 30,

 

 

 

 

 

 

 

2024

 

 

2023

 

 

% Inc

 

 

 

2024

 

 

2023

 

 

% Inc / (Dec)

 

 

Knees

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States

 

$

425.4

 

 

$

413.3

 

 

 

2.9

 

%

 

$

1,324.6

 

 

$

1,299.1

 

 

 

2.0

 

%

International

 

 

319.7

 

 

 

293.0

 

 

 

9.1

 

 

 

 

1,009.7

 

 

 

941.0

 

 

 

7.3

 

 

Total

 

$

745.1

 

 

$

706.3

 

 

 

5.5

 

 

 

$

2,334.3

 

 

$

2,240.1

 

 

 

4.2

 

 

Hips

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

United States

 

$

254.5

 

 

$

242.5

 

 

 

4.9

 

%

 

$

768.3

 

 

$

749.2

 

 

 

2.6

 

%

International

 

 

227.0

 

 

 

222.8

 

 

 

1.9

 

 

 

 

710.8

 

 

 

713.3

 

 

 

(0.4

)

 

Total

 

$

481.5

 

 

$

465.3

 

 

 

3.5

 

 

 

$

1,479.1

 

 

$

1,462.5

 

 

 

1.1

 

 

28


 

Demand (Volume and Mix) Trends

 

Changes in volume and mix of product sales had positive effects of 3.4 percent and 4.2 percent on year-over-year sales during the three and nine-month periods ended September 30, 2024, respectively. Market growth and new product introductions contributed positively to volume and mix trends, but were partially offset by the operational challenges resulting from our ERP implementation.

Pricing Trends

Global selling prices had positive effects of 0.7 percent and 0.6 percent on year-over-year sales during the three and nine-month periods ended September 30, 2024, respectively. The majority of countries in which we operate continue to experience pricing pressure from local hospitals, health systems, and governmental healthcare cost containment efforts. However, we have had success in offsetting negative effects of pricing pressure due to internal initiatives and being able to pass some inflationary impacts on to customers.

Foreign Currency Exchange Rates

For the three and nine-month periods ended September 30, 2024, changes in foreign currency exchange rates had negative effects of 0.1 percent and 1.1 percent on year-over-year sales, respectively. If foreign currency exchange rates remain at levels consistent with recent rates, we estimate there will be a negative impact of approximately 0.75 percent on full-year 2024 sales.

Geography

The 2.0 percent and 3.1 percent net sales growth in the U.S. in the three and nine-month periods ended September 30, 2024, respectively, were driven by market growth in our Knees, Hips and S.E.T. product categories. However, net sales in the U.S. were negatively impacted by the implementation of a new ERP system which caused operational challenges in fulfilling customer orders. Internationally, net sales increased by 6.9 percent and 4.5 percent during the three and nine-month periods ended September 30, 2024, respectively, when compared to the same prior year periods. These increases were similarly driven by market growth in most of our international markets. Our International sales were negatively affected by 0.2 percent and 2.6 percent due to changes in foreign currency exchange rates in the three and nine-month periods ended September 30, 2024, respectively.

Product Categories

Knees and Hips net sales benefited from market growth and new product introductions in the three and nine-month periods ended September 30, 2024. Changes in foreign currency exchange rates had a minimal impact and a negative effect of 0.9 percent on Knees net sales in the three-month and nine-month periods ended September 30, 2024, respectively. Hips net sales were negatively affected by 0.2 percent and 1.6 percent in the three and nine-month periods ended September 30, 2024, respectively, due to changes in foreign currency exchange rates. S.E.T. net sales increases in the three and nine-month periods ended September 30, 2024 were primarily the result of growth in our sports medicine, upper extremities, and craniomaxillofacial and thoracic products. Other net sales declined in the three-month period ended September 30, 2024 due to the operational challenges from our ERP system implementation and from lower net sales of our ROSA® Robot. Other net sales grew in the nine-month period ended September 30, 2024, driven by net sales of our ROSA Robot in the first half of the year.

Expenses as a Percentage of Net Sales

 

 

Three Months Ended

 

 

 

 

 

 

 

Nine Months Ended

 

 

 

 

 

 

 

 

September 30,

 

 

 

% Inc /

 

 

 

September 30,

 

 

 

% Inc /

 

 

 

 

2024

 

 

 

2023

 

 

 

(Dec)

 

 

 

2024

 

 

 

2023

 

 

 

(Dec)

 

 

Cost of products sold, excluding intangible asset amortization

 

 

29.5

 

%

 

 

29.6

 

%

 

 

(0.1

)

%

 

 

28.4

 

%

 

 

28.3

 

%

 

 

0.1

 

%

Intangible asset amortization

 

 

8.1

 

 

 

 

8.3

 

 

 

 

(0.2

)

 

 

 

7.7

 

 

 

 

7.6

 

 

 

 

0.1

 

 

Research and development

 

 

6.1

 

 

 

 

6.7

 

 

 

 

(0.6

)

 

 

 

5.8

 

 

 

 

6.3

 

 

 

 

(0.5

)

 

Selling, general and administrative

 

 

38.9

 

 

 

 

38.5

 

 

 

 

0.4

 

 

 

 

38.6

 

 

 

 

38.8

 

 

 

 

(0.2

)

 

Restructuring and other cost reduction initiatives

 

 

1.8

 

 

 

 

1.4

 

 

 

 

0.4

 

 

 

 

3.5

 

 

 

 

1.7

 

 

 

 

1.8

 

 

Acquisition, integration, divestiture and related

 

 

0.2

 

 

 

 

0.4

 

 

 

 

(0.2

)

 

 

 

0.2

 

 

 

 

0.3

 

 

 

 

(0.1

)

 

Operating profit

 

 

15.3

 

 

 

 

15.2

 

 

 

 

0.1

 

 

 

 

15.9

 

 

 

 

16.9

 

 

 

 

(1.0

)

 

 

29


 

Cost of products sold, excluding intangible asset amortization as a percentage of net sales decreased in the three-month period ended September 30, 2024 and increased in the nine-month period ended September 30, 2024, when compared to the same prior year periods. The decrease in the three-month period was primarily due to lower excess and obsolete inventory charges which was partially offset by higher manufacturing costs. The increase in the nine-month period was primarily due to higher manufacturing costs which were partially offset by lower royalty expense. The reduction in royalty expense was partially the result of agreements we entered into in 2023 to acquire intellectual property through the buyout of certain licensing arrangements, which are recognized as intangible assets and result in additional intangible asset amortization expense instead of royalty expense.

Intangible asset amortization expense increased in amount in the three and nine-month periods ended September 30, 2024 compared to the same prior year periods due to the 2023 acquisitions, the buyout of certain royalty-related licensing agreements as described above and other technology-based asset purchases.

R&D expenses decreased in amount and as a percentage of net sales in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods. The decreases were driven by lower spending on our initial compliance with the EU MDR as we continue to make progress on the approvals of our products, and savings from our 2023 Restructuring Plan.

Selling, general and administrative (“SG&A”) expenses increased in amount in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods. SG&A as a percentage of net sales increased in the three-month period, but decreased in the nine-month period ended September 30, 2024 when compared to the same prior year periods. The increase in amounts in both periods was due to selling and distribution costs that are variable expenses which increase as net sales increase. Additionally, we recognized higher share-based compensation expense in the 2024 periods as the 2023 periods included a benefit from the forfeiture of awards related to employee departures. Also in the 2024 periods, bad debt-related charges were higher driven by a bankruptcy at a significant U.S. healthcare system, instrument-related costs were higher due to new product introductions, and we recognized higher charges on various strategic initiatives. These higher costs were partially offset by lower expenses due to our 2023 Restructuring Plan, lower expenses from our cost savings initiatives and lower estimated annual bonus expenses.

In December of 2023, 2021 and 2019, we initiated global restructuring programs. We also have other cost reduction and optimization initiatives that have the goal of reducing costs across the organization. We recognized expenses of $32.2 million and $198.1 million in the three and nine-month periods ended September 30, 2024, respectively, and $24.3 million and $90.6 million in the three and nine-month periods ended September 30, 2023, respectively, primarily related to employee termination benefits, sales agent contract terminations, and consulting and project management expenses associated with these programs, as well as expenses related to other optimization initiatives. The expenses were higher in the 2024 periods when compared to the 2023 periods primarily due to additional expenses related to the 2023 Restructuring Plan that had just been initiated at the end of 2023 and additional expenses related to our U.S. and Canada ERP implementation. For more information regarding these expenses, see Note 4 to our interim condensed consolidated financial statements included in Part I, Item 1 of this report.

Acquisition, integration, divestiture and related expenses decreased in amount and as a percentage of net sales in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods, primarily due to changes in fair value estimates of contingent consideration.

Other Income, Net, Interest Expense, Net, and Income Taxes

In the three and nine-month periods ended September 30, 2024, we recognized gains of $5.1 million and $7.0 million, respectively, in our other income, net financial statement line item compared to gains of $3.8 million and $10.3 million in the same prior year periods, respectively. The changes in the three and nine-month periods were primarily driven by the timing of gains and losses recognized on our equity investments. In the three-month period ended September 30, 2024, we recognized higher gains from our investments when compared to the same prior year period while in the nine-month period ended September 30, 2024, we recognized losses compared to gains in the same prior year period.

Interest expense, net, increased in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods. The increased interest expense was due to higher average debt balances outstanding and losses incurred on our fixed-to-variable interest rate swaps in the current year periods.

In the three and nine-month periods ended September 30, 2024, our effective tax rate (“ETR”) was negative 8.2 percent and positive 11.0 percent, respectively, compared to positive 25.7 percent and positive 22.7 percent in the three and nine-month periods ended September 30, 2023, respectively. The negative 8.2 percent ETR and positive 11.0 percent in the three and nine-month periods ended September 30, 2024, respectively, were primarily driven by a net favorable impact of changes to unrecognized tax benefits. The positive 25.7 percent and positive 22.7 percent ETR in the three and nine-month periods ended September 30, 2023, respectively, was primarily driven by discrete tax effects of certain tax returns and the reorganization of the ownership structure of certain

30


 

wholly-owned subsidiaries in the second quarter of 2023. Absent discrete tax events, we expect our future ETR will be lower than the U.S. corporate income tax rate of 21.0 percent due to our mix of earnings between U.S. and foreign locations, which generally have lower corporate income tax rates. Our ETR in future periods could also potentially be impacted by: changes in our mix of pre-tax earnings; changes in tax rates, tax laws or their interpretation, including the European Union adoption of Pillar Two proposals which began to take effect in 2024; the outcome of various federal, state and foreign audits, appeals, and litigation; and the expiration of certain statutes of limitations. Currently, we cannot reasonably estimate the impact of these items on our financial results.

Segment Operating Profit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating Profit as a

 

 

 

 

Net Sales

 

 

Operating Profit

 

 

Percentage of Net Sales

 

 

 

 

Three Months Ended

 

 

Three Months Ended

 

 

Three Months Ended

 

 

 

 

September 30,

 

 

September 30,

 

 

September 30,

 

 

(dollars in millions)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

Americas

 

$

1,135.9

 

 

$

1,113.6

 

 

$

605.5

 

 

$

594.2

 

 

 

53.3

 

%

 

53.4

 

%

EMEA

 

 

376.2

 

 

 

337.9

 

 

 

121.7

 

 

 

101.0

 

 

 

32.3

 

 

 

29.9

 

 

Asia Pacific

 

 

312.0

 

 

 

302.1

 

 

 

122.3

 

 

 

112.5

 

 

 

39.2

 

 

 

37.2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operating Profit as a

 

 

 

 

Net Sales

 

 

Operating Profit

 

 

Percentage of Net Sales

 

 

 

 

Nine Months Ended

 

 

Nine Months Ended

 

 

Nine Months Ended

 

 

 

 

September 30,

 

 

September 30,

 

 

September 30,

 

 

(dollars in millions)

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

2024

 

 

2023

 

 

Americas

 

$

3,521.7

 

 

$

3,411.0

 

 

$

1,881.7

 

 

$

1,823.0

 

 

 

53.4

 

%

 

53.4

 

%

EMEA

 

 

1,253.4

 

 

 

1,166.4

 

 

 

424.4

 

 

 

382.5

 

 

 

33.9

 

 

 

32.8

 

 

Asia Pacific

 

 

880.3

 

 

 

876.7

 

 

 

336.7

 

 

 

318.0

 

 

 

38.2

 

 

 

36.3

 

 

 

Americas

In the Americas, operating profit increased in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods. Operating profit as a percentage of net sales was relatively consistent in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods. The increases in operating profit were primarily due to higher net sales driven by market growth and new product introductions, coupled with lower royalty expense as a result of agreements we entered into in 2023 to acquire intellectual property through the buyout of certain licensing arrangements. However, operating profit as a percentage of net sales did not similarly increase and remained relatively consistent due to investments in instruments to support new product introductions and higher bad debt-related charges in the current year periods.

 

EMEA

In EMEA, operating profit and operating profit as a percentage of net sales increased in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods. The increases were due to higher net sales driven by market growth and improved pricing, lower excess and obsolete inventory charges, reduced royalty expense as a result of agreements we entered into in 2023 to acquire intellectual property through the buyout of certain licensing arrangements, and lower expenses driven by our 2023 Restructuring Plan and cost savings initiatives.

 

Asia Pacific

In Asia Pacific, operating profit and operating profit as a percentage of net sales increased in the three and nine-month periods ended September 30, 2024 when compared to the same prior year periods. The increases were due to higher net sales driven by market growth and improved pricing, reduced royalty expense as a result of agreements we entered into in 2023 to acquire intellectual property through the buyout of certain licensing arrangements, and lower expenses driven by our 2023 Restructuring Plan and cost savings initiatives.

 

 

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Liquidity and Capital Resources

 

As of September 30, 2024, we had $569.0 million in cash and cash equivalents. In addition, we had $1.0 billion available to borrow under our 2024 364-Day Credit Agreement, and $1.5 billion available under our 2024 Five-Year Revolving Facility. The terms of the 2024 364-Day Credit Agreement and the 2024 Five-Year Revolving Facility are described further in Note 8 to our interim condensed consolidated financial statements included in Part I, Item 1 of this report.

 

We believe that cash flows from operations, our cash and cash equivalents on hand, and available borrowings under our revolving credit facilities will be sufficient to meet our ongoing liquidity requirements for at least the next twelve months. However, it is possible our needs may change. Further, there can be no assurance that, if needed, we will be able to secure additional financing on terms favorable to us, if at all.

 

Sources of Liquidity

Cash flows provided by operating activities were $993.1 million in the nine-month period ended September 30, 2024, compared to $993.2 million in the same prior year period. The 2024 period featured higher bonus, income tax and restructuring-related payments as well as lower accounts receivable collections due to delayed invoicing from our U.S. and Canada ERP implementation. These unfavorable items were partially offset by lower inventory investments in the 2024 period when compared to the 2023 period.

Cash flows used in investing activities were $596.9 million in the nine-month period ended September 30, 2024, compared to $558.1 million in the same prior year period. Instrument and property, plant and equipment additions reflected ongoing investments in our product portfolio, including new product introductions, optimization of our manufacturing and logistics networks, and investments in enterprise resource planning software. The decline in property, plant and equipment additions was driven by lower enterprise resource planning software spend as that project is getting implemented, in addition to the prior year period including investment in a corporate aircraft which did not recur in the current year period. In addition, in the nine-month period ended September 30, 2024, we entered into agreements to acquire the ownership rights or gain access to various technologies that were recognized as intangible assets, acquired three businesses and invested in a debt security.

Cash flows used in financing activities were $243.9 million in the nine-month period ended September 30, 2024, compared to $512.1 million in the same prior year period. In the 2024 period, we issued senior notes for $700.0 million and used the proceeds, along with cash on hand, to repurchase $795.8 million of our common stock and repay a net $50.0 million under our Uncommitted Credit Facility. In the 2023 period, we used cash on hand to repurchase $281.9 million of our common stock. We also repaid a net $20.0 million on our various revolving credit facilities and $120.2 million of other debt obligations that were due in the first quarter of 2023.

We place our cash and cash equivalents in highly-rated financial institutions and limit the amount of credit exposure to any one entity. We invest only in high-quality financial instruments in accordance with our internal investment policy.

As of September 30, 2024, $415.9 million of our cash and cash equivalents were held in jurisdictions outside of the U.S. Of this amount, $64.6 million is denominated in U.S. Dollars and, therefore, bears no foreign currency translation risk. The remaining amount is denominated in currencies of the various countries where we operate. We generally intend to limit distributions from foreign subsidiaries earnings that were previously taxed in the U.S., as a result of the transition tax or tax on Global Intangible Low-Taxed Income (“GILTI”). These previously taxed earnings would not be subject to further U.S. federal tax.

Our concentrations of credit risks with respect to trade accounts receivable are limited due to the large number of customers and their dispersion across a number of geographic areas and by frequent monitoring of the creditworthiness of the customers to whom credit is granted in the normal course of business. Substantially all of our trade receivables are concentrated in the public and private hospital and healthcare industry in the U.S. and internationally or with distributors or dealers who operate in international markets and, accordingly, are exposed to their respective business, economic and country-specific variables.

Material Cash Requirements from Known Contractual and Other Obligations

At September 30, 2024, we had outstanding debt of $6,450.7 million, of which $1,713.0 million was classified as current debt. Of our current debt, $850.0 million of senior notes mature on November 22, 2024 and $863.0 million of senior notes mature on April 1, 2025. We believe we can satisfy these debt obligations with cash generated from our operations, by issuing new debt and/or by borrowing on our committed revolving credit facilities.

32


 

For additional information on our debt, including types of debt, maturity dates, interest rates, debt covenants and available revolving credit facilities, see Note 8 to our interim condensed consolidated financial statements included in Part I, Item 1 of this report.

In February, May and August 2024, our Board of Directors declared a quarterly cash dividend of $0.24 per share. We expect to continue paying cash dividends on a quarterly basis; however, future dividends are subject to approval of the Board of Directors and may be adjusted as business needs or market conditions change.

In May 2024, our Board of Directors authorized a $2.0 billion share repurchase program effective May 29, 2024, with no expiration date. As of September 30, 2024, $1,308.1 million remained authorized under the May 2024 program. Between October 1, 2024 and October 9, 2024, we repurchased an additional 0.6 million shares for $58.1 million, resulting in $1,250.0 million remaining authorized under the May 2024 program as of October 9, 2024. We used cash on hand to fund these repurchases.

As discussed in Note 4 to our interim condensed consolidated financial statements in Part I, Item 1 of this report, we are executing on a 2023 Restructuring Plan, a 2021 Restructuring Plan and a 2019 Restructuring Plan. The 2023 Restructuring Plan along with other related initiatives is expected to result in total pre-tax charges of $120 million to $135 million by the end of 2025, of which approximately $110 million was incurred through September 30, 2024. We expect to reduce gross annual pre-tax operating expenses by $175 million to $200 million relative to the 2023 baseline expenses by the end of 2025 as program benefits under the 2023 Restructuring Plan are realized. The 2021 Restructuring Plan is expected to result in total pre-tax restructuring charges of approximately $173 million by the end of 2024, of which approximately $171 million was incurred through September 30, 2024. We expect to reduce gross annual pre-tax operating expenses by approximately $190 million relative to the 2021 baseline expenses by the end of 2024 as program benefits under the 2021 Restructuring Plan are realized. The 2019 Restructuring Plan is expected to result in total pre-tax restructuring charges of approximately $400 million by the end of 2025, of which approximately $348 million was incurred through September 30, 2024. In our original estimates, we expected to reduce gross annual pre-tax operating expenses by approximately $180 million to $280 million relative to the 2019 baseline expenses by the end of 2023 as benefits under the 2019 Restructuring Plan were realized. Our latest estimates indicate that we will be near the low end of that range, and the full benefits will not be realized until we complete the closure of a manufacturing facility, which is expected to occur in 2025.

As discussed in Note 12 to our interim condensed consolidated financial statements included in Part I, Item 1 of this report, the IRS has issued proposed adjustments for years 2013 through 2015 and for years 2016 through 2019. We have disputed these proposed adjustments and intend to continue to vigorously defend our positions. Although the ultimate timing for resolution of the disputed tax issues is uncertain, future payments may be significant to our operating cash flows.

As discussed in Note 15 to our interim condensed consolidated financial statements included in Part I, Item 1 of this report, we are involved in various litigation matters. We estimate the total liabilities for all litigation matters was $155.3 million as of September 30, 2024. However, litigation is inherently uncertain, and upon resolution of any of these uncertainties, we may incur charges in excess of these estimates, and may in the future incur other material judgments or enter into other material settlements of claims. We expect to pay these liabilities over the next few years. Additionally, we have entered into development, distribution and other contractual arrangements that may result in future payments dependent upon various events such as the achievement of certain product R&D milestones, sales milestones, or, at our discretion, maintenance of exclusive rights to distribute a product. Since there is uncertainty on the timing or whether such payments will have to be made, they have not been recognized on our condensed consolidated balance sheets. These estimated payments could range from $0 to approximately $320 million.

Recent Accounting Pronouncements

Information pertaining to recent accounting pronouncements can be found in Note 2 to our interim condensed consolidated financial statements included in Part I, Item 1 of this report.

Critical Accounting Estimates

The preparation of our financial statements is affected by the selection and application of accounting policies and methods, and also requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Critical accounting estimates are those that involve a significant level of estimation uncertainty and have had or are reasonably likely to have a material impact on our financial condition and results of operations. There were no changes in the three-month period ended September 30, 2024 to our critical accounting estimates as described in our Annual Report on Form 10-K for the year ended December 31, 2023.

33


 

Cautionary Note Regarding Forward-Looking Statements and Factors That May Affect Future Results

This quarterly report contains certain statements that are forward-looking statements within the meaning of federal securities laws. Forward-looking statements can be identified by the fact that they do not relate strictly to historical or current facts. When used in this report, the words “may,” “will,” “can,” “should,” “would,” “could,” “anticipate,” “expect,” “plan,” “seek,” “believe,” “are confident that,” “look forward to,” “predict,” “estimate,” “potential,” “project,” “target,” “forecast,” “see,” “intend,” “design,” “strive,” “strategy,” “future,” “opportunity,” “assume,” “guide,” “position,” “continue” and similar expressions are intended to identify forward-looking statements. Forward-looking statements are based on current beliefs, expectations and assumptions of management and are subject to significant risks, uncertainties and changes in circumstances that could cause actual results to differ materially from such forward-looking statements. These risks, uncertainties and changes in circumstances include, but are not limited to:

competition;
pricing pressures;
dependence on new product development, technological advances and innovation;
changes in customer demand for our products and services caused by demographic changes, obsolescence, development of different therapies or other factors;
shifts in the product category or regional sales mix of our products and services;
the effects of business disruptions affecting us, our suppliers, customers or payors, either alone or in combination with other risks on our business and operations;
the risks and uncertainties related to our ability to successfully execute our restructuring plans;
control of costs and expenses;
our ability to attract, retain and develop the highly skilled employees, senior management, independent agents and distributors we need to support our business;
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;
the ability to form and implement alliances;
dependence on a limited number of suppliers for key raw materials and other inputs and for outsourced activities;
the risk of disruptions in the supply of materials and components used in manufacturing or sterilizing our products;
breaches or failures of our information technology systems or products, including by cyberattack, unauthorized access or theft;
delays, further difficulties and additional expense incurred to remediate problems with our enterprise resource planning system updates;
challenges relating to changes in and compliance with governmental laws and regulations affecting our U.S. and international businesses, including regulations of the U.S. Food and Drug Administration (“FDA”) and other government regulators, such as more stringent requirements for regulatory clearance of products;
the outcome of government investigations;
the impact of healthcare reform and cost containment measures, including efforts sponsored by government agencies, legislative bodies, the private sector and healthcare purchasing organizations, through reductions in reimbursement levels, repayment demands and otherwise;
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;
changes in tax obligations arising from examinations by tax authorities and from changes in tax laws in jurisdictions where we do business, including as a result of the “base erosion and profit shifting” project undertaken by the Organisation for Economic Co-operation and Development and otherwise;

34


 

challenges to the tax-free nature of the ZimVie spinoff transaction and the subsequent liquidation of our retained interest in ZimVie;
the risk of additional tax liability due to the recategorization of our independent agents and distributors to employees;
the risk that material impairment of the carrying value of our intangible assets, including goodwill, could negatively affect our operating results;
changes in general domestic and international economic conditions, including interest rate and currency exchange rate fluctuations;
changes in general industry and market conditions, including domestic and international growth, inflation and currency exchange rates;
the domestic and international business impact of political, social and economic instability, tariffs, trade restrictions and embargoes, sanctions, wars, disputes and other conflicts, including on our ability to operate in, export from or collect accounts receivable in affected countries;
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 other government regulators relating to medical products, healthcare fraud and abuse laws and data privacy and security laws;
the success of our quality and operational excellence initiatives;
the ability to remediate matters identified in inspectional observations or warning letters issued by the FDA and other regulators, while continuing to satisfy the demand for our products;
product liability, intellectual property and commercial litigation losses; and
the ability to obtain and maintain adequate intellectual property protection.

Our Annual Report on Form 10-K for the year ended December 31, 2023 and this Quarterly Report on Form 10-Q contain detailed discussions of these and other important factors under the heading “Risk Factors.” You should understand that it is not possible to predict or identify all factors that could cause actual results to differ materially from forward-looking statements. Consequently, you should not consider any list or discussion of such factors to be a complete set of all potential risks or uncertainties.

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. You are advised, however, to consult any further disclosures we make on related subjects in our Quarterly Reports on Form 10-Q and Current Reports on Form 8-K.

Readers of this report are cautioned not to rely on these forward-looking statements since there can be no assurance that these forward-looking statements will prove to be accurate. This cautionary statement is applicable to all forward-looking statements contained in this report.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no material changes from the information provided in our Annual Report on Form 10-K for the year ended December 31, 2023.

Item 4. Controls and Procedures

Evaluation of Disclosure Controls and Procedures. We maintain disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (“Exchange Act”)) that are designed to provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and that such information is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosures. Because of inherent limitations, disclosure controls and procedures, no matter how well designed and operated, can provide only reasonable, and not absolute, assurance that the objectives of disclosure controls and procedures are met.

Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures as of the end of the period covered by this report. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of the end of the period covered by this report, our disclosure controls and procedures were effective at a reasonable assurance level.

35


 

Changes in Internal Control Over Financial Reporting. In July 2024 we transitioned to a new ERP software system for a significant portion of our U.S. and Canada sales and commercial operations (the "ERP implementation"). The new ERP replaced our existing order entry, fulfillment and financial systems, resulting in material changes to our business processes and internal controls. This ERP implementation included changes to certain financial and commercial processes impacting key controls related to our internal controls over financial reporting. We have implemented and/or enhanced our internal control activities, where applicable, for any changes that occurred and will continue to monitor the impact on our processes, procedures, and internal control over financial reporting going forward. Except as it relates to our ERP implementation, there were no changes in our internal control over financial reporting that occurred during the quarter ended September 30, 2024 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

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Part II – Other Information

Information pertaining to legal proceedings can be found in Note 15 to our interim condensed consolidated financial statements included in Part I, Item 1 of this report and is incorporated herein by reference.

Item 1A. Risk Factors

You should carefully consider the factors discussed in Part I, Item 1A “Risk Factors” of our Annual Report on Form 10-K for the year ended December 31, 2023 (“2023 Form 10-K”) and the factors discussed below, which could materially affect our business, financial condition and results of operations. The risks described in our 2023 Form 10-K and below are not the only risks we face. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial may also materially adversely affect our business, financial condition or results of operations.

The following risk factor is added to the "Risk Factors" section of our 2023 Form 10-K:

Challenges in the transition of certain of our enterprise resource planning ("ERP") systems have adversely affected our business and operations, and may have further adverse effects.

As a result of technology initiatives, changes in our system platforms and the ongoing integration of business acquisitions, we have been consolidating and integrating the ERP systems that we operate. At the beginning of our third quarter of fiscal 2024, we began transitioning certain distribution and sales systems in the Americas to a new ERP system, as part of this multi-year effort. We experienced challenges in the transition during the third quarter of 2024 which caused operational challenges in fulfilling customer orders. Some disruptions and delays associated with these ERP transition challenges may continue through the fourth quarter of 2024. Although we believe we have identified the root causes of the ERP-related challenges and have developed appropriate plans to remediate these challenges, there can be no assurance that we will remediate all of our ERP-related challenges successfully and in a timely manner, or that other challenges will not arise.

These ERP-related business interruptions caused several adverse consequences, including disruption to our ability to distribute product, difficulty in meeting customer demand, and delays in invoicing customers. These unanticipated ERP-related challenges have caused the transition to the new ERP system to be more expensive and time-consuming than we anticipated. In addition, some customers affected by these disruptions may have secured supply from alternative sources, and we must regain their trust and business. We have also experienced, and may continue to experience, decreases in productivity as our personnel continue to remediate issues in our new ERP system and related processes. Continuing disruptions, delays or deficiencies in the transition, design, and implementation of our ERP system, particularly any disruptions, delays or deficiencies that impact our operations, could have a material adverse effect on our business.

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

 

Issuer Purchases of Equity Securities

 

The following table summarizes repurchases of common stock settled during the three-month period ended September 30, 2024:

 

Period

 

Total Number of Shares Purchased

 

 

Average Price Paid per Share

 

 

Total Number of Shares Purchased as a Part of Publicly Announced Program(1)

 

 

Maximum Approximate Dollar Value of Shares that may yet be
Purchased Under the Program
(1)

 

July 2024

 

 

1,670,000

 

 

$

108.69

 

 

 

1,670,000

 

 

 

1,723,084,701

 

August 2024

 

 

1,961,000

 

 

 

111.16

 

 

 

1,961,000

 

 

 

1,505,105,711

 

September 2024

 

 

1,837,000

 

 

 

107.27

 

 

 

1,837,000

 

 

 

1,308,050,338

 

Total

 

 

5,468,000

 

 

$

109.10

 

 

 

5,468,000

 

 

$

1,308,050,338

 

 

(1) In May 2024, our Board of Directors authorized a $2.0 billion share repurchase program effective May 29, 2024, with no expiration date. Subsequent to September 30, 2024 through October 9, 2024, we repurchased an additional 0.6 million shares for $58.1 million, resulting in $1,250.0 million remaining authorized under the May 2024 program as of October 9, 2024.

Item 3. Defaults Upon Senior Securities

None

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Item 4. Mine Safety Disclosures

Not applicable

Item 5. Other Information

During the three-month period ended September 30, 2024, no members of our Board of Directors or officers (as defined in Rule 16a-1(f) of the Exchange Act) adopted, amended or terminated any contract, instruction or written plan for the purchase or sale of our securities intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) of the Exchange Act or any non-Rule 10b5-1 trading arrangement, as defined in rules of the Securities and Exchange Commission.

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Item 6. Exhibits

The following exhibits are filed or furnished as part of this report:

3.1

 

Restated Certificate of Incorporation of Zimmer Biomet Holdings, Inc., dated May 17, 2021 (incorporated by reference to Exhibit 3.2 to the Registrant’s Current Report on Form 8-K filed May 20, 2021)

 

 

 

3.2

 

Restated Bylaws of Zimmer Biomet Holdings, Inc., effective December 14, 2022 (incorporated by reference to Exhibit 3.2 to the Registrant’s Annual Report on Form 10-K filed February 24, 2023)

 

 

 

4.1

 

Tenth Supplemental Indenture, dated as of August 15, 2024, between Zimmer Biomet Holdings, Inc. and Computershare Trust Company, N.A., as trustee (incorporated by reference to Exhibit 4.2 to the Registrant's Current Report on Form 8-K filed August 15, 2024).

 

 

 

4.2

 

Form of 5.200% Notes due 2034 (incorporated by reference to Exhibit 4.1 above).

 

 

 

 21

 

List of Subsidiaries of Zimmer Biomet Holdings, Inc.

 

 

 

 31.1

 

Certification pursuant to Rule 13a-14(a)/15d-14(a) of the Securities Exchange Act of 1934 of the Chief Executive Officer, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

 

 

 

 31.2

 

Certification pursuant to Rule 13a-14(a)/15d-14(a) of the Securities Exchange Act of 1934 of the Chief Financial Officer, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002

 

 

 

 32

 

Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002

 

 

 

101

 

Inline XBRL Instance Document – the instance document does not appear in the Interactive Data File because XBRL tags are embedded within the Inline XBRL document.

 

 

 

101.SCH

 

Inline XBRL Taxonomy Extension Schema Document

 

 

 

104

 

Cover Page Interactive Data File (formatted as Inline XBRL and contained in Exhibit 101)

 

 

 

 

39


 

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

 

 

ZIMMER BIOMET HOLDINGS, INC.

 

 

(Registrant)

 

 

 

 

 

Date: October 30, 2024

 

By:

 

/s/ Suketu Upadhyay

 

 

 

 

Suketu Upadhyay

 

 

 

 

Chief Financial Officer and Executive Vice President - Finance, Operations and Supply Chain

 

 

 

 

(Principal Financial Officer)

 

 

 

 

 

Date: October 30, 2024

 

By:

 

/s/ Paul Stellato

 

 

 

 

Paul Stellato

 

 

 

 

Vice President, Controller and Chief Accounting Officer

 

 

 

 

(Principal Accounting Officer)

 

 

 

 

 

 

 

 

 

 

 

 

40