• ZimVie Reports First Quarter 2023 Financial Results and Provides Update to Annual Guidance

    ソース: Nasdaq GlobeNewswire / 03 5 2023 15:05:01   America/Chicago

    • Third Party Net Sales of $225.1 million
    • Net Loss of ($30.0) million; Net Loss Margin of (13.3%); Adjusted Net Income[1] of $6.7 million
    • Diluted EPS of ($1.14); Adjusted Diluted EPS[1] of $0.25
    • Adjusted EBITDA[1] of $32.1 million; Adjusted EBITDA margin[1] of 14.3%
    • Prepaid required principal debt payment for the first and second quarters of 2024

    WESTMINSTER, Colo., May 03, 2023 (GLOBE NEWSWIRE) -- ZimVie Inc. (Nasdaq: ZIMV), a global life sciences leader in the dental and spine markets, today reported financial results for the first quarter ended March 31, 2023. Management will host a corresponding conference call today, May 3, 2023, at 4:30 p.m. Eastern Time.

    “I am pleased with the progress our team is making to evolve our product portfolio and shift our focus from operational enhancements to innovation and commercial execution,” said Vafa Jamali, President and Chief Executive Officer of ZimVie. “We have introduced several new dental product launches year-to-date, opened our expanded, state-of-the-art, North America training institute at our flagship Dental facility in Palm Beach Gardens, Florida, and have had a number of commercial wins in spine. Concurrently, we have taken definitive actions to continue reducing operating expenses to improve our operating profile. I am optimistic about the future of ZimVie.”

    Recent Business Highlights

    • Initiated a global restructuring program with the objective of reducing our global cost structure and streamlining our organizational infrastructure across all regions, functions, and levels
    • Launched RegenerOss® CC Allograft Particulate and RegenerOss® Bone Graft Plug, expanding the Bone Graft Solutions portfolio
    • Opened an expanded Education and Training Institute at our flagship Palm Beach Gardens Dental Facility
    • Launched RealGUIDE™ CAD and FULL SUITE software modules enhancing our digital dentistry platform
    • Received recognition for Puros® Cancellous Particulate Allograft Dental Bone Grafting Solution in landmark comparative study in The International Journal of Oral & Maxillofacial Implants
    • Received the highest quality rating from the Orthopaedic Data Evaluation Panel in the United Kingdom for Mobi-C®

    First Quarter 2023 Financial Results

    Third party net sales for the first quarter of 2023 were $225.1 million, a decrease of (4.1%) on a reported basis and (2.9%) on a constant currency[1] basis, versus the first quarter of 2022. Third party dental sales of $120.2 million were effectively flat, decreasing by ($0.4) million, or (0.3%) on a reported basis, but increased by 1.8% on a constant currency[1] basis. The slight decrease in third party dental sales on a reported basis was largely driven by changes in foreign exchange rates, partially offset by demand increases for our dental implants and digital dentistry offerings. Third party spine sales of $104.9 million decreased by ($9.2) million, or (8.1%) on a reported basis and (7.8%) in constant currency[1]. Both segments benefitted from one extra selling day in the first quarter of 2023, which contributed approximately 1.5% growth.

    Net loss for the first quarter of 2023 was ($30.0) million, an increase of ($4.3) million versus the net loss of ($25.7) million in the first quarter of 2022, and as a percentage of third party net sales was (13.3%). The increase in net loss was primarily due to lower net sales, increased spending primarily related to higher corporate expenses due to the ramp-up of corporate activities subsequent to the first quarter of 2022, and income tax expense, rather than an income tax benefit, due to the tax deductibility of items in the first quarter of 2022 that did not recur in the same 2023 period.

    Adjusted net income[1] for the first quarter of 2023 was $6.7 million, a decrease of $6.4 million versus the same prior year period.

    Basic and diluted EPS were ($1.14) and adjusted diluted EPS[1] was $0.25 for the first quarter of 2023. Weighted average shares outstanding for basic and diluted EPS was 26.3 million.

    Adjusted EBITDA[1] for the first quarter of 2023 was $32.1 million, or 14.3% of third party net sales, a decrease of $1.8 million and a 10-basis point decrease from the first quarter of 2022, and was primarily driven by lower third party net sales.

    Cash and cash equivalents at the end of the first quarter of 2023 were $66.4 million and reflect the prepayment of principal debt payments through the second quarter of 2024.

    2023 Global Restructuring Program

    ZimVie recently initiated additional restructuring activities to better position the organization for future success based on the current business environment. These initiatives have the objective of reducing our global cost structure and streamlining our organizational infrastructure across all regions, functions, and levels. As a result of this initiative, we expect an approximate 5% reduction in our global workforce, in addition to reductions in discretionary spending.

    We expect this restructuring initiative will complement our initiatives to improve operating margins and cash flow, as well as provide us with the financial flexibility to continue to prioritize investments in our product offerings and technologies. We estimate that this program will generate $17-20 million in annualized net savings by 2024.

    Our original full year 2023 guidance, provided on March 1, 2023, contemplated these expense reductions from our restructuring initiatives.

    Full Year 2023 Financial Guidance:  

    We are updating our 2023 net sales and adjusted EPS guidance and reaffirming our 2023 adjusted EBITDA margin guidance as follows:

    Projected Year Ending December 31, 2023Prior GuidanceUpdated Guidance
    Net sales$825M - $850M$835M to $860M
    Adjusted EBITDA margin[2]13.5% - 14.0%13.5% - 14.0%
    Adjusted EPS[2]$0.30 to $0.50$0.40 to $0.60

    [1] This is a non-GAAP financial measure. Refer to “Note on Non-GAAP Financial Measures” and the reconciliations in this release for further information.

    [2] This is a non-GAAP financial measure for which a reconciliation to the most directly comparable GAAP financial measure is not available without unreasonable efforts. Refer to “Forward-Looking Non-GAAP Financial Measures” in this release, which identifies the information that is unavailable without unreasonable efforts and provides additional information. It is probable that this forward-looking non-GAAP financial measure may be materially different from the corresponding GAAP financial measure.

    Financial Information

    The financial information included in this release for periods prior to March 1, 2022 is derived from the financial statements and records of the dental and spine businesses of Zimmer Biomet due to the fact that during such periods, ZimVie was still a wholly-owned subsidiary of, and operated under those businesses of, Zimmer Biomet.

    Conference Call

    ZimVie will host a conference call today, May 3, 2023, at 4:30 p.m. ET to discuss its first quarter 2023 financial results. To access the call, please register online at https://investor.zimvie.com/events-presentations/event-calendar. A live and archived audio webcast will also be available on this site.

    About ZimVie

    ZimVie is a global life sciences leader in the dental and spine markets that develops, manufactures, and delivers a comprehensive portfolio of products and solutions designed to support dental tooth replacement and restoration procedures and treat a wide range of spine pathologies. In March 2022, the company became an independent, publicly traded spin-off of the dental and spine business units of Zimmer Biomet to breathe new life, dedicated energy, and strategic focus to its portfolio of trusted brands and products. From its headquarters in Westminster, Colorado, and additional facilities around the globe, the company serves customers in over 70 countries worldwide with a robust offering of dental and spine solutions including differentiated product platforms supported by extensive clinical evidence. For more information about ZimVie, please visit us at www.ZimVie.com. Follow @ZimVie on Twitter, Facebook, LinkedIn, or Instagram.

    Note on Non-GAAP Financial Measures

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

    Adjusted EBITDA is a non-GAAP financial measure provided in this release for certain periods, and is calculated by excluding certain items from net loss on a GAAP basis, as detailed in the reconciliations presented later in this press release. Adjusted EBITDA margin is Adjusted EBITDA divided by third party net sales for the applicable period.

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

    Net loss and diluted loss per share in this release are presented on a GAAP (reported) basis and on an adjusted basis. Adjusted net income and adjusted diluted earnings per share exclude the effects of certain items, which are detailed in the reconciliations of these non-GAAP financial measures to the most directly comparable GAAP financial measures presented later in this press release.

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

    Management uses non-GAAP financial measures internally to evaluate the performance of the business. Additionally, management believes these non-GAAP measures provide meaningful incremental information to investors to consider when evaluating the performance of the company. Management believes these measures offer the ability to make period-to-period comparisons that are not impacted by certain items that can cause dramatic changes in reported income but that do not impact the fundamentals of our operations. The non-GAAP measures enable the evaluation of operating results and trend analysis by allowing a reader to better identify operating trends that may otherwise be masked or distorted by these types of items that are excluded from the non-GAAP measures.

    Forward-Looking Non-GAAP Financial Measures

    This press release also includes certain forward-looking non-GAAP financial measures for the year ending December 31, 2023. We calculate forward-looking non-GAAP financial measures based on internal forecasts that omit certain amounts that would be included in GAAP financial measures. We have not provided quantitative reconciliations of these forward-looking non-GAAP financial measures to the most directly comparable forward-looking GAAP financial measures because the excluded items are not available on a prospective basis without unreasonable efforts. For example, the timing of certain transactions is difficult to predict because management’s plans may change. In addition, the company believes such reconciliations would imply a degree of precision and certainty that could be confusing to investors. It is probable that these forward-looking non-GAAP financial measures may be materially different from the corresponding GAAP financial measures.

    Cautionary Note Regarding Forward-Looking Statements

    This press release contains forward-looking statements within the meaning of federal securities laws, including, among others, any statements about our expectations, plans, intentions, strategies, or prospects. We generally use the words “may,” “will,” “expects,” “believes,” “anticipates,” “plans,” “estimates,” “projects,” “assumes,” “guides,” “targets,” “forecasts,” “sees,” “seeks,” “should,” “could,” “would,” “predicts,” “potential,” “strategy,” “future,” “opportunity,” “work toward,” “intends,” “guidance,” “confidence,” “positioned,” “design,” “strive,” “continue,” “track,” “look forward to,” “optimistic” and similar expressions to identify forward-looking statements. All statements other than statements of historical or current fact are, or may be deemed to be forward-looking statements. Such statements are based upon the current beliefs, expectations, and assumptions of management and are subject to significant risks, uncertainties, and changes in circumstances that could cause actual outcomes and results to differ materially from the forward-looking statements. These risks, uncertainties and changes in circumstances include, but are not limited to: the effects of the COVID-19 global pandemic and other adverse public health developments on the global economy, our business and operations and the business and operations of our suppliers and customers, including the deferral of elective procedures and our ability to collect accounts receivable; dependence on new product development, technological advances and innovation; shifts in the product category or regional sales mix of our products and services; supply and prices of raw materials and products; pricing pressures from competitors, customers, dental practices and insurance providers; changes in customer demand for our products and services caused by demographic changes or other factors; 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 and foreign government regulators, such as more stringent requirements for regulatory clearance of products; competition; the impact of healthcare reform measures; reductions in reimbursement levels by third-party payors; cost containment efforts sponsored by government agencies, legislative bodies, the private sector and healthcare group purchasing organizations, including the volume-based procurement process in China; control of costs and expenses; dependence on a limited number of suppliers for key raw materials and outsourced activities; the ability to obtain and maintain adequate intellectual property protection; breaches or failures of our information technology systems or products, including by cyberattack, unauthorized access or theft; the ability to retain the independent agents and distributors who market our products; our ability to attract, retain and develop the highly skilled employees we need to support our business; the effect of mergers and acquisitions on our relationships with customers, suppliers and lenders and on our operating results and businesses generally; a determination by the Internal Revenue Service that the distribution or certain related transactions should be treated as taxable transactions; financing transactions undertaken in connection with the separation and risks associated with additional indebtedness; the impact of the separation on our businesses and the risk that the separation and the results thereof may be more difficult, time-consuming and/or costly than expected, which could impact our relationships with customers, suppliers, employees and other business counterparties; restrictions on activities following the distribution in order to preserve the tax-free treatment of the distribution; the ability to form and implement alliances; changes in tax obligations arising from tax reform measures, including European Union rules on state aid, or examinations by tax authorities; product liability, intellectual property and commercial litigation losses; changes in general industry and market conditions, including domestic and international growth rates; changes in general domestic and international economic conditions, including inflation and interest rate and currency exchange rate fluctuations; and the impact of the ongoing financial and political uncertainty on countries in the Euro zone on the ability to collect accounts receivable in affected countries. You 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. 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.

    Media Contact Information:

    ZimVie
    Laura Driscoll • Laura.Driscoll@ZimVie.com
    (774) 284-1606

    Investor Contact Information:

    Gilmartin Group LLC
    Marissa Bych • Marissa@gilmartinir.com

    ZIMVIE INC.
    CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
    (in thousands, except per share data)
    Unaudited
     
     For the Three Months Ended March 31,
      2023   2022 
    Net Sales   
    Third Party, net$225,088  $234,682 
    Related Party, net 339   919 
    Total Net Sales 225,427   235,601 
    Cost of products sold, excluding intangible asset amortization (70,717)  (85,010)
    Related party cost of products sold, excluding intangible asset amortization (328)  (797)
    Intangible asset amortization (20,509)  (20,905)
    Research and development (15,373)  (17,653)
    Selling, general and administrative (127,968)  (134,112)
    Restructuring and other cost reduction initiatives (4,975)  (742)
    Acquisition, integration, divestiture and related (1,683)  (9,005)
    Operating Expenses (241,553)  (268,224)
    Operating Loss (16,126)  (32,623)
    Other income (expense), net (906)  255 
    Interest expense, net (8,966)  (711)
    Loss Before Income Taxes (25,998)  (33,079)
    Income tax (expense) benefit (3,970)  7,423 
    Net Loss (29,968)  (25,656)
    Loss Per Common Share - Basic (1.14)  (0.98)
    Loss Per Common Share - Diluted (1.14)  (0.98)




    ZIMVIE INC.
    CONDENSED CONSOLIDATED BALANCE SHEETS
    (in thousands, except per share data)
    Unaudited
        
     March 31,
    2023
     December 31,
    2022
    ASSETS   
    Current Assets:   
    Cash and cash equivalents$66,414  $89,601 
    Accounts receivable, net of allowance for credit losses of $14,496 and $15,026, respectively 174,996   168,961 
    Related party receivable    8,483 
    Inventories 231,076   233,854 
    Prepaid expenses and other current assets 31,686   36,964 
    Total Current Assets 504,172   537,863 
    Property, plant and equipment, net of accumulated depreciation of $393,883 and $392,888, respectively 139,291   148,439 
    Goodwill 261,143   259,999 
    Intangible assets, net 644,021   654,965 
    Other assets 39,432   40,790 
    Total Assets$1,588,059  $1,642,056 
    LIABILITIES AND EQUITY   
    Current Liabilities:   
    Accounts payable$52,587  $43,998 
    Related party payable    13,176 
    Income taxes payable 17,345   14,356 
    Other current liabilities 126,596   145,779 
    Total Current Liabilities 196,528   217,309 
    Deferred income taxes 95,768   98,062 
    Lease liability 20,655   22,287 
    Other long-term liabilities 9,515   13,561 
    Non-current portion of debt 521,990   532,233 
    Total Liabilities 844,456   883,452 
        
    Stockholders' Equity:   
    Common stock, $0.01 par value, 150,000 shares authorized 
       
     
      
    Shares, issued and outstanding, of 26,381 and 26,222, respectively 264   262 
    Preferred stock, $0.01 par value, 15,000 shares authorized, 0 shares issued and outstanding     
    Additional paid in capital 901,476   897,028 
    Accumulated deficit (77,500)  (47,532)
    Accumulated other comprehensive loss (80,637)  (91,154)
    Total Stockholders' Equity 743,603   758,604 
    Total Liabilities and Stockholders' Equity$1,588,059  $1,642,056 


    ZIMVIE INC.
    CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
    (in thousands)
    Unaudited
       
      For the Three Months Ended
    March 31,
      2023  2022 
    Cash flows used in operating activities:    
    Net loss $(29,968) $(25,656)
    Adjustments to reconcile net loss to net cash used in operating activities:    
    Depreciation and amortization  32,631   32,554 
    Share-based compensation  4,841   13,472 
    Deferred income tax provision  (4,208)  (17,901)
    Other non-cash items  1,556   122 
    Changes in operating assets and liabilities    
    Income taxes  7,047   11,258 
    Accounts receivable  (4,958)  (10,117)
    Related party receivable  8,483   (24,214)
    Inventories  5,431   8,726 
    Prepaid expenses and other current assets  1,311   (15,423)
    Accounts payable and accrued liabilities  (11,572)  (8,639)
    Related party payable  (13,176)  26,368 
    Other assets and liabilities  (4,614)  (449)
    Net cash used in operating activities  (7,196)  (9,899)
    Cash flows used in investing activities:    
    Additions to instruments  (1,951)  (4,040)
    Additions to other property, plant and equipment  (1,887)  (2,047)
    Other investing activities  (1,994)  (2,000)
    Net cash used in investing activities  (5,832)  (8,087)
    Cash flows (used in) provided by financing activities:    
    Net transactions with Zimmer Biomet     6,920 
    Dividend paid to Zimmer Biomet     (540,567)
    Proceeds from term loans     595,000 
    Payments on term loans  (10,519)  (34,000)
    Debt issuance costs     (5,170)
    Payments related to tax withholding for share-based compensation  (417)  (157)
    Proceeds from stock option activity     125 
    Net cash (used in) provided by financing activities  (10,936)  22,151 
    Effect of exchange rates on cash and cash equivalents  777   (305)
    (Decrease) increase in cash and cash equivalents  (23,187)  3,860 
    Cash and cash equivalents, beginning of year  89,601   100,399 
    Cash and cash equivalents, end of period $66,414  $104,259 
    Supplemental cash flow information:    
    Income taxes paid, net $1,664  $494 
    Interest paid  8,121   355 


    SUPPLEMENTAL FINANCIAL INFORMATION AND NON-GAAP FINANCIAL MEASURES
    Total Net Sales by Segment and Region (in thousands)
    Unaudited
         
      For the Three Months
    Ended March 31,
      
       2023  2022Change
    (%)
    Foreign
    Exchange Impact
    Constant Currency
    % Change
    United States $69,907 $68,3292.3%- 2.3%
    International  50,263  52,240-3.8%-4.9%1.1%
    Total Dental Net Sales  120,170  120,569-0.3%-2.1%1.8%
    United States  83,014  86,591-4.1%- -4.1%
    International  21,904  27,522-20.4%-1.1%-19.3%
    Total Spine Net Sales  104,918  114,113-8.1%-0.3%-7.8%
    Total Third Party Net Sales  225,088  234,682-4.1%-1.2%-2.9%
    Related Party Net Sales  339  919-63.1%- - 
    Total Net Sales $225,427 $235,601-4.3%-1.4%-2.9%


    Reconciliation of Adjusted Net Income and Adjusted EPS (in thousands, except per share data)
     
     For the Three Months Ended March 31, 2023
           
     Net SalesCost of
    products sold,
    excluding
    intangible
    asset
    amortization
    Operating
    expenses,
    excluding
    cost of
    products
    sold
    Operating
    Loss
    Net LossDiluted
    EPS
    Reported$225,427 $(71,045)$(170,508)$(16,126)$(29,968)$(1.14)
    Pre vs. post-spin cost structure differences[1] -  -  -  -  - $- 
    Restructuring and other cost reduction initiatives[2] -  -  4,975  4,975  4,975 $0.19 
    Acquisition, integration, divestiture and related[3] -  -  1,683  1,683  1,683 $0.06 
    European medical device regulation[4] -  -  3,269  3,269  3,269 $0.12 
    One-time carve-out allocations and other one-time costs[5] -  1,625  98  1,723  1,723 $0.07 
    Intangible asset amortization -  -  20,509  20,509  20,509 $0.78 
    Related party (339) 328  -  (11) (11)$(0.00)
    One-time share-based compensation expense[6] -  -  1,000  1,000  1,000 $0.04 
    Tax effect of above adjustments & other[7] -  -  -  -  1,619 $0.06 
    China VBP asset write-offs and spin-related step-up amortization -  -  1,893  1,893  1,893 $0.07 
    Adjusted$225,088 $(69,092)$(137,081)$18,915 $6,692 $0.25 
           
           
     For the Three Months Ended March 31, 2022
           
     Net SalesCost of
    products sold,
    excluding
    intangible
    asset
    amortization
    Operating
    expenses,
    excluding
    cost of
    products
    sold
    Operating
    Loss
    Net LossDiluted
    EPS
    Reported$235,601 $(85,807)$(182,417)$(32,623)$(25,656)$(0.98)
    Pre vs. post-spin cost structure differences[1] -  -  5,271  5,271  5,271 $0.20 
    Restructuring and other cost reduction initiatives[2] -  -  742  742  742 $0.03 
    Acquisition, integration, divestiture and related[3] -  -  9,005  9,005  9,005 $0.34 
    European medical device regulation[4] -  -  1,857  1,857  1,857 $0.07 
    One-time carve-out allocations and other one-time costs[5] -  (2,039) 4,540  2,501  2,501 $0.10 
    Intangible asset amortization -  -  20,905  20,905  20,905 $0.80 
    Related party (919) 797  -  (122) (122)$(0.00)
    One-time share-based compensation expense[6] -  1,664  9,981  11,646  11,646 $0.45 
    Tax effect of above adjustments & other[7] -  -  -  -  (13,087)$(0.50)
    China VBP asset write-offs and spin-related step-up amortization -  -  -  -  - $- 
    Adjusted$234,682 $(85,385)$(130,116)$19,182 $13,062 $0.50 

    [1] Reflects certain items captured in the GAAP carve-out financial statements that have not continued post-spin, including, but not limited to, facilities that did not convey with ZimVie in the spin, redundant personnel costs incurred as a result of the spin, and the difference between the pre-spin allocations of Zimmer Biomet’s corporate costs in accordance with GAAP, versus the expected post-spin corporate costs for ZimVie.
    [2] In June 2022 and November 2022, we instituted restructuring plans and the expenses incurred under these plans were primarily related to employee termination benefits and the exit of our spine products operations in China as a result of an unsuccessful volume-based procurement program bid. Zimmer Biomet instituted restructuring plans in the fourth quarters of 2019 and 2021, and the restructuring costs we incurred under those plans were primarily related to employee termination benefits, contract terminations and retention period compensation and benefits.
    [3] Acquisition, integration, divestiture, and related costs are limited to a specific period of time and related to ZimVie being established as a standalone public company.
    [4] Expenses incurred for initial compliance with the European Union ("EU") Medical Device Regulation ("MDR") for previously- approved products.
    [5] The 2022 amounts represent one-time expenses captured through allocations made for purposes of the GAAP carve-out financial statement results. The 2023 amounts represent non-cash step-up amortization related to the spin from Zimmer Biomet.
    [6] One-time share-based compensation expense due to replacement awards provided in connection with the separation from Zimmer Biomet.
    [7] Reflects the tax effect of the adjustments from reported to adjusted, as well as an adjustment for management’s expectation of ZimVie’s statutory tax rate based on current tax law and adjusted pre-tax income.


    Reconciliation of Adjusted EBITDA (in thousands)
       
      For the Three Months Ended March 31,
       2023   2022 
    Net Sales    
    Third Party, net $225,088  $234,682 
    Related Party, net  339   919 
    Total Net Sales $225,427  $235,601 
         
    Net Loss ($29,968)  ($25,656) 
    Interest expense, net  8,966   711 
    Income tax benefit  3,970   (7,423) 
    Depreciation and amortization  32,631   32,554 
    EBITDA  15,599   186 
    Share-based compensation  4,841   14,407 
    Restructuring and other cost reduction initiatives[1]  4,975   742 
    Acquisition, integration, divestiture and related[2]  1,683   9,005 
    Related party income  (11)   (122) 
    European medical device regulation[3]  3,269   1,857 
    Pre vs. post-spin cost structure differences[4]  0   5,271 
    One-time carve-out allocations and other one-time costs[5]  1,723   2,501 
    Adjusted EBITDA $32,079  $33,847 
    Net Loss Margin[6]  -13.3%   -10.9% 
    Adjusted EBITDA Margin[7]  14.3%   14.4% 

    [1] In June 2022 and November 2022, we instituted restructuring plans and the expenses incurred under these plans were primarily related to employee termination benefits and the exit of our spine products operations in China as a result of an unsuccessful volume-based procurement program bid. Zimmer Biomet instituted restructuring plans in the fourth quarters of 2019 and 2021, and the restructuring costs we incurred under those plans were primarily related to employee termination benefits, contract terminations and retention period compensation and benefits.
    [2] Acquisition, integration, divestiture, and related costs are limited to a specific period of time and related to ZimVie being established as a standalone public company.
    [3] Expenses incurred for initial compliance with the EU MDR for previously-approved products.
    [4] Reflects certain items captured in the GAAP carve-out financial statements that have not continued post-spin, including, but not limited to, facilities that did not convey with ZimVie in the spin, redundant personnel costs incurred as a result of the spin, and the difference between the pre-spin allocations of Zimmer Biomet’s corporate costs in accordance with GAAP, versus the expected post-spin corporate costs for ZimVie.
    [5] The 2022 amounts represent one-time expenses captured through allocations made for purposes of the GAAP carve-out financial statement results. The 2023 amounts represent non-cash step-up amortization related to the separation from Zimmer Biomet.
    [6] Net Loss Margin is calculated as Net Loss divided by third party net sales for the applicable period.
    [7] Adjusted EBITDA Margin is Adjusted EBITDA divided by third party net sales for the applicable period.


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