UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
 
FORM 10-K
 
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
 
For year ended December 31, 20072008
 
Commission file number001-16407
 
(ZIMMER HOLDINGS INC. LOGO)(ZIMMER HOLDINGS INC. LOGO)
 
ZIMMER HOLDINGS, INC.
(Exact name of registrant as specified in its charter)
 
   
Delaware 13-4151777
(State of Incorporation) (IRS Employer Identification No.)
345 East Main Street Warsaw, Indiana 46580
(Address of principal executive offices) (Zip Code)
 
Registrant’s telephone number, including area code:(574) 267-6131
 
Securities registered pursuant to Section 12(b) of the Act:
   
Title of each class Name of each exchange on which registered
Common Stock, $.01 par value New York Stock Exchange
 
Securities registered pursuant to Section 12(g) of the Act: None
 
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act. Yes þ     No o
 
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes o     No þ
 
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes þ     No o
 
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 ofRegulation S-K is not contained herein, and will not be contained, to the best of the registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of thisForm 10-K or any amendment to thisForm 10-K.  þo
 
Indicate by checkmarkcheck mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer”,filer,” “accelerated filer” and “smaller reporting company” inRule 12b-2 of the Exchange Act. (Check One)one):
 
       
Large accelerated filer þ
 Accelerated filer o Non-accelerated filer o Smaller reporting company o
  (Do not check if a smaller reporting company)
 
Indicate by checkmark whether the registrant is a shell company (as defined Exchange ActRule 12b-2). Yes o     No þ
 
The aggregate market value of shares held by non-affiliates was $20,033,882,275$15,309,609,246 (based on the closing price of these shares on the New York Stock Exchange on June 29, 2007,30, 2008, and assuming solely for the purpose of this calculation that all directors and executive officers of the registrant are “affiliates”). As of February 13, 2008, 233,185,8942009, 222,839,490 shares of the registrant’s $.01 par value common stock were outstanding.
 
Documents Incorporated by Reference
     
Document
  Form 10-K
 
Portions of the Proxy Statement with respect to the 20082009 Annual Meeting of Stockholders  Part III 
     
 
 


 

ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

This annual report contains certain statements that are forward-looking statements within the meaning of federal securities laws. When used in this report, the words “may,” “will,” “should,” “anticipate,” “estimate,” “expect,” “plan,” “believe,” “predict,” “potential,” “project,” “target,” “forecast,” “intend” and similar expressions are intended to identify forward-looking statements. Forward-looking statements are subject to risks and uncertainties that could cause actual results to differ materially from those projected. These risks and uncertainties include the important risks and uncertainties that may affect our future operations that we describe in Part I, Item 1A  Risk Factors of this report. We may update that discussion in Part II, Item 1A — Risk Factors in a Quarterly Report onForm 10-Q we file hereafter. Readers of this report are cautioned not to place undue reliance on these forward-looking statements. While we believe the assumptions on which the forward-looking statements are based are reasonable, there can be no assurance that these forward-looking statements will prove to be accurate. This cautionary statement is applicable to all forward-looking statements contained in this report.
 
Table of ContentsPage
       
 
       
 Business  3 
 Risk Factors  1413 
 Unresolved Staff Comments  1918 
 Properties  2019 
 Legal Proceedings  2019 
 Submission of Matters to a Vote of Security Holders  2019 
 
 
       
 Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities  2120 
 Selected Financial Data  2221 
 Management’s Discussion and Analysis of Financial Condition and Results of Operations  2322 
 Quantitative and Qualitative Disclosures About Market Risk  3433 
 Financial Statements and Supplementary Data  3736 
 Changes in and Disagreements With Accountants on Accounting and Financial Disclosure  63 
 Controls and Procedures  63 
 Other Information  63 
 
 
       
 Directors, Executive Officers and Corporate Governance  64 
 Executive Compensation  64 
 Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters  64 
 Certain Relationships and Related Transactions, and Director Independence  64 
 Principal Accountant Fees and Services  64 
 
 
       
 Exhibits and Financial Statement Schedules  65 
    66 
 Summary Compensation SheetEX-10.8
 List of SubsidiariesEX-10.10
 Consent of PricewaterhouseCoopers LLPEX-10.12
 302 Certification of Chief Executive OfficerEX-10.13
 302 Certification of Chief Financial OfficerEX-10.14
 Section 906 CertificationEX-10.16
EX-10.17
EX-10.32
EX-21
EX-23
EX-31.1
EX-31.2
EX-32
 
 
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

PART I
ITEM 1.Business
 
OVERVIEW
 
We are a global leader in the design, development, manufacture and marketing of reconstructive orthopaedic implants, including joint and dental reconstructive implants, spinal implants, trauma products and related orthopaedic surgical products. We also provide other healthcare related services. In this report, “Zimmer” “we”, “us”, “our”“Zimmer,” “we,” “us,” “our,” and similar words refer collectively to Zimmer Holdings, Inc. and its subsidiaries. Zimmer Holdings refers to the parent company only.
 
There were several developments in 20072008 that we expect will havehad a significant impact on our business for the foreseeable future.business.
 
In April 2007, we acquired Endius Incorporated, a privately held spinal products company based in Massachusetts. Endius develops and manufactures minimally invasive spine surgery products, implants and techniquesWe continued to treat spine disease. The acquisition of Endius has expandedmeet our spine product portfolio to include innovative minimally invasive instruments and implants.
In May 2007,obligations under the Board of Directors promoted two of our senior executives to the offices of chief executive officer and chief financial officer. This is the first time since we became an independent public company that new persons are holding those offices.
In September 2007, we and other major U.S. orthopaedic manufacturers announced a settlement reached with the U.S. Department of Justice regarding its ongoing investigation of financial relationships with consulting surgeons. As part of that settlement, we paid a $169.5 million civil settlement amount in the third quarter and entered into a Deferred Prosecution Agreement (“DPA”) and athe Corporate Integrity Agreement (“CIA”). As part of these we signed in September 2007. During 2008, we devoted substantial resources to meet our obligations under those agreements we agreedand implemented enhancements to oversight by a federal monitor for 18 months and an independent review organization for an additional 42 months. We believe we are in compliance in all material respects with the requirements of the DPA and CIA. As recently announced, we intend to further expand our corporate compliance program beyond the requirementsapplicable in most respects to all of these agreements to enhance our ability to compete in an increasingly transparent and regulated environment.businesses on a global basis.
 
In November 2007,the first half of 2008, we initiated voluntary product recalls of certain Orthopaedic Surgical Products (“OSP”) manufactured at our Dover, Ohio facility that we determined did not meet internal quality standards. Additionally, we voluntarily and temporarily suspended production and sales of certain OSP products manufactured at the Dover facility. We expect to have a significant portion of these products back into production by the end of the first quarter of 2009, with most other products coming back into production in the second quarter of 2009.
In July 2008, we suspended marketing and distribution of theDurom®Acetabular Component (DuromCup) in the U.S. to permit us to update product labeling and implement a surgical training program in the U.S. We resumed marketing and distribution of theDuromCup in the U.S. in August 2008. We received claims from a number ofDuromCup patients seeking reimbursement for costs and payments for alleged pain and suffering and we recorded a provision for certain claims of $69.0 million in 2008, which represents management’s estimate of liability to patients undergoing revision surgeries related to theDuromCup. In addition, we expect that our entry into the U.S. hip resurfacing market may be hindered or delayed as theDuromCup has been integral to our plans for entry into that market.
In October 2008, we acquired ORTHOsoft Inc.,Abbott Spine, previously a leader in computer navigationsubsidiary of Abbott Laboratories, for orthopaedic surgery. The ORTHOsoft acquisition bolsters ourZimmer SmartTools strategic initiative designed to bring innovative tools to the marketplace that will help create better and more reproducible outcomes for surgeons and patients.
We anticipate further applying both minimally invasive and computer navigation concepts across our range of businesses. During 2007, we expanded ourGender Solutions® platform to additional knee replacement systems and to hip replacement. We have also announced our intention to make additional investments in the higher growth areas of spine and dental products.
Finally, beginning in 2007, under the direction of our new senior executives, we undertook an extensive review of our operations and identifiedapproximately $360 million. This investment adds a number of planned improvements we subsequently announcedinnovative products and helps build toward critical mass in 2008. These include developing a new manufacturing facility in Ireland, upgradingthe Spine product category. The acquisition also enhances our salesresearch and distributiondevelopment capabilities in the U.S., enhancingSpine product category and strengthens our information technology and quality systems and investing in our spine, dental and trauma business units.sales coverage.
 
Zimmer Holdings was incorporated in Delaware in 2001.  Our history dates to 1927, when Zimmer Manufacturing Company, a predecessor, was founded in Warsaw, Indiana.I ndiana. On August 6, 2001, Zimmer Holdings was spun off from its former parent and became an independent public company.
 
CUSTOMERS, SALES AND MARKETING
 
Our primary customers include musculoskeletal surgeons, neurosurgeons, oral surgeons, dentists, hospitals, stocking distributors, healthcare dealers and, in their capacity as agents, healthcare purchasing organizations or buying groups. These customers range from large multinational enterprises to independent surgeons.
 
We have operations in more than 25 countries and market products in more than 100 countries, with corporate headquarters in Warsaw, Indiana, and more than 100 manufacturing, distribution and warehousingand/or office facilities worldwide. We manage our operations through three major geographic segments – the Americas, which is comprised principally of the United States and includes other North, Central and South American markets; Europe, which is comprised principally of Europe and includes the Middle East and Africa; and Asia Pacific, which is comprised primarily of Japan and includes other Asian and Pacific markets.
 
We market and sell products through three principal channels: 1) direct to healthcare institutions, such as hospitals or direct channel accounts, 2) through stocking distributors and, in the Asia Pacific region, healthcare dealers, and 3) directly to dental practices and dental laboratories. With direct channel accounts, inventory is generally consigned to sales agents or customers. With sales to stocking distributors, healthcare dealers, dental practices and dental laboratories, title to product passes generally upon shipment. Direct channel accounts represented approximately 80 percent of our net sales in 2007.2008. No individual direct channel account, stocking distributor, healthcare dealer, dental practice or dental laboratory accounted for more than 1 percent of our net sales for 2007.2008.
 
We stock inventory in our warehouse facilities and retain title to consigned inventory in sufficient quantities so that products are available when needed for surgical procedures. Safety stock levels are determined based on a number of factors, including demand, manufacturing lead times and
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

quantities required to maintain service levels. We also carry trade accounts receivable balances based on credit terms that are generally consistent with local market practices.
 
We utilize a network of sales associates, sales managers and support personnel, most of whom are employed or contracted by independent distributors and sales agencies. We invest a significant amount of time and expense in training sales associates in how to use specific products and how to best inform surgeons of product features and uses. Sales force representatives must have strong technical selling skills and medical education to provide technical support for surgeons.
 
In response to the different healthcare systems throughout the world, our sales and marketing strategies and
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

organizational structures differ by region. We utilize a global approach to sales force training, marketing and medical education to provide consistent, high quality service. Additionally, we keep current with key surgical developments and other issues related to musculoskeletal surgeons, neurosurgeons, dentists and oral surgeons and the medical procedures they perform.
 
Americas.  The Americas is our largest geographic segment, accounting for $2,277.0$2,353.9 million, or 5857 percent, of 20072008 net sales, with the United States accounting for 94 percent of net sales in this region. The United States sales force primarily consists primarily of independent sales agents, most of whom sell products exclusively for Zimmer. Sales agents in the United States receive a commission on product sales and are responsible for many operating decisions and costs. Sales commissions are accrued at the time of sale.
 
In this region, we contract with group purchasing organizations and managed care accounts and have promoted unit growth by offering volume discounts to customer healthcare institutions within a specified group. At negotiated thresholds within a contract buying period, price discounts increase. Generally, we are designated as one of several preferred purchasing sources for specified products, although members are not obligated to purchase our products. Contracts with group purchasing organizations generally have a term of three years with extensions as warranted.
 
A majority of hospitals in the United States belong to at least one group purchasing organization. In 2007,2008, individual hospital orders purchased through contractual arrangements with our threetwo largest group purchasing organizations accounted for approximately 4835 percent of our net sales in the United States. Contractual sales were highest through Novation, LLC and Premier Purchasing Partners, L.P., and Health Trust Purchasing Group, representing 27 percent, 15 percent and 6 percent, respectively, of net sales in the United States. No individual end-user, however, accounted for over 1 percent of our net sales, and the top ten end-users accounted for approximately 4 percent of our aggregate net sales in the United States.
 
In the Americas, we monitor and rank independent sales agents across a range of performance metrics. We evaluate independent sales agents based on achievingmetrics including the achievement of certain sales targets and on maintainingmaintenance of efficient levels of working capital. We set expectations for efficient management of inventory and provide independent sales agents an incentive to aid in the collection of receivables.
 
Europe.  The European geographic segment accounted for $1,081.0$1,179.1 million, or 2829 percent, of 20072008 net sales, with France, Germany, Italy, Spain, Switzerland and the United Kingdom collectively accounting for over 75 percent of net sales in the region. This segment also includes other key markets, including Benelux, Nordic, Central and Eastern Europe, the Middle East and Africa. Our sales force in this region is comprised of independent distributors,direct sales associates, commissioned agents, direct sales associatesindependent distributors and sales support personnel. In Europe, we emphasize the advantages of our clinically proven, established designs and innovative solutions, such as minimally invasive surgical procedures and technologies and new and enhanced materials and surfaces.
 
Asia Pacific.The Asia Pacific geographic segment accounted for $539.5$588.1 million, or 14 percent, of 20072008 net sales, with Japan being the largest market within this segment, accounting for approximately 5455 percent of the region’s sales. This segment also includes key markets such as Australia, New Zealand, Korea, China, Taiwan, India, Thailand, Singapore, Hong Kong and Malaysia. In Japan and most countries in the Asia Pacific region, we maintain a network of dealers, who act as order agents on behalf of hospitals in the region, and sales associates, who build and maintain relationships with musculoskeletal surgeons, neurosurgeons and dental surgeons in their markets. These sales associates cover over 7,000 hospitals in the region. The knowledge and skills of our sales associates play a critical role in providing service, product information and support to surgeons.
 
SEASONALITY
 
Our business is somewhat seasonal in nature, as many of our products are used in elective procedures, which typically decline during the summer months and holiday seasons.
 
DISTRIBUTION
 
We operate distribution facilities domestically in Warsaw, Indiana; Dover, Ohio; Statesville, North Carolina; Memphis, Tennessee; Carlsbad, California; Austin, Texas and internationally, in Australia, Austria, Belgium, Canada, China, Finland, France, Germany, Hong Kong, India, Italy, Japan, Korea, the Netherlands, Portugal, Russia, Singapore, Spain, Sweden, Switzerland, Taiwan, Thailand and the United Kingdom. We generally ship our orders via expedited courier. Our operations support local language labeling requirements for shipments to the European Union member countries, as well as specific Asia Pacific countries. Our backlog of firm orders is not considered material to an understanding of our business.
 
PRODUCTS
 
Our products include jointorthopaedic and dental reconstructive orthopaedic implants, spinal implants, trauma products, and related orthopaedic surgical products. Reconstructive orthopaedicOrthopaedic reconstructive implants restore joint function lost due to disease or trauma in joints such as knees, hips, shoulders and elbows. Dental reconstructive implants restore function and aesthetics in patients thatwho have lost teeth due to trauma or disease. Orthopaedic surgeons and neurosurgeons use spinal implants in the treatment of degenerative diseases, deformities and
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

trauma. Trauma products are used primarily to reattach or stabilize damaged bone and tissue to support the body’s natural healing process. Our related orthopaedic surgical products include supplies and instruments designed to aid in orthopaedic surgical procedures and post-operation rehabilitation.
 
We utilize our exclusiveTrabecular Metaltm Technology across various product categories.Trabecular Metalmaterial is a structural biomaterial whose cellular architecture resembles bone and approximates its physical and mechanical properties more closely than other prosthetic materials. The highly porous trabecular configuration is conducive to more normal bone formation and bone in-growth.Trabecular Metalimplants are fabricated using elemental tantalum metal and a patented vapor deposition technique that creates a metallic strut configuration resembling cancellous bone with nano-textured surface features.
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Orthopaedic Reconstructive Implants
Minimally Invasive Solutions Procedures and Technologies and The Zimmer Institute
In 2007, we continued to expand our efforts to apply minimally invasive surgical techniques to orthopaedic surgery, which we refer to asMinimally Invasive Solutionstm (MIS) Procedures and Technologies. The principal goals of these MIS Technology efforts are to reduce the hardships of having a total joint replacement, such as the time a patient must spend in recovery, pain reduction and lost time from work. We have used The Zimmer Institute to facilitate the training of over 7,900 surgeons on several MIS Procedures. In 2007, we trained nearly 1,700 surgeons through The Zimmer Institute. We intend to continue to conduct validated objective-based medical education that is designed to ensure surgical skill development in the safe and effective use of Zimmer products and procedures.
We continue to work with surgeons to evaluate and refine our MIS procedures. As refinements occur, they are incorporated into our course curriculum. We are focused on commercializing existing MIS Technique approaches and investigating new ways to apply MIS Technology principles to additional procedures and products.
 
  Knee Implants
 
 
Total knee replacement surgeries typically include a femoral component, a patella (knee cap), a tibial tray and an articular surface (placed on the tibial tray). Knee replacement surgeries include first-time, or primary, joint replacement procedures and revision procedures for the replacement, repair or enhancement of an implant or component from a previous procedure. Knee implants are designed to accommodate different levels of ligament stabilization of the joint. While some knee implant designs, called cruciate retaining (CR) designs, require the retention of the posterior cruciate ligament, other designs, called posterior stabilized (PS) and ultracongruent (UC) designs, provide joint stability without the posterior cruciate ligament. There are also procedures for partial reconstruction of the knee, which treat limited knee degeneration and involve the replacement of only one side, or compartment, of the knee with a unicompartmental knee prosthesis.
 
Our portfolio of MIS TechniquesMinimally Invasive Solutionstm Procedures (“MIS”) includes the MIS Mini-Incision Total Knee Procedure. The MIS Mini-Incision Total Knee Instruments feature smaller instruments which accommodate a smaller incision and less disruption of the surrounding soft tissues.
 
We offer a wide range of products for specialized knee procedures, including the following:
 
NexGen® Complete Knee Solution.Solution.  TheNexGenKnee product line is a comprehensive system for knee replacement surgery which has had significant application in PS, CR and revision procedures. TheNexGenKnee System offers joint stability and sizing that can be tailored to individual patient needs while providing surgeons with a unified system of interchangeable components. TheNexGenKnee System provides surgeons with complete and versatile knee instrument options, including MIS Mini-Incision Instruments, milling and multiple traditional saw blade cutting instrument systems. The breadth and versatility of theNexGenKnee System allows surgeons to change from one type of implant to another during surgery, according to the needs of the patient, and to support current surgical philosophies.
 
TheNexGenComplete Knee SolutionLegacy®Knee-Posterior Stabilized product line provides stability in the absence of the posterior cruciate ligament. The PS capabilities were augmented through the introduction of theNexGen LegacyPosterior Stabilized Flex Knee (the “LPS-Flex Knee”), a high-flexion implant that has the potential to accommodate knee flexion up to a155-degree range of motion in some patients. In late 2007, the Premarket Approval (PMA) application for theNexGenLPS-Flex Mobile Knee was approved by the FDA. With the staged rollout of this product in the U.S., we are now one of only two companies that can offer a mobile-bearing total knee treatment option in the U.S.
 
TheNexGenCR product line is designed to be used in conjunction with a functioning posterior cruciate ligament. TheNexGenCR-Flex Fixed Bearing Knee is designed with components to provide a greater range of motion for patients who require deep bending in their daily activities. TheNexGenCR-Flex Femoral Components allow the surgeon to adjust component sizing without removing additional bone.
 
TheNexGenRevision Knee product line consists of several different products that are designed to provide clinical solutions to surgeons for various revision situations, including a bone augmentation implant system made from ourTrabecular Metaltm Technology material. These augments are designed to address significant bone loss in revision surgery.
 
NexGenKneeGender Solutions®tm femorals represent the first knee implants specifically shaped to offer fit and function optimized for anatomic features that are more commonly seen in female patients. Gender implants are an important strategic focus, as more than half of total knee arthroplasty patients are female.Gender Solutionsfemorals are available in bothNexGen CR-Flex and LPS-Flex configurations.
 
We offer improved polyethylene performance in theNexGenKnee System with our conventional polyethylene andProlong®Highly Crosslinked Polyethylene, which offers reduced wear, resistance to oxidation, pitting and cracking.ProlongHighly Crosslinked Polyethylene is available in designs compatible with bothNexGen CR-Flex and LPS-Flex designs.femoral components.
 
TheNatural-Knee®II System.System.  TheNatural-KneeII System consists of a range of interchangeable, anatomically
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

designed implants which include a proprietaryCancellous-Structured Titaniumtm (CSTitm) Porous Coating option for stable fixation in active patients andDurasul® Highly Crosslinked Polyethylene.
 
Gender Solutions® Natural-Knee®Flex System.  TheGender Solutions Natural-Knee Flex System was fully released on a limited basis in late 2007. This system2008 and adds Zimmer’sour unique High Flex andGender Solutionsdesign concepts to theNatural-Knee®System. TheGender Solutions Natural-KneeFlex System recognizes that two distinct populations exist in total knee arthroplasty (female and male) and offers two distinct implant shapes for enhanced fit. The system is compatible with muscle sparingZimmer Minimally Invasive Solutions MIS procedures and offersaccommodates high flexion capacity up to 155 degrees. The system features the proven clinical success of Zimmer’sour asymmetric tibial plate,CSTitm porous coating,ProlongHighly Crosslinked Polyethylene and the ultracongruent articular surface.
 
TheInnex®Total Knee System.  TheInnexKnee System offers fixed bearing and mobile bearing knee components all designed within the same system philosophy. While theInnexKnee System is best known for its mobile bearing knee offering, the availability of differing levels of articular constraint and theInnexRevision Knee components provide for a comprehensive mobile and fixed bearing knee system.Gender Solutionsdesign features were added to this comprehensive knee system in late 2008. TheInnexKnee
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

System is distributed in Europe and Asia Pacific, and is not available for commercial distribution in the United States.
 
Unicompartmental Knee Systems.TheZimmer®Unicompartmental Knee System.  TheZimmerUnicompartmental Knee System offers a high flexion design tofor unicompartmental knee surgery. The high flexion product was designed specifically for MIS Procedures and Technologies. The system offers the surgeon the ability to conserve bone by replacing only the compartment of the knee that has had degenerative changes. TheGender SolutionsPatello-Femoral Joint System was fully commercialized in 2008 and incorporates key gender specific design features and a proprietary guided milling surgical technique for use in patello-femoral joint replacement.
 
  Hip Implants
 
Total hip replacement surgeries replace both the head of the femur and the socket portion of the pelvis (acetabulum) of the natural hip. Hip procedures include first time, or primary, joint replacement as well as revision procedures. Approximately 30 percent of hip implant procedures involve the use of bone cement to attach or affix the prosthetic components to the surrounding bone. The remaining are press-fit into bone, which means that they have a surface that bone affixes to through either ongrowth or ingrowth technologies.
 
Our portfolio of MIS Techniques includes theZimmerMIS Anterior Supine Technique, the MIS Posterior Procedure, theZimmerMIS Anterolateral Technique and MIS 2-Incisiontm Hip Replacement Procedure, theProcedure. The MIS Posterior Procedure, and theZimmerMIS Anterolateral Techniques. The incision for a traditional open hip primary replacement mayTechniques are designed to be approximately 12 inches long. Other less invasive approaches, such as a “mini” incision for hips, have been in existence for someto soft tissues and to shorten recovery time.
Our key hip replacement products include:
Zimmer M/L Taper Hip Prosthesis withKinectiv® Technology.  TheZimmerM/L Taper Hip Prosthesis offers a proximally porous-coated wedge-shaped design based on long term clinically proven concepts. The M/L Taper has become widely used in MIS Procedures due to several key design features. TheZimmerM/L Taper Hip Prosthesis withKinectiv Technology is a system of modular stem and neck components designed to help the surgeon restore the natural hip joint center intraoperatively by addressing the key variables of leg length, offset and version independently. The M/L Taper hip product family is our fastest growing hip stem family.
Alloclassic® (Zweymüller®)Hip System.  TheAlloclassic (Zweymüller)Hip System has become one of the most used, primary, cementless hip systems in the world. This is one of the few stems available today that is practically unchanged since its introduction in 1979. A new offset design was added in 2004 and offers the surgeon increased capability to restore the patient’s anatomical joint movement.
CLS®Spotorno®Hip System.  TheCLS SpotornoStem is one of our largest selling hip prostheses, especially in the European markets. Additions to the product line provide the capability for restoration of the physiological center of rotation. TheCLS SpotornoStem has excellent clinical results, confirmed by the 2006 Swedish Hip Registry.
Fitmore® Hip Stem.  TheFitmoreHip Stem was released in 2008 and offers the surgeon a short, bone preserving stem. Maintaining bone stock is particularly important for patients who may undergo a later revision procedure. Its unique shape facilitates MIS procedures, especially the MIS Anterior Supine approach which is gaining in popularity.
 
VerSys® Hip System.  TheVerSysHip System is supported by a common instrumentation set and is an integrated family of hip products with design-specific options to meet varying surgical philosophies and patient needs. TheA unique offering within theVerSysHip System, includestheVerSys Epoch® Fullcoat Hip System is the following features:first reduced-stiffness stem specifically designed to address varying patient femoral anatomies and minimize implant-related complications such as thigh pain, bone resorption and leg lengthening. In 2008, we introduced a variety ofline extension to this family to enhance the stem designs and fixation options for both primary and revision situations, a modular design that allows for a variety of femoral heads, optimal sizing selections, and a common instrumentation set for use with virtually allVerSysStems.fit in osteoporotic patients.
 
Trabecular MetalPrimary Hip Prosthesis.  TheTrabecular MetalPrimary Hip Prosthesis product was our first utilization ofTrabecular Metaltechnology on a hip prosthesis. The prosthesis utilizes an innovative proximal design to aggressively lock the prosthesis in the bone and provide for an optimized environment for biological ingrowth to occur into the highly porousTrabecular Metalmaterial.
Zimmer® M/L Taper Hip Prosthesis withKinectivtm Technology.  TheZimmerM/L Taper Hip Prosthesis offers a wedge design and proximally porous coated design that was based on long term clinically proven concepts. The M/L Taper has become widely used in MIS Procedures due to its overall design and ease of use. Specific instruments have been developed to facilitate the insertion of theZimmerM/L Taper Hip Prosthesis through the MIS Anterolateral Technique. The addition ofKinectivTechnology provides the surgeon with a wide range of options to address variations in the patient’s anatomy. The M/L Taper hip product family is our fastest growing hip stem family.
Alloclassic® (Zweymüller®)Hip System.  TheAlloclassic (Zweymüller)Hip System has become the most used, primary, cementless hip in the world. This is one of the few stems available today that is practically unchanged since its introduction in 1979. A new offset design was added in 2004 and offers the surgeon increased capability to restore the patient’s anatomical joint movement.
CLS®Spotorno®Hip System.  TheCLS Spotorno Stem is one of our largest selling hip prostheses, especially in the European markets. Additions to the product line in 2004 provided the capability for restoration of the physiological center of rotation. TheCLS SpotornoStem has excellent clinical results, confirmed by the 2004 Swedish Hip Registry with a 100 percent implant survivorship after 11 years.
 
Trilogy® Acetabular System.  TheTrilogyAcetabular System, including titanium alloy shells, polyethylene liners, screws and instruments, is our primary acetabular cup system. TheTrilogyfamily of products offers versatile component designs and instrumentation. One option, theLongevity® Highly Crosslinked Polyethylene Liner, is designed to address the issue of wear and reduce the generation of debris in total hip arthroplasty. Polyethylene debris may cause the degeneration of bone surrounding reconstructive implants, a painful condition called osteolysis.
We began offeringoffer theTrabecular MetalModular Primary
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Acetabular System, in 2004. This particular productwhich incorporates design features from theTrilogyfamily of acetabular shells augmented with the advanced fixation surface ofTrabecular MetalMaterial.material. In addition to theTrabecular MetalAcetabular System, we also offer aTrabecular MetalAcetabular Revision Acetabular ShellSystem that provides the surgeon with a variety of off-the-shelf options to address a wide range of bone deficiencies encountered during acetabular revisions and achieve a stable construct – without the need for advanced fixation in acetabulaecustom implants or bone graft, which carries with insufficient bone.it the potential for resorption and disease transmission.
 
Alternative Bearing Technology.  We have a broad portfolio of alternative bearing technologies which includeLongevityandDurasulHighly Crosslinked Polyethylenes,Metasul®Metal-on-Metal Tribological Solution,Cerasul®Ceramic-on-Ceramic Tribological Solutions and theTrilogy AB®Acetabular System. Alternative bearings are designed to
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

minimize wear over time, potentiallywith the goal of increasing the longevity of the implant.
Durom®Hip Resurfacing System.  This product is particularly suited to patients who are at risk of requiring multiple hip replacements over their lifetimes since it preserves more of the patient’s healthy bone stock. A primary objective of this system is to allow the patient to return to an active lifestyle. TheDuromSystem uses the highly wear resistantMetasulMetal-on-Metal Technology as the bearing surface for the implant design. Since 1988,MetasulTechnology has been used successfully for total hip replacement. Today’smetal-on-metal technology is the result of nearly two decades of development, research and clinical evaluation, which formed the foundation for theDuromHip Resurfacing System. The option of the large diameter heads offers the advantage of a low-wear solution while providing greater joint stability and high range of motion in combination with the wide range of cemented and uncemented femoral implants. The components of theDuromHip Resurfacing System are commercially distributed outside the U.S. for use in Total Hip Arthroplasty (THA), Hemi Arthroplasty (HA),and/or Total Surface Replacement Arthroplasty (SRA). In the U.S.,Duromcomponents are commercially available for use in THA (DuromAcetabular component +Metasul LDH® Large Diameter Heads) or HA, but are not approved for use together in total SRA.
PALACOS®1Bone Cement.  We have exclusive United States distribution rights for thePALACOS line of bone cement products manufactured by Heraeus Kulzer GmbH, a world leader in the development and production of orthopaedic bone cement products and other healthcare technologies. We also have non-exclusive distribution rights in specific geographies outside of the United States. Included in these brands arePALACOS R andPALACOS R+G Bone Cements, as well asPALACOS LV andPALACOS LV+G Bone Cements. ThePALACOS R+G andPALACOS LV+G products are bone cements with the antibiotic gentamiacin pre-mixed in the formulation, which is used by the orthopaedic surgeon to reduce the risk of postoperative infection. The product’s handling characteristics make it well-suited for minimally invasive procedures.
 
  Extremity Implants
 
Our extremity portfolio, primarily shoulder and elbow products, are designed to treat arthritic conditions, soft tissue injuries and fractures, as well as to enhance the outcome of primary or revision surgery.
 
Our key products include:
 
Bigliani/Flatow® Complete Shoulder Solution Family.  TheBigliani/Flatowproduct line combined with theTrabecular MetalHumeral Stem gives us a significant presence in the global shoulder implant market.
 
Trabecular MetalReverse Shoulder System.  TheTrabecular MetalReverse Shoulder System incorporates advanced materials and design to offer improved orthobiologicalbiological ingrowth potential through the utilization ofTrabecular Metal technology, while addressing significant loss of rotator cuff function. The reverse shoulder system is designed to restore function to patients who, because of debilitating rotator cuff tears, are not candidates for traditional shoulder surgery and have exhausted other means of repair.
 
Anatomical Shouldertm System.  TheAnatomical ShoulderShoulder System can be adjusted to each patient’s individual anatomy. This portfolio of products was further expanded to include theAnatomical ShoulderInverse/Reverse System, designed to address significant loss of rotator cuff function, and the fracture stem.Anatomical ShoulderFracture System. Both the primary and fracture shoulder implants can be converted to a reverse shoulder without removal of the initial implant.
 
Coonrad/Morrey Total Elbow.  The Coonrad/Morrey Total Elbow product line is a family of elbow replacement implant products to address patients with conditions of severe arthritis or trauma. It remains the largest elbow franchise in the world.
 
  Dental Products
 
 
Zimmer Dental Inc., ourOur dental products division headquartered in Carlsbad, California, manufactures and distributes (1) dental reconstructive implants – for individuals who are totally without teeth or are missing one or more teeth; (2) dental restorative products – aimed at providing a more natural restoration to mimic the original teeth; and (3) dental regenerative products  for soft tissue and bone rehabilitation.
 
  Dental Reconstructive Implants
 
 
Our dental reconstructive implant products and surgical and restorative techniques include:
 
Tapered Screw-Vent®Implant System.System.  Our highest selling dental product line provides the clinician a tapered geometry which mimics the natural shape of a tooth root. TheTapered Screw-VentSystem, with its two-stage design, was developed to minimize valuable chair time for restorations.

1 Registered Trademark of Heraeus Kulzer GmbH

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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Featuring a patented internal hex connection, multiple lead threads for reduced insertion time and selective surface coatings, theTapered Screw-VentProduct is a technologically advanced dental implant offering features designed to allow the clinician to meet the needs of patients even in the most demanding circumstances. TheZimmer®One-Piece Implant System, designed to complement the success of theTapered Screw-VentSystem, enhances this product line by offering clinicians a fast, convenient restorative option.
 
AdVent® Implant System.System.  Utilizing many features of theTapered Screw-VentSystem, theAdVentProduct is a transgingival, one stage design that utilizes the same surgical system as theTapered Screw-VentSystem, allowing the clinician to use both design concepts without incurring the added cost of a second surgical system.
 
Tapered SwissPlus® Implant System.  Designed to meet the needs of clinicians who prefer a transgingival, one stage, dental implant, theTapered SwissPlusSystem incorporates multiple lead threads for faster insertion time, and a tapered body to allow it to be placed in tight interdental spaces. TheTapered SwissPlusSystem also incorporates an internal connection.
 
  Dental Restorative Products
 
 
We commercialize products for the aesthetic market aimed at providing a more natural restoration. We offer a full line of prosthetic devices for each of the above dental implant systems as well as a custom solution, as follows:
 
Zimmer Hex-Lock® Hex-Locktm Contour Abutment and Restorative Products.  Designed to be used with ourTapered Screw-Ventand One-Piece Implant Systems, our contour lines are an off-the-shelf solution for immediately addressing the diversity of patients’ needs. Featuring prepared margins, titanium and ceramic options, and snap-on impression caps, our abutments are designed to simplify the restoration process, save time for clinicians and technicians, and offer versatility.
 
  Dental Regenerative Products
 
 
We market the following product lines for use in regenerative techniques in oral surgery:
 
Puros®Allograft Products.  ThePurosMaterial is an allograft grafting material which utilizes theTutoplast®21 Tissue Processing Technique that provides exceptional bone and soft tissue grafting material for use in oral surgery. Zimmer Dental offers five distinctPurosAllograft products to use together or separately for various bone and soft tissue grafting needs:PurosCancellous Particulate,PurosCortical Particulate,PurosBlock Allografts,PurosPericardium Membranes, andPurosDermis Membranes. We market thePurosAllograft Products through an agreement with Tutogen Medical,RTI Biologics, Inc.

1 Registered Trademark of RTI Biologics, Inc.

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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
During 2007,2008, within our Dental division, we released the 4.1mm size ofour newZimmerInstrument Kit System, which is designed to better enable clinicians to use theTapered Screw-VentImplant as well as straight ceramic abutments for esthetic zone restorations. andZimmerOne-Piece implants. We extended theZimmer One-Piece implant system, a single-stage line which can make immediate restoration easier and more convenient for the surgical and restorative team by adding a 4.7mm version. In 2007, we expanded our regenerative product portfolio withby releasing the additionCopiOs® Pericardium Membrane in the United States. Sourced from bovine pericardial tissue,CopiOsPericardium Membrane provides the characteristics of a thinner Dermis Membrane, and we further expanded distribution of thePuros product lines into Europe and Asia.natural tissue.
 
Spine Implants
 
 
Zimmer Spine, Inc., ourOur spine products division located in Minneapolis, Minnesota, designs, manufactures and distributes medical devices and surgical instruments that provide comprehensive spine care solutions for patients with back pain, neck pain, degenerative disc conditions and injuries due to trauma. Zimmer Spine offers orthopaedic surgeons and neurosurgeons a full range of devices for posterior and anterior applications of the cervical, thoracic and lumbar spine.
In October 2008, we acquired Abbott Spine. This investment adds a number of innovative products and builds critical mass in our Spine products segment. In addition to bringing existing products and a promising pipeline, the Abbott Spine acquisition added to our research and development capabilities in the spinal category and strengthened our sales coverage.
 
Our spine product offerings include:
 
Dynesys® Dynamic Stabilization System.  TheDynesysSystem is used in the treatment of lower back and leg pain in skeletally mature patients. Developed to bring the lumbar vertebrae into a more natural anatomical position while stabilizing the affected segments, theDynesysSystem uses flexible materials threaded through pedicle screws rather than rigid rods. TheDynesysDynamic Stabilization Spinal System is indicated for use as an adjunct to fusion.fusion in the U.S.
PathFinder® System.  ThePathfinderSystem is a minimally invasive posterior stabilization system used in lumbar surgery. Its design accommodates single or multilevel constructs and offers advanced reduction, compression and distraction capabilities.
Universal Clamp®Device.  TheUniversal ClampDevice is designed to correct scoliotic deformity and provides intra-operative flexibility with immediate post-operative stability.
Sequoia®Pedicle Screw System.  TheSequoiaPedicle Screw Platform was designed to treat a variety of conditions of the thoracolumbar spine. The system offers reproducible fixation required for spinal arthrodesis while minimizing screw bulk and footprint. This allows greater decortication and fusion bed preparation, space for distraction/compression and in situ bending. In addition to a reduced footprint, theSequoiaplatform offers a variety of advanced and proprietary features that improve strength, reduce cross-threading and minimize head splay.
 
TiTLE® 2 Polyaxial Spinal System.  TheTiTLESystem is designed for both minimally invasive and open procedures in the thoracic and lumbar spine. Its anti-cross threading cap screw and built-in friction head aid in the placement through small surgical openings. TheNorthStartm® Cannulated Screw Delivery System allows for percutaneous placement of the screws.
Ant-Cer®II Plate.  TheAnt-Cer II Plate is a dynamic cervical plate providing the capacity for one way translational settling to maintain natural graft loading.
 
Atavi® Atraumatic Spine Surgery System. TheAtavifamily of minimally invasive access products includes theNexPosure® System for cervical applications and theFlexPosure®Products for lumbar applications.
 
Trinica®Select Anterior Cervical Plate System. TheTrinicaSelect Anterior Cervical Plate System and All-Through-One instrumentation is designed to simplify the surgical procedure while requiring less retraction and reducing the risk of soft-tissue damage. TheTrinicaSelect Self-Drilling Screws are designed to provide the surgeon with the option to reduce the amountnumber of instruments thereby potentially reducing the amount of retraction and surgical time required to implant theTrinicaSelect Plate.
 
Trabecular MetalTechnology.  Trabecular MetalTechnology has a wide range of orthopaedic applications. In the United States,Trabecular Metal Materialmaterial shapes are clearedutilized for Vertebral Body Replacementvertebral body replacement procedures as well as bone void fillers.

2 Registered Trademark of Tutogen Medical, Inc.

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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

 
Puros®Allograft Products.  We continue to sell traditional and specialtyPurosAllograft Bone Products through our exclusive U.S. and Canadian distribution agreements with Tutogen Medical,RTI Biologics, Inc.
 
CopiOs® Bone Void Filler32.  CopiOsBone Void Filler is a collagen-based synthetic bone graft material formed into padsprovided in the form of sponges or pastes of various sizes for surgical implantation. It is intended for filling bone voids resulting from trauma or created by a surgeon.
 
Trauma
 
 
Trauma products include devices used to stabilize damaged or broken bones and their surrounding tissues to support the body’s natural healing processes. Fractures are most often stabilized using internal fixation devices such as plates, screws, nails, wires and pins, but may also be stabilized using external fixation devices which are applied externally to the limb. We are focused on addressing unmet clinical needs, aligning our trauma products with MIS Procedures and on integrating orthobiologics and other next-generation technologies into our portfolio of trauma solutions.
 
In 2007, the new standalone Zimmer Trauma division was moved to a new office and manufacturing facility in Warsaw, Indiana. Zimmer Trauma offers a comprehensive line of trauma products, including:
M/DN® Intramedullary Fixation,Sirus® Intramedullary Nail System, andI.T.S.T.tm Intertrochanteric/Subtrochanteric Fixation System.  TheM/DN, Sirus and I.T.S.T.Intramedullary Nailing Systems are utilized for the internal fixation of long bone fractures. The systems include specialized instrumentation that allow the nails to be put in using a minimally invasive approach. TheI.T.S.T. nail system helps surgeons treat patients with fractures of the hip and proximal femur. Instrumentation for theI.T.S.T.system enables the use of the nail through an MIS approach.Sirusnails are highly anatomic, designed to match patients of every size. The nails and associated implants are made from a titanium alloy, a material which is preferred by many surgeons. TheSirus nails, originally sold only in Europe and parts of Asia Pacific, have recently been introduced into the United States, Japan and other key markets.
 
NCB®Plating System.  The titaniumNCBLocking Plates deliverprovide surgeons with the ability for surgeons to targetplace screws with

2 Manufactured by Kensey Nash Corporation

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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

polyaxial freedom and utilize both conventional and locking technology in the treatment of complex fractures of the distal femur, proximal humerus and proximal tibia.
 
Zimmer® Periarticular Locking Plates.  TheZimmerPeriarticular Locking Plate System combines advanced design techniques with locking screw technology to create constructs for use in comminuted fractures or where deficient bone stock or poor bone quality is encountered. By combining locking screw holes with compression slots, the plates can be used as both locking devices and fracture compression devices. The latest addition to this line is the Distal Lateral Fibular Locking plate.
 
Zimmer®Universal Locking System.  TheZimmerUniversal Locking System is a comprehensive system of mini and small fragment stainless steel plates, screws and instruments for fracture fixation. The Universal Locking System plates resemble standard plates, but have figure-8 shaped holes that will accommodate standard or locking screws on either side of the hole. As a result, the plate can be used, depending upon the fracture situation, as a compression plate, a locked internal fixator or as an internal fixation system combining both techniques.
 
ZimmerIntertrochanteric/Subtrochanteric (I.T.S.T.tm) Nailing System. TheI.T.S.T. system offers a proven method to treat hip fractures that are common in elderly patients. The system allows for treatment of a variety of hip fractures with a simple, well accepted surgical technique. Instrumentation designed specifically for the system allows surgeons to use a minimally invasive approach.
Orthopaedic Surgical Products
 
 
We develop, manufacture and market surgical products that support our reconstructive, trauma, spinalspine and dental product systems in the operating room environment, with a focus on blood management, surgical wound site management, pain managementBone Cements, Surgical Wound Site Management and patient management products. OurBlood Management. Orthopaedic Surgical Products include:
PALACOS®3 Bone Cement.  We have exclusive United States distribution rights for thePALACOSline of bone cement products manufactured by Heraeus Kulzer GmbH. Included in these brands arePALACOSR andPALACOSR+G Bone Cements, as well asPALACOS LV andPALACOSLV+G Bone Cements. ThePALACOSR+G andPALACOSLV+G products are bone cements with the antibiotic gentamiacin pre-mixed in the formulation, and are used by orthopaedic surgicalsurgeons to reduce the risk of postoperative infection. The products include:handling characteristics make them well-suited for minimally invasive procedures.
Hi-Fatiguetm4 Bone Cement.  We have exclusive European and Asian distribution rights for theHi-Fatigueline of bone cement products manufactured by aap Biomaterials GmbH. Included in these brands areHi-FatigueandHi-FatigueG Bone Cements. TheHi-FatigueG bone cement utilizes the antibiotic gentamiacin pre-mixed in the formulation, and is used by orthopaedic surgeons to reduce the risk of postoperative infection.
 
A.T.S.® Automatic Tourniquet Systems.  TheA.T.S.  Tourniquet Systems Product Line is a family of tourniquet machines and cuffs designed to safely create a bloodless surgical field. The machines include theA.T.S.3000 Tourniquet, which utilizes patentedproprietary technology to determine a patient’s proper “Limb Occlusion Pressure” (LOP) based on the patient’s specific physiology. A decrease in LOP may reduce tissue or nerve damage. The range of cuffs which complement the machines provideprovides the flexibility to occlude blood flow safely with convenience and accuracy for limbs of virtually every size and shape.
 
Pulsavac® Plus,PulsavacPlus AC andPulsavacPlus LP Wound Debridement Systems.  ThesePulsavacSystems are used for cleaning and debridement of contaminants and foreign matter from wounds using simultaneous irrigation and suction. All threePulsavacSystems are completely disposable to reduce the risk of cross contamination. WhilePulsavacPlus andPulsavacPlus LP Wound Debridement Systems are both battery powered;battery-powered, thePulsavacPlus AC Wound Debridement System is a disposable system that is powered by a reusable AC power source to address battery disposal concerns.
 
HUMAN MOTION INSTITUTEHEALTHCARE CONSULTING
 
Our healthcare consulting services subsidiary, commonly known as the Human Motion Institute (HMI)Accelero Health Partners, LLC (Accelero), is based in Canonsburg, Pennsylvania. HMIAccelero consultants work to design a customized program for each client that promotes the active participation and collaboration of the physicians and the hospital-based departments with the goal of consistently producing a superior outcome in the form of a growing, efficient, and effective care delivery network. Currently, revenue related to HMIAccelero represents less than 1 percent of our total net sales.

3Manufactured by Kensey Nash Corporation

 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

ORTHOBIOLOGICS
 
Our research and development efforts include an Orthobiologics group based in Austin, Texas, with its own full-time staff and dedicated projects centralizing our efforts on the development of biologic technologies for orthopaedicmusculoskeletal applications, including the repair and replacement of damaged tendon, ligament, meniscus, articular cartilage, bone and spinal nucleus tissues. This group works on biological solutions to repair and regenerate damaged or degenerated musculoskeletal tissues using biomaterialsbiomaterials/cell therapies which offer the possibility of treating damaged joints by biological repair rather than replacing them with inert materials.them. A sampling of some of our key projects in the Orthobiologics area is set forth below.
 
We are collaborating with ISTO Technologies, Inc. (ISTO) to develop chondral (Neocartilage) and osteochondral grafts

3 Registered Trademark of Heraeus Kulzer GmbH
4 Trademark of aap Biomaterials GmbH & Co. KG

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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

for cartilage repair. ISTO is developingcreates cell-based therapies for cartilage regeneration using cells from juvenile donor cartilage, with initial applications focused upon knee joints.cartilage. Neocartilage is a living tissue-engineered cartilage graft under clinical investigation for the restoration of cartilage defects, reestablishment of joint function and relief of pain in the knee. The Phase II/II clinical trial (IND) for Neocartilage has completed patient enrollment with someall patients having reached the12-monthfollow-up milestone. We plan to distribute this product asDeNovo® ET Engineered Tissue Graft. In addition, we launched theour first Zimmer cartilage repair product (DeNovo®NT Natural Tissue Graft) in 2007.2007 and expanded use of the product in 2008. This product provides particulated juvenile cartilage tissue pieces for repair of articular cartilage defects and has been implanted in a variety of anatomical sites including knee, hip, shoulder and ankle.nearly 200 patients during this limited release phase.
 
Many orthopaedicmusculoskeletal surgical procedures use bone grafts to help regenerate lost or damaged bone. As noted above,In 2008, our Spine, Dental and Trauma divisions introduced a technologically-advanced synthetictechnologically advanced all-human demineralized bone graftmatrix,PurosDBM Putty and Putty with bone chips. This bone-derived allograft materialCopiOsBone Void Filler, in a paste formulation. This synthetic material has similarities to human cancellous bone and is used to fill bone voids or defects. It can be soaked in an individual’s own bone marrow to localize biologic components necessary for bone growth to aid in healing. It is then placed into the bone void where it is then completely replaced by natural bone during the healing process.
 
RESEARCH AND DEVELOPMENT
 
We have extensive research and development activities to develop new surgical techniques, materials, orthobiologics and product designs. The research and development functions work closely with our strategic brand marketing function. The rapid commercialization of innovative new materials, orthobiologics products, implant and instrument designs, and surgical techniques remains one of our core strategies and continues to be an important driver of sales growth.
 
Among our product launches in 2007, we released the following, by business segment:
• Hips –Zimmer M/L Taper withKinectivTechnology,Trabecular MetalAcetabular Revision System, 32mmTrabecular Metal Natural Cup,Zimmer MIS Anterior Supine Hip Procedure,Trilogy LongevityConstrained Liners
• Knees –Zimmer Gender SolutionsPatellofemoral Joint Prosthesis,Zimmer MIS LPS-Mobile Tibial Components*,Trabecular MetalTibial Tray,ProlongLPS-Mobile Articular Surfaces*,NexGenPosterior Referencing Instruments,ZimmerSegmental Distal Femurs, Fluted Stems,Trabecular MetalCollars
• Extremities –Anatomical ShoulderFracture Stems,Bigliani/FlatowGlenoid Reamers
• Trauma –ZimmerPeriarticular Locking Plates,ZimmerUniversal Locking System
• Dental –PurosDermis, 4.1mmTapered Screw VentImplant, 4.7mmZimmerOne-Piece Implant, Straight Ceramic Abutments
• Spine –DynesysDTO, ARAStm Retractor Instrumentation,Puros-C Cervical Composite Allograft,Trabecular MetalVBR-S, VBR-L, and Vista-S
• OSP – Universal Mixer, Glove Liners
• Biologics –DeNovoNT Natural Tissue Graft,CopiOsPaste
*Not available for commercial distribution in the United States.
Other new product, surgical technique and instrument introductions in the orthopaedic reconstructive implants, spine implants, trauma, orthopaedic surgical products and orthobiologics product categories are more fully described above under the captions “PRODUCTS” and “ORTHOBIOLOGICS”. These and other new products introduced in the last three years accounted for approximately 25 percent of 2007 total sales.
We are broadening our product offerings in each of the product categories and exploring new technologies with possible applications in multiple areas. For the years ended December 31, 2008, 2007 2006 and 2005,2006, we spent $194.0 million, $209.6 million, $188.3 million, and $175.5$188.3 million, respectively, on research and development. The increaseddecreased spending on research and development expenditures have acceleratedin 2008 reflects delays connected with our operational compliance with the outputDPA and CIA and implementation of new orthopaedicour enhanced compliance and dental reconstructive implants, spine and trauma products, including advanced new materials,ethics initiatives. We intend to increase spending on product designs and surgical techniques.development in 2009. Our primary research and development facility is located in Warsaw, Indiana. In 2007, we completed our research and development facility expansion project in Warsaw. We have other research and development personnel based in, among other places, Winterthur, Switzerland; Austin, Texas; Minneapolis, Minnesota; Carlsbad, California; Dover, Ohio; and Parsippany, New Jersey. As of December 31, 2007,2008, we employed more than 700800 research and development employees worldwide.
 
We willexpect to continue to identify innovative technologies and consider acquiring complementary products or businesses, or establishing technology licensing arrangements or strategic alliances.
 
GOVERNMENT REGULATION OF OUR OPERATIONSAND COMPLIANCE
 
We are subject to government regulation in the countries in which we conduct business. In the United States,U.S., numerous laws and regulations govern all the processes by which medical devices are brought to market. These include, among
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

others, the Federal Food, Drug and Cosmetic Act and regulations issued or promulgated thereunder. The U.S. Food and Drug Administration (FDA) has enacted regulations that control all aspects of the development, manufacture, advertising, promotion and postmarket surveillance of medical products, including medical devices. In addition, the FDA controls the access of products to market through processes designed to ensure that only products that are safe and effective are made available to the public.
 
Most of our new products fall into FDA classifications that require the submission of a Premarket Notification (510(k)) to the FDA. This process requires us to demonstrate that the device to be marketed is at least as safe and effective as, that is, substantially equivalent to, a legally marketed device. We must submit information that supports our substantial equivalency claims. Before we can market the new device, we must receive an order from the FDA finding substantial equivalence and clearing the new device for commercial distribution in the United States. Other devices we develop and market are in a category (class) for which the FDA has implemented stringent clinical investigation and Premarket Approval (PMA) requirements. The PMA process requires us to provide clinical and laboratory data that establishes that the new medical device is safe and effective. The FDA will approve the new device for commercial distribution if it determines that the data and information in the PMA constitute valid scientific evidence and that there is reasonable assurance that the device is safe and effective for its intended use(s). All of our devices marketed in the United States have been cleared or approved by the FDA, with the exception of certainpre-amendment devices which were in commercial distribution prior to May 28, 1976. The FDA has grandfathered these devices, so new FDA submissions are not required. Some low risk medical devices (including most instruments) also do not require FDA review and approval or clearance prior to commercial distribution. The FDA has the authority to: halt the distribution of certain medical devices; detain or seize adulterated or misbranded medical devices; or order the repair, replacement of or refund the costs of such devices. There are also certain requirements of state, local and foreign governments that we must comply with in the manufacture and marketing of our products.
 
In many of the foreign countries in which we market our products, we are subject to local regulations affecting, among other things, design and product standards, packaging requirements and labeling requirements. Many of the regulations applicable to our devices and products in these countries are similar to those of the FDA. The member countries of the European Union have adopted the European Medical Device Directive, which creates a single set of medical device regulations for products marketed in all member countries. Compliance with the Medical Device
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Directive and certification to a quality system enable the manufacturer to place a CE mark on its products. To obtain authorization to affix the CE mark to a product, a recognized European Notified Body must assess a manufacturer’s quality systems and the product’s conformity to the requirements of the Medical Device Directive. We are subject to inspection by the Notified Bodies for compliance with these requirements.
 
Further, we are subject to various federal and state laws concerning healthcare fraud and abuse, including false claims laws and anti-kickback laws. These laws are administered by, among others, the U.S. Department of Justice, the Office of Inspector General of the Department of Health and Human Services and state attorneys general. Many of these agencies have increased their enforcement activities with respect to medical device manufacturers in recent years. In 2007, we and other major U.S. orthopaedic manufacturers settled alleged violations of the federal Anti-Kickback Statute with the U.S. Department of Justice. As part of this settlement, we entered into a Deferred Prosecution Agreement and a Corporate Integrity Agreement and paid a civil settlement amount. See “Item 1A — Risk Factors — RISKS RELATED TO OUR BUSINESS” for more information about our obligations under these agreements. We are continuing to enhance our Corporate Compliance Program and are applying these enhancements to all of our businesses on a global basis. We are monitoring our practices on an ongoing basis to better ensure that we have proper controls in place to comply with the laws referenced above. Violations of these laws are punishable by criminaland/or civil sanctions, including, in some instances, fines, imprisonment and, within the United States, exclusion from participation in government healthcare programs, including Medicare, Medicaid and Veterans Administration (VA) health programs. As part of meeting our obligations under the 2007 DPA, we developed and have substantially implemented enhanced compliance initiatives and are applying these enhancements in most respects to all of our businesses on a global basis.
 
Our facilities and operations are also subject to complex federal, state, local and foreign environmental and occupational safety laws and regulations, including those relating to discharges of substances in the air, water and land, the handling, storage and disposal of wastes and the cleanupclean-up of properties by pollutants. We do not expect that the ongoing costs of compliance with these environmental requirements will have a material impact on our consolidated earnings, capital expenditures or competitive position.
 
COMPETITION
 
The orthopaedics industry is highly competitive. In the global markets for reconstructive implants, trauma and orthopaedicrelated surgical products, our major competitors include: DePuy Orthopaedics, Inc. (a subsidiary of Johnson & Johnson), Stryker Corporation, Biomet, Inc., Synthes, Inc., Smith & Nephew plc, Wright Medical Group, Inc. and Tornier Inc.
 
In the Americas geographic segment, we and DePuy Orthopaedics, Inc., Stryker Corporation, Biomet, Inc., Smith & Nephew, Inc. (a subsidiary of Smith & Nephew plc), Wright Medical Group, Inc. and Synthes, Inc., account for a large majority of the total reconstructive and trauma implant sales.
 
In the Asia Pacific market for reconstructive implant and trauma products, we compete primarily with DePuy Orthopaedics, Inc., Stryker Corporation, Synthes, Inc. and Smith & Nephew plc, as well as regional companies, including Japan Medical Materials Corporation and Japan Medical Dynamic Marketing, Inc. Factors, such as the dealer system,
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

complex regulatory environments and the accompanying inability to compete on price, make it difficult for smaller companies, particularly those that are non-regional, to compete effectively with the market leaders in the Asia Pacific region.
 
The European reconstructive implant and trauma product markets are more fragmented than the Americas or the Asia Pacific segments. The variety of philosophies held by European surgeons regarding hip reconstruction, for example, has fostered the existence of many regional European companies, including Mathys AG and Waldemar LINK GmbH & Co. KG, which, compete with us in addition to the global competitors.competitors, compete with us. Today most hip implants sold in Europe are products developed specifically for Europe,the European market, although global products are gaining acceptance. Therefore, weWe will continue to develop and produce specially tailored products to meet specific European needs.
 
In the spinal implant category, we compete globally primarily with Medtronic Sofamor Danek, Inc. (a subsidiary of Medtronic, Inc.), DePuy Spine (a subsidiary of Johnson & Johnson), Synthes, Inc., Stryker Corporation and EBI, L.P., now operating as Biomet Trauma and Biomet Spine (a subsidiary of Biomet, Inc.).
 
In the dental reconstructive implant category, we compete primarily with Nobel Biocare Holding AG, Straumann Holding AG and Implant Innovations, Inc. (a subsidiary of Biomet, Inc.).
 
Competition within the industry is primarily based on technology, innovation, quality, reputation and customer service. A key factor in our continuing success in the future will be our ability to develop new products and improve existing products and technologies. Where possible, we will continue to seek patent, trademark and other intellectual property protection concerning the surgical techniques, materials, technologies and products we design and develop.
 
MANUFACTURING AND RAW MATERIALS
 
We manufacture substantially all of our products at eight locationssites including Warsaw, Indiana; Winterthur, Switzerland; Ponce, Puerto Rico; Dover, Ohio; Statesville, North Carolina; Carlsbad, California; Parsippany, New Jersey; and Etupes, France. In February 2008, we announced plans to open a new manufacturing facility in Shannon, Ireland.Ireland and are scheduled to open the facility in the second half of 2009.
 
We believe that our manufacturing facilities set industry standards in terms of automation and productivity and have the flexibility to accommodate future growth. The manufacturing operations at these facilities are designed to incorporate the cellular concept for production and to implement tenets of a manufacturing philosophy focused on continuous operational improvement.improvement and optimization. In addition, at certain of our manufacturing facilities, many of the employees are cross-trained.cross-trained to perform a broad array of operations.
 
We generally target operating our manufacturing facilities at levels up to 90 percent of total capacity. We continually evaluate the potential to in-source products currently purchased from outside vendors toon-site production.
 
ImprovingWe have improved our manufacturing process capability and productivity have been major contributorsprocesses to improvement inprotect our profitability and offset the impact of inflationary costs. Major areas of improvementWe have, included utilization offor example, employed computer-assisted robots and multi-axis grinders to precision polish medical devices, automation ofdevices; automated certain manufacturing and inspection processes, including on-machine inspection and process controls,controls; purchased state-of-the-art equipment purchases and upgrades, in-sourcing of equipment; in-sourced
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

core products, such as castings and forgings, high-speed machining,forgings; and negotiated reductions in third party supplier costs.
 
We use a diverse and broad range of raw materials in the manufacturing of our products. We purchase all of our raw materials and select components used in manufacturing our products from external suppliers. In addition, we purchase some supplies from single sources for reasons of quality assurance, sole source availability, cost effectiveness or constraints resulting from regulatory requirements. We work closely with our suppliers to assure continuity of supply while maintaining high quality and reliability. To date, we have not experienced any significant difficulty in locating and obtaining the materials necessary to fulfill our production schedules.
 
INTELLECTUAL PROPERTY
 
Patents and other proprietary rights are important to the continued success of our business. We also rely upon trade secrets, know-how, continuing technological innovation and licensing opportunities to develop and maintain our competitive position. We protect our proprietary rights through a variety of methods, including confidentiality agreements and proprietary information agreements with vendors, employees, consultants and others who may have access to proprietary information. We own or control through licensing arrangements more than 4,000 issued patents and patent applications throughout the world that relate to aspects of the technology incorporated in many of our products.
 
EMPLOYEES
 
We employ more than 7,6008,500 employees worldwide, including more than 700800 employees dedicated to research and development. Nearly 4,700Over 5,200 employees are located within the United States and approximately 2,9003,300 employees are located outside of the United States, primarily throughout Europe and in Japan. We have over 3,3003,600 employees dedicated to manufacturing our products worldwide. The Warsaw, Indiana production facility employs more than 1,5001,600 employees. Fewer than 200 North American employees are members of a trade union covered by a collective bargaining agreement.
 
In May 2007, we renewed a collective bargaining agreement with the United Steel, Paper and Forestry, Rubber Manufacturing, Energy, Allied Industrial and Service Workers International Union for and on behalf of Local2737-15 covering employees at the Dover, Ohio facility, which continues in effect until May 15, 2012.
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

EXECUTIVE OFFICERS
 
 
The following table sets forth certain information with respect to our executive officers as of January 31, 2008.2009.
 
     
Name Age Position
 
David C. Dvorak 4445 President and Chief Executive Officer
Cheryl R. Blanchard, Ph.D.  4344 Senior Vice President, Research and Development and Chief Scientific Officer
Sheryl L. Conley47Group President, Americas and Global Marketing and Chief Marketing Officer
James T. Crines 4849 Executive Vice President, Finance and Chief Financial Officer
Derek M. Davis 3839 Vice President, Finance and Corporate Controller and Chief Accounting Officer
Jon E. KramerJeffery A. McCaulley 6143 President, U.S. SalesZimmer Reconstructive
Bruno A. Melzi 6061 Chairman, Europe, Middle East and Africa
Stephen H.L. Ooi 5455 President, Asia Pacific
Chad F. Phipps 3637 Senior Vice President, General Counsel and Secretary
Mark C. Throdahl
57Group President, Global Businesses
 
Mr. Dvorakwas appointed President, Chief Executive Officer and a member of the Board of Directors of Zimmer Holdings on May 1, 2007. From December 2005 to April 2007, Mr. Dvorak served as Group President, Global Businesses and Chief Legal Officer. From October 2003 to December 2005, Mr. Dvorak served as Executive Vice President, Corporate Services, Chief Counsel and Secretary, as well as Chief Compliance Officer. Mr. Dvorak was appointed Corporate Secretary in February 2003. He joined Zimmer Holdings in December 2001 as Senior Vice President, Corporate Affairs and General Counsel.
 
Dr. Blanchardwas appointed Senior Vice President, Research and Development and Chief Scientific Officer of Zimmer Holdings in December 2005. She is responsible for global research, global development, global quality, orthobiologics, external researchGlobal Research and emerging technologies.Development,Quality and Regulatory, Medical Education, and Medical Affairs. From October 2003 to December 2005, Dr. Blanchard served as Vice President, Corporate Research and Clinical Affairs and from August 2002 to October 2003, she served as Vice President, Research and Biologics.
Ms. Conleywas appointed Group President, Americas and Global Marketing and Chief Marketing Officer of Zimmer Holdings in December 2005. She is responsible for all global marketing and all Western Hemisphere operations, including our business in the United States, Canada and Latin America. From October 2003 to December 2005, Ms. Conley served as President, Global Products Group and from September 2002 to October 2003, she served as President, Zimmer Reconstructive.
 
Mr. Crineswas appointed Executive Vice President, Finance and Chief Financial Officer of Zimmer Holdings on May 1, 2007. From December 2005 to April 2007, Mr. Crines served as Senior Vice President, Finance, Operations and Corporate Controller and Chief Accounting Officer. From October 2003 to December 2005, Mr. Crines served as Senior Vice President, Finance/Controller and Information Technology and from July 2001 to October 2003, he served as Vice President, Finance/Controller.
 
Mr. Daviswas appointed Vice President, Finance and Corporate Controller and Chief Accounting Officer of Zimmer Holdings in May 2007. He has responsibility for internal and external reporting, planning and analysis, and corporate and business
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

unit accounting. From March 2006 to May 2007, Mr. Davis served as Director, Financial Planning and Accounting. From December 2003 to March 2006, Mr. Davis served as Director, Finance, Operations and Logistics and from April 2003 to December 2003, he served as Associate Director, Finance.
Mr. McCaulleywas appointed President, Zimmer Reconstructive in December 2008. He has responsibility for our activities in the reconstructive devices market, including Global Marketing and Americas Sales. Prior to joining us, Mr. DavisMcCaulley served as President and Chief Executive Officer of the Health Division of Wolters Kluwer, a leading provider of scientific information and workflow solutions for healthcare professionals, providers, payors and the pharmaceutical industry, from November 2004 to November 2008. Prior to joining Wolters Kluwer, Mr. McCaulley served as Vice President Finance/Corporate Controller for International Wire in Fort Wayne, Indiana.
Mr. Kramerwas appointed President, U.S. Sales of Zimmer Holdings in December 2005. He is responsible for our sales activities throughout the United States. From August 2004 to December 2005, Mr. Kramer served as President, Americas. From October 2003 to August 2004, Mr. Kramer served as Vice President, U.S. Sales and from 2001 to October 2003, he was our Area Vice President for the Southeast regionGeneral Manager of the United States.Diabetes Division of Medtronic, Inc., a global leader in medical technology, from 2002 to 2004.
 
Mr. Melziwas appointed Chairman, Europe, Middle East and Africa of Zimmer Holdings in October 2003. He is responsible for the sales, marketing and distribution of products in the European, Middle Eastern and African regions. From March 2000 to October 2003, Mr. Melzi served as President, Europe/MEA.
 
Mr. Ooiwas appointed President, Asia Pacific of Zimmer Holdings in December 2005. He is responsible for the sales, marketing and distribution of products in the Asia Pacific region, including responsibility for Japan. From September 2003 to December 2005, Mr. Ooi served as President, Australasia, where he was responsible for operations in Asia Pacific, excluding Japan. From September 2002 to September 2003, Mr. Ooi served as President, Asia Pacific region.
 
Mr. Phippswas appointed Senior Vice President, General Counsel and Secretary of Zimmer Holdings in May 2007. He has global responsibility for our legal affairs and he serves as Secretary to the Board of Directors. Mr. Phipps also oversees our Government Affairs, Corporate Communication and Public Relations activities. From December 2005 to May 2007, Mr. Phipps served as Associate General Counsel and Corporate Secretary and from September 2003 to December 2005, he served as Associate Counsel and Assistant Secretary.
Mr. Throdahlwas appointed Group President, Global Businesses of Zimmer Holdings in May 2008. He is responsible for Zimmer Spine, Zimmer Dental, Zimmer Trauma, Zimmer Orthopaedic Surgical Products, Zimmer Computer Assisted Solutions and Accelero Health Partners. Prior to joining us, Mr. PhippsThrodahl served as Vice PresidentChief Executive Officer of Consort Medical plc (formerly Bespak plc), a leader in medical devices for inhaled drug delivery and General Counsel of L&N Sales and Marketing, Inc.anesthesia based in Pennsylvania.Milton Keynes, United Kingdom, from June 2001 to December 2007.
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

AVAILABLE INFORMATION
 
Our Internet website address is www.zimmer.com. Our annual reports onForm 10-K, quarterly reports onForm 10-Q, current reports onForm 8-K and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act are available or may be accessed free of charge through the Investor Relations section of our Internet website as soon as reasonably practicable after we electronically file such material with, or furnish it to, the SEC. Our Internet website and the information contained therein or connected thereto are not intended to be incorporated by reference into this Annual Report onForm 10-K.
 
The following corporate governance and related documents, among others, are available through our website or may be obtained in print form, without charge, by request to our Investor Relations Department: Corporate Governance Guidelines, Code of Business Conduct, Code of Ethics for Chief Executive Officer and Senior Financial Officers, Audit Committee Charter, Compensation and Management Development Committee Charter, Corporate Governance Committee Charter and Science and Technology Committee Charter.
 
We intend towill post on our Internet website any substantive amendment to, or waiver from, our Code of Ethics for Chief Executive Officer and Senior Financial Officers or a provision of our Code of Business Conduct that applies to any of our directors or executive officers.
ITEM 1A.Risk Factors
 
Risk factors which could cause actual results to differ from our expectations and which could negatively impact our financial condition and results of operations are discussed below and elsewhere in this report. The risks and uncertainties described below are not the only ones we face. Additional risks and uncertainties not presently known to us or that are currently not believed to be significant to our business may also affect our actual results and could harm our business, financial condition and results of operations. If any of the risks or uncertainties described below or any additional risks and uncertainties actually occur, our business, results of operations and financial condition could be materially and adversely affected.
 
RISKS RELATED TO OUR BUSINESS
 
If we fail to comply with the terms of the Deferred Prosecution Agreement and Corporate Integrity Agreement we entered into in September 2007, we may be subject to criminal prosecutionand/or exclusion from federal healthcare programs.
 
As previously reported, onin September 27, 2007 we settled an investigation conducted by the United States Attorney’s Office for the District of New Jersey (the “U.S. Attorney”) into financial relationships between major orthopaedic manufacturers and consulting orthopaedic surgeons. As part of that settlement, we entered into a Deferred Prosecution Agreement (the “DPA”) with the U.S. Attorney and a Corporate Integrity Agreement (the “CIA”) with the Office of Inspector General of the Department of Health and Human Services (the “OIG-HHS”). Copies of the DPA and CIA are filed as exhibits to this report and a copy of the DPA is available on our website at www.zimmer.com.
 
The DPA has a term of 18 months and provides for oversight by a federally appointed monitor.
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

If we breachdo not comply with the DPA,terms of these agreements, we could be subject to prosecution for violations of the federal Anti-Kickback Statute that the U.S. Attorney alleges we committed between 2002 and 2006, as well as any new or continuing violations. We could also be subject to exclusion by OIG-HHS from participation in federal healthcare programs, including Medicaid and Medicare. Any of these consequences would have a material adverse effect on our results of operations.
The CIA requires us to continue our Corporate Compliance Program and to adhere to certain other provisions, including reporting requirements. We also agreed to retain an independent review organization to perform annual reviews to assist us in assessing our compliance with the CIA to ensure that arrangements we enter into do not violate the federal Anti-Kickback Statute. If we breach the CIA, the OIG-HHS may take further action against us, up to and including excluding us from participation in federal healthcare programs, which would have a material adverse effect on our financial condition, results of operations and cash flows.
 
Our recent settlement with the Department of Justice and OIG-HHSWe could leadbe subject to further governmental investigations or actions by other third parties.
As a result of the publicity surrounding our recent settlement with the Department of Justice and OIG-HHS, including theparties based on allegations of wrongdoing similar to those made by the U.S. Attorney,Attorney.
Our settlement with the U.S. government does not preclude other governmental agencies includingor state authorities could conductfrom conducting investigations or instituteinstituting proceedings that are not precludedbased on allegations of wrongdoing similar to those made by terms of that settlement.the U.S. Attorney. As previously disclosed, we are cooperating with the U.S. Securities and Exchange Commission has commencedand the U.S. Department of Justice with regard to an informal investigation into sales by us and other companiespotential violations of the Foreign Corrupt Practices Act in the sale of medical devices in a number of foreign countries.countries by companies in the medical device industry. We are also cooperating with an investigative demanddemands made by onetwo state attorneyattorneys general. While we believe that the pending state investigation isinvestigations are not likely to have a material adverse effect on our business or financial condition, similar investigations by other states or governmental agencies are possible. In addition, in January 2008, we received a written request from the United States Senate Special Committee on Aging (“Committee”), seeking, among other things, additional information regarding the financial relationships we publicly disclosed pursuant to the DPA. We responded to this request in writing and through testimony before the Committee in February 2008. Also, as previously reported, two shareholder derivative actions were filed purportedly on our behalf against current and two former directors relating to oversight of the conduct that lead to the settlement with the U.S. Attorney. In addition, the settlement with the U.S. Attorneygovernment could increase our exposure to lawsuits by potential whistleblowers under the federal false claims acts, based on new theories or allegations arising from the allegations made by the U.S. Attorney. We intend to review and take appropriate actions with respect to any such investigations or proceedings; however, we cannot assure that
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

the costs of defending or resolving those investigations or proceedings would not have a material adverse effect on our financial condition, results of operations and cash flows.
 
If we are not able to fulfill or otherwise resolve our existing royalty and other payment obligations to consulting surgeonshealthcare professional consultants and institutions, our ability to maintain our existing intellectual property rights and obtain future rights may be impaired.
 
We are reviewinghave reviewed our existing royalty agreements we have entered into with consulting surgeonshealthcare professional consultants and institutions and assessing whether we can fulfill our obligations under these agreements in viewlight of the requirements of the DPA. IfFollowing our review, we resumed paying royalties with respect to some of the agreements. With respect to others, we made lump-sum payments to resolve our accrued and future royalty obligations and secure rights to the intellectual property. With respect to the remaining agreements, if we do not perform thosefulfill our obligations or reach some other resolution acceptable to the affected consulting surgeonshealthcare professional consultants and institutions, our ability to use the intellectual property covered by those agreements may be adversely affected. In addition, our ability to enter into new agreements with consulting surgeonshealthcare professional consultants or institutions for the future developmentacquisition of intellectual property rights may be adversely affected.
 
Our ongoing efforts to enhancetemporary suspension of the U.S. marketing and distribution of one of our Corporate Compliance Program globally will require cooperation by many employees and othership products has adversely affected sales, resulted in claims and may divert substantial financial and human resources fromadversely affect our other business activities.ability to compete in the growing hip resurfacing market in the U.S.
 
In July 2008, we temporarily suspended the marketing and distribution of ourDuromAcetabular Component (DuromCup) in the U.S. We are committedbelieve this action adversely affected our hip product sales in the U.S. in the last half of 2008. Although we resumed U.S. marketing and distribution in August 2008, we expect the effects of this action will continue to devoting sufficienthave a negative impact through 2009.
Following our action, product liability lawsuits and other claims were asserted against us and we expect additional similar claims will be asserted. In addition, we expect that our entry into the growing U.S. hip resurfacing market has been delayed as theDuromCup had been integral to our plans for entry into that market.
The implementation of our enhanced global compliance program is requiring us to devote substantial resources, is disruptive to normal business activities and may place us at a competitive disadvantage.
Since entering into the DPA and CIA, we have devoted substantial resources to meet our obligations under the DPAthose agreements and CIA. We have also announcedimplemented enhancements to our intentionglobal compliance program applicable in most respects to further enhance our Corporate Compliance Program and to expand those enhancements into all of our businesses on a global basis. Successful implementation of this enhanced program will require the full cooperation of our employees, distributors and sales agents and the healthcare professionals with whom they interact. These efforts have not only involveinvolved significant expense, but also requirerequired management and other key employees to focus extensively on these matters, preventing them from devoting as much time as they otherwise would to other business matters.
In addition, if If our competitors do not make similar enhancements to their compliance programs, this may place us at a competitive disadvantage and adversely affect our results of operations.
We believe we have lost market share as a result of recent events. If we are not able to recover or grow our market share, our operating results could be materially adversely affected.
We believe that the disruptive effects of the product suspensions and recalls in 2008 and the implementation of our enhanced global compliance initiatives contributed to customer losses during the last half of 2008. We may not be able to recapture market share lost due to these events and we may continue to lose customers due to these factors in the future.
 
If we fail to retain the independent agents and distributors upon whom we rely heavily to market our products, customers may not buy our products and our revenue and profitability may decline.
 
Our marketing success in the United States and abroad depends significantly upon our agents’ and distributors’ sales and service expertise in the marketplace. Many of these agents have developed professional relationships with existing and potential customers because of the agents’ detailed knowledge of products and instruments. A loss of a significant number of these agents could have a material adverse effect on our business and results of operations. If some of the business practices of our independent sales agents and distributors are challenged as unlawful, they may have to change these practices, which could have a material adverse effect on our business and results of operations.
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
If we do not introduce new products in a timely manner, our products may become obsolete over time, customers may not buy our products and our revenue and profitability may decline.
 
Demand for our products may change, in certain cases, in ways we may not anticipate because of:
• evolving customer needs;
• changing demographics;
• slowing industry growth rates;
• declines in the reconstructive implant market;
• the introduction of new products and technologies;
• evolving surgical philosophies; and
• evolving industry standards.
 
Without the timely introduction of new products and enhancements, our products may become obsolete over time. If that happens, our revenue and operating results would suffer. The success of our new product offerings will depend on several factors, including our ability to:
• properly identify and anticipate customer needs;
• commercialize new products in a timely manner;
• manufacture and deliver instruments and products in sufficient volumes on time;
• differentiate our offerings from competitors’ offerings;
• achieve positive clinical outcomes for new products;
• satisfy the increased demands by healthcare payors, providers and patients for shorter hospital stays, faster post-operative recovery and lower-cost procedures;
• innovate and develop new materials, product designs and surgical techniques; and
• provide adequate medical education relating to new products.
 
In addition, new materials, product designs and surgical techniques that we develop may not be accepted quickly, in some or all markets, because of, among other factors:
• entrenched patterns of clinical practice;
• the need for regulatory clearance; and
• uncertainty with respect to third-party reimbursement.
 
Moreover, innovations generally require a substantial investment in research and development before we can determine their commercial viability and we may not have the financial resources necessary to fund the production. In addition, even if we are able to successfully develop enhancements or new generations of our products, these enhancements or new generations of products may not produce revenue in excess of the costs of development and they may be quickly rendered obsolete by changing customer preferences or the introduction by our competitors of products embodying new technologies or features.
 
We conduct a significant amount of our sales activity outside of the United States, which subjects us to additional business risks and may cause our profitability to decline due to increased costs.
 
Because weWe sell our products in more than 100 countries our business is subject to risks associated with doing business internationally. In 2007, we derived approximately $1,757.2 million, or 45%and derive more than 40% of our total revenue,net sales from sales of our products outside of the United States. We intend to continue to pursue growth opportunities in sales internationally, which could expose us to additional risks associated with international sales and operations. Our international operations
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

are, and will continue to be, subject to a number of risks and potential costs, including:
• changes in foreign medical reimbursement policies and programs;
• unexpected changes in foreign regulatory requirements;
• differing local product preferences and product requirements;
• fluctuations in foreign currency exchange rates;
• diminished protection of intellectual property in some countries outside of the United States;
• trade protection measures and import or export requirements that may prevent us from shipping products to a particular market and may increase our operating costs;
• foreign exchange controls that might prevent us from repatriating cash earned in countries outside the United States;
• complex data privacy requirements and labor relations laws;
• extraterritorial effects of U.S. laws such as the Foreign Corrupt Practices Act;
• difficulty in staffing and managing foreign operations;
• labor force instability;
• potentially negative consequences from changes in tax laws; and
• political and economic instability.
 
Violations stemming from any of the above identified risksforeign laws or regulations could result in fines, criminal sanctions against us, our officers or our employees, prohibitions on the conduct of our business and damage to our reputation.
 
We are subject to risks arising from currency exchange rate fluctuations, which can increase our costs, and may cause our profitability to decline.decline and expose us to counterparty risks.
 
A substantial portion of our foreign revenues are generated in Europe and Japan. The United States dollar value of our foreign-generated revenues varies with currency exchange rate fluctuations. Significant increases in the value of the United States dollar relative to the Euro or the Japanese Yen, as well as other currencies, could have a material adverse effect on our results of operations. WeAlthough we address currency risk management through regular operating and financing activities, and, on a limited basis, through the use of derivative financial instruments.instruments, those actions may not prove to be fully effective. The current global economic crisis has generally increased the risk of entering into derivative financial instruments, we enter into are in the form of foreign exchange forward contracts witheven if major international financial institutions. The forward contracts are designed to hedge anticipated foreign currency transactions, primarily intercompany sale and purchase transactions, for periods consistent with commitments. Realized and unrealized gains and losses on these contracts that qualifyinstitutions act as cash flow hedges are temporarily recorded in other comprehensive income, and then recognized in earnings when the hedged item affects net earnings.counterparties.
 
We may fail to adequately protect our proprietary technology and other intellectual property, which would allow competitors or others to take advantage of our research and development efforts.
 
Our long-term success largely depends on our ability to market technologically competitive products. If we fail to obtain or maintain adequate intellectual property protection, we may not be able to prevent third parties from using our proprietary technologies. Also, our currently pending or future patent applications may not result in issued patents. In the United States, patent applications are confidential for 18 months following their filing,patents, and because third parties may have filed patent applications for technology covered by our pending patent applications without our being aware of those applications, our patent applications may not have priority over patent applications of others. In addition, our issued patents may not containare subject to claims sufficiently broad to protect us against third parties with similar technologies or products, or provide us with any competitive advantage. If a third party initiates litigation regarding our patents, our collaborators’ patents, or those patents for which we have license rights,concerning priority, scope and is successful, a court could declare our patents invalid or unenforceable or limit the scope of coverage of those patents.other issues.
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
The United States Patent and Trademark Office (USPTO) and the courts have not consistently treated the breadth of claims allowed or interpreted in orthopaedic reconstructive implant and biotechnology patents. If the USPTO or the courts begin to allow or interpret claims more broadly, the incidence and cost of patent interference proceedings and the risk of infringement litigation will likely increase. On the other hand, if the USPTO or the courts begin to allow or interpret claims more narrowly, the value of our proprietary rights may be reduced. AnyFuture changes in, or unexpected interpretations of, the patent laws may adversely affect our ability to enforce our patent position.
 
In addition, intellectual property rights may be unavailable or of limited effect in some foreign countries, which could make it easier for competitors to capture market position. Competitors may also capture market share from us by designing products that mirror the capabilities of our products or technology without infringing our intellectual property rights.countries. If we do not obtain sufficient international protection for our intellectual property, our competitiveness in international markets could be impaired, which wouldcould limit our growth and future revenue.
 
We also rely uponattempt to protect our trade secrets, proprietary know-how and continuing technological innovation to remain competitive. We attempt to protect this information with security measures, including the use of confidentiality agreements with our employees, consultants, and collaborators. These individualsmeasures may breach these agreementsprove to be ineffective and any remedies available to us may be insufficient to compensate our damages. Furthermore, our trade secrets, know-how and other technology may otherwise become known or be independently discovered by our competitors.
 
We may be subject to intellectual property litigation and infringement claims, which could cause us to incur significant expenses or prevent us from selling our products.
 
A successful claim of patent or other intellectual property infringement against us could adversely affect our growth and profitability, in some cases materially. From time to time, we receive notices from third parties of potential infringement and receive claims of potential infringement. We may be unaware of intellectual property rights of others that may cover some of our technology. If someone claims that our products infringed their intellectual property rights, any resulting litigation could be costly and time consuming and would divert the attention of management and key personnel from other business issues.
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

The complexity of the technology involved and the uncertainty of If we were to lose such litigation involving material intellectual property litigation increase these risks. Claims of intellectual property infringement also might require us to enter into costly royalty or license agreements. However,rights, we may be unable to obtain royaltymanufacture, sell or license agreements on terms acceptable to us or at all. We also may be subject to significant damages or an injunction preventing us from manufacturing, selling or usinguse some of our products in the event of a successful claim of patent or other intellectual property infringement. Any of these adverse consequences could have a material adverse effect on our business, financial condition and results of operations.products.
 
We may completemake additional acquisitions whichor enter into strategic alliances that could increase our costs or liabilities or be disruptive.
 
We intend to continue to look for additional strategic acquisitions of other businesses that are complementary to our businesses. Acquisition involves risk,businesses and other companies with whom we could form strategic alliances or enter into other arrangements to develop or exploit intellectual property rights. These activities involve risks, including the following:
• we may need to divert more management resources to integration than we planned, which may adversely affect our ability to pursue other more profitable activities;
• the difficulties of integrationintegrating acquired businesses may be increased if we need to integrate geographically separated organizations, personnel with disparate business backgrounds and companies with different corporate cultures;
• we may not eliminate as many redundant costs as werecognize expected cost savings from acquisitions or the anticipated in selecting benefits of strategic alliances;
• our acquisition candidates;candidates or strategic partners may have unexpected liabilities or prove unable to meet their obligations to us or the joint venture; and
• one or morethe priorities of our acquisition candidates alsostrategic partners may have liabilities or adverse operating issues that we failed to discover through our diligence prior to the acquisition.prove incompatible with ours.
If we are unable to form strategic alliances, or if our strategic alliances fail to achieve their objectives, our operating results will be negatively impacted.
We have entered into strategic alliances with other orthopaedic and biotechnology companies. These include our collaboration with ISTO Technologies, Inc. relating to regenerative cartilage technology and our distribution agreement with Heraeus relating to orthopaedic bone cement products. The success of these and similar arrangements is largely dependent on technology and other intellectual property contributed by our strategic partners or the resources, efforts and skills of these partners. Disputes and difficulties in such relationships are common, often due to conflicting priorities. Merger and acquisition activity may exacerbate these issues. The benefits of these alliances are reduced or eliminated when strategic partners:
• terminate the agreements or limit our access to the underlying intellectual property;
• fail to devote financial or other resources to the alliances and thereby hinder or delay development, manufacturing or commercialization activities;
• fail to successfully develop, manufacture or commercialize any products; or
• fail to maintain the financial resources necessary to continue financing their portion of the development, manufacturing, or commercialization costs or their own operations.
Furthermore, under some of our strategic alliances, we may make milestone payments well in advance of commercialization of products with no assurance that we will ever recoup these payments. We also may make equity investments in our strategic partners. These investments may decline in value and result in our incurring financial statement charges in the future.
 
We depend on a limited number of suppliers for some key raw materials and outsourced activities.
 
We use a number of suppliers for raw materials that we need to manufacture our products and to outsource some key manufacturing activities. These suppliers must provide the materials and perform the activities to our standards for us to meet our quality and regulatory requirements. Some key raw materials and outsourced activities can only be obtained from a single source or a limited number of sources. A prolonged disruption or other inability to obtain these materials or outsource key manufacturing activities could materially and adversely affect our ability to satisfy demand for our products, whichproducts.
We are subject to putative stockholder class action lawsuits that could havebe costly to defend and distracting to management.
We and a material adverse effect onnumber of our businessrelated parties are defending putative stockholder class action lawsuits alleging violations of the securities laws, breaches of fiduciary duties or violations of the federal Employee Retirement Income Security Act of 1974 arising out of trading or ownership of our common stock. We believe these lawsuits are without merit, and resultswe intend to defend them vigorously. We may incur significant expenses associated with the defense of these lawsuits, however, and the necessary participation of our executive officers could detract from their ability to devote their full time and attention to our business operations.
 
Our future profitability may be affected by changes to our product category and region sales mix.
Reconstructive implants produce the highest operating profit margins among our product categories. These products accounted for approximately 84% of 2007 net sales. Sales in our Americas region accounted for approximately 58% of 2007 net sales. Sales in the Americas region produce the highest operating profit margins in the geographic markets in which we operate. While we expect net sales of reconstructive implants and net sales in the Americas region to remain strong, changes to our product category mix or our region sales mix could adversely affect our future profitability.
RISKS RELATED TO OUR INDUSTRY
 
The ongoing informal investigation by the United StatesU.S. Securities and Exchange Commission regarding potential violations of the Foreign Corrupt Practices Act in the sale of medical devices in a number of foreign countries by companies in the medical device industry could have a material adverse effect on our business, financial condition and cash flows.
 
We are cooperating fully with the U.S. Securities and Exchange Commission and the U.S. Department of Justice with regard to an ongoing informal investigation of potential violations of the Foreign Corrupt Practices Act in the sale of medical devices in a number of foreign countries by companies in the medical device industry. The Foreign Corrupt Practices Act prohibits U.S. companies and their officers, directors, employees, stockholders acting on their behalf and agents from offering, promising, authorizing or making payments to foreign officials for the purpose of obtaining or retaining business abroad or otherwise obtaining favorable treatment and this law requires companies to maintain records which fairly and accurately reflect transactions and to maintain internal accounting controls. In many countries, hospitals and clinics are government-owned and healthcare professionals employed by such hospitals and clinics, with whom we regularly interact, meet the definition of a foreign official for purposes of the Foreign Corrupt Practices Act. Although we have adopted policies and procedures designed to prevent improper payments and we conduct training in this area, there
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

can be no assurancetrain our employees, distributors and others concerning these issues, we cannot assure that violations of these requirements dowill not occur in connection with sales of our medical devices.occur. If we are found to have violated the Foreign Corrupt Practices Act, we may face sanctions including fines, criminal penalties, disgorgement of profits and suspension or debarment of our ability to contract with governmental agencies or receive export licenses, which could have a material adverse effect on our business, financial condition and cash flows.licenses.
 
We are subject to healthcare fraud and abuse regulations on an ongoing basis that could require us to change our business practices and restrict our operations in the future.
 
Our industry is subject to various federal and state laws pertaining to healthcare fraud and abuse, including false claims
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

laws, the federal Anti-Kickback Statute, similar state laws and physician self-referral laws. We settled alleged violations of the federal Anti-Kickback Statute in September 2007, but we remain subject to these laws on an ongoing basis. Violations of these laws are punishable by criminaland/or civil sanctions, including, in some instances, fines, imprisonment and, within the United States, exclusion from participation in government healthcare programs, including Medicare, Medicaid and Veterans Administration (VA) health programs. The interpretation and enforcement of these laws and regulations are uncertain and subject to rapid change. We are continuing to enhance our Corporate Compliance Program and monitoring our practices on an ongoing basis to better ensure that we have proper controls in place to comply with these laws.
 
If third-party payors decline to reimburse our customers for our products or reduce reimbursement levels, the demand for our products may decline and our ability to sell our products profitably may be harmed.
 
We sell our products and services to hospitals, doctors, dentists and other healthcare providers, all of which receive reimbursement for the healthcare services provided to their patients from third-party payors, such as domestic and international government programs, private insurance plans and managed care programs. These third-party payors may deny reimbursement if they determine that a device used in a procedure was not in accordance with cost-effective treatment methods, as determined by the third-party payor, or was used for an unapproved indication. Third-party payors may also decline to reimburse for experimental procedures and devices. If our products are not considered cost-effective by third-party payors, our customers may not be reimbursed for our products.
 
In addition, third-party payors are increasingly attempting to contain healthcare costs by limiting both coverage and the level of reimbursement for medical products and services. For example, managed care programs often prescribe only those orthopaedic recovery products that match a patient as to age, need for mobility and other parameters in an effort to provide more cost-effective care. If third-party payors reduce reimbursement levels to hospitals and other healthcare providers for our products, demand for our products may decline or we may experience pressure to reduce the prices of our products, which could have a material adverse effect on our sales and results of operations.
 
In international markets, where the movement toward healthcare reform and the development of managed care are generally not as advanced as in the United States, weWe have also experienced downward pressure on product pricing and other effects of healthcare reform. In Japan, for example, a government-operated insurance system reimburses customers forreform in our products. Under this system, the Japaneseinternational markets. If key participants in government periodically reviews and reduceshealthcare systems reduce the reimbursement levels for products. If the Japanese government continues to reduce the reimbursement level for orthopaedicour products, our sales and results of operations may be adversely affected.
 
The ongoing cost-containment efforts of healthcare purchasing organizations may have a material adverse effect on our results of operations.
 
Many customers for our products have formed group purchasing organizations in an effort to contain costs. Group purchasing organizations negotiate pricing arrangements with medical supply manufacturers and distributors, and these negotiated prices are made available to a group purchasing organization’s affiliated hospitals and other members. If we are not one of the providers selected by a group purchasing organization, affiliated hospitals and other members may be less likely to purchase our products, and, if the group purchasing organization has negotiated a strict compliance contract for another manufacturer’s products, we may be precluded from making sales to members of the group purchasing organization for the duration of the contractual arrangement. Our failure to respond to the cost-containment efforts of group purchasing organizations may cause us to lose market share to our competitors and could have a material adverse effect on our sales and results of operations.
 
Continuing weakness in the global economy is likely to adversely affect our business until an economic recovery is underway.
A significant portion of our products are used in procedures covered by private insurance, many of which, including procedures using our dental products, may be considered elective procedures. We expect the current global economic crisis is likely to reduce the availability or affordability of private insurance or may impact patient decisions to have an elective procedure performed. If current economic conditions continue or worsen, we expect that increasing levels of unemployment and pressures to contain healthcare costs could adversely affect the global growth rate of hip and knee procedure volume, which could have a material adverse effect on our sales and results of operations.
Our success depends on our ability to effectively develop and market our products against those of our competitors.
 
We operate in a highly competitive environment. Our present or future products could be rendered obsolete or uneconomical by technological advances by one or more of our present or future competitors or by other therapies, including orthobiological therapies. To remain competitive, we must continue to develop and acquire new products and technologies.
In the global markets for reconstructive orthopaedic implants, trauma products and other orthopaedic products, a limited number of competitors, including DePuy Orthopaedics, Inc. (a subsidiary of Johnson & Johnson), Stryker Corporation, Biomet, Inc., Wright Medical Group, Inc., Synthes, Inc. and Smith & Nephew plc, compete with us for the majority of product sales. In the spinal implant category, we compete globally primarily with Medtronic Sofamor Danek, Inc. (a subsidiary of Medtronic, Inc.), DePuy Spine (a subsidiary of Johnson & Johnson), Synthes, Inc., Stryker Corporation and EBI, L.P. (a subsidiary of Biomet, Inc.). In the dental reconstructive implant category, we compete primarily with Nobel Biocare Holding AG, Straumann Holding AG, and Implant Innovations, Inc. (a subsidiary of Biomet, Inc.). Competition is primarily on the basis of:
• technology;
• innovation;
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

• quality;
• reputation; and
• customer service.

 
In markets outside of the United States, other factors influence competition as well, including:
• local distribution systems;
• complex regulatory environments; and
• differing medical philosophies and product preferences.
 
Our competitors may:
• have greater financial, marketing and other resources than us;
• respond more quickly to new or emerging technologies;
• undertake more extensive marketing campaigns;
• adopt more aggressive pricing policies; or
• be more successful in attracting potential customers, employees and strategic partners.
 
Any of these factors, alone or in combination, could cause us to have difficulty maintaining or increasing sales of our products.
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

We and our customers are subject to various governmental regulations relating to the manufacturing, labeling and marketing of our products and we may incur significant expenses to comply with these regulations and develop products compatible with these regulations.
 
The medical devices we design, develop, manufacture and market are subject to rigorous regulation by the FDA and numerous other federal, state and foreign governmental authorities. The process of obtaining regulatory approvals to market a medical device particularly from the FDA and certain foreign governmental authorities, can be costly and time consuming and approvals might not be granted for future products on a timely basis, if at all. Delays in receipt of, or failure to obtain, approvals for future products could result in delayed realization of product revenues or in substantial additional costs which could have a material adverse effect on our business or results of operations.costs.
 
In addition, if we fail to comply with applicable FDA medical device or other material regulatory requirements, including, for example, the Quality System Regulation, recordkeeping regulations, labeling requirements and adverse event reporting regulations, that failure could result in, among other things:we may be subject to a range of sanctions including:
• warning letters;
• fines or civil penalties;
• injunctions;
• repairs, replacements or refunds;
• recalls or seizures of products;
• total or partial suspension of production;
• the FDA’s refusal to grant future premarket clearances or approvals;
• withdrawals or suspensions of current product applications; and
• criminal prosecution.
 
Any of these actions, in combination or alone, could have a material adverse effect on our business, financial condition and results of operations.
In many of the foreign countries in which we market our products, we are subject to regulations affecting, among other things:
• clinical efficacy;
• product standards;
• packaging requirements;
• labeling requirements;
• import/export restrictions;
• tariff regulations;
• duties; and
• tax requirements.
Many of the regulations applicable to our devices and products in these countries, such as the European Medical Devices Directive, are similar to those of the FDA. In addition, in many countries the national health or social security organizations require our products to be qualified before they can be marketed with the benefit of reimbursement eligibility. Failure to receive, or delays in the receipt of, relevant foreign qualifications also could have a material adverse effect on our business, financial condition and results of operations.
As both the FDA and foreign government regulators have become increasingly stringent, we may be subject to more rigorous regulation by governmental authorities in the future. Our products and operations are also often subject to the rules of industrial standards bodies, such as the International Standards Organization. If we fail to adequately address any of these regulations, our business will be harmed.
 
We may incur product liability losses, and insurance coverage may be inadequate or unavailable to cover these losses.
 
Our business is subject to potential product liability risks that are inherent in the design, development, manufacture and marketing of medical devices. Our products are often used in surgical and intensive care settings. In addition, some of the medical devices we manufacture and sell are designed to be implanted in the human body for long periods of time. In the ordinary course of business, we are the subject of product liability lawsuits alleging that component failures, manufacturing flaws, design defects or inadequate disclosure of product-related risks or product-related information resulted in an unsafe condition or injury to patients. Product liability lawsuits and claims, safety alerts or product recalls, regardless of their ultimate outcome, could have a material adverse effect on our business and reputation and on our ability to attract and retain customers.
 
As part of our risk management policy,Although we maintain third-party product liability insurance coverage. However, product liabilitycoverage, it is possible that claims against us may exceed the coverage limits of our insurance policies or cause us to record a self-insured loss. Even if any product liability loss is covered by an insurance policy, these policies maytypically have substantial retentions or deductibles that provide that we will not receive insurance proceeds until the losses incurred exceed the amount of those retentions or deductibles. We will beare responsible for paying any losses that are below those retentions or deductibles. A productfor. Product liability claimclaims in excess of applicable insurance could have a material adverse effect on our business, financial condition and results of operations.
ITEM 1B.Unresolved Staff Comments
 
Not Applicable.
 
 
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

ITEM 2.Properties
 
We have the following properties:
         
Location Use Owned/Leased  Square Feet
 
Warsaw, Indiana Research & Development, Manufacturing, Warehousing, Marketing & Administration  Owned  1,400,000
Warsaw, Indiana Corporate Headquarters & The Zimmer Institute  Owned  117,000
Warsaw, Indiana Offices, Manufacturing & Warehousing  Leased  90,000
Carlsbad, California Offices, Research & Development & Manufacturing  Leased  118,000
Plainville, MassachusettsOffices, Manufacturing & WarehousingLeased22,000
Minneapolis, Minnesota Offices & Research & Development  Owned  51,000
Cedar Knolls, New Jersey Manufacturing & Warehousing  Leased  23,000
Parsippany, New Jersey Research & Development, Manufacturing & Warehousing  Leased  115,000
Statesville, North Carolina Manufacturing & Warehousing  Owned  156,000
Dover, Ohio Offices, Research & Development & Manufacturing  Owned  140,000
Dover, Ohio Warehousing  Leased  61,000
Memphis, Tennessee Offices & Warehousing  Leased  30,000
Austin, Texas Offices, Research & Development & Distribution  Leased  34,00097,000
Sydney, Australia Offices & Warehousing  Leased  36,000
Vienna, Austria Offices & Warehousing  Leased  15,000
Wemmel, Belgium Offices & Warehousing  Leased  15,000
Mississauga, Canada Offices & Warehousing  Leased  52,000
Shanghai, China Offices & Warehousing  Leased  18,000
Etupes, France Offices, Manufacturing & Warehousing  Owned  90,000
Freiburg, Germany Offices & Warehousing  Leased  51,000
Kiel, Germany Offices & Warehousing  Leased  21,000
Shannon, IrelandOffices, Manufacturing & WarehousingOwned125,000
Milan, Italy Offices & Warehousing  Leased  47,000
Gotemba, Japan Offices, Service Center & Warehousing  Owned  87,000
Tokyo, Japan Offices & Warehousing  Leased  24,000
Seoul, Korea Offices & Warehousing  Leased  22,000
Utrecht, Netherlands Offices & Warehousing  Leased  16,000
Ponce, Puerto Rico Offices, Manufacturing & Warehousing  Owned  213,000
Singapore Offices & Warehousing  Leased  10,000
Barcelona, Spain Offices & Warehousing  Leased  16,000
Baar, Switzerland Warehousing  Leased  40,000
Winterthur, Switzerland Offices, Research & Development & Manufacturing  Leased  319,000358,000
Münsingen, Switzerland Offices & Warehousing  Owned  76,000
Swindon, United Kingdom Offices & Warehousing  Leased  70,000
 
 
In February 2008 we announced plans to expandWe began construction of our global manufacturing network by adding 100,000new 125,000 square feet of manufacturing capacity at a newShannon, Ireland facility in Shannon, Ireland. We2008 and expect to begin manufacturing operations at this facility in late 2008.the second half of 2009. In an effort to expand our global distribution network, we have begun construction on a 130,000 square feet warehouse facility in Eschbach, Germany. We expect to begin utilizing this facility in the second half of 2009. We believe the current facilities, including manufacturing, warehousing, research and development and office space, together with the planned expansion provide sufficient capacity to meet ongoing demands. Once a facility reaches 85 percent utilization, we examine alternatives for either expanding that facility or acquiring new facilities to meet our ongoing demands.
 
In addition to the above, we maintain more than 100 other offices and warehouse facilities in more than 25 countries around the world, including the United States, Japan, Australia, France, Russia, India, Germany, Italy, Switzerland and China. We believe that all of the facilities and equipment are in good condition, well maintained and able to operate at present levels.
ITEM 3.Legal Proceedings
 
Information pertaining to legal proceedings can be found in Note 1516 to the Consolidated Financial Statements, which are included in this report under Item 8.
ITEM 4.Submission of Matters to a Vote of Security Holders
 
Not Applicable.
 
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Part II
ITEM 5.Market for the Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities
 
Our common stock is traded on the New York Stock Exchange and the SWX Swiss Exchange under the symbol “ZMH.” The high and low sales prices for our common stock on the New York Stock Exchange for the calendar quarters of fiscal years 20072008 and 20062007 are set forth as follows:
 
                
Quarterly High-Low Share Prices High Low  High Low 
 
Year Ended December 31, 2008:      
First Quarter $79.78  $63.80 
Second Quarter $80.92  $66.12 
Third Quarter $74.55  $60.41 
Fourth Quarter $66.42  $34.10 
       
Year Ended December 31, 2007:            
First Quarter $88.18  $76.90  $88.18  $76.90 
Second Quarter $94.38  $83.67  $94.38  $83.67 
Third Quarter $91.00  $75.14  $91.00  $75.14 
Fourth Quarter $85.91  $63.00  $85.91  $63.00 
      
Year Ended December 31, 2006:      
First Quarter $72.87  $64.87 
Second Quarter $68.80  $55.68 
Third Quarter $69.44  $52.20 
Fourth Quarter $79.11  $66.93 
 
 
We have not declared or paid dividends on our common stock since becoming a public company on August 6, 2001. Currently, we do not anticipate paying any cash dividends on the common stock in the foreseeable future. Our credit facility also restricts the payment of dividends under certain circumstances.
 
The number of beneficial owners of our common stock on February 13, 20082009 was approximately 439,600.470,800. On February 13, 2008,2009, the closing price of the common stock, as reported on the New York Stock Exchange, was $78.51$41.06 per share.
 
The information required by this Item concerning equity compensation plans is incorporated by reference to Item 12 of this report.
 
The following table summarizes repurchases of common stock settled during the three months ended December 31, 2007:2008:
 
             
      Total Number of Shares
 Approximate Dollar Value of
      Purchased as Part of
 Shares that May Yet Be
  Total Number of
 Average Price
 Publicly Announced Plans
 Purchased Under Plans
  Shares Purchased Paid per Share or Programs(1) or Programs
 
October 2007  679,600 $74.89  18,400,200 $685,963,162
November 2007  945,000  68.60  19,345,200  621,139,846
December 2007      19,345,200  621,139,846
          
          
Total  1,624,600 $71.23  19,345,200 $621,139,846
             
                 
        Total Number of Shares
  Approximate Dollar Value of
 
        Purchased as Part of
  Shares that May Yet Be
 
  Total Number of
  Average Price
  Publicly Announced Plans
  Purchased Under Plans
 
  Shares Purchased  Paid per Share  or Programs(1)  or Programs 
  
October 2008  1,189,100  $40.47   30,066,500  $1,134,346,296 
November 2008            
December 2008            
             
             
Total  1,189,100  $40.47   30,066,500  $1,134,346,296 
                 
 
 
(1) In December 2005, our Board of Directors authorizedIncludes repurchases made under expired programs as well as the repurchase of up to $1program announced in April 2008 authorizing $1.25 billion of common stockrepurchases through December 31, 2007. In December 2006, our Board of Directors authorized an additional repurchase of up to $1 billion of common stock through December 31, 2008.2009.
 
 
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

ITEM 6.Selected Financial Data
 
The financial information for each of the past five years ended December 31 is set forth below (in millions, except per share amounts):
 
                                   
Summary of Operations 2007 2006 2005 2004 2003(1) 2008 2007 2006 2005 2004 
 
Net sales $3,897.5 $3,495.4 $3,286.1 $2,980.9 $1,901.0 $4,121.1  $3,897.5  $3,495.4  $3,286.1  $2,980.9 
Net earnings  773.2  834.5  732.5  541.8  346.3  848.6   773.2   834.5   732.5   541.8 
Earnings before cumlative effect of change in accounting principle(2)
  773.2  834.5  732.5  541.8  291.2
Earnings per common share                         
Basic $3.28 $3.43 $2.96 $2.22 $1.67
Diluted  3.26  3.40  2.93  2.19  1.64
Earnings per common share before cumlative effect of change in accounting principle(2)
          
Basic         $1.40 $3.73  $3.28  $3.43  $2.96  $2.22 
Diluted          1.38  3.72   3.26   3.40   2.93   2.19 
Average common shares outstanding                         
Basic  235.5  243.0  247.1  244.4  207.7  227.3   235.5   243.0   247.1   244.4 
Diluted  237.5  245.4  249.8  247.8  211.2  228.3   237.5   245.4   249.8   247.8 
Balance Sheet Data
                         
Total assets $6,633.7 $5,974.4 $5,721.9 $5,695.5 $5,156.0 $7,239.0  $6,633.7  $5,974.4  $5,721.9  $5,695.5 
Short-term debt        27.5  101.3              27.5 
Long-term debt  104.3  99.6  81.6  624.0  1,007.8  460.1   104.3   99.6   81.6   624.0 
Other long-term obligations  328.4  323.4  348.3  420.9  352.6  353.9   328.4   323.4   348.3   420.9 
Stockholders’ equity  5,449.6  4,920.5  4,682.8  3,942.5  3,143.3  5,650.3   5,449.6   4,920.5   4,682.8   3,942.5 
(1) Includes the results of the former Centerpulse AG subsequent to October 2, 2003.
(2) Reflects earnings for the year ended December 31, 2003 before the cumulative effect of an accounting change of $55.1 million related to the January 1, 2003, change in the method of accounting for instruments which we own and are used by orthopaedic surgeons during total joint replacement and other surgical procedures. Instruments are recognized as long-lived assets and are included in property, plant and equipment and are depreciated using the straight-line method based on estimated useful lives, determined principally in reference to associated product life cycles, primarily five years. Prior to 2003, undeployed instruments were carried as a prepaid cost and recognized in selling, general and administrative expense in the year in which the instruments were placed into service.
 
 
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

ITEM 7.Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
The following discussion and analysis should be read in conjunction with the consolidated financial statements and the corresponding notes included elsewhere in thisForm 10-K.
 
OVERVIEW
 
We are a global leader in the design, development, manufacture and marketing of reconstructive orthopaedic implants, including joint and dental reconstructive implants, spinal implants, trauma products and related orthopaedic surgical products (sometimes referred to in this report as “OSP”). We also provide other healthcare related services. Reconstructive orthopaedicOrthopaedic reconstructive implants restore joint function lost due to disease or trauma in joints such as knees, hips, shoulders and elbows. Dental reconstructive implants restore function and aesthetics in patients thatwho have lost teeth due to trauma or disease. Spinal implants are utilized by orthopaedic surgeons and neurosurgeons in the treatment of degenerative diseases, deformities and trauma in all regions of the spine. Trauma products are devices used primarily to reattach or stabilize damaged bone and tissue to support the body’s natural healing process. OSP include supplies and instruments designed to aid in orthopaedic surgical procedures and post-operation rehabilitation. We have operations in more than 25 countries and market products in more than 100 countries. We manage operations through three reportable geographic segments  the Americas, Europe and Asia Pacific.
 
Certain percentages presented in this discussion and analysis are calculated from the underlying whole-dollar amounts and therefore may not recalculate from the rounded numbers used for disclosure purposes. Certain amounts in the 2007 and 2006 consolidated financial statements have been reclassified to conform to the 2008 presentation.
Beginning in 2008, our Hips product category sales no longer include bone cement and accessory sales, which have been reclassified to our OSP and Other product category. Amounts in the years ended December 31, 2007 and 2006 related to sales of bone cement and accessory products have been reclassified to conform to the 2008 presentation.
 
We believe the following developments or trends are important in understanding our financial condition, results of operations and cash flows for the year ended December 31, 2007.2008.
 
Demand (Volume and Mix) Trends
 
 
Increased volume and changes in the mix of product sales contributed 93 percentage points of 20072008 sales growth, which is 26 percentage points abovebelow the rate of growth from 20062007 compared to 2005.2006. We believeestimate that the orthopaedic procedure volume market growth rate on a global basis will continue to rise atbe in the mid single digit ratesdigits in the coming years driven by an aging global population, obesity and more active lifestyles, among other factors. In addition, the continued shift in demand to premium products, such asLongevity,DurasulandProlongHighly Crosslinked Polyethylenes,Trabecular MetalTechnology products, high-flex knees, knee revision products and porous hip stems, continue to positively affect sales growth. For example, during 2007, sales of products incorporatingTrabecular MetalTechnology were over $210 million, ayear-over-yearOur 2008 increase of over 26 percent.3 percentage points decreased from 2007 and was lower than market growth due to the factors discussed below.
 
We believe innovative surgical approaches will continue to significantly affect the orthopaedics industry. In 2007, we acquired ORTHOsoft Inc., a market leader in surgical navigation in orthopaedics. Combined with our SmartTools strategic initiative, we are focused on becoming a leader in operating room efficiency and enhancing surgical outcomes through the use of innovative navigation devices and cutting tools. We continued our significant progress in the development and introduction of MIS Implants, Procedures and Technologies. During the year ended December 31, 2007, The Zimmer Institute trained nearly 1,700 surgeons on advanced techniques, including approximately 850 surgeons on MIS Procedures.
We believe innovative products will continue to affect the orthopaedics industry. In the second half of 2006, we launched theZimmer Gender Solutions High-Flex Knee Femoral Implant. High Flex Knees now make up approximately 44 percent of our total femoral unit sales on a global basis, having grown from approximately 28 percent prior to the launch of theZimmer Gender SolutionsKnee.
Pricing Trends
 
 
Selling prices were flat during 2007 compared2008, which is similar to a modest increase during 20062007 when compared to 2005.2006. Asia Pacific selling prices decreased 13 percentage pointpoints for the year ended December 31, 2007,2008, compared to a 21 percent decrease in 20062007 when compared to 2005. As anticipated, the Japanese government reduced2006. Japan and Australia reported 4 percent and 3 percent decreases, respectively, in average selling prices as a result of scheduled reductions in reimbursement rates during 2007. This action affected sales inprices. Japan negatively byand Australia combined represent approximately 5 percent for 2007, while other Asia Pacific markets were flat to positive. Japan represents approximately 710 percent of our sales. TheSelling prices in the Americas experiencedwere flat during 2008, compared to a 1 percent increase in selling prices during 2007, compared to a 2 percent increase in 2006.2007. In Europe, selling prices for 2007 decreased2008 were flat, compared to a 1 percent the same decrease we saw in 2006 as compared to 2005. Within Europe, Germany and Italy reported decreases in average selling prices of 4 percent and 2 percent, respectively, in 2007, as a result of reductions in government implant reimbursement rates and group purchasing arrangements while most other European markets were positive to flat. Germany and Italy combined represent approximately 11 percent of our sales.2007. With the effect of governmental healthcare cost containment efforts and pressure from group purchasing organizations, we expect global selling prices are expected to remain flat in 2008.2009.
 
Foreign Currency Exchange Rates
 
 
For 2007,2008, foreign currency exchange rates had a positive 3 percent effect on global sales growth. If foreign currency exchange rates remain consistent with the year end rates, we estimate that the weakera stronger dollar versus foreign currency exchange rates will have a positivenegative effect in 20082009 of approximately 24 percent on sales. We address currency risk through regular operating and financing activities, and, under appropriate circumstances and subject to proper authorization, through the use of forward contracts and options solely for managing foreign currency volatility and risk. Changes to foreign currency exchange rates affect sales growth, but due to offsetting gains/losses on hedge contracts and options, which are
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

recorded in cost of products sold, the effect on net earnings in the near term is expected to be minimal.
 
New Product Sales
New products, which we define as products or stock keeping units (“SKU’s”) introduced within the prior36-month period to a particular market, accounted for 25 percent, or $961 million, of 2007 sales. Adoption rates for new technologies are a key indicator of performance in our industry. Our sales have grown with the introduction of new products, such asTrabecular Metal Modular Acetabular Cups, certain SKU’s of theNexGenComplete Knee Solution including theGender SolutionsKnee Femoral Implant for the LPS-Flex and CR-Flex Knees, theDynesys4Dynamic Stabilization System, theZimmerM/L Taper Hip Prosthesis andPALACOS5 Bone Cement.
We believe new products in our current pipeline should continue to favorably affect our operating performance. Products we expect to contribute to new product sales in 2008 include theGender SolutionsKnee Femoral Implant;Gender Solutions Natural-KneeFlex System; products incorporatingTrabecular MetalTechnology, including theTrabecular MetalPrimary Hip Prosthesis,Trabecular MetalAcetabular Revision System andTrabecular MetalAbbott Spine Implants;Zimmer M/L Taper Hip Prosthesis withKinectiv Technology,DuromAcetabular Cups withMetasul LDH Large Diameter Heads;Versys EpochComposite Hip Prosthesis;Zimmer Trabecular MetalReverse Shoulder System;Anatomical ShoulderInverse/Reverse System;ZimmerMIS Femoral Nailing Solutions;NCBLocking Plate System; andCopiOsBone Void Filler6.
AcquisitionsAcquisition
 
 
In April 2007,October 2008, we acquired Endius Incorporated,Abbott Spine, previously a privately held spinalsubsidiary of Abbott Laboratories, for approximately $360 million. The purchase price was funded by a combination of cash on hand and borrowings under existing credit facilities. This investment adds a number of innovative products company for an aggregate valueand helps build toward critical mass in the Spine product category. The acquisition also enhances our research and development capabilities in the Spine product category and strengthens our sales coverage. We recorded $48.7 million of approximately $80acquisition and integration costs in 2008 as a result of this transaction, including $38.5 million of in-process research and development expense. For more information regarding the acquisition of Abbott Spine, see Note 4 to the consolidated financial statements included elsewhere in cash, before adjustments for debt repayment and other items.thisForm 10-K.
 
In November 2007, we acquired ORTHOsoft Inc., a leader in computer navigation for orthopaedic surgery, in a cash transaction for an aggregate value of approximately $50 million.
 
Settlement of Department of Justice Investigation22


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Compliance-Related Matters
 
 
OnIn September 27, 2007, we and other major U.S. Orthopaedicorthopaedic manufacturers reached a settlement with the United StatesU.S. government to resolve all claims related to an ongoing investigation into financial relationships between the industry and consulting orthopaedic surgeons. As part ofWe paid the settlement, wegovernment $169.5 million and entered into a Deferred Prosecution Agreement with the United States Attorney’s Office for the District of New Jersey. Under the provisions of the Deferred Prosecution Agreement,(DPA) under which we arewill remain subject to oversight by a federalfederally-appointed monitor selected by the U.S. Attorney for a period of 18 months. We expect to continue to incur costs of approximately $6-9 million per quarter, to comply with the Deferred Prosecution Agreement through the remainder of the 18 month period.
We settled civil and administrative claims related to the federal investigation for a cash payment to the United States government of $169.5 million. We recorded a $169.5 million expense during the third quarter in connection with the settlement.March 27, 2009.
 
We also entered into a Corporate Integrity Agreement (CIA) with the Office of the Inspector General of the U.S. Department of Health and Human Services, which has a term of 5 years. For more information regarding the settlement, see Note 1516 to the consolidated financial statements included elsewhere in thisForm 10-K.
 
We did not record any tax benefit related to the $169.5 million payment in 2007. During 2008, we reached an agreement with the U.S. Internal Revenue Service confirming the deductibility of a portion of the payment and recorded a current tax benefit of $31.7 million, resulting in a decrease to the current period effective tax rate. For more information regarding the tax treatment of the settlement expense, see Note 12 to the consolidated financial statements included elsewhere in thisForm 10-K.
We have developed and substantially implemented enhanced global compliance initiatives which address areas such as product development, marketing, surgeon training and educational and charitable funding. The principles of this program meet or exceed the requirements of the DPA and CIA, as those principles are being applied in most respects to all product segments and reach all worldwide operations. Costs related to the DPA, CIA and the enhanced compliance initiatives in 2008 were approximately $60 million, including the fees incurred for the federally-appointed monitor.
New Accounting PronouncementsDurom Acetabular Component
 
 
On January 1, 2007,In July 2008, we adopted FIN 48, which addressestemporarily suspended marketing and distribution of the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recordedDurom Acetabular Component (DuromCup) in the financial statements. Under FIN 48,U.S. to permit us to update product labeling to provide more detailed surgical technique instructions and implement an enhanced surgical training program in the tax benefitsU.S. We resumed marketing and distribution of theDuromCup in the U.S. in August 2008.
During 2008, we received claims from an uncertain tax position may be recognized only if ita number ofDuromCup patients seeking reimbursement for costs and payments for alleged pain and suffering and we expect to receive additional similar claims. We recorded a provision for certain claims of $69.0 million in 2008, which represents management’s estimate of liability to patients undergoing revision surgeries related to theDurom Cup. The estimate is more likely than not thatlimited to revisions associated with surgeries occurring before July 2008 and within two years of the tax positionoriginal surgery date. Any claims received outside of these defined parameters will be sustained upon examination bymanaged in the taxing authorities, based on the technical meritsnormal course and reflected in our standard product liability accruals.
We believe we lost hip product sales during 2008, in large part as a consequence of the position. FIN 48 also provides guidance on derecognition, classification, interest and penalties on income taxes, accounting in interim periods and requires increased disclosures.events involving theDuromCup. In addition, we expect that our entry into the U.S. hip resurfacing market has been hindered or delayed as theDuromCup had previously been integral to our plans for entry into that market.
 
PriorOrthopaedic Surgical Products (OSP) Actions
In the first half of 2008, we initiated voluntary product recalls of certain OSP patient care products manufactured at our Dover, Ohio facility that we determined did not meet internal quality standards and we temporarily suspended production and sales of certain OSP products manufactured at the Dover facility. We estimate that these actions adversely impacted 2008 OSP revenues by approximately $70 million and 2008 diluted earnings per share by $0.18 including related inventory charges, idle plant costs and other non-recurring charges. We expect to the adoption of FIN 48, we hadhave a long term tax liability for expected settlement of various federal, state and foreign income tax liabilities that was reflected net of the corollary tax impactssignificant portion of these expected settlementsproducts back in production in the first quarter of $102.1 million, as well as a separate accrued interest liability2009, with most other products coming back into production in the second quarter of $1.7 million. 2009.
Impact of Disruptive Events on Market Share
As a result of the adoptiondisruptive factors discussed above, including our temporary suspension of FIN 48,U.S. marketing and distribution of theDuromCup, our voluntary recall and suspension of production of certain OSP patient care products, and the implementation of our enhanced global compliance initiatives, we are requiredhave suffered customer losses during 2008. We estimate that these customer losses reduced our knee and hip market share by 1.5 to present2.0 percent as measured from fourth quarter results. We expect our sales growth to be at a rate slower than the different components of such liability gross versus the historical net presentation. The adoption resultedmarket in the tax liability for unrecognized tax benefits decreasing by $6.4 million as of January 1, 2007.
This decrease in the tax liability resulted in a reductionnear term due to retained earnings of $4.8 million, a reduction in goodwill of $61.4 million, the establishment of a tax receivable of $58.2 million, and the addition of an interest/penalty payable of $7.9 million, all as of January 1, 2007.these disruptive factors.
 
20082009 Outlook
 
 
Our operating profit for 2008We expect conditions in the broader economy will be affected by the costs we will incur to implementresult in a numbertemporary slowdown in elective hospital procedures. Although many of recently announced initiatives thatour products are used in elective procedures, we believe will position usour core knee and hip franchises remain more insulated than most from swings in the broader economy because the need for these procedures does not diminish, even if the timing is affected.
We expect to respond better to the changing needsexperience further customer losses in 2009 affecting our knee and hip market share as a result of the healthcare market. Additionally, duringongoing effects of the disruptive factors discussed above. Our assumption is that share loss should stabilize by year-end 2009, as we anniversary out of the majority of the 2008 customer and product-related losses, and as we launch new products in sufficient quantities to recover some of the product-related losses.
Among our other product categories, we expect extremities and trauma sales growth to incur costsbe in line with market growth rates. We expect dental revenues to reflect the weak economic environment and to underperform relative to market growth rates given company-specific operational challenges. Finally, we expect spine revenues to increase as a result of approximately $6-9 million per quarter to complythe Abbott Spine acquisition and reflect sales dis-synergies associated with the Deferred Prosecution

4 TheDynesysDynamic Stabilization Spinal System is indicated for use as an adjunct to fusion inongoing integration of the U.S.two businesses.
5 PALACOS® is a trademark of Heraeus Kulzer GmbH
6 Manufactured by Kensey Nash Corporation

 
 
 
2423


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Agreement. The infrastructure and operating initiatives we plan to implement in 2008 include:
 • ZIMMER HOLDINGS, INC.Continuing to enhance our Corporate Compliance Program and to apply these enhancements to all business segments;
 • Opening a new manufacturing facility in Ireland that will add an additional 100,000 square feet of international manufacturing capacity;
 • Improving our quality system infrastructure;
 • Investing in our global information technology systems, including improving our field-based U.S. inventory and instrument tracking systems;
 • Increasing instrument deployments to permit our sales and distribution networks to respond more rapidly to changes in surgical demand patterns and capitalize on new business opportunities; and
 • Investing in our sales force, instrumentation and selling-related activities in our spine, dental and trauma business segments.2008FORM 10-K ANNUAL REPORT

 
We estimate that these initiatives will add up to approximately $100 million inIn 2009, our operating expenses will be impacted by a number of factors, which in the aggregate are expected to result in a modest net decrease in total expense compared to 2008. We expect to realize significant savings from third-party fees related to compliance with the DPA and the implementation of our enhanced compliance initiatives, Durom-related certain claims and acquisition, integration and other expenses. For 2009, however, we intend to partially offset those savings with increased spending in areas that suffered disruption in 2008, including product development and medical education. We also continue tostep-up our level of spending on quality systems to achieve our continuous improvement objectives in the monitoring feesareas of design and expenses.process control as well as ongoing product surveillance.
 
RESULTS OF OPERATIONS
 
Year Ended December 31, 20072008 Compared to Year Ended December 31, 20062007
 
  Net Sales by Operating Segment
 
 
The following table presents net sales by operating segment and the components of the percentage changes (dollars in millions):
 
                                           
 Year Ended December 31,   Volume/
   Foreign
  Year Ended December 31,   Volume/
   Foreign
 
 2007 2006 % Inc Mix Price Exchange  2008 2007 % Inc Mix Price Exchange 
   
Americas $2,277.0 $2,076.5  10%  8%  1%  1% $2,353.9  $2,277.0   3%  3%  %  %
Europe  1,081.0  931.1  16   8   (1)  9   1,179.1   1,081.0   9   4      5 
Asia Pacific  539.5  487.8  11   9   (1)  3   588.1   539.5   9   5   (3)  7 
                                        
       
Total $3,897.5 $3,495.4  12   9      3  $4,121.1  $3,897.5   6   3      3 
                                        
       
 
“Foreign Exchange” as used in the tables in this report represents the effect of changes in foreign exchange rates on sales growth.
 
  Net Sales by Product Category
 
 
The following table presents net sales by product category and the components of the percentage changes (dollars in millions):
 
                                           
 Year Ended December 31,   Volume/
   Foreign
  Year Ended December 31,   Volume/
   Foreign
 
 2007 2006 % Inc Mix Price Exchange  2008 2007 % Inc (Dec) Mix Price Exchange 
   
Reconstructive                                              
Knees $1,636.9 $1,460.5  12%  9%  %  3% $1,763.0  $1,634.6   8%  7%  (1)%  2%
Hips  1,298.9  1,188.9  9   7   (1)  3   1,279.5   1,221.4   5   2   (1)  4 
Extremities  104.0  77.6  34   30   1   3   121.0   104.0   16   14   1   1 
Dental  221.0  179.0  23   16   4   3   227.5   221.0   3      1   2 
                                        
       
Total  3,260.8  2,906.0  12   9      3   3,391.0   3,181.0   7   5   (1)  3 
                                        
       
Trauma  205.8  194.7  6   2   1   3   221.4   205.8   8   4   1   3 
Spine  197.0  177.4  11   9   1   1   230.6   197.0   17   14   2   1 
OSP and other  233.9  217.3  8   5   1   2   278.1   313.7   (11)  (14)     3 
                                        
       
Total $3,897.5 $3,495.4  12   9      3  $4,121.1  $3,897.5   6   3      3 
                                        
       
TheNexGenComplete Knee Solution product line, includingGender Solutions Knee Femoral Implants, theNexGenLPS-Flex Knee, theNexGenCR-Flex Knee and theNexGenLCCK Revision Knee, led knee sales. In addition, theZimmer Unicompartmental High-Flex Knee and theGender Solutions Natural-KneeFlex System exhibited strong growth.
The continued conversion to porous stems, including theZimmerM/L Taper Stem, theZimmerM/L Taper Stem withKinectivTechnology, theCLS SpotornoStem from theCLSHip System,and theAlloclassic ZweymüllerHip Stem, led hip stem sales, but was partially offset by weaker sales of cemented stems.Trabecular MetalAcetabular Cups andLongevityandDurasulHighly Crosslinked Polyethylene Liners also had strong growth. The temporary suspension of marketing and distribution of theDuromCup in the U.S. negatively impacted hip sales growth. Additionally, with the lack of a hip resurfacing product within our U.S. hip portfolio, we expect to face a continuing challenge in hip sales growth with the adoption of hip resurfacing in the U.S. market.
As a result of the disruptive factors discussed above, we suffered customer losses during 2008. We estimate that these customer losses reduced our knee and hip market share by 1.5 to 2.0 percent as measured from fourth quarter results. We expect to experience further customer losses in 2009 as a result of the ongoing effects of these disruptive factors.
TheBigliani/FlatowComplete Shoulder Solution and theZimmer Trabecular Metal Reverse Shoulder System led extremities sales. Orthobiologicals and prosthetic implants, including strong growth of theTapered Screw-VentImplant System, led dental sales.ZimmerPeriarticular Locking Plates and theI.T.S.T. Intertrochanteric/Subtrochanteric Fixation System led trauma sales. TheDynesys Dynamic Stabilization
24


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

System and theTrinicaSelect Anterior Cervical Plate System led spine sales, which also reflect an increase as a result of the Abbott Spine acquisition. OSP sales were negatively affected by the patient care product recalls and related voluntary suspension of production of certain products, but these negative factors were partially offset by strong growth inPALACOSBone Cement.
The following table presents estimated* 2008 global market size and market share information (dollars in billions):
                 
  Global
     Zimmer
  Zimmer
 
  Market
  Global Market
  Market
  Market
 
  Size  % Growth**  Share  Position 
  
 
Reconstructive                
Knees $6.4   8%  27%  1 
Hips  5.7   6   22   1 
Extremities  0.8   13   14   3 
Dental  3.2   7   7   4 
             
             
Total $16.1   7   21   1 
             
             
Trauma $4.1   10   5   5 
Spine*** $6.8   10   3   5 
  * Estimates based on competitor annual filings, Wall Street equity research and Company estimates
 ** Excludes the effect of changes in foreign exchange rates on sales growth
 *** Spine includes related orthobiologics
Americas Net Sales
The following table presents Americas net sales (dollars in millions):
             
  Year Ended December 31,    
  2008  2007  % Inc (Dec) 
  
 
Reconstructive            
Knees $1,089.8  $1,029.8   6%
Hips  576.1   568.3   1 
Extremities  88.1   73.9   19 
Dental  114.9   118.9   (3)
         
         
Total  1,868.9   1,790.9   4 
         
         
Trauma  125.8   122.9   2 
Spine  181.3   160.3   13 
OSP and other  177.9   202.9   (12)
         
         
Total $2,353.9  $2,277.0   3 
         
         
TheNexGenComplete Knee Solution product line, including theGender Solutions Knee Femoral Implants,NexGenLPS-Flex Knee, theNexGenLCCK Revision Knee and theNexGenCR-Flex Knee, led knee sales. TheGender Solutions Natural-Knee Flex System also made a strong contribution.
Growth in porous stems, including growth of theZimmerM/L Taper Stem and theZimmerM/L Taper Stem withKinectivTechnology, led hip stem sales, but was partially offset by weaker sales of cemented stems.Trabecular Metal Acetabular Cups andLongevityHighly Crosslinked Polyethylene Liners also made a strong contribution. As noted above, the temporary suspension of marketing and distribution of theDuromCup in the U.S. will continue to negatively impact hip sales and we also expect that the adoption of hip resurfacing in the U.S. market will continue to adversely affect our hip sales growth.
As a result of the disruptive factors discussed above, we suffered customer losses during 2008. These customer losses negatively impacted sales growth, primarily in the knee and hip product segments. We expect to experience further customer losses in 2009 as a result of the ongoing effects of these disruptive factors.
TheBigliani/FlatowShoulder Solution and theZimmer Trabecular MetalReverse Shoulder System led extremities sales. Negative sales growth for our dental business reflects disruptions caused by the implementation of our enhanced compliance initiatives and overall weakness in the U.S. economy.Zimmer Periarticular Plates and theI.T.S.T.Intertrochanteric/Subtrochanteric Fixation System led trauma sales. TheDynesysDynamic Stabilization System and theTrinicaSelect Anterior Cervical Plate System led spine sales, which also reflect an increase as a result of the Abbott Spine acquisition. OSP sales were negatively affected by the patient care product recalls and related voluntary suspension of production of certain products, but these negative factors were partially offset by strong growth inPALACOSBone Cement.
Europe Net Sales
The following table presents Europe net sales (dollars in millions):
             
  Year Ended December 31,    
  2008  2007  % Inc (Dec) 
  
 
Reconstructive            
Knees $452.6  $407.8   11%
Hips  493.9   459.9   7 
Extremities  25.8   23.2   11 
Dental  82.2   71.3   15 
         
         
Total  1,054.5   962.2   10 
         
         
Trauma  47.4   41.1   16 
Spine  40.1   31.2   29 
OSP and other  37.1   46.5   (20)
         
         
Total $1,179.1  $1,081.0   9 
         
         
Changes in foreign exchange rates positively affected both knee and hip sales by 5 percent. TheNexGenComplete Knee Solution product line, including theNexGenLPS-Flex Knee, theNexGenLCCK Revision Knee and theNexGenCR-Flex Knee, led knee sales in our Europe region.
Growth in porous stems, including theCLS SpotornoStem, led hip stem sales.LongevityandDurasulHighly Crosslinked Polyethylene Liners,Trabecular Metal Acetabular Cups and theAllofit®Hip Acetabular System also contributed to hip sales.
As a result of the disruptive factors discussed above, we suffered customer losses during 2008. These customer losses negatively impacted sales growth, primarily in the knee and hip product segments. We expect to experience further customer losses in 2009 as a result of the ongoing effects of these disruptive factors.
TheAnatomical ShoulderSystem and the Coonrad/Morrey Total Elbow led extremities sales. TheTapered Screw-VentImplant System led dental sales. TheCable-Ready®Cable Grip System and theNCBPlating System led
25


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

trauma sales, which were offset by weaker sales of our intramedullary fixation systems. TheDynesysDynamic Stabilization System and theOptimatm5 ZS Spinal Fixation System led spine sales. OSP sales were negatively affected by the patient care product recalls and related voluntary suspension of production of certain products.
Asia Pacific Net Sales
The following table presents Asia Pacific net sales (dollars in millions):
             
  Year Ended December 31,    
  2008  2007  % Inc (Dec) 
  
 
Reconstructive            
Knees $220.6  $197.0   12%
Hips  209.5   193.2   8 
Extremities  7.1   6.9   3 
Dental  30.4   30.8   (1)
         
         
Total  467.6   427.9   9 
         
         
Trauma  48.2   41.8   15 
Spine  9.2   5.5   65 
OSP and other  63.1   64.3   (2)
         
         
Total $588.1  $539.5   9 
         
         
Changes in foreign exchange rates positively affected knee sales by 6 percent and hip sales by 8 percent. Reported decreases in average selling prices negatively affected both knee and hip sales by 4 percent. TheNexGenComplete Knee Solution product line, theNexGenCR-Flex Knee and theNexGenLPS-Flex Knee led knee sales. TheGender SolutionsKnee Femoral Implant also made strong contributions to knee sales for the period.
The continued conversion to porous stems, including the Fiber Metal Taper Stem from theVerSysHip System, theAlloclassic ZweymüllerHip System and theCLS SpotornoStem, led hip stem sales. Sales ofLongevityandDurasulHighly Crosslinked Polyethylene Liners, theTrilogyAcetabular System andTrabecular MetalAcetabular Cups also increased.
As a result of the disruptive factors discussed above, we suffered customer losses during 2008. These customer losses negatively impacted sales growth, primarily in the knee and hip product segments. We expect to experience further customer losses in 2009 as a result of the ongoing effects of these disruptive factors.
TheBigliani/FlatowShoulder Solution and the Coonrad/Morrey Total Elbow led extremities sales. TheTapered Screw-VentImplant System led dental sales. Trauma sales were led by theI.T.S.T.Intertrochanteric/Subtrochanteric Fixation System. TheDynesysDynamic Stabilization System led spine sales. OSP sales were negatively affected by the patient care product recalls and related voluntary suspension of production of certain products.
Gross Profit
Gross profit as a percentage of net sales was 75.8 percent in 2008, compared to 77.5 percent in 2007. The following table reconciles the gross margin for 2007 to 2008:
Year ended December 31, 2007 gross margin77.5%
Foreign exchange impact, net(0.8)
Excess and obsolete inventory(0.6)
Inventorystep-up
(0.2)
Other(0.1)
Year ended December 31, 2008 gross margin75.8%
Gross margin decreased in 2008 primarily due to the unfavorable effect of year-over-year changes in foreign currency hedge gains and losses as well as an increase in excess inventory and obsolescence charges due to write-offs related to the OSP patient care product recalls and increased inventory levels as a result of lower than forecasted sales. Inventorystep-up related to the completion of the Abbott Spine acquisition during 2008 also had an unfavorable impact on gross margin.
Operating Expenses
Research and Development, or R&D, as a percentage of net sales was 4.7 percent for 2008, compared to 5.4 percent in 2007. R&D decreased to $194.0 million for 2008 from $209.6 million in 2007, reflecting decreased spending on certain development, clinical and external research activities due to delays connected with our operational compliance with the DPA and CIA and implementation of our enhanced compliance and ethics initiatives. We do not expect delays with our development programs in 2009 and therefore our R&D expense as a percentage of revenue is expected to return to historical levels of 5 to 6 percent.
Selling, general and administrative, or SG&A, as a percentage of net sales was 41.3 percent for 2008, compared to 38.2 percent in 2007. SG&A expense increased to $1,702.3 million for 2008, from $1,489.7 million in 2007. Increased SG&A costs include monitor fees as well as consulting and legal fees associated with the global implementation of our enhanced compliance initiatives. Expenses related to other operating initiatives also caused an increase in SG&A as a percentage of net sales. Such operating initiatives include the planned implementation of a global IT system and improving quality systems at our Dover facility. Additionally, selling costs increased as a result of the ORTHOsoft acquisition, an increase in the headcount of our sales force in certain locations, increased commission incentives to sell certain key products and a change in the mix of commissions earned as a result of lower OSP sales.
Settlement expense of $169.5 million for 2007 relates to the settlement of the federal investigation into financial relationships between major orthopaedic manufacturers and consulting orthopaedic surgeons.

5 Trademark of U & i Corporation

26


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Certain claims expense of $69.0 million is a provision for estimated claims fromDuromCup patients undergoing revision surgeries within specified periods. Acquisition, integration and other expenses increased to $68.5 million for 2008, compared to $25.2 million in 2007. The acquisition, integration and other expenses recorded during 2008 include $38.5 million for in-process research and development related to the Abbott Spine acquisition, costs related to the integration of Abbott Spine, facility consolidation costs, legal fees, and retention and termination payments, partially offset by favorable adjustments to certain liabilities of acquired companies. The acquisition, integration and other expenses recorded during 2007 reflect in-process research and development write-offs related to acquisitions, costs related to the integration of acquired U.S. distributors, estimated settlements for certain pre-acquisition product liability claims, integration consulting fees and costs for integrating information technology systems.
Operating Profit, Income Taxes and Net Earnings
Operating profit for 2008 decreased 3 percent to $1,090.0 million, from $1,127.6 million in 2007. Operating profit for 2007 includes the effect of the non-recurring settlement expense of $169.5 million. Excluding the impact of the settlement expense in 2007, operating profit for 2008 would still have been unfavorable compared to 2007 as a result of lower gross margins, significant but temporary increases in SG&A costs attributable to the implementation of our enhanced compliance initiatives and certain claims expense of $69.0 million.
Interest and other income for 2008 increased to $31.8 million, from $4.0 million in 2007. Interest and other income for 2008 includes a realized gain of $38.8 million related to the sale of certain marketable securities, partially offset by increased interest expense as a result of an increase in outstanding long-term debt.
The effective tax rate on earnings before income taxes and minority interest decreased to 24.3 percent for 2008, down from 31.6 percent in 2007. The effective tax rate for the 2007 period reflects the effect of the $169.5 million settlement expense, for which no tax benefit had previously been recognized. During 2008, we recorded a current tax benefit of $31.7 million related to the settlement expense, resulting in a decrease of approximately 3 percent to the current period effective tax rate. The effective tax rate for 2008 was further reduced as a result of increased profits in lower tax jurisdictions. These decreases in the effective tax rate were partially offset by Abbott Spine acquisition-related in-process research and development charges recorded during 2008 for which no tax benefit was recorded.
Net earnings increased 10 percent to $848.6 million for 2008, compared to $773.2 million in 2007, as the decrease in operating profit was more than offset by favorable items in interest and other income and a lower effective tax rate. Basic and diluted earnings per share increased 14 percent to $3.73 and $3.72, respectively, from $3.28 and $3.26 in 2007. The higher growth rate in earnings per share as compared to net earnings is attributed to the effect of 2008 and 2007 share repurchases.
Year Ended December 31, 2007 Compared to Year Ended December 31, 2006
Net Sales by Operating Segment
The following table presents net sales by operating segment and the components of the percentage changes (dollars in millions):
                         
  Year Ended December 31,     Volume/
     Foreign
 
  2007  2006  % Inc  Mix  Price  Exchange 
  
 
Americas $2,277.0  $2,076.5   10%  8%  1%  1%
Europe  1,081.0   931.1   16   8   (1)  9 
Asia Pacific  539.5   487.8   11   9   (1)  3 
                     
                     
Total $3,897.5  $3,495.4   12   9      3 
                     
                     
27


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Net Sales by Product Category
The following table presents net sales by product category and the components of the percentage changes (dollars in millions):
                         
  Year Ended December 31,     Volume/
     Foreign
 
  2007  2006  % Inc  Mix  Price  Exchange 
  
 
Reconstructive                        
Knees $1,634.6  $1,460.5   12%  9%  %  3%
Hips  1,221.4   1,126.9   8   6   (1)  3 
Extremities  104.0   77.6   34   30   1   3 
Dental  221.0   179.0   23   16   4   3 
                     
                     
Total  3,181.0   2,844.0   12   9      3 
                     
                     
Trauma  205.8   194.7   6   2   1   3 
Spine  197.0   177.4   11   9   1   1 
OSP and other  313.7   279.3   12   9   1   2 
                     
                     
Total $3,897.5  $3,495.4   12   9      3 
                     
                     
 
TheNexGenComplete Knee Solution product line, including theGender Solutions Knee Femoral Implants, theNexGenLPS-Flex Knee, theNexGenCR-Flex Knee, theNexGenRotating Hinge Knee and theNexGenLCCK Revision Knee led knee sales. In addition, theZimmerUnicompartmental High-Flex Knee and theInnex Total Knee System exhibited strong growth.
 
Growth in porous stems, including theZimmerM/L Taper Stem, theCLS Spotorno Stem from theCLSHip System,and theAlloclassic ZweymüllerHip Stem led hip stem sales, but werewas partially offset by weaker sales of cemented and revision stems. Sales of bone cement improved significantly, led byPALACOSBone Cement. In total, bone cement sales growth accounted for 1 percent of the 2007 hip sales growth over prior year.Trabecular MetalAcetabular Cups,Trabecular MetalPrimary Hip Prosthesis, DuromAcetabular Cups withMetasul LDH®Large Diameter Heads, andLongevityandDurasulHighly Crosslinked Polyethylene Liners also had strong growth. We expect to face a near term challenge in hip sales growth with the adoption of hip
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

resurfacing in the U.S. market. New products are expected to contribute to sales growth in the near term but not entirely offset the lack of a hip resurfacing product within our U.S. hip portfolio.
 
TheBigliani/FlatowComplete Shoulder Solution and the Coonrad/Morrey Total Elbow led extremities sales. Orthobiologicals and prosthetic implants, including strong growth of theTapered Screw-VentImplant System, led dental sales.ZimmerPeriarticular Locking Plates andZimmerPlates and Screws led trauma sales. TheDynesysDynamic Stabilization System, theTiTLE2 lumbar pedicle screw system, theTrinicaSelect Anterior CerivalCervical Plate System andTrabecular MetalImplants led spine sales. Extremity surgical products andPALACOSBone Cement led OSP sales.
The following table presents estimated* 2007 global market size and market share information (dollars in billions):
               
  Global
    Zimmer
  Zimmer
  Market
 Global Market
  Market
  Market
  Size % Growth**  Share  Position
 
 
Reconstructive              
Knees $5.8  10%  28%  1
Hips  5.0  9   26   1
Extremities  0.5  19   22   2
Dental  2.8  16   8   4
            
            
Total $14.1  11   23   1
            
            
Trauma $3.7  10   5   5
Spine*** $6.1  15   3   6
  * Estimates based on competitor annual filings, Wall Street equity research and our management
 ** Excludes the effect of changes in foreign exchange rates on sales growth
 *** Spine includes related orthobiologics
 
  Americas Net Sales
 
 
The following table presents Americas net sales (dollars in millions):
 
            
           Year Ended December 31,   
 Year Ended December 31,    2007 2006 % Inc 
 2007 2006 % Inc   
Reconstructive                      
Knees $1,031.5 $940.8  10% $1,029.8  $940.8   10%
Hips  629.9  579.4  9   568.3   533.8   6 
Extremities  73.9  54.2  36   73.9   54.2   36 
Dental  118.9  105.4  13   118.9   105.4   13 
                
       
Total  1,854.2  1,679.8  10   1,790.9   1,634.2   10 
                
       
Trauma  122.9  117.1  5   122.9   117.1   5 
Spine  160.3  146.9  9   160.3   146.9   9 
OSP and other  139.6  132.7  5   202.9   178.3   14 
                
       
Total $2,277.0 $2,076.5  10  $2,277.0  $2,076.5   10 
                
       
 
TheNexGenComplete Knee Solution product line, including theGender Solutions Knee Femoral Implants,NexGenLPS-Flex Knee,NexGen Trabecular MetalTibial Components, theNexGenLCCK Revision Knee and theNexGenCR-Flex Knee led knee sales. TheZimmerUnicompartmental High-Flex Knee also made a strong contribution.
 
Growth in porous stems, including growth of theZimmerM/L Taper Stem andTrabecular MetalPrimary Hip Prosthesis, led hip stem sales, but werewas partially offset by weaker sales of cemented stems.PALACOSBone Cement,Trabecular MetalAcetabular Cups andDuromAcetabular Cups withMetasul LDHLarge Diameter Heads also exhibited strong growth. Bone cement sales growth accounted for 2 percent of the 2007 hip sales growth over prior year. As noted above, we expect that the adoption of hip resurfacing in the U.S. market will adversely affect our hip sales growth in the near term.
 
TheBigliani/FlatowShoulder Solution and theTrabecular MetalHumeral Stem led extremities sales. TheTapered Screw-VentImplant System led dental sales.ZimmerPeriarticular Plates andZimmerPlates and Screws led trauma sales, but were offset by declining sales of intramedullary nails and compression hip screws. TheDynesysDynamic Stabilization System, theTrinicaSelect Anterior Cervical Plate System and SpinalTrabecular MetalImplants led spine sales. Extremity surgical productsPALACOSBone Cement led OSP sales.
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
  Europe Net Sales
 
 
The following table presents Europe net sales (dollars in millions):
 
                      
 Year Ended December 31,    Year Ended December 31,   
 2007 2006 % Inc  2007 2006 % Inc 
   
Reconstructive                      
Knees $408.2 $352.2  16% $407.8  $352.2   16%
Hips  467.8  417.8  12   459.9   408.3   13 
Extremities  23.2  17.9  30   23.2   17.9   30 
Dental  71.3  47.2  51   71.3   47.2   51 
                
       
Total  970.5  835.1  16   962.2   825.6   17 
                
       
Trauma  41.1  38.2  8   41.1   38.2   8 
Spine  31.2  24.8  26   31.2   24.8   26 
OSP and other  38.2  33.0  16   46.5   42.5   9 
                
       
Total $1,081.0 $931.1  16  $1,081.0  $931.1   16 
                
       
 
Changes in foreign exchange rates positively affected knee sales by 9 percent and hip sales by 8 percent. Excluding these foreign exchange rate effects, the following product categories experienced positive sales growth in our Europe region: theNexGenComplete Knee Solution product line, including theNexGen LPS-Flex Knee,NexGen Trabecular MetalTibial Components, theNexGenCR-Flex Knee, and theInnexTotal Knee System. Growth in porous stems, including theCLS SpotornoStem, led hip stem sales.LongevityandDurasulHighly Crosslinked Polyethylene Liners, theDuromHip Resurfacing System,Trabecular Metal Acetabular Cups and theAllofitHip Acetabular System also contributed to hip sales.
 
TheAnatomical ShoulderSystem, theAnatomical ShoulderInverse/Reverse System and the Coonrad/Morrey Total Elbow led extremities sales. The addition of a direct sales force in Italy as a result of a distributor acquisition contributed to growth in dental sales and theTapered Screw-VentImplant System led dental sales. TheCable-Ready®Cable Grip System,ZimmerPeriarticular Plates and theNCBPlating System led trauma sales, which were offset by weaker sales of our intramedullary fixation systems. TheDynesysDynamic Stabilization System andTrabecular MetalImplants led spine sales. Wound management products led OSP sales.
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

 
  Asia Pacific Net Sales
 
 
The following table presents Asia Pacific net sales (dollars in millions):
 
                      
 Year Ended December 31,    Year Ended December 31,   
 2007 2006 % Inc (Dec)  2007 2006 % Inc (Dec) 
   
Reconstructive                      
Knees $197.2 $167.5  18% $197.0  $167.5   18%
Hips  201.2  191.7  5   193.2   184.8   5 
Extremities  6.9  5.5  27   6.9   5.5   27 
Dental  30.8  26.4  17   30.8   26.4   17 
                
       
Total  436.1  391.1  12   427.9   384.2   11 
                
       
Trauma  41.8  39.4  6   41.8   39.4   6 
Spine  5.5  5.7  (4)  5.5   5.7   (4)
OSP and Other  56.1  51.6  8 
OSP and other  64.3   58.5   10 
                
       
Total $539.5 $487.8  11  $539.5  $487.8   11 
                
       
 
Changes in foreign exchange rates positively affected knee sales by 5 percent and positively affected hip sales by 2 percent. Reported decreases in average selling prices negatively affected hip sales by 3 percent. TheNexGenComplete Knee Solution product line, includingNexGen Trabecular MetalTibial Components, theNexGenCR-Flex Knee and theNexGenLPS-Flex Knee led knee sales. Launch of theGender SolutionsKnee Femoral Implant in Australia also contributed to strong knee sales for the year. The continued conversion to porous stems, including the Fiber Metal Taper Stem from theVerSysHip System, theAlloclassic ZweymüllerHip System and theCLS SpotornoStem led hip stem sales. Sales ofLongevityHighly Crosslinked Polyethylene Liners andTrabecular MetalAcetabular Cups also exhibited growth.
 
Extremities sales increased due to stronger sales of our shoulder and elbow products. TheTapered Screw-VentImplant System led dental sales. Trauma sales were led by strong growth inZimmerPeriarticular Plates andZimmer Plates and Screws, but were partially offset by a reported 5 percent decrease in average selling prices during 2007. A registration issue with theST360°®Spinal Fixation System in Japan resulted in a decrease in sales of this device, contributing to the negative growth in Spine sales for 2007. Powered surgical instruments and Bone Cement and accessories led OSP sales.
 
  Gross Profit
 
 
Gross profit as a percentage of net sales was 77.5 percent in 2007, compared to 77.7 percent in 2006. The following table reconciles the gross margin for 2006 to 2007:
 
     
Year ended December 31, 2006 gross margin  77.7%
Foreign exchange impact, net  (0.3)
Other  0.1 
 
 
Year ended December 31, 2007 gross margin  77.5%
 
 
 
The unfavorable effect of year over year changes in foreign currency hedge gains and losses were partially offset by lower unit manufacturing costs due to productivity gains as well as favorable geographic sales mix. These gains were further offset by increased inventory charges due to the impact of our newer products on aging product lines.
 
  Operating Expenses
 
 
Research and Development, or R&D as a percentage of net sales was 5.4 percent for 2007, which is unchanged from 2006. R&D increased to $209.6 million for 2007 from $188.3 million in 2006, reflecting increased spending on new product development across all of our product segments. In 2007, we continued to make investments in our research and development facilities in Warsaw, Indiana. We continued working with our third party partners on genetically engineered tissues for regenerative therapies, including soft tissue biological repair and replacement. New products, which we define as those introduced into a market in the preceding thirty-six months, accounted for approximately 25 percent of net sales in 2007 compared with 24 percent in 2006. In the fourth quarter of 2007, we announced FDA approval of theZimmer NexGenLPS-Flex Mobile Knee. Additionally, in the second half of 2007, we launched several new products, including theGender Solutions Natural-KneeFlex System, and theZimmerM/L Taper Prosthesis withKinectiv Technology. We continue to target our R&D spending at the high end of what we believe to be an industry average of 4-6 percent.
 
Selling, general and administrative, or SG&A, as a percentage of net sales was 38.2 percent for 2007, compared to 38.8 percent in 2006. The improvement in SG&A as a percent of net sales from the prior year is due to sales growth and well controlled spending.
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
Settlement expense of $169.5 million for 2007 relates to the settlement of the federal investigation into financial relationships between major orthopaedic manufacturers and consulting orthopaedic surgeons. Acquisition, integration and other items for 2007 were $25.2 million compared to $6.1 million in 2006. The acquisition, integration and other expenses recorded during 2007 reflect in-process research and development write-offs related to acquisitions, costs related to the integration of acquired U.S. distributors, estimated settlements for certain pre-acquisition product liability claims, integration consulting fees and costs for integrating information technology systems. The acquisition, integration and other expenses recorded during 2006 included $27.7 million of income related to three unrelated matters  the sale of the former Centerpulse Austin land and facilities for a gain of $5.1 million and the favorable settlement of two pre-acquisition contingent liabilities.
 
  Operating Profit, Income Taxes and Net Earnings
 
 
Operating profit for 2007 decreased 3 percent to $1,127.6 million, from $1,165.2 million in 2006. The decrease is due principally to the $169.5 million settlement expense. Without the settlement expense, operating profit would have been favorable to 2006 due to increased sales and controlled operating expenses.
 
The effective tax rate on earnings before income taxes and minority interest increased to 31.6 percent for 2007, up from 28.6 percent in 2006. The increase in the effective tax rate is primarily due to the effect of the $169.5 million settlement expense in 2007 for which no tax benefit has been
27


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

was recognized. Without the effect of the settlement expense, the effective tax rate for 2007 would have been favorable to 2006 due to increased profitability in lower tax jurisdictions.
 
Net earnings decreased 7 percent to $773.2 million for 2007, compared to $834.5 million in 2006. The decrease was due to the $169.5 million settlement expense and the higher effective tax rate that resulted from the settlement expense. Basic and diluted earnings per share decreased 4 percent to $3.28 and $3.26, respectively, from $3.43 and $3.40 in 2006 due to fewer outstanding shares as a result of our stock repurchase program.
 

Year Ended December 31, 2006 Compared to Year Ended December 31, 2005
Net Sales by Operating Segment
The following table presents net sales by operating segment and the components of the percentage changes (dollars in millions):
                       
  Year Ended December 31,    Volume/
     Foreign
 
  2006 2005 % Inc  Mix  Price  Exchange 
  
 
Americas $2,076.5 $1,941.8  7%  5%  2%  %
Europe  931.1  874.8  6   7   (1)   
Asia Pacific  487.8  469.5  4   9   (2)  (3)
                    
                    
Total $3,495.4 $3,286.1  6   7      (1)
                    
                    
Net Sales by Product Category
The following table presents net sales by product category and the components of the percentage changes (dollars in millions):
                       
  Year Ended December 31,    Volume/
     Foreign
 
  2006 2005 % Inc (Dec)  Mix  Price  Exchange 
  
 
Reconstructive                      
Knees $1,460.5 $1,366.2  7%  7%  %  %
Hips  1,188.9  1,140.6  4   5   (1)   
Extremities  77.6  66.1  17   13   4    
Dental  179.0  148.1  21   16   4   1 
                    
                    
Total  2,906.0  2,721.0  7   7       
                    
                    
Trauma  194.7  179.8  8   7   1    
Spine  177.4  160.4  11   10   1    
OSP and other  217.3  224.9  (4)  (3)     (1)
                    
                    
Total $3,495.4 $3,286.1  6   7      (1)
                    
                    
TheNexGenComplete Knee Solution product line including theNexGenLPS-Flex Gender Knee,NexGenCR-Flex Gender Knee,NexGen Trabecular MetalTibial Components andNexGenMIS Tibial Components, as well asProlongcrosslinked polyethylene articular surface components, led knee sales. In addition, strong growth in theZimmerUnicompartmental High Flex Knee and theInnexTotal Knee System was offset, in part, by declining sales of theNatural-KneeII System.
Growth in porous stems, including the newTrabecular MetalPrimary Hip Prosthesis,ZimmerM/L Taper Stem, and theCLS SpotornoStem from theCLSHip System led hip sales. Trabecular MetalAcetabular Cups andMetasul LDHexperienced strong growth offset by declining sales of Cemented Stems.
Orthobiologicals and prosthetic implants, including strong growth of theTapered Screw-VentandInternal HexImplant Systems, led dental sales.Trabecular MetalShoulder Stems led extremities sales.ZimmerPeriarticular Plates, theZimmer NCBPlating system, theSirusIM Nail andI.T.S.T. Intertrochanteric/Subtrochanteric Fixation System experienced strong growth while sales of Compression Hip Screws continued to decline. TheDynesys Dynamic Stabilization System and SpinalTrabecular MetalImplants led the growth in spine sales while sales of cages for interbody fusion declined. As a result of the termination of theOrthoPAT7 distribution arrangement in February 2006, sales for this device fell by over $25 million, accounting for the decline in OSP product sales.

7 Trademark of Haemonetics Corporation

28


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Americas Net Sales
The following table presents Americas net sales (dollars in millions):
           
  Year Ended December 31,   
  2006 2005 % Inc (Dec) 
  
 
Reconstructive          
Knees $940.8 $880.5  7%
Hips  579.4  538.1  8 
Extremities  54.2  46.2  17 
Dental  105.4  88.8  19 
        
        
Total  1,679.8  1,553.6  8 
        
        
Trauma  117.1  107.5  9 
Spine  146.9  132.7  11 
OSP and other  132.7  148.0  (10)
        
        
Total $2,076.5 $1,941.8  7 
        
        
The period was characterized by balanced growth in hips and knees augmented by strong growth in other product lines. Growth in porous stems, including the newTrabecular Metal Primary Hip Prosthesis and theZimmerM/L Taper Stem, led hip sales. Trabecular MetalAcetabular Cups, andMetasul LDHexperienced strong growth offset by declining sales of Cemented Stems. TheNexGenComplete Knee Solution product line including theNexGenLPS-Flex Gender Knee,NexGenCR-Flex Gender Knee,NexGen Trabecular MetalTibial Components and theNexGen MIS Stemmed Tibial Plate as well asProlongHighly Crosslinked Polyethylene articular surface components led knee sales offset, in part, by declining sales of theNatural-KneeII System.
Dental, extremities and spine experienced double digit percentage growth compared to the prior year. TheTapered Screw-VentImplant System led dental sales. TheTrabecular MetalShoulder Stems led extremities sales. TheDynesysDynamic Stabilization System and SpinalTrabecular MetalImplants led spine sales while trauma sales returned to solid growth behindZimmer Periarticular Plates, theZimmer NCBPlating system, theSirusIM Nail andI.T.S.T Intertrochanteric/Subtrochanteric Fixation System.
Europe Net Sales
The following table presents Europe net sales (dollars in millions):
           
  Year Ended December 31,   
  2006 2005 % Inc 
  
 
Reconstructive          
Knees $352.2 $327.0  8%
Hips  417.8  410.3  2 
Extremities  17.9  13.7  31 
Dental  47.2  40.1  18 
        
        
Total  835.1  791.1  6 
        
        
Trauma  38.2  33.1  15 
Spine  24.8  22.4  11 
OSP and other  33.0  28.2  12 
        
        
Total $931.1 $874.8  6 
        
        
Strong knee sales continued to drive growth in Europe. Eight percent volume and mix growth was offset by a 2 percent drop in average selling prices for knees in Europe. TheNexGenComplete Knee Solution product line and theInnex Total Knee System led knee sales. Hip sales growth was negatively affected by reduced selling prices in Germany, Italy, Portugal and the United Kingdom. TheCLS SpotornoStem,LongevityHighly Crosslinked Polyethylene Liners,MetasulLDH andTrabecular MetalAcetabular Cups led hip sales.
Dental, extremities, trauma, spine and OSP again experienced double digit percentage growth compared to the prior year. Dental sales were led by theTapered Screw-VentImplant System. TheAnatomical ShoulderSystem led extremities sales.ZimmerPeriarticular Plates and theZimmer NCBPlating System led trauma sales.Trabecular MetalImplants led spine sales. Strong sales of wound management products contributed to the OSP sales performance.
Asia Pacific Net Sales
The following table presents Asia Pacific net sales (dollars in millions):
           
  Year Ended December 31,   
  2006 2005 % Inc (Dec) 
  
 
Reconstructive          
Knees $167.5 $158.7  6%
Hips  191.7  192.2   
Extremities  5.5  6.2  (13)
Dental  26.4  19.2  37 
        
        
Total  391.1  376.3  4 
        
        
Trauma  39.4  39.2  1 
Spine  5.7  5.3  9 
OSP and other  51.6  48.7  6 
        
        
Total $487.8 $469.5  4 
        
        
A stronger U.S. dollar in the first half of the year resulted in a negative 3 percent effect on sales for Asia Pacific, including a 3 percent drop in knee sales and a negative 4 percent impact on hip sales. A reduction in reimbursement prices for orthopaedic implants in Japan went into effect April 1, 2006. Together with other price changes in this segment this action led to a negative 2 percent effect on sales, including negative 2 percent on knees and negative 4 percent on hips. Volume and mix growth more than offset the negative effects of price and currency in knees while netting out to result in flat sales in hips. Strong knee sales drove growth in Asia Pacific. TheNexGen CR-Flex Knee and theNexGenLPS-Flex Knee led knee sales. The continued conversion to porous stems, including theVerSysHip System and theCLS SpotornoStem led hip sales. Sales ofLongevityHighly Crosslinked Polyethylene Liners andTrabecular MetalAcetabular Cups also exhibited strong growth.
Dental experienced double digit percentage growth compared to the prior year. TheTapered Screw-VentImplant System and theSpline® Implant System led dental sales. Extremity sales were impacted by lower sales of theBigliani/FlatowShoulder Solution. Strong powered instrument sales contributed to the OSP sales performance.
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Gross Profit
Gross profit as a percentage of net sales was 77.7 percent in 2006, compared to 77.5 percent in 2005. The following table reconciles the gross margin for 2005 to 2006:
Year ended December 31, 2005 gross margin77.5%
Increased selling prices0.1
Share-based compensation(0.3)
Other0.4
Year ended December 31, 2006 gross margin77.7%
Higher average selling prices in our largest operating segment offset by lower prices in Europe and Asia Pacific contributed to the modest improvement in gross margin. Other primary contributors to the improvement in gross profit margin were the net favorable effect of year over year changes in foreign currency hedge gains and losses and manufacturing productivity gains offset by underlying exposure gains and losses, increased inventory charges due to the impact of our newer products on aging product lines and increased royalty expenses as a percentage of sales due to a higher mix of royalty bearing sales.
Operating Expenses
Research and Development, or R&D, as a percentage of net sales was 5.4 percent for 2006, compared to 5.3 percent in 2005. R&D increased to $188.3 million for 2006 from $175.5 million in 2005, reflecting increased spending on projects focused on our redefined corporate strategies.
Selling, general and administrative, or SG&A, as a percentage of net sales was 38.8 percent for 2006, compared to 38.3 percent in 2005. Share-based compensation added $55.9 million of expense for the year ended December 31, 2006, or an additional 1.6 percentage points when compared with 2005 due to the adoption of SFAS 123(R) in 2006. Absent share-based compensation, SG&A as a percentage of net sales decreased. The decrease was primarily due to sales growth, realized expense synergies and well controlled spending.
Acquisition, integration and other items for 2006 were $6.1 million compared to $56.6 million in 2005, and included $27.7 million of income related to three unrelated matters – the sale of the former Centerpulse Austin land and facilities for a gain of $5.1 million and the favorable settlement of two pre-acquisition contingent liabilities. A reduction in product liability accounted for $4.9 million of income. Expense items included a $13.4 million impairment charge for certain Centerpulse tradename and trademark intangibles based principally in our Europe operating segment, $8.8 million of integration consulting expenses, $3.3 million of employee severance and retention costs, $3.0 million of costs related to integrating our information technology systems, $2.9 million of in-process research and development, $2.5 million of personnel expenses and travel for full-time integration team members and $4.8 million of other expenses.
Operating Profit, Income Taxes and Net Earnings
Operating profit for 2006 increased 10 percent to $1,165.2 million, from $1,055.0 million in 2005. Increased sales, improved gross profit margins, realized operating expense synergies, controlled operating expenses and decreased acquisition and integration expenses offset $76.0 million of share-based compensation expense to drive the increase in operating profit.
The effective tax rate on earnings before income taxes and minority interest decreased to 28.6 percent for 2006, down from 29.5 percent in 2005. The reasons for the lower effective tax rate were the implementation of several European restructuring initiatives, the successful negotiation of a lower ongoing Swiss tax rate (from approximately 24 percent to 12.5 percent) and the continued expansion of operations in lower tax jurisdictions, including Puerto Rico.
Net earnings increased 14 percent to $834.5 million for 2006, compared to $732.5 million in 2005. The increase was due to higher operating profit, lower acquisition, integration and other expenses, decreased interest expense due to a lower average outstanding debt balance and a lower effective tax rate, offset by $54.5 million of share-based compensation expense, net of tax. Basic and diluted earnings per share increased 16 percent to $3.43 and $3.40, respectively, from $2.96 and $2.93 in 2005.
OPERATING PROFIT BY SEGMENT
Management evaluates operating segment performance based upon segment operating profit exclusive of operating expenses pertaining to global operations and corporate expenses, share-based compensation expense, settlement expense, acquisition, integration and other expenses, inventorystep-up, in-process research and development write-offs and intangible asset amortization expense. Global operations include research, development engineering, medical education, brand management, corporate legal, finance, and human resource functions, and U.S. and Puerto Rico based manufacturing operations and logistics. Intercompany transactions have been eliminated from segment operating profit. For more information regarding our segments, see Note 13 to the consolidated financial statements included in Item 8 of thisForm 10-K.
The following table sets forth the operating profit as a percentage of sales by segment for 2007, 2006 and 2005:
Percent of net sales
             
  Year Ended December 31, 
  2007  2006  2005 
  
 
Americas  52.0%  52.7%  52.6%
Europe  40.0   41.4   36.3 
Asia Pacific  48.2   47.5   45.2 
Year Ended December 31, 2007 Compared to Year Ended December 31, 2006
In the Americas, operating profit as a percentage of net sales decreased due to increased spending for advertising as well as increased sales force related expenses due to the
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

expansion of our U.S. distributor network. These increases were partially offset by improved gross margins.
Europe operating profit as a percentage of net sales decreased primarily as a result of decreased gross margins from the impact of losses from foreign currency hedges. The decrease in gross margin was partially offset by controlled spending.
Asia Pacific operating profit as a percentage of net sales increased primarily due to improved gross margins. Gross margins increased throughout many Asia Pacific markets, including Japan, despite decreases in average selling prices in Japan as a result of reductions in government controlled reimbursement prices. The improvement in gross margins in Asia Pacific is due to favorable product sales mix and lower unit manufacturing costs.
Year Ended December 31, 2006 Compared to Year Ended December 31, 2005
In the Americas, operating profit as a percentage of sales increased due to the effective control of operating expenses, including realized expense synergies and controlled selling, general and administrative spending.
European operating profit as a percentage of net sales improved due to improved gross margin and the realization of expense synergies related to the elimination of redundant functions and controlled selling, general and administrative spending.
Asia Pacific operating profit as a percentage of net sales increased primarily due to product category mix, and controlled selling, general and administrative spending.
LIQUIDITY AND CAPITAL RESOURCES
 
Cash flows provided by operating activities were $1,038.1 million in 2008 compared to $1,084.4 million in 2007 compared to $1,040.7 million in 2006.2007. The principal source of cash was net earnings of $773.2$848.6 million. In 2007, cash provided from net earnings was reduced by $169.5 million as a result of the settlement with the Department of Justice. Non-cash charges included in net earnings accounted for another $364.5$353.7 million of operating cash. Income tax-related balances decreased by $77.3 million in 2008, primarily reflecting the impact of accelerated tax payments resulting from changes in Federal and State tax rules. All other items of operating cash flows accounted for a use of $53.3$86.9 million of cash pertaining principallyto pension funding and to investments in working capital in support of sales growth. Also included in operatingservices. Operating cash flows for 2007 is approximately $23 millioncontinued to be positively affected by delayed payments related to accrued but unpaid amounts under various contractual arrangements with healthcare professionals or institutions. OperatingFor 2008, we estimate this delay had a positive effect on operating cash flows were increased and cash flows used in financing activities were decreased by $13.6 million when compared with amounts furnished in the current report filed on Form8-K dated January 29, 2008.of approximately $26 million.
 
We continue to focus on working capital management. At December 31, 2007,2008, we had 5259 days of sales outstanding in trade accounts receivable, a decreasean increase of 37 days when compared to December 31, 2006. The improvement was achieved through improvement2007, reflecting a change in all reporting segments.geographic mix of outstanding accounts receivable balances and a general weakening in the broader economy. At December 31, 2007,2008, we had 258344 days of inventory on hand, favorable toabove December 31, 20062007 by 19 days. This decrease reflects higher cost86 days, reflecting a planned increase in field-based inventory deployments in the U.S., a build-out of goods sold and strong underlying demandour inventory pipeline for certain new products we are preparing to launch in 2009, lower than expected sales in the fourth quarter of 2007. Our inventory levels have improved from a third quarter high2008 and the year-over-year change in foreign currency hedge gains/losses impacting cost of 330 days as a result of seasonal demand patterns.goods sold.
 
Cash flows used in investing activities were $924.2 million in 2008, compared to $491.5 million in 2007, compared to $287.0 million in 2006.2007. The most significant contributorcontributors to the increase in cash flows used in investing activities were the acquisition of Abbott Spine and the acquisition of intellectual property rights. Cash payments related to the acquisition of Abbott Spine were $363.0 million compared to total acquisition-related payments of $160.3 million in 2007, which related primarily to the acquisitions of Endius and ORTHOsoft as well as additionsORTHOsoft. Acquired intellectual property rights of $109.4 million relate to our global distributor network. Cashlump-sum payments relatedmade to acquisitions for 2007 was $160.3 million comparedcertain healthcare professionals and institutions in place of future royalty payments that otherwise would have been due under the terms of an existing contractual arrangement. These lump-sum payments were based upon a third party fair market valuation of the current net present value of the contractual arrangement. In 2009, we anticipate making additional lump-sum payments to $34.9 million in 2006.acquire intellectual property rights. Additions to instruments during 20072008 were $138.5$237.9 million compared to $126.2$138.5 million in 2006.2007. Additions to instruments increased in 20072008 compared to 20062007 due to an increase in instrument deployments related to permit our sales and distribution networks to respond more rapidly to changes in surgical demand patterns and capitalize on new product launches.business opportunities. In 2008,2009, we expect to spend approximately $155 –$160 — $170 million on instruments to support new products sales growth andMISProcedures. sales. Additions to other property, plant and equipment during 20072008 were $192.7$250.0 million compared to $142.1$192.7 million in 2006. Increases were related to2007. This increase reflects spending on planned infrastructure improvements such as opening a new manufacturing facility expansions in Warsaw, Indiana; Ponce, Puerto Rico;Ireland, improving our quality system infrastructure and Winterthur, Switzerland; and investmentinvesting in new information technology systems. These facility expansions improved working conditions and capabilitiesa central distribution center for our research and development organization, responded to increased demand and the transfer of production to our other manufacturing sites.Europe segment. During 2008,2009, we expect to purchase approximately $315-$330$230 — $240 million in other property, plant and equipment, under our planned infrastructure improvementsreflecting the cash necessary to complete capital expansions initiated in 2008 as well as new product-related investments and international manufacturing expansion.normal replacement of older machinery and equipment. Also included in investing activities for 2008 is $54.9 million in proceeds from the sale of certain equity securities.
 
Cash flows used in financing activities were $343.5 million for 2008, compared to $399.5 million for 2007, compared to $730.7 million in 2006.2007. We repurchased $576.3$737.0 million of our common stock in 20072008 as compared with $798.8$576.3 million in 20062007 under our stock
30


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

repurchase programs. We utilized cash generated from operating activities, and $149.8$57.0 million in cash proceeds received from employee stock compensation plans and borrowings under credit facilities to fund the repurchases. During 2008, we borrowed $330.0 million from our existing credit facilities to fund stock repurchases and partially fund the acquisition of Abbott Spine.
We may use excess cash or further borrow from our credit facilities to fund future purchases, if any,repurchase additional common stock under our stock repurchase programs.the $1.25 billion program which expires December 31, 2009.
 
We have a five year $1,350 million revolving, multi-currency, senior unsecured credit facility maturing November 30, 2012 (the “Senior Credit Facility”). We had $104.3$460.1 million outstanding under the Senior Credit Facility at December 31, 2007,2008, and an availability of $1,245.7$889.9 million. The $104.3 million is for use in Japan and carries a low interest rate. The Senior Credit Facility contains provisions by which we can increase the line to $1,750 million and request that the maturity date be extended for two additional one-year periods.
 
We and certain of our wholly owned foreign subsidiaries are the borrowers under the Senior Credit Facility. Borrowings under the Senior Credit Facility are used for general corporate purposes and bear interest at a LIBOR-based rate plus an applicable margin determined by reference to our senior unsecured long-term credit rating and the amounts drawn under the Senior Credit Facility, at an alternate base rate, or at a fixed rate determined through a competitive bid process. The Senior Credit Facility contains
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

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. Financial covenants include a maximum leverage ratio of 3.0 to 1.0 and a minimum interest coverage ratio of 3.5 to 1.0. If we fall below an investment grade credit rating, additional restrictions would result, including restrictions on investments, payment of dividends and stock repurchases. We were in compliance with all covenants under the Senior Credit Facility as of December 31, 2007.2008. Commitments under the Senior Credit Facility are subject to certain fees, including a facility and a utilization fee. The Senior Credit Facility is rated A- by Standard & Poor’s Ratings Services and is not rated by Moody’s Investors’ Service, Inc. Notwithstanding recent interruptions in global credit markets, as of the date of this report, we believe our access to our Senior Credit Facility has not been impaired.
In October 2008, we funded a portion of the acquisition of Abbott Spine with approximately $110 million of new borrowings under the Senior Credit Facility. Each of the lenders under the Senior Credit Facility funded its portion of the new borrowings in accordance with its commitment percentage.
 
We also have available uncommitted credit facilities totaling $70.4$71.4 million.
 
Management believes that cash flows from operations, together with available borrowings under the Senior Credit Facility, are sufficient to meet our expected working capital, capital expenditure and debt service needs. Should investment opportunities arise, we believe that our earnings, balance sheet and cash flows will allow us to obtain additional capital, if necessary.
 
CONTRACTUAL OBLIGATIONS
 
We have entered into contracts with various third parties in the normal course of business which will require future payments. The following table illustrates our contractual obligations (in millions):
                     
        2009
  2011
  2013
 
        and
  and
  and
 
Contractual Obligations Total  2008  2010  2012  Thereafter 
  
 
Long-term debt $104.3  $  $  $104.3  $ 
Operating leases  134.3   35.4   50.0   28.6   20.3 
Purchase Obligations  24.6   23.2   1.4       
Long-term income taxes payable  137.0      57.7   53.9   25.4 
Other long-term liabilities  191.4      47.3   17.1   127.0 
                 
                 
Total contractual obligations $591.6  $58.6  $156.4  $203.9  $172.7 
                 
                 
                     
        2010
  2012
  2014
 
        and
  and
  and
 
Contractual Obligations Total  2009  2011  2013  Thereafter 
  
 
Long-term debt $460.1  $  $  $460.1  $ 
Operating leases  149.3   38.2   51.0   30.2   29.9 
Purchase obligations  56.8   47.7   7.6   1.5    
Long-term income taxes payable  116.9      69.6   24.9   22.4 
Other long-term liabilities  237.0      30.7   15.1   191.2 
                 
                 
Total contractual obligations $1,020.1  $85.9  $158.9  $531.8  $243.5 
                 
                 
 
CRITICAL ACCOUNTING ESTIMATES
 
Our financial results are affected by the selection and application of accounting policies and methods. Significant accounting policies which require management’s judgment are discussed below.
 
Excess Inventory and Instruments – We must determine as of each balance sheet date how much, if any, of our inventory may ultimately prove to be unsaleable or unsaleable at our carrying cost. Similarly, we must also determine if instruments on hand will be put to productive use or remain undeployed as a result of excess supply. Reserves are established to effectively adjust inventory and instruments to net realizable value. To determine the appropriate level of reserves, we evaluate current stock levels in relation to historical and expected patterns of demand for all of our products and instrument systems and components. The basis for the determination is generally the same for all inventory and instrument items and categories except forwork-in-progress inventory, which is recorded at cost. Obsolete or discontinued items are generally destroyed and completely written off. Management evaluates the need for changes to valuation reserves based on market conditions, competitive offerings and other factors on a regular basis.
 
Income Taxes  We estimate income tax expense and income tax liabilities and assets by taxable jurisdiction. Realization of deferred tax assets in each taxable jurisdiction is dependent on our ability to generate future taxable income sufficient to realize the benefits. We evaluate deferred tax assets on an ongoing basis and provide valuation allowances if it is determined to be “more likely than not” that the deferred tax benefit will not be realized. Federal income taxes are provided on the portion of the income of foreign subsidiaries that is expected to be remitted to the U.S. We operate within numerous taxing jurisdictions. We are subject to regulatory
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

review or audit in virtually all of those jurisdictions and those reviews and audits may require extended periods of time to resolve. We make use of all available information and make reasoned judgments regarding matters requiring interpretation in establishing tax expense, liabilities and reserves. We believe adequate provisions exist for income taxes for all periods and jurisdictions subject to review or audit.
 
Commitments and Contingencies – Accruals for product liability and other claims are established with the assistance of internal and external legal counsel based on current information and historical settlement information for claims, related fees and for claims incurred but not reported. We use an actuarial model to assist management in determining an appropriate level of accruals for product liability claims. Historical patterns of claim loss development over time are statistically analyzed to arrive at factors which are then applied to loss estimates in the actuarial model. During 2008, in addition to our general product liability estimates, we recorded a provision for certain claims of $69.0 million representing management’s estimate of liability toDuromCup patients undergoing revisions associated with surgeries occurring before July 2008 and within two years of the original surgery date. These parameters are consistent with our data which indicates that cup loosenings associated with surgical technique are most likely to occur within that time period. Any claims received outside of these defined parameters will be managed in the normal course and reflected in our standard product liability accruals. The amounts established for our general product liability estimates, excluding certain claims for theDuromCup, equate to less than 5 percent of total liabilities and represent management’s best estimate of the ultimate costs that we will incur under the various contingencies.
 
Goodwill and Intangible Assets – We evaluate the carrying value of goodwill and indefinite life intangible assets annually, or whenever events or circumstances indicate the carrying value may not be recoverable. We evaluate the carrying value of finite life intangible assets whenever events or circumstances indicate the carrying value may not be recoverable. Significant assumptions are required to estimate the fair value of goodwill and intangible assets, most notably estimated future cash flows generated by these assets. As such, these fair valuation measurements use significant unobservable inputs as defined under Statement of Financial Accounting Standards No. 157, Fair Value Measurements. Changes to these assumptions could require us to record impairment charges on these assets.
 
Share-based Payment – We account for share-based payment expense in accordance with the fair value
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

recognition provisions of SFAS 123(R). Under the fair value recognition provisions of SFAS 123(R), share-based payment expense is measured at the grant date based on the fair value of the award and is recognized over the requisite service period. Determining the fair value of share-based awards at the grant date requires judgment, including estimating the expected life of stock options and the expected volatility of our stock. Additionally, we must estimate the amount of share-based awards that are expected to be forfeited. We estimate expected volatility based upon the implied volatility of our actively traded options. The expected life of stock options and estimated forfeitures are based upon our employees’ historical exercise and forfeiture behaviors. The assumptions used in determining the grant date fair value and the expected forfeitures represent management’s best estimates.
 
RECENT ACCOUNTING PRONOUNCEMENTS
 
Information about recent accounting pronouncements is included in Note 2 to the Consolidated Financial Statements, which are included in this report under Item 8.
 
 
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

ITEM 7A.  Quantitative and Qualitative Disclosures About Market Risk
 
MARKET RISK
 
We are exposed to certain market risks as part of our ongoing business operations, including risks from changes in foreign currency exchange rates, interest rates and commodity prices that could affect our financial condition, results of operations and cash flows. We manage our exposure to these and other market risks through regular operating and financing activities, and through the use of derivative financial instruments. We use derivative financial instruments solely as risk management tools and not for speculative investment purposes.
 
FOREIGN CURRENCY EXCHANGE 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. 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, Canadian Dollars, Australian Dollars and Korean Won. We manage the foreign currency exposure centrally, on a combined basis, which allows us to net exposures and to take advantage of any natural offsets. To reduce the uncertainty of foreign exchange rate movements on transactions denominated in foreign currencies, we enter into derivative financial instruments in the form of foreign exchange forward contracts and options with major financial institutions. These forward contracts and options are designed to hedge anticipated foreign currency transactions, primarily intercompany sale and purchase transactions, for periods consistent with commitments. Realized and unrealized gains and losses on these contracts and options that qualify as cash flow hedges are temporarily recorded in other comprehensive income, then recognized in cost of products sold when the hedged item affects net earnings.
 
For contracts outstanding at December 31, 2007,2008, we had obligations to purchase U.S. Dollars and sell Euros, Japanese Yen, British Pounds, Canadian Dollars, Australian Dollars and Korean Won or purchase Swiss Francs and sell U.S. Dollars at set maturity dates ranging from January 20082009 through May 2010.June 2011. The notional amounts of outstanding forward contracts entered into with third parties to purchase U.S. Dollars at December 31, 2008 and 2007 and 2006, were $1,244.6$1,343.0 million and $1,169.3$1,244.6 million, respectively. The notional amounts of outstanding forward contracts entered into with third parties to purchase Swiss Francs at December 31, 2008 and 2007 and 2006 were $138.4$207.5 million and $205.0$138.4 million, respectively. The weighted average contract rates outstanding are Euro:USD 1.34,1.41, USD:Swiss Franc 1.19,1.10, USD:Japanese Yen 109,101, British Pound:USD 1.92,1.86, USD:Canadian Dollar 1.09, Australian Dollar:USD 0.780.82 and USD:Korean Won 929.1,000.
 
We maintain written policies and procedures governing our risk management activities. Our policy requires that critical terms of hedging instruments are the same as hedged forecasted transactions. On this basis, with respect to cash flow hedges, changes in cash flows attributable to hedged transactions are generally expected to be completely offset by changes in the fair value of hedge instruments. As part of our risk management program, we also perform sensitivity analyses to assess potential changes in revenue, operating results, cash flows and financial position relating to hypothetical movements in currency exchange rates. A sensitivity analysis of changes in the fair value of foreign exchange forward contracts outstanding at December 31, 2007,2008 indicated that, if the U.S. Dollar uniformly changed in value by 10 percent relative to the Euro, Swiss Franc, Japanese Yen, British Pound, Canadian Dollar, Australian Dollar and Korean Won, with no change in the interest differentials, the fair value of those contracts would increase or decrease earnings before income taxes in periods through 2010,2011, depending on the direction of the change, by an average approximate amount of $78.4$72.3 million, $13.1$21.1 million, $20.4$32.4 million, $14.6$10.4 million, $5.3$7.1 million, $6.5$7.2 million and $2.0$1.9 million for the Euro, Swiss Franc, Japanese Yen, British Pound, Canadian Dollar, Australian Dollar and Korean Won contracts, respectively. Any change in the fair value of foreign exchange forward contracts as a result of a fluctuation in a currency exchange rate is expected to be largely offset by a change in the value of the hedged transaction. Consequently, foreign exchange contracts would not subject us to material risk due to exchange rate movements because gains and losses on these contracts offset gains and losses on the assets, liabilities, and transactions being hedged.
 
We had net investment exposures to net foreign currency denominated assets and liabilities of approximately $1,869.1$2,003 million at December 31, 2007,2008, primarily in Swiss Francs, Japanese Yen and Euros. Approximately $1,178$1,234 million of the net asset exposure at December 31, 20072008 relates to goodwill recorded in the Europe and Asia Pacific geographic segments.
 
We enter into foreign currency forward exchange contracts with terms of one month to manage currency exposures for assets and liabilities denominated in a currency other than an entity’s functional currency. As a result, foreign currency translationremeasurement gains/losses recognized in earnings under SFAS No. 52, “Foreign Currency Translation”Translation,” are generally offset with gain/gains/losses on the foreign currency forward exchange contracts in the same reporting period.
 
COMMODITY PRICE RISK
 
We purchase raw material commodities such as cobalt chrome, titanium, tantalum, polymer and sterile packaging. We enter into supply contracts generally with terms of 12 to 24 months, where available, on these commodities to alleviate the effect of market fluctuation in prices. As part of our risk management program, we perform sensitivity analyses related to potential commodity price changes. A 10 percent price change across all these commodities would not have a material effect on our consolidated financial position, results of operations or cash flows.
 
 
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
INTEREST RATE RISK
 
In the normal course of business, we are exposed to market risk from changes in interest rates that could affect our results of operations and financial condition. We manage our exposure to interest rate risks through our regular operations and financing activities.
 
Presently, we invest our cash and equivalents primarily in U.S. government treasury funds and bank deposits. The primary investment objective is to ensure capital preservation of our invested principal funds by limiting default and market risk. Currently, we do not use derivative financial instruments in our investment portfolio.
 
Our principal exposure to interest rate risk arises from the variable rates associated with our credit facilities. We are subject to interest rate risk through movements in interest rates on the committed Senior Credit Facility and our uncommitted credit facilities. Presently, all of our debt outstanding bears interest at short-term rates. We currently do not hedge our interest rate exposure, but we may do so in the future. Based upon our overall interest rate exposure as of December 31, 2007,2008, a change of 10 percent in interest rates, assuming the amount outstanding remains constant, would not have a material effect on interest expense. Further, this analysis does not consider the effect of the change in the level of overall economic activity that could exist in such an environment.
 
CREDIT RISK
 
Financial instruments, which potentially subject us to concentrations of credit risk, are primarily cash, cash equivalents, counterparty transactions, and accounts receivable.
 
We place our investments in highly rated financial institutions and money market instruments, and limit the amount of credit exposure to any one entity. We believe we do not have any significant credit risk on our cash and equivalents and investments.
 
We are exposed to credit loss if the financial institutions with which we conduct business fail to perform. However, this loss is limited to the amounts, if any, by which the obligations of the counterparty to the financial instrument contract exceed our obligation. We also minimize exposure to credit risk by dealing with a diversified group of major financial institutions. We manage credit risk by monitoring the financial condition of our counterparties using standard credit guidelines. We do not anticipate any nonperformance by any of the counterparties.
 
Concentration of credit risk with respect to trade accounts receivable is 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. However, essentially 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. Repayment is dependent upon the financial stability of these industry sectors and the respective countries’ national economic and healthcare systems. Exposure to credit risk is controlled through credit approvals, credit limits and monitoring procedures, and we believe that reserves for losses are adequate. There is no significant net exposure due to any individual customer or other major concentration of credit risk.
 
 
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Management’s Report on Internal Control Over Financial Reporting
 
The management of Zimmer Holdings, Inc. is responsible for establishing and maintaining adequate internal control over financial reporting. Internal control over financial reporting is defined inRules 13a-15(f) or15d-15(f) promulgated under the Securities Exchange Act of 1934 as a process designed by, or under the supervision of, the company’s principal executive and principal financial officers and effected by the company’s Board of Directors, management and other personnel, to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with U.S. generally accepted accounting principles and includes those policies and procedures that:
 
 • Pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of the assets of the company;
 
 • Provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with U.S. generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and
 
 • Provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the company’s assets that could have a material effect on the financial statements.
 
Because of its inherent limitations, the company’s internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
 
The company’s management assessed the effectiveness of the company’s internal control over financial reporting as of December 31, 2007.2008. In making this assessment, the company’s management used the criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) inInternal Control-Integrated Framework.
 
Based on that assessment, management has concluded that, as of December 31, 2007,2008, the company’s internal control over financial reporting is effective based on those criteria.
 
The company’s independent registered public accounting firm has audited the effectiveness of the company’s internal control over financial reporting as of December 31, 2007,2008, as stated in theirits report which appears in Item 8 of this Annual Report onForm 10-K.
 
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

ITEM 8.Financial Statements and Supplementary Data
 
Zimmer Holdings, Inc.
 
Index to Consolidated Financial StatementsPage
     
Financial Statements:   
     
  3837 
38
  39 
  40 
41
  4241 
  4342 
  4443 
 
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Report of Independent Registered Public Accounting Firm
To the Stockholders and Board of Directors of Zimmer Holdings, Inc.:
 
In our opinion, the consolidated financial statements listed in the index appearing under Item 15(a)(1) present fairly, in all material respects, the financial position of Zimmer Holdings, Inc,Inc., and its subsidiaries at December 31, 20072008 and 2006,2007, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 20072008 in conformity with accounting principles generally accepted in the United States of America. In addition, in our opinion, the financial statement schedule listed in the index appearing under Item 15(a)(2) presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements. Also in our opinion, the Company maintained, in all material respects, effective internal control over financial reporting as of December 31, 2007,2008, based on criteria established in Internal Control – Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). The Company’s management is responsible for these financial statements, and financial statement schedule, for maintaining effective internal control over financial reporting and for its assessment of the effectiveness of internal control over financial reporting, included in the accompanying Management’s Report of Management on Internal Control Overover Financial Reporting. Our responsibility is to express opinions on these financial statements on the financial statement schedule, and on the Company’s internal control over financial reporting based on our integrated audits. We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audits to obtain reasonable assurance about whether the financial statements are free of material misstatement and whether effective internal control over financial reporting was maintained in all material respects. Our audits of the financial statements included examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. Our audit of internal control over financial reporting included obtaining an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions.
 
As discussed in Note 1112 to the consolidated financial statements, the Company changed the manner in which it accounts for uncertain tax positions in 2007. As discussed in Notes 3 and 10, respectively,Note 2 to the consolidated financial statements, the Company changed the manner in which it accounts for share-based compensation in 2006 and defined benefit pension and other postretirement plans effective December 31, 2006.
 
A company’s internal control over financial reporting is a process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (i) pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the company; (ii) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in accordance with authorizations of management and directors of the company; and (iii) provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the financial statements.
 
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
 
 ( PRICEWATERHOUSECOOPERS LLP LOGO)
 
PricewaterhouseCoopers LLP
Chicago, Illinois
February 29, 23, 2009
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Consolidated Statements of Earnings
             
(in millions, except per share amounts) 
For the Years Ended December 31, 2008  2007  2006 
  
Net Sales
 $4,121.1  $3,897.5  $3,495.4 
Cost of products sold  997.3   875.9   780.1 
         
         
Gross Profit
  3,123.8   3,021.6   2,715.3 
         
         
Research and development  194.0   209.6   188.3 
Selling, general and administrative  1,702.3   1,489.7   1,355.7 
Settlement (Note 16)     169.5    
Certain claims (Note 16)  69.0       
Acquisition, integration and other  68.5   25.2   6.1 
         
         
Operating expenses  2,033.8   1,894.0   1,550.1 
         
         
Operating Profit
  1,090.0   1,127.6   1,165.2 
Interest and other, net  31.8   4.0   3.8 
         
         
Earnings before income taxes and minority interest  1,121.8   1,131.6   1,169.0 
Provision for income taxes  272.3   357.9   334.0 
Minority interest  (0.9)  (0.5)  (0.5)
         
         
Net Earnings
 $848.6  $773.2  $834.5 
         
         
Earnings Per Common Share – Basic
 $3.73  $3.28  $3.43 
         
         
Earnings Per Common Share – Diluted
 $3.72  $3.26  $3.40 
         
         
Weighted Average Common Shares Outstanding
            
Basic  227.3   235.5   243.0 
Diluted  228.3   237.5   245.4 
The accompanying notes are an integral part of these consolidated financial statements.
 
 
 
38


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Consolidated Statements of EarningsBalance Sheets
 
             
(in millions, except per share amounts) 
For the Years Ended December 31, 2007  2006  2005 
  
Net Sales
 $3,897.5  $3,495.4  $3,286.1 
Cost of products sold  875.9   780.1   739.4 
         
         
Gross Profit
  3,021.6   2,715.3   2,546.7 
         
         
Research and development  209.6   188.3   175.5 
Selling, general and administrative  1,489.7   1,355.7   1,259.6 
Settlement (Note 15)  169.5       
Acquisition, integration and other  25.2   6.1   56.6 
         
         
Operating expenses  1,894.0   1,550.1   1,491.7 
         
         
Operating Profit
  1,127.6   1,165.2   1,055.0 
Interest income (expense)  4.0   3.8   (14.3)
         
         
Earnings before income taxes and minority interest  1,131.6   1,169.0   1,040.7 
Provision for income taxes  357.9   334.0   307.3 
Minority interest  (0.5)  (0.5)  (0.9)
         
         
Net Earnings
 $773.2  $834.5  $732.5 
         
         
Earnings Per Common Share – Basic
 $3.28  $3.43  $2.96 
         
         
Earnings Per Common Share – Diluted
 $3.26  $3.40  $2.93 
         
         
Weighted Average Common Shares Outstanding
            
Basic  235.5   243.0   247.1 
Diluted  237.5   245.4   249.8 
         
(in millions) 
December 31, 2008  2007 
  
ASSETS
        
Current Assets:
        
Cash and equivalents  $ 212.6  $463.9 
Restricted cash  2.7   2.5 
Accounts receivable, less allowance for doubtful accounts  732.8   674.3 
Inventories, net  928.3   727.8 
Prepaid expenses and other current assets  103.9   59.4 
Deferred income taxes  198.3   154.8 
     
     
Total Current Assets  2,178.6   2,082.7 
Property, plant and equipment, net  1,264.1   971.9 
Goodwill  2,774.8   2,621.4 
Intangible assets, net  872.1   743.8 
Other assets  149.4   213.9 
     
     
Total Assets
  $7,239.0  $6,633.7 
     
     
         
LIABILITIES AND STOCKHOLDERS’ EQUITY
        
Current Liabilities:
        
Accounts payable  $186.4  $174.1 
Income taxes payable  6.6   85.1 
Other current liabilities  578.1   489.4 
     
     
Total Current Liabilities  771.1   748.6 
Other long-term liabilities  353.9   328.4 
Long-term debt  460.1   104.3 
     
     
Total Liabilities
  1,585.1   1,181.3 
     
     
Commitments and Contingencies (Note 16)
        
Minority Interest  3.6   2.8 
Stockholders’ Equity:
        
Common stock, $0.01 par value, one billion shares authorized,        
253.7 million (252.2 million in 2007) issued  2.5   2.5 
Paid-in capital  3,138.5   2,999.1 
Retained earnings  4,385.5   3,536.9 
Accumulated other comprehensive income  240.0   290.3 
Treasury stock, 30.1 million shares (19.3 million shares in 2007)  (2,116.2)  (1,379.2)
     
     
Total Stockholders’ Equity
  5,650.3   5,449.6 
     
     
Total Liabilities and Stockholders’ Equity
  $7,239.0  $6,633.7 
     
     
 
 
The accompanying notes are an integral part of these consolidated financial statements.
 
 
 
39


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Consolidated Balance SheetsStatements of Stockholders’ Equity
 
         
(in millions) 
December 31, 2007  2006 
  
ASSETS
        
Current Assets:
        
Cash and equivalents  $ 463.9  $265.7 
Restricted cash  2.5   2.4 
Accounts receivable, less allowance for doubtful accounts  674.3   625.5 
Inventories, net  727.8   638.3 
Prepaid expenses and other current assets  59.4   55.1 
Deferred income taxes  154.8   159.2 
     
     
Total Current Assets  2,082.7   1,746.2 
Property, plant and equipment, net  971.9   807.1 
Goodwill  2,621.4   2,515.6 
Intangible assets, net  743.8   712.6 
Other assets  213.9   192.9 
     
     
Total Assets
  $6,633.7  $5,974.4 
     
     
         
LIABILITIES AND STOCKHOLDERS’ EQUITY
        
Current Liabilities:
        
Accounts payable  $ 174.1  $158.0 
Income taxes payable  85.1   106.5 
Other current liabilities  489.4   363.7 
     
     
Total Current Liabilities  748.6   628.2 
Other long-term liabilities  328.4   323.4 
Long-term debt  104.3   99.6 
     
     
Total Liabilities
  1,181.3   1,051.2 
     
     
Commitments and Contingencies (Note 15)
        
Minority Interest  2.8   2.7 
Stockholders’ Equity:
        
Common stock, $0.01 par value, one billion shares authorized,        
252.2 million (248.9 million in 2006) issued  2.5   2.5 
Paid-in capital  2,999.1   2,743.2 
Retained earnings  3,536.9   2,768.5 
Accumulated other comprehensive income  290.3   209.2 
Treasury stock, 19.3 million shares (12.1 million shares in 2006)  (1,379.2)  (802.9)
     
     
Total Stockholders’ Equity
  5,449.6   4,920.5 
     
     
Total Liabilities and Stockholders’ Equity
  $6,633.7  $5,974.4 
     
     
                                 
(in millions) 
              Accumulated
          
              Other
        Total
 
  Common Shares  Paid-in
  Retained
  Comprehensive
  Treasury Shares  Stockholders’
 
  Number  Amount  Capital  Earnings  Income  Number  Amount  Equity 
  
Balance January 1, 2006
  247.8  $2.5  $2,601.1  $1,934.0  $149.3   (0.1) $(4.1) $4,682.8 
Net earnings           834.5            834.5 
Other comprehensive income              95.3         95.3 
Impact of adoption of SFAS 158              (35.4)        (35.4)
Stock compensation plans, including tax benefits  1.1      142.1               142.1 
Share repurchases                 (12.0)  (798.8)  (798.8)
                             
                             
Balance December 31, 2006
  248.9   2.5   2,743.2   2,768.5   209.2   (12.1)  (802.9)  4,920.5 
Net earnings           773.2            773.2 
Other comprehensive income              81.1         81.1 
Impact of adoption of FIN 48           (4.8)           (4.8)
Stock compensation plans, including tax benefits  3.3      255.9               255.9 
Share repurchases                 (7.2)  (576.3)  (576.3)
                             
                             
Balance December 31, 2007
  252.2   2.5   2,999.1   3,536.9   290.3   (19.3)  (1,379.2)  5,449.6 
Net earnings           848.6            848.6 
Other comprehensive loss              (50.3)        (50.3)
Stock compensation plans, including tax benefits  1.5      139.4               139.4 
Share repurchases                 (10.8)  (737.0)  (737.0)
                             
                             
Balance December 31, 2008
  253.7  $2.5  $3,138.5  $4,385.5  $240.0   (30.1) $(2,116.2) $5,650.3 
                             
                             
 
 
The accompanying notes are an integral part of these consolidated financial statements.
 
 
 
40


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Consolidated Statements of Stockholders’ EquityCash Flows
 
                              
(in millions) 
           Accumulated
          
           Other
        Total
 
  Common Shares Paid-in
 Retained
  Comprehensive
  Treasury Shares  Stockholders’
 
  Number Amount Capital Earnings  Income  Number  Amount  Equity 
  
Balance January 1, 2005
  245.5 $2.5 $2,485.2 $1,201.5  $253.3     $  $3,942.5 
Net earnings        732.5            732.5 
Other comprehensive loss           (104.0)        (104.0)
Stock compensation plans, including tax benefits  2.3    111.0              111.0 
Share repurchases              (0.1)  (4.1)  (4.1)
Other      4.9              4.9 
                           
                           
Balance December 31, 2005
  247.8  2.5  2,601.1  1,934.0   149.3   (0.1)  (4.1)  4,682.8 
Net earnings        834.5            834.5 
Other comprehensive income           95.3         95.3 
Impact of adoption of FAS 158           (35.4)        (35.4)
Stock compensation plans, including tax benefits  1.1    137.9              137.9 
Share repurchases              (12.0)  (798.8)  (798.8)
Other      4.2              4.2 
                           
                           
Balance December 31, 2006
  248.9  2.5  2,743.2  2,768.5   209.2   (12.1)  (802.9)  4,920.5 
Net earnings        773.2            773.2 
Other comprehensive income           81.1         81.1 
Impact of adoption of FIN 48        (4.8)           (4.8)
Stock compensation plans, including tax benefits  3.3    254.3              254.3 
Share repurchases              (7.2)  (576.3)  (576.3)
Other      1.6              1.6 
                           
                           
Balance December 31, 2007
  252.2 $2.5 $2,999.1 $3,536.9  $290.3   (19.3) $(1,379.2) $5,449.6 
                           
                           
             
(in millions) 
For the Years Ended December 31, 2008  2007  2006 
  
Cash flows provided by (used in) operating activities:            
Net earnings $848.6  $773.2  $834.5 
Adjustments to reconcile net earnings to net cash provided            
by operating activities:            
Depreciation and amortization  275.1   230.0   197.4 
Gain on sale of investments  (38.8)      
In-process research and development  38.5   6.5   2.9 
Share-based compensation  69.9   70.1   76.0 
Inventorystep-up
  7.0   0.5    
Deferred income tax provision  2.0   63.9   43.8 
Income tax benefit from stock option exercises  12.5   40.8   11.6 
Excess income tax benefit from stock option exercises  (6.5)  (27.0)  (8.0)
Changes in operating assets and liabilities, net of            
acquired assets and liabilities            
Income taxes payable  (77.3)  6.1   24.9 
Receivables  (44.4)  (12.5)  (76.9)
Inventories  (148.1)  (58.0)  (39.2)
Accounts payable and accrued liabilities  119.3   61.9   (29.9)
Other assets and liabilities  (19.7)  (71.1)  3.6 
         
         
Net cash provided by operating activities  1,038.1   1,084.4   1,040.7 
         
         
Cash flows provided by (used in) investing activities:            
Additions to instruments  (237.9)  (138.5)  (126.2)
Additions to other property, plant and equipment  (250.0)  (192.7)  (142.1)
Acquisition of intellectual property rights  (109.4)      
Proceeds from sale of investments  54.9       
Proceeds from sale of property, plant and equipment        16.2 
Abbott Spine acquisition, net of acquired cash  (363.0)      
Other acquisitions, net of acquired cash  (18.8)  (160.3)  (34.9)
         
         
Net cash used in investing activities  (924.2)  (491.5)  (287.0)
         
         
Cash flows provided by (used in) financing activities:            
Net borrowings under credit facilities  330.0      18.8 
Proceeds from employee stock compensation plans  57.0   149.8   41.3 
Excess income tax benefit from stock option exercises  6.5   27.0   8.0 
Repurchase of common stock  (737.0)  (576.3)  (798.8)
         
         
Net cash used in financing activities  (343.5)  (399.5)  (730.7)
         
         
Effect of exchange rates on cash and equivalents  (21.7)  4.8   9.5 
         
         
Increase (decrease) in cash and equivalents  (251.3)  198.2   32.5 
Cash and equivalents, beginning of year  463.9   265.7   233.2 
         
         
Cash and equivalents, end of year $212.6  $463.9  $265.7 
         
         
 
 
The accompanying notes are an integral part of these consolidated financial statements.
 
 
 
41


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Consolidated Statements of Cash FlowsComprehensive Income
             
(in millions) 
For The Years Ended December 31, 2007  2006  2005 
  
Cash flows provided by (used in) operating activities:            
Net earnings $773.2  $834.5  $732.5 
Adjustments to reconcile net earnings to net cash provided            
by operating activities:            
Depreciation and amortization  230.0   197.4   185.7 
Share-based compensation  70.1   76.0    
Inventorystep-up
  0.5      5.0 
Deferred income tax provision  63.9   43.8   53.8 
Income tax benefit from stock option exercises  40.8   11.6   34.3 
Excess income tax benefit from stock option exercises  (27.0)  (8.0)   
Changes in operating assets and liabilities, net of            
acquired assets and liabilities            
Income taxes payable  6.1   24.9   31.2 
Receivables  (12.5)  (76.9)  (35.3)
Inventories  (58.0)  (39.2)  (79.2)
Accounts payable and accrued liabilities  61.9   (29.9)  (40.1)
Other assets and liabilities  (64.6)  6.5   (9.7)
         
         
Net cash provided by operating activities  1,084.4   1,040.7   878.2 
         
         
Cash flows provided by (used in) investing activities:            
Additions to instruments  (138.5)  (126.2)  (150.0)
Additions to other property, plant and equipment  (192.7)  (142.1)  (105.3)
Proceeds from sale of property, plant and equipment     16.2    
Acquisitions, net of acquired cash  (160.3)  (34.9)  (55.8)
         
         
Net cash used in investing activities  (491.5)  (287.0)  (311.1)
         
         
Cash flows provided by (used in) financing activities:            
Net proceeds (payments) on lines of credit     18.8   (5.3)
Payments on term loans        (550.0)
Proceeds from employee stock compensation plans  149.8   41.3   76.7 
Excess income tax benefit from stock option exercises  27.0   8.0    
Debt issuance costs        (1.9)
Repurchase of common stock  (576.3)  (798.8)  (4.1)
         
         
Net cash used in financing activities  (399.5)  (730.7)  (484.6)
         
         
Effect of exchange rates on cash and equivalents  4.8   9.5   (3.9)
         
         
Increase in cash and equivalents  198.2   32.5   78.6 
Cash and equivalents, beginning of year  265.7   233.2   154.6 
         
         
Cash and equivalents, end of year $463.9  $265.7  $233.2 
         
         
             
(in millions) 
For the Years Ended December 31, 2008  2007  2006 
  
Net Earnings $848.6  $773.2   $834.5 
Other Comprehensive Income (Loss):            
Foreign currency cumulative translation adjustments  (49.4)  101.1   143.8 
Unrealized foreign currency hedge gains/(losses), net of tax effects of
$0.7 in 2008, $11.5 in 2007 and $7.6 in 2006
  35.0   (49.8)  (56.7)
Reclassification adjustments on foreign currency hedges, net of tax effects of
$(10.9) in 2008, $(1.3) in 2007 and $(1.8) in 2006
  43.4   27.0   8.7 
Unrealized gains/(losses) on securities, net of tax effects of $(15.2) in 2008,
$0.9 in 2007 and $0.9 in 2006
  24.4   (1.4)  (1.4)
Reclassification adjustments on securities, net of tax effects of $15.0 in 2008  (23.8)      
Prior service cost and unrecognized gain/(loss) in actuarial assumptions,
net of tax effects of $14.1 in 2008 and $(0.4) in 2007
  (79.9)  4.2    
Minimum pension liability adjustment, net of tax effects of $(0.6) in 2006        0.9 
         
         
Other comprehensive income (loss)  (50.3)  81.1   95.3 
         
         
Comprehensive Income $798.3  $854.3   $929.8 
         
         
 
 
The accompanying notes are an integral part of these consolidated financial statements.
 
 
 
42


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Consolidated Statements of Comprehensive Income
             
(in millions) 
For The Years Ended December 31, 2007  2006  2005 
  
Net Earnings $773.2  $834.5   $ 732.5 
Other Comprehensive Income (Loss):            
Foreign currency cumulative translation adjustments  101.1   143.8   (201.3)
Unrealized foreign currency hedge gains/(losses), net of tax effects of
$11.5 in 2007, $7.6 in 2006 and $(17.8) in 2005
  (49.8)  (56.7)  71.2 
Reclassification adjustments on foreign currency hedges, net of tax effects of
$(1.3) in 2007, $(1.8) in 2006 and $(12.7) in 2005
  27.0   8.7   27.6 
Unrealized gains/(losses) on securities, net of tax effects of $0.9 in 2007,
$0.9 in 2006 and $0.9 in 2005
  (1.4)  (1.4)  (1.5)
Prior service cost and unrecognized (gain)/loss in actuarial assumptions,
net of tax effects of $(0.4) in 2007
  4.2       
Minimum pension liability adjustment, net of tax effects of $(0.6) in 2006     0.9    
         
         
Other comprehensive income (loss)  81.1   95.3   (104.0)
         
         
Comprehensive Income $854.3  $929.8   $ 628.5 
         
         
The accompanying notes are an integral part of these consolidated financial statements.
43


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements
 
 
1.BUSINESS
 
We design, develop, manufacture and market reconstructive orthopaedic implants, including joint and dental reconstructive implants, spinal implants, trauma products, and related orthopaedic surgical products. We also provide other healthcare related services. JointOrthopaedic reconstructive implants restore function lost due to disease or trauma in joints such as knees, hips, shoulders and elbows. Dental reconstructive implants restore function and aesthetics in patients thatwho have lost teeth due to trauma or disease. Spinal implants are utilized by orthopaedic surgeons and neurosurgeons in the treatment of degenerative diseases, deformities and trauma in all regions of the spine. Trauma products are devices used primarily to reattach or stabilize damaged bone and tissue to support the body’s natural healing process. Our related orthopaedic surgical products include surgical supplies and instruments designed to aid in orthopaedic surgical procedures and post-operation rehabilitation. We have operations in more than 25 countries and market our products in more than 100 countries. We operate in a single industry but have three reportable geographic segments, the Americas, Europe and Asia Pacific.
 
The words “we”, “us”, “our” and similar words refer to Zimmer Holdings, Inc. and its subsidiaries. Zimmer Holdings refers to the parent company only.
 
2.SIGNIFICANT ACCOUNTING POLICIES
 
Basis of Presentation – The consolidated financial statements include the accounts of Zimmer Holdings and its subsidiaries in which it holds a controlling equity position. Investments in companies in which we exercise significant influence over the operating and financial affairs, but do not control, are accounted for under the equity method. Under the equity method, we record the investment at cost and adjust the carrying amount of the investment by our proportionate share of the investee’s net earnings or losses. All significant intercompany accounts and transactions are eliminated. Certain amounts in the 2007 and 2006 consolidated financial statements have been reclassified to conform to the 20072008 presentation.
 
Use of Estimates – The consolidated financial statements are prepared in conformity with accounting principles generally accepted in the United States and include amounts that are based on management’s best estimates and judgments. Actual results could differ from those estimates.
 
Foreign Currency Translation – The financial statements of our foreign subsidiaries are translated into U.S. dollars using period-end exchange rates for assets and liabilities and average exchange rates for operating results. Unrealized translation gains and losses are included in accumulated other comprehensive income in stockholders’ equity. When a transaction is denominated in a currency other than the subsidiary’s functional currency, we recognize a transaction gain or loss when the transaction is settled. Foreign currency transaction gains and losses included in net earnings for the years ended December 31, 2008, 2007 2006 and 20052006 were not significant.
 
Revenue Recognition – We sell product through three principal channels: 1) direct to healthcare institutions, referred to as direct channel accounts,accounts; 2) through stocking distributors and healthcare dealersdealers; and 3) directly to dental practices and dental laboratories. The direct channel accounts represent approximately 80 percent of our net sales. Through this channel, inventory is generally consigned to sales agents or customers so that products are available when needed for surgical procedures. No revenue is recognized upon the placement of inventory into consignment as we retain title and maintain the inventory on our balance sheet. Upon implantation, we issue an invoice and revenue is recognized. Pricing for products is generally predetermined by contracts with customers, agents acting on behalf of customer groups or by government regulatory bodies, depending on the market. Price discounts under group purchasing contracts are generally linked to volume of implant purchases by customer healthcare institutions within a specified group. At negotiated thresholds within a contract buying period, price discounts may increase. Revenue is recognized on salesSales to stocking distributors, healthcare dealers, dental practices and dental laboratories which account for approximately 20 percent of our net sales. With these types of sales, revenue is recognized when title to product passes, to them, generallyeither upon shipment.shipment of the product or in some cases upon implantation of the product. Product is generally sold to distributors at contractually fixed prices for specified periods. A distributorPayment terms vary by customer, but are typically less than 90 days. In some cases sales incentives may return productbe earned by a customer for purchasing a specified amount of our product. We estimate whether such incentives will be achieved and, if so, recognize these incentives as a reduction in revenue in the event thatsame period the underlying revenue transaction is recognized. Occasionally products are returned and, accordingly, we terminate the relationship. Under those circumstances, we recordmaintain an estimated sales return reserve that is recorded as a reduction in the period in which constructive notice of termination is given to a distributor.revenue. Product returns were not significant for the years ended December 31, 2008, 2007 2006 and 2005.2006.
 
The reserves for doubtful accounts were $21.7$20.0 million and $20.4$21.7 million as of December 31, 20072008 and 2006,2007, respectively.
 
Shipping and Handling – Amounts billed to customers for shipping and handling of products are reflected in net sales and are not significant. Expenses incurred related to shipping and handling of products are reflected in selling, general and administrative and were $117.3 million, $104.1 million $95.5 million and $91.6$95.5 million for the years ended December 31, 2008, 2007 2006 and 2005,2006, respectively.
 
Acquisition, Integration and Other – We recognize incremental expenses resulting directly from our business combinations and significant nonrecurring and unusual items as “Acquisition, integration and other” expenses. Acquisition, integration and other expenses for the years ended
 
 
 
4443


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
December 31, 2008, 2007 2006 and 2005,2006, included (in millions):
                       
 2007 2006 2005 2008 2007 2006 
 
(Gain)/loss on disposition or impairment of acquired assets and obligations $(1.2) $(19.2) $3.2
Gain on disposition, adjustment or impairment of acquired assets and obligations $(9.0) $(1.2) $(19.2)
Consulting and professional fees  1.0   8.8   5.6  10.1   1.0   8.8 
Employee severance and retention  1.6   3.3   13.3  1.9   1.6   3.3 
Information technology integration  2.6   3.0   6.9  0.9   2.6   3.0 
In-process research & development  6.5   2.9     38.5   6.5   2.9 
Integration personnel     2.5   3.1        2.5 
Facility and employee relocation     1.0   6.2  7.5      1.0 
Distributor acquisitions  4.1        7.3   4.1    
Sales agent and lease contract terminations  5.4   0.2   12.7  8.1   5.4   0.2 
Other  5.2   3.6   5.6  3.2   5.2   3.6 
                
          
Acquisition, integration and other $25.2  $6.1  $56.6
Acquisition, Integration and Other $68.5  $25.2  $6.1 
                
          
 
In-process research and development charges for 2007 are related to the acquisitions of Endius and ORTHOsoft. Included in the gain/lossgain on disposition, adjustment or impairment of acquired assets and obligations for 2008 is a favorable adjustment to certain liabilities of acquired companies due to changes in circumstances surrounding those liabilities subsequent to the related measurement period. Included in the gain on disposition, adjustment or impairment of acquired assets and obligations for 2006 is the sale of the former Centerpulse Austin land and facilities for a gain of $5.1 million and the favorable settlement of two pre-acquisition contingent liabilities. These gains were offset by a $13.4 million impairment charge for certain Centerpulse tradename and trademark intangibles based principally in our Europe operating segment. In-process research and development charges for 2008 are related to the acquisition of Abbott Spine. In-process research and development charges for 2007 are related to the acquisitions of Endius and ORTHOsoft. Consulting and professional fees relate to third-party integration consulting performed in a variety of areas such as tax, compliance, logistics and human resources and legal fees related to matters involving acquired businesses.
 
Cash and Equivalents – We consider all highly liquid investments with an original maturity of three months or less to be cash equivalents. The carrying amounts reported in the balance sheet for cash and equivalents are valued at cost, which approximates their fair value. Restricted cash is primarily composed of cash held in escrow related to certain insurance coverage.
 
Inventories – Inventories, net of allowances for obsolete and slow-moving goods, are stated at the lower of cost or market, with cost determined on afirst-in first-out basis.
 
Property, Plant and Equipment – Property, plant and equipment is carried at cost less accumulated depreciation. Depreciation is computed using the straight-line method based on estimated useful lives of ten to forty years for buildings and improvements, three to eight years for machinery and equipment and generally five years for instruments.equipment. Maintenance and repairs are expensed as incurred. In accordance with Statement of Financial Accounting Standards (“SFAS”) No. 144, “Accounting for the Impairment or Disposal of Long-Lived Assets,” we review property, plant and equipment for impairment whenever events or changes in circumstances indicate that the carrying value of an asset may not be recoverable. An impairment loss would be recognized when estimated future undiscounted cash flows relating to the asset are less than its carrying amount. An impairment loss is measured as the amount by which the carrying amount of an asset exceeds its fair value.
 
Software Costs – We capitalize certain computer software and software development costs incurred in connection with developing or obtaining computer software for internal use when both the preliminary project stage is completed and it is probable that the software will be used as intended. Capitalized software costs generally include external direct costs of materials and services utilized in developing or obtaining computer software and compensation and related benefits for employees who are directly associated with the software project. Capitalized software costs are included in property, plant and equipment on our balance sheet and amortized on a straight-line basis when placed into servicethe software is ready for its intended use over the estimated useful lives of the software, which approximate three to seven years.
 
Instruments – Instruments are hand heldhand-held devices used by orthopaedic surgeons during total joint replacement and other surgical procedures. Instruments are recognized as long-lived assets and are included in property, plant and equipment. Undeployed instruments are carried at cost, net of allowances for excess and obsolete instruments. Instruments in the field are carried at cost less accumulated depreciation. Depreciation is computed using the straight-line method based on average estimated useful lives, determined principally in reference to associated product life cycles, primarily five years. We review instruments for impairment in accordance with SFAS No. 144. Depreciation of instruments is recognized as selling, general and administrative expense.
 
Goodwill – We account for goodwill in accordance with SFAS No. 142, “Goodwill and Other Intangible Assets”.Assets.” Goodwill is not amortized but is subject to annual impairment tests. Goodwill has been assigned to reporting units, which are consistent with our operating segments.units. We perform annual impairment tests by comparing each reporting unit’s fair value to its carrying amount to determine if there is potential impairment. The fair value of the reporting unit and the implied fair value of goodwill are determined based upon a discounted cash flow analysis. Significant assumptions are incorporated into to these discounted cash flow analyses such as estimated growth rates and risk-adjusted discount rates. We perform this test in the fourth quarter of the year. If the fair value of the reporting unit is less than its carrying value, an impairment loss is recorded to the extent that the implied fair value of the reporting unit goodwill is less than the carrying value of the reporting unit goodwill. The fair value of the reporting unit and the implied fair value of goodwill are determined based upon market multiples.
 
Intangible Assets – We account for intangible assets in accordance with SFAS No. 142. Intangible assets are initially measured at their fair value. We have determined the fair value of our intangible assets either by the fair value of the
44


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
consideration exchanged for the intangible asset, or the estimated after-tax discounted cash flows expected to be generated from the intangible asset. Intangible assets with an indefinite life, including certain trademarks and trade names, are not amortized. The useful lives of indefiniteIndefinite life intangible assets are assessed annually to determine whether events and circumstances continue to support an indefinite life. Intangible assets with a finite life, including core and developed technology, certain trademarks and trade names,
45


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
customer related customer-related intangibles, intellectual property rights and patents and licenses are amortized on a straight-line basis over their estimated useful life, ranging from threeless than one year to forty40 years. Intangible assets with a finite life are tested for impairment whenever events or circumstances indicate that the carrying amount may not be recoverable. Intangible assets with an indefinite life are tested for impairment annually, or whenever events or circumstances indicate that the carrying amount may not be recoverable. An impairment loss is recognized if the carrying amount exceeds the estimated fair value of the asset. The amount of the impairment loss to be recorded would be determined based upon the excess of the asset’s carrying value over its fair value. IntangibleThe fair values of indefinite lived intangible assets are determined based upon a discounted cash flow analysis using the relief from royalty method. The relief from royalty method estimates the cost savings associated with a finite lifeowning, rather than licensing, assets. Significant assumptions are tested for impairment whenever events or circumstances indicate that the carrying amount may not be recoverable.incorporated into to these discounted cash flow analyses such as estimated growth rates, royalty rates and risk-adjusted discount rates.
 
The useful lives of intangible assets range from 3less than one year to 40 years. In determining the useful lives of intangible assets, we consider the expected use of the assets and the effects of obsolescence, demand, competition, anticipated technological advances, changes in surgical techniques, market influences and other economic factors. For technology basedtechnology-based intangible assets, we consider the expected life cycles of products, absent unforeseen technological advances, which incorporate the corresponding technology. Trademarks and trade names that do not have a wasting characteristic (i.e., there are no legal, regulatory, contractual, competitive, economic or other factors which limit the useful life) are assigned an indefinite life. Trademarks and trade names that are related to products expected to be phased out are assigned lives consistent with the period in which the products bearing each brand are expected to be sold. For customer relationship intangible assets, we assign useful lives based upon historical levels of customer attrition. Intellectual property rights are assigned useful lives that approximate the contractual life of any related patent or the period for which we maintain exclusivity over the intellectual property.
 
Research and Development – We expense all research and development costs as incurred. Research and development costs include salaries, prototypes, depreciation of equipment used in research and development, consultant fees and amountsservice fees paid to collaborative partners.
 
Income Taxes – We account for income taxes in accordance with SFAS No. 109, “Accounting for Income Taxes” and related interperations,interpretations, including FIN 48. Deferred tax assets and liabilities are determined based on differences between financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates in effect for the years in which the differences are expected to reverse. Federal income taxes are provided on the portion of the income of foreign subsidiaries that is expected to be remitted to the U.S.
 
Derivative Financial Instruments – We account for all derivative financial instruments in accordance with SFAS No. 133, “Accounting for Derivative Instruments and Hedging Activities,” as amended by SFAS No. 138, “Accounting for Certain Derivative Instruments and Certain Hedging Activities (an amendment of FASB Statement No. 133)” and SFAS No. 149, “Amendment of Statement 133 on Derivative Instruments and Hedging Activities”.Activities.” SFAS No. 133 requires that all derivative instruments be reported as assets or liabilities on the balance sheet and measured at fair value. We maintain written policies and procedures that permit, under appropriate circumstances and subject to proper authorization, the use of derivative financial instruments solely for hedging purposes. The use of derivative financial instruments for trading or speculative purposes is prohibited by our policy. We are exposed to market risk due to changes in currency exchange rates. As a result, we utilize foreign exchange forward contracts and options to offset the effect of exchange rate fluctuations on anticipated foreign currency transactions, generally intercompany sales and purchases expected to occur within the next twelve to thirty months. Derivative instruments that qualify as cash flow hedges are designated as such from inception. We maintain formal documentation regarding our objectives, the nature of the risk being hedged, identification of the instrument, the hedged transaction, the hedging relationship and how effectiveness of the hedging instrument will be assessed. Our policy requires that critical terms of a hedging instrument are effectively the same as a hedged forecasted transaction. On this basis, with respect to a cash flow hedge, changes in cash flows attributable to the hedged transaction are generally expected to be completely offset by the cash flows attributable to hedge instruments. We, therefore, perform quarterly assessments of hedge effectiveness by verifying and documenting those critical terms of the hedge instrument and that forecasted transactions have not changed. 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 effective portion of changes in fair value is temporarily recorded in other comprehensive income and then recognized in cost of products sold when the hedged item affects net earnings. The ineffective portion of a derivative’s change in fair value, if any, is reported in cost of products sold immediately. The net amount recognized in earnings during
45


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
the years ended December 31, 2008, 2007 2006 and 2005,2006, due to ineffectiveness and amounts excluded from the assessment of hedge effectiveness, was not significant.
 
For contracts outstanding at December 31, 2007,2008, we have an obligation to purchase U.S. Dollars and sell Euros, Japanese Yen, British Pounds, Canadian Dollars, Australian Dollars and Korean Won and purchase Swiss Francs and sell U.S. Dollars at set maturity dates ranging from January 20082009 through May 2010.June 2011. The notional amounts of outstanding forward contracts entered into with third parties to purchase U.S. Dollars at December 31, 20072008 were $1,244.6$1,343.0 million. The notional amounts of outstanding forward contracts entered into with third parties to purchase Swiss Francs at December 31, 2007,2008 were $138.4$207.5 million. The fair value of outstanding derivative instruments recorded on the balance sheet at December 31, 2007,2008, together with settled derivatives where the hedged item has not yet affected earnings, was a net unrealized lossgain of $55.8$32.7 million, or $45.4$33.0 million net of taxes, which is deferred in other comprehensive income, of
46


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
which $44.9$16.4 million, or $38.2$17.9 million, net of taxes, is expected to be reclassified to earnings over the next twelve months.
 
We also enter into foreign currency forward exchange contracts with terms of one month to manage currency exposures for assets and liabilities denominated in a currency other than an entity’s functional currency. As a result, any foreign currency translationremeasurement gains/losses recognized in earnings under SFAS No. 52, “Foreign Currency Translation”Translation,” are generally offset with gains/losses on the foreign currency forward exchange contracts in the same reporting period.
 
Other Comprehensive Income – Other comprehensive income refers to revenues, expenses, gains and losses that under generally accepted accounting principles are included in comprehensive income but are excluded from net earnings as these amounts are recorded directly as an adjustment to stockholders’ equity. Other comprehensive income is comprised of foreign currency translation adjustments, unrealized foreign currency hedge gains and losses, unrealized gains and losses on available-for-sale securities and amortization of prior service costs and unrecognized gains and losses in actuarial assumptions. In 2006 we adopted SFAS 158, “Employers’ Accounting for Defined Benefit Pension and Other Postretirement Plans – an amendment of FASB Statements No. 87, 88, 106 and 132(R).” This statement required recognition of the funded status of our benefit plans in the statement of financial position and recognition of certain deferred gains or losses in other comprehensive income. We recorded an unrealized loss of $35.4 million in other comprehensive income during 2006 related to the adoption of SFAS 158.
 
 
The components of accumulated other comprehensive income are as follows (in millions):
 
                        
 Balance at
 Other
 Balance at
  Balance at
 Other
 Balance at
 
 December 31,
 Comprehensive
 December 31,
  December 31,
 Comprehensive
 December 31,
 
 2006 Income (Loss) 2007  2007 Income (Loss) 2008 
   
Foreign currency translation $267.7  $101.1  $368.8  $368.8  $(49.4) $319.4 
Foreign currency hedges  (22.6)  (22.8)  (45.4)  (45.4)  78.4   33.0 
Unrealized gains (losses) on securities  (0.5)  (1.4)  (1.9)
Unrecognized prior service cost and unrecognized (gain) / loss in actuarial assumptions  (35.4)  4.2   (31.2)
Unrealized gain/(loss) on securities  (1.9)  0.6   (1.3)
Unrecognized prior service cost and unrecognized gain/(loss) in actuarial assumptions  (31.2)  (79.9)  (111.1)
                 
           
Accumulated other comprehensive income $209.2  $81.1  $290.3  $290.3  $(50.3) $240.0 
                 
           
During 2008, we reclassified an investment previously accounted for under the equity method to an available-for-sale investment as we no longer exercised significant influence over the third-party investee. The investment was marked-to-market in accordance with SFAS 115, “Accounting for Certain Investments in Debt and Equity Securities,” resulting in a net unrealized gain of $23.8 million recorded in other comprehensive income for 2008. This unrealized gain was reclassified to the income statement when we sold this investment in 2008 for total proceeds of $54.9 million and a gross realized gain of $38.8 million included in interest and other income. The basis of these securities was determined based on the consideration paid at the time of acquisition.
 
Treasury Stock – We account for repurchases of common stock under the cost method and present treasury stock as a reduction of shareholders equity. We may reissue common stock held in treasury only for limited purposes.
 
Accounting Pronouncements – In June 2006, the FASB issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes, an interpretation of FAS 109, Accounting for Income Taxes” (FIN 48), to create a single model to address accounting for uncertainty in tax positions. See our income tax disclosures in Note 11 for more information regarding the adoption of FIN 48.
In September 2006, the FASB issued SFAS No. 158, “Employers’ Accounting for Defined Benefit Pension and Other Postretirement Plans – an amendment of FASB Statements No. 87, 88, 106 and 132(R).” This Statement requires recognition of the funded status of a benefit plan in the statement of financial position. SFAS No. 158 also requires recognition in other comprehensive income of certain gains and losses that arise during the period but are deferred under pension accounting rules, as well as modifies the timing of reporting and adds certain disclosures. The Statement provides recognition and disclosure elements to be effective as of the end of the fiscal year after December 15, 2006 and measurement elements to be effective for fiscal years ending after December 15, 2008. We adopted SFAS No. 158 on December 31, 2006. See our pension and other postretirement disclosures in Note 10.
In December 2004, the FASB issued SFAS No. 123(R), “Share-Based Payment”, which is a revision to SFAS No. 123. SFAS 123(R) requires all share-based payments to employees, including stock options, to be expensed based on their fair values. We adopted SFAS 123(R) on January 1, 2006 using the modified prospective method and did not restate prior periods.
In September 2006, the FASB issued SFAS No. 157, “Fair Value Measurements”,Measurements,” which defines fair value, establishes a framework for measuring fair value in generally accepted accounting principles and expands disclosures about fair value measurements. This Statement does not require any new fair value measurements, but provides guidance on how to measure fair value by providing a fair value hierarchy used to classify the source of the information. SFAS No. 157 is effective for financial statements issued for fiscal years beginning after November 15, 2007 and interim periods within those fiscal years. In February 2008, the FASB issued FASB Staff Position (FSP)No. SFAS 157-2, which delays the effective date of certain provisions of SFAS No. 157 relating to non-financial assets and liabilities measured at fair value on a non-recurring basis until fiscal years beginning after November 15, 2008. The full adoption of SFAS No. 157 is not expected to have a material impact on our consolidated financial statements or results of operations.
 
In February 2007, the FASB issued SFAS No. 159, “The Fair Value Option for Financial Assets and Financial Liabilities – Including an amendment of FASB Statement No. 115” (SFAS No. 159). SFAS No. 159 creates a “fair value option” under which an entity may elect to record certain financial assets or liabilities at fair value upon their initial recognition. Subsequent changes in fair value would be recognized in earnings as those changes occur. The election of the fair value option would be made on acontract-by-contract basis and would need to be supported by concurrent documentation or a preexisting documented policy. SFAS No. 159 requires an entity to separately disclose the fair
 
 
4746


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
value of these items on the balance sheet or in the footnotes to the financial statements and to provide information that would allow the financial statement user to understand the impact on earnings from the changes in the fair value. SFAS No. 159 is effective for fiscal years beginning after November 15, 2007. We do not expect the adoption of SFAS No. 159 will have a material impact on our financial position or results of operations.
 
In December 2007, the FASB issued SFAS No. 141(R), “Business Combinations”,Combinations,” which is a revision of SFAS 141.No. 141 “Business Combinations.” SFAS No. 141(R) will change the way in which we account for business combinations. The Statement introduces new purchase accounting concepts, expands the use of fair value accounting related to business combinations and changes the subsequent period accounting for certain acquired assets and liabilities, among other things. SFAS No. 141(R) will be applied prospectively on business combinations with acquisition dates in fiscal years beginning on or after December 15, 2008, and therefore this statement will not affect our financial statements for business combinations that preceded the effective date. For deferred tax assets and income tax reserves recorded as part of business combinations, these assets will be accounted for under SFAS 109 and FIN 48 after the effective date regardless of the acquisition date. Therefore, if a remeasurement of those assets and liabilities is warranted after the effective date of this statement, it may affect our income tax expense in the period in which the remeasurement occurs.
 
In December 2007, the FASB also issued SFAS No. 160, “Noncontrolling Interests in Consolidated Financial Statements, an amendment of ARB 51”.51.” SFAS No. 160 will change the accounting and reporting for minority interests, which will be recharacterized as noncontrolling interests and classified as a component of equity. SFAS No. 160 requires retroactive adoption of the presentation and disclosure requirements for existing minority interests. SFAS No. 160 is effective for fiscal years beginning on or after December 15, 2008 and interim periods within those fiscal years. We do not expect that the adoption of SFAS No. 160 will have a material impact on our consolidated financial statements or results of operations.
 
In March 2008, the FASB issued SFAS No. 161, “Disclosures about Derivative Instruments and Hedging Activities, an amendment of SFAS No. 133.” SFAS No. 161 will require increased disclosure of our derivative and hedging activities, including how derivative and hedging activities affect our consolidated statement of earnings, balance sheet and cash flows. SFAS No. 161 is effective for fiscal years beginning on or after December 15, 2008 and interim periods within those fiscal years. The adoption of SFAS No. 161 will increase the required disclosure of our derivative and hedging activities, but will not have any impact on our financial position or results of operations.
3.SHARE-BASED COMPENSATION
 
Our share-based payments primarily consist of stock options, restricted stock, restricted stock units (RSUs), performance shares and an employee stock purchase plan. We did not grant any RSUs or performance shares until 2006. Prior to January 1, 2006, we accounted for share-based payments under APB Opinion No. 25, “Accounting for Stock Issued to Employees,” and related Interpretations (“APB 25”). Under APB 25,For the year ended December 31, 2008, share-based payment expense was not significant because the exercise price$69.9 million or $49.5 million net of the stock options generally equaled the market price of the underlying stock on the measurement date of the stock options and we had awarded few shares of restricted stock and no RSUs or performance shares. No share-based payment expense was reflected in net income for the employee stock purchase plan under the provisions of APB 25, as the employee purchase price discount met the acceptable thresholds under Section 423 of the Internal Revenue Code.
We have elected the modified prospective method for adopting SFAS 123(R). Under the modified prospective method, the provisions of SFAS 123(R) apply to all share-based payments granted or modified after the date of adoption. For share-based payments granted prior to the date of the adoption, the unrecognized expense related to the unvested portion at the date of adoption will be recognized in net earnings under the grant date fair value provisions used for our pro forma disclosures under SFAS 123.tax benefits. For the year ended December 31, 2007, share-based payment expense was $70.1 million or $48.1 million net of the related tax benefits. For the year ended December 31, 2006, share-based payment expense was $76.0 million or $54.5 million net of the related tax benefits. Share-based payment expense for the year ended December 31, 2005 under APB 25 was not significant. The following is the pro forma expense disclosure under SFAS 123 for the year ended December 31, 2005 (in millions, except per share amounts):
     
  2005 
  
 
Net earnings, as reported $732.5 
Deduct: Total share-based payment expense determined under SFAS 123 for all awards, net of tax  (46.1)
 
 
Pro forma net earnings $686.4 
 
 
Earnings per share:    
Basic – as reported $2.96 
Basic – pro forma  2.78 
Diluted – as reported  2.93 
Diluted – pro forma  2.75 
 
Prior to adopting SFAS 123(R), we classified all tax benefits of deductions resulting from the exercise of non-qualified stock options as operating cash flows. SFAS 123(R) requires the cash flows resulting from excess tax benefits (i.e., tax deductions realized for stock options exercised in excess of the tax benefit recognized on the related share-based payment expense) to be classified as financing cash flows.
Stock Options
 
 
We had three equity compensation plans in effect at December 31, 2007:2008: the 2006 Stock Incentive Plan (the “2006 Plan”), the TeamShare Stock Option Plan and the Stock Plan for Non-Employee Directors. The 2006 Plan replaced the 2001 Stock Incentive Plan (the “2001 Plan”), which by its terms expired in August 2006. Following stockholder approval of the 2006 Plan in May 2006, no further awards were granted under the 2001 Plan. However, vested and unvested stock options previously granted under the 2001 Plan remained outstanding
48


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
as of December 31, 2007.2008. We have reserved the maximum number of shares of common stock available for award under the terms of each of these plans and have registered 52.9 million shares of common stock. The 2006 Plan provides for the grant of nonqualified stock options and incentive stock options, long-term performance awards in the form of performance shares or units, restricted stock, restricted stock units and stock appreciation rights. The Compensation and Management Development Committee of the Board of Directors determines the grant date for annual grants under our equity compensation plans. The date for annual grants under the 2006 Plan to our executive officers is expected to occur in February of each year following the earnings announcements for the previous quarter and full year. The TeamShare Stock Option Plan provides for the grant of non-qualified stock options and, in certain jurisdictions, stock appreciation rights, while the Stock Plan for Non-Employee Directors provides for awards of stock options, restricted stock and restricted stock units to non-employee directors. It has been our practice to issue shares of common stock upon exercise of stock options from previously unissued shares. The total number of awards which may be granted in a given yearand/or over the life of the plan under each of our equity compensation plans is limited. At December 31, 2007,2008, an aggregate of 14.411.2 million shares were available for future grants and awards under these plans.
 
Stock options granted to date under our plans generally vest over four years and generally have a maximum contractual life of 10 years. We recognize expense related to stock options on a straight-line basis over the vesting period for the entire award, less awards expected to be forfeited using estimated forfeiture rates. Stock options are granted with an exercise price equal to the market price of our common stock on the date of grant, except in limited circumstances where local law may dictate otherwise. In the past, certain options have had price thresholds, which affect exercisability. All such price thresholds have been satisfied. The total number of awards which may be granted in a given yearand/or over the life of the plan under each of our stock option plans is limited to control dilution.
 
47


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
A summary of stock option activity for the year ended December 31, 20072008 is as follows (options in thousands):
 
               
   Weighted Average
   Weighted Average
 
 Stock Options Exercise Price Stock Options Exercise Price 
 
Outstanding at December 31, 2006  14,184  $59.75
Outstanding at December 31, 2007  14,107  $67.94 
Options granted  3,641   81.92  3,975   76.45 
Options exercised  (3,134)  45.91  (1,190)  43.68 
Options cancelled  (584)  75.22  (698)  77.87 
Options expired  (294)  76.85 
        
      
Outstanding at December 31, 2007  14,107  $67.94
Outstanding at December 31, 2008  15,900  $71.25 
        
      
 
The following table summarizes information about stock options outstanding at December 31, 20072008 (options in thousands):
 
                                  
 Outstanding     Outstanding     
   Weighted
   Exercisable   Weighted
   Exercisable 
   Average
 Weighted
   Weighted
   Average
 Weighted
   Weighted
 
   Remaining
 Average
   Average
   Remaining
 Average
   Average
 
Range of Exercise Prices Options Contractual Life Exercise Price Options Exercise Price Options Contractual Life Exercise Price Options Exercise Price 
 
$19.50 – $27.50  298  2.20 $24.62  298 $24.62
$22.00 – $27.50  187   1.85  $24.76   187  $24.76 
$27.51 – $37.50  1,317  3.21  31.04  1,317  31.04  915   2.46   30.64   915   30.64 
$39.50 – $51.00  1,115  5.10  42.83  1,115  42.83  734   4.19   44.02   734   44.02 
$55.00 – $70.50  3,298  6.96  68.71  1,890  69.64  2,970   6.01   68.64   2,403   69.30 
$71.00 – $91.00  8,079  8.28  78.70  2,122  77.04  11,094   7.79   77.88   3,900   77.93 
                             
       
  14,107  7.12 $67.94  6,742 $58.01  15,900   6.91  $71.25   8,139  $65.79 
                             
       
 
 
We use a Black-Scholes option-pricing model to determine the fair value of our stock options. For stock options granted during the years ended December 31, 2007 and 2006, expectedExpected volatility was derived from the implied volatility of our traded options that were actively traded around the grant date of the stock options with exercise prices similar to the stock options and maturities of over one year. In periods prior to January 1, 2006, expected volatility was derived based upon historical volatility of our common stock. The change in determining the expected volatility assumption was based upon our traded options with maturities over one year being more actively traded than in the past along with the guidance provided by the Securities and Exchange Commission in Staff Accounting Bulletin No. 107. The expected term of the stock options has been derived from historical employee exercise behavior. The risk-free interest rate is determined using the implied yield currently available for zero-coupon U.S. government issues with a remaining term equal to the expected life of the options. A dividend yield of zero percent has been used as we have not paid a dividend since becoming a public company in 2001.
 
The weighted average fair value of the options granted in the years ended December 31, 2008, 2007 2006 and 20052006 were determined using the following assumptions:
 
             
  2007  2006  2005 
  
 
Dividend Yield  %  %  %
Volatility  23.8%  25.7%  30.2%
Risk-free interest rate  4.4%  4.5%  4.1%
Expected life (years)  5.1   5.1   5.3 
49


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
             
  2008  2007  2006 
  
 
Dividend Yield  %  %  %
Volatility  27.4%  23.8%  25.7%
Risk-free interest rate  2.9%  4.4%  4.5%
Expected life (years)  5.4   5.1   5.1 
 
The weighted average fair value for options granted during 2008, 2007 and 2006 was $23.32, $22.60 and 2005 were $22.60, $22.32, and $28.11, respectively. The total intrinsic value of stock options exercised during the years ended December 31, 2008, 2007 and 2006 and 2005 werewas $31.9 million, $124.5 million $40.5 million and $109.2$40.5 million, respectively. For the years ended December 31, 2008, 2007 and 2006, share-based payment expense related to stock options was $65.4 million, $73.4 million and $66.3 million, respectively, or $46.3 million, $50.4 million and $47.7 million net of the related tax benefits, respectively. For the year ended December 31, 2006, the impact on basic and diluted EPS related to share-based payment expense on stock options was $0.19. Since prior to adoption of SFAS 123(R) the exercise price of stock options granted generally equaled the market price of the underlying stock on the measurement date, the expense related to stock options represents the impact of adopting this standard.
 
Summarized information about outstanding stock options as of December 31, 20072008 that are already vested and that we expect to vest, as well as stock options that are currently exercisable, is as follows:
              
 Outstanding Stock
   Outstanding Stock
   
 Options Already
 Options
 Options Already
 Options
 
 Vested and Expected
 that are
 Vested and Expected
 that are
 
 to Vest* Exercisable to Vest* Exercisable 
 
Number of outstanding options (in thousands)  13,484  6,742  15,096   8,139 
Weighted average remaining contractual life  7.1 years  5.7 years  6.9 years   5.6 years 
Weighted average exercise price per share  $67.50  $58.01  $70.94   $65.79 
Intrinsic value (in millions)  $85.3  $83.4  $12.2   $12.2 
 
Includes effects of estimated forfeitures
 
As of December 31, 2007,2008, there was $111.4$117.5 million of unrecognized share-based payment expense related to nonvested stock options granted under our plans. That expense is expected to be recognized over a weighted average period of 2.82.7 years.
 
Performance Shares and RSUs
 
 
We granted performance shares and performance-based RSUs in 2006 and 2007, respectively, the vesting of which dependsdepended on ourthe achievement of objective performance targets over a three year periodperiods ended December 31, 2008. In addition, we granted performance-based RSUs in July 2007, the vesting of which depends on our achievement of objective The
48


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
performance targets over an 18 month period ended December 31, 2008. To the extent our actual performance meets or exceeds the respective performance targetsrelated to these awards were not met and the related performance sharesand/or and RSUs are earned, they will generally vest at the end of the performance period ending December 31, 2008.were forfeited. We also granted RSUs in December 2007. These RSUs are not tied to our performance and will vest ratably on the first and second anniversaries of the date of grant, provided that the recipient is still our employee. Each of these awards will beare converted into one share of our common stock upon vesting.
 
A summary of nonvested performance share and RSU activity for the year ended December 31, 20072008 is as follows (Performance sharesShares and RSUs in thousands):
               
   Weighted Average
   Weighted Average
 
 Performance
 Grant Date
 Performance
 Grant Date
 
 Shares and RSUs Fair Value Shares and RSUs Fair Value 
 
Outstanding at January 1, 2007  905  $67.86
Outstanding at January 1, 2008  1,147  $69.35 
Granted  348   72.78  40   53.29 
Vested  (123)  68.29 
Forfeited  (106)  67.86  (895)  69.64 
        
      
Outstanding at December 31, 2007  1,147  $69.35
Outstanding at December 31, 2008  169  $64.93 
        
      
 
The fair value of the awards was determined based upon the fair market value of our common stock on the date of grant. SFAS 123(R) requires us to estimate the number of performance shares and RSUs that will vest, and recognize share-based payment expense on a straight line basis over the requisite service period. As of December 31, 2007,2008, we estimate that approximately 418,000 performance shares andall 169,000 outstanding RSUs will vest. If our estimate were to change in the future, the cumulative effect of the change in estimate will be recorded in that period. Based upon the number of performance shares and RSUs that we expect to vest, the unrecognized share-based payment expense as of December 31, 20072008 was $20.4$10.0 million, and is expected to be recognized over a period of 1.81.4 years. For the years ended December 31, 2008, 2007 and 2006, pre-tax expense (income) related to these awards was $4.5 million, $(3.3) million and $9.7 million, respectively, or $3.2 million, $(2.3) million and $6.8 million net of the related tax benefits, respectively.
 
4.ACQUISITIONS
 
We have made acquisitions that took place during the years 2008, 2007 and 2006, certainthe more significant of which are described below. These acquisitions were accounted for under the purchase method of accounting pursuant to SFAS No. 141, “Business Combinations” (SFAS No. 141).141. Accordingly, the results of operations of the acquired companies have been included in our consolidated results of operations subsequent to the transaction dates, and the respective assets and liabilities of the acquired companies have been recorded at their estimated fair values in our consolidated statement of financial position as of the transaction dates, with any excess purchase price being allocated to goodwill. Pro forma financial information and other information required by SFAS No. 141 have not been included as the acquisitions did not have a material impact upon our financial position or results of operations.
 
Abbott Spine
In October 2008, we acquired Abbott Spine, a former subsidiary of Abbott Laboratories, for an aggregate value of approximately $363.0 million, including a $358.0 million cash purchase price after certain working capital adjustments and $5.0 million of direct acquisition costs. The acquisition was funded by approximately $253 million of cash on-hand and $110 million from new borrowings under our Senior Credit Facility. This investment adds a number of innovative products and builds critical mass in the Spine product category. The acquisition also enhances our research and development capabilities in the Spine product category and strengthens our sales coverage.
We completed the preliminary purchase price allocation in accordance with U.S. generally accepted accounting principles. The process included interviews with both Abbott Spine and our management, review of the economic and competitive environment and examination of assets including historical performance and future prospects. The preliminary purchase price allocation was based on information currently available to us, and expectations and assumptions deemed reasonable by us. No assurance can be given, however, that the underlying assumptions used to estimate expected technology-based product revenues, development costs or profitability, or the events associated with such technology will occur as projected. The final purchase price allocation may vary from the preliminary purchase price allocation. The final valuation and associated purchase price allocation is expected to be completed during the first half of 2009. To the extent that the estimates need to be adjusted, we will do so.
The following table summarizes the preliminary estimate of fair values of the assets acquired and liabilities assumed at the date of the Abbott Spine acquisition (in millions):
     
  As of
 
  October 16, 2008 
  
 
Current assets $63.6 
Property, plant and equipment  6.5 
Instruments  17.5 
Intangible assets subject to amortization:    
Customer relationships (10 year useful life)  8.6 
Developed technology (10 year useful life)  64.3 
In-process research and development  38.5 
Other assets  10.0 
Goodwill  197.4 
 
 
Total assets acquired  406.4 
 
 
Current liabilities  14.0 
Deferred taxes  29.4 
 
 
Total liabilities assumed  43.4 
 
 
Net assets acquired $363.0 
 
 
49


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
Goodwill of $129.3 million, $65.7 million and $2.4 million was assigned to the Americas, Europe and Asia Pacific reporting segments, respectively. None of the goodwill is deductible for tax purposes.
In-process research and development charges relate to acquired technologies for which no alternative future use has been identified at the acquisition date. The values assigned to in-process research and development (IPR&D), are based on valuations that estimate the future cash flows of the related technologies and discounting the net cash flows back to their present values utilizing an appropriate risk-adjusted rate of return (discount rate). These valuations also include consideration of the risk of the project not achieving commercial feasibility and include a factor that takes into account the uncertainty surrounding the successful development of the IPR&D.
At the time of acquisition, we expect all acquired IPR&D will reach technological feasibility, but there can be no assurance that the commercial viability of these products will actually be achieved. The nature of the efforts to develop the acquired technologies into commercially viable products consists principally of planning, designing, and conducting clinical trials necessary to obtain regulatory approvals. The risks associated with achieving commercialization include, but are not limited to, delay or failure to obtain regulatory approvals to conduct clinical trials, delay or failure to obtain required market clearances, and patent issuance, validity and litigation, if any.
The $38.5 million of IPR&D primarily relates to projects in the following spine product categories: 1) Thoracolumbar, 2) Minimally Invasive Surgery, and 3) Cervical. The related products have projected launch dates beginning in 2009 through 2014, with estimated total costs to complete of approximately $8.5 million.
ORTHOsoft Inc.
 
 
In November 2007, we acquired ORTHOsoft Inc. (ORTHOsoft), a leader in computer navigation for orthopaedic surgery, in a cash transaction for an aggregate value of approximately $50 million. We recorded $31.4$31.3 million in
50


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
goodwill in connection with the acquisition. The acquisition of ORTHOsoft bolsters our SmartTools strategic initiative to bring innovative tools to the marketplace that will help create better and more reproducible outcomes for surgeons and patients.
 
Endius Incorporated
 
 
In April 2007, we acquired Endius Incorporated (Endius), a privately held spinal products company based in Massachusetts, for an aggregate value of approximately $80 million in cash, before adjustments for debt repayment and other items. We recorded $42.3$38.5 million in goodwill in connection with the acquisition. Endius develops and manufactures minimally invasive spine surgery products, implants and techniques to treat spine disease. The acquisition of Endius has expanded our spine product portfolio to include innovative minimally invasive instruments and implants.
 
Musculoskeletal Management Systems, LLC
5.FAIR VALUE MEASUREMENTS OF ASSETS AND LIABILITIES
On January 1, 2008, we adopted the provisions of SFAS No. 157 “Fair Value Measurements” as it relates to financial assets and liabilities recorded at fair value on a recurring basis. FSPNo. SFAS 157-2 has delayed the effective date of SFAS No. 157 for nonfinancial assets and liabilities, except for items that are recognized or disclosed at fair value in the financial statements on a recurring basis. We do not expect that the full adoption of SFAS No. 157 will have a material impact on our consolidated financial statements or results of operations.
The following financial assets and liabilities are recorded at fair value on a recurring basis as of December 31, 2008 (in millions):
             
    Fair Value Measurements at Reporting Date Using:
    Quoted Prices in
   Significant
    Active Markets for
 Significant Other
 Unobservable
  Recorded
 Identical Assets
 Observable Inputs
 Inputs
  Balance (Level 1) (Level 2) (Level 3)
 
 
             
Assets
            
             
Available-for-sale securities $1.1 $1.1 $ $
             
Derivatives, current and non-current  65.4    65.4  
          
          
             
Total assets recorded at fair value $66.5 $1.1 $65.4 $
          
          
             
Liabilities
            
             
Derivatives, current and non-current $28.9 $ $28.9 $
          
          
             
Total liabilities recorded at fair value $28.9 $ $28.9 $
          
          
 
 
In June 2006, we acquired Musculoskeletal Management Systems, LLC, more commonly known asAvailable-for-sale securities are valued using a market approach, based on quoted prices for the Human Motion Institute (HMI),specific security from transactions in active exchange markets. Derivatives relate to foreign exchange forward contracts and foreign currency options entered into with various third parties. We value these instruments using a privately-held, hospital-focused consulting companymarket approach based in Pennsylvania for a cash purchase price of $15.0 million. We recorded $13.0 million of goodwill in connection with the acquisition.on foreign currency exchange rates obtained from active markets.
 
5.6.INVENTORIES
 
Inventories at December 31, 20072008 and 2006,2007 consist of the following (in millions):
       
  2007 2006
 
 
Finished goods $564.2 $489.1
Work in progress  50.3  46.4
Raw materials  113.3  102.8
    
    
Inventories, net $727.8 $638.3
    
    
         
  2008  2007 
  
 
Finished goods $731.2  $564.2 
Work in progress  52.6   50.3 
Raw materials  144.5   113.3 
     
     
Inventories, net $928.3  $727.8 
     
     
 
Reserves for excess and obsolete inventory were $143.7$199.6 million and $129.5$143.7 million at December 31, 2008 and 2007, respectively. Included in finished goods inventory at
50


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
December 31, 2008 is approximately $14.0 million of inventorystep-up resulting primarily from the Abbott Spine acquisition. Inventorystep-up values are based upon estimated sales prices less distribution costs and 2006, respectively.a profit allowance.
 
6.7.PROPERTY, PLANT AND EQUIPMENT
 
Property, plant and equipment at December 31, 20072008 and 2006,2007 was as follows (in millions):
 
                
 2007 2006  2008 2007 
   
Land $19.4  $17.6  $21.7  $19.4 
Building and equipment  855.3   724.6   992.7   855.3 
Capitalized software costs  98.7   59.1   136.7   98.7 
Instruments  903.8   768.5   1,161.7   903.8 
Construction in progress  98.7   105.3   149.0   98.7 
         
       
  1,975.9   1,675.1   2,461.8   1,975.9 
Accumulated depreciation  (1,004.0)  (868.0)  (1,197.7)  (1,004.0)
         
       
Property, plant and equipment, net $971.9  $807.1  $1,264.1  $971.9 
         
       
 
Depreciation expense was $215.8 million, $182.6 million $155.0 million and $144.0$155.0 million for the years ended December 31, 2008, 2007 2006 and 2005,2006, respectively.
 
7.8.GOODWILL AND OTHER INTANGIBLE ASSETS
 
The following table summarizes the changes in the carrying amount of goodwill for the years ended December 31, 20072008 and 20062007 (in millions):
 
                                
 Americas Europe Asia Pacific Total  Americas Europe Asia Pacific Total 
   
Balance at January 1, 2006 $1,426.2  $896.9  $105.7  $2,428.8 
Change in fair value estimates of Centerpulse related to:                
Income taxes  (51.5)        (51.5)
Integration liability  (0.2)  (1.7)  (0.2)  (2.1)
Change in fair value estimates of Implex related to:                
Earn-out payment  28.0         28.0 
Integration liability  (0.5)        (0.5)
Purchase of Musculoskeletal                
Management Systems  12.1         12.1 
Currency translation     98.7   2.1   100.8 
            
       
Balance at December 31, 2006  1,414.1   993.9   107.6   2,515.6 
Balance at January 1, 2007 $1,414.1  $993.9  $107.6  $2,515.6 
Change in fair value estimates of Centerpulse related to:                                
Integration liability  (0.1)  (1.0)  (0.1)  (1.2)  (0.1)  (1.0)  (0.1)  (1.2)
Income taxes  16.3         16.3   16.3         16.3 
Impact of FIN 48 adoption  (61.4)        (61.4)  (61.4)        (61.4)
Change in fair value estimates of Musculoskeletal Management Systems related to:                                
Earn-out payment liability  0.3         0.3   0.3         0.3 
Integration liability  0.6         0.6   0.6         0.6 
Purchase of Endius  42.3         42.3   42.3         42.3 
Purchase of ORTHOsoft Inc.   31.4         31.4   31.4         31.4 
Other     9.9      9.9      9.9      9.9 
Currency translation     63.5   4.1   67.6      63.5   4.1   67.6 
                         
               
Balance at December 31, 2007 $1,443.5  $1,066.3  $111.6  $2,621.4   1,443.5   1,066.3   111.6   2,621.4 
Change in fair value estimates of Centerpulse related to:                
Integration liability     (0.1)     (0.1)
Income taxes  (22.7)  (0.9)     (23.6)
Change in fair value estimates of Endius related to:                
Integration liability  0.2         0.2 
Income taxes  (4.0)        (4.0)
Change in fair value estimates of ORTHOsoft related to:                
Developed technology  0.8         0.8 
Income taxes  (1.0)        (1.0)
Other  0.1         0.1 
Purchase of Abbott Spine  129.3   65.7   2.4   197.4 
Other     (0.5)     (0.5)
Currency translation  (5.9)  (20.4)  10.4   (15.9)
                         
               
Balance at December 31, 2008 $1,540.3  $1,110.1  $124.4  $2,774.8 
            
       
 
Goodwill increased by $197.4 million during 2008 related to the acquisition of Abbott Spine. During the year ended December 31, 2007, goodwill was reduced by $61.4 million related to the adoption of FIN 48 and increased by $83.6 million related to the acquisitions of Endius, ORTHOsoft and a foreign-based distributor. During the year ended December 31, 2006, goodwill was reduced by $51.5 million related to changes in the fair value estimates of Centerpulse. $46.0 million of this reduction was a decrease to the long term tax liability related to the expiration of the applicable statute of limitations. The remaining reduction primarily relates to the release of valuation allowances.
 
 
 
51


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
The components of identifiable intangible assets are as follows (in millions):
 
                                                    
 Core
 Developed
 Trademarks and
 Customer
      Core
 Developed
 Intellectual
 Trademarks and
 Customer
     
 Technology Technology Trade Names Relationships Other Total  Technology Technology Property Rights Trade Names Relationships Other Total 
 
As of December 31, 2008:                            
Intangible assets subject to amortization:                            
Gross carrying amount $144.1  $498.8  $109.4  $35.6  $52.9  $83.6  $924.4 
Accumulated amortization  (36.0)  (147.5)  (6.7)  (16.6)  (8.7)  (33.8)  (249.3)
Intangible assets not subject to amortization:                            
Gross carrying amount           197.0         197.0 
                        
             
Total identifiable intangible assets $108.1  $351.3  $102.7  $216.0  $44.2  $49.8  $872.1 
                          
             
As of December 31, 2007:                                                    
Intangible assets subject to amortization:                                                    
Gross carrying amount $144.8  $433.3  $35.6  $44.5  $75.7  $733.9  $144.8  $433.3  $  $35.6  $44.5  $75.7  $733.9 
Accumulated amortization  (27.9)  (116.4)  (13.1)  (6.2)  (26.4)  (190.0)  (27.9)  (116.4)     (13.1)  (6.2)  (26.4)  (190.0)
Intangible assets not subject to amortization:                                                    
Gross carrying amount        199.9         199.9            199.9         199.9 
                                             
                         
Total identifiable intangible assets $116.9  $316.9  $222.4  $38.3  $49.3  $743.8  $116.9  $316.9  $  $222.4  $38.3  $49.3  $743.8 
                                             
                         
As of December 31, 2006:                        
Intangible assets subject to amortization:                        
Gross carrying amount $119.1  $417.3  $33.4  $35.5  $48.7  $654.0 
Accumulated amortization  (20.5)  (88.1)  (9.8)  (4.0)  (20.2)  (142.6)
Intangible assets not subject to amortization:                        
Gross carrying amount        201.2         201.2 
                    
           
Total identifiable intangible assets $98.6  $329.2  $224.8  $31.5  $28.5  $712.6 
                    
           
During 2008 we made lump-sum payments of $109.4 million to certain healthcare professionals and institutions in place of future royalty payments that otherwise would have been due under the terms of existing contractual arrangements. Such payments were based upon a third party fair market valuation of the current net present value of the contractual arrangement. Under the terms of these resolutions, we acquired the exclusive rights to any intellectual property, patented and unpatented, provided by the healthcare professional or institution during the course of the original contractual arrangement. The weighted average useful life for these assets is 5.6 years, which represents the life of any related patent or the period for which we maintain exclusivity to the intellectual property. Amortization expense for these assets is reported as part of cost of goods sold.
As a result of the acquisition of Abbott Spine, we acquired developed technology-related intangible assets of approximately $64.3 million and customer relationship related intangible assets of approximately $8.6 million, based on the preliminary purchase price allocation as of December 31, 2008. These assets each have a 10 year useful life.
 
Total amortization expense for finite-lived intangible assets was $59.3 million, $47.4 million $42.4 million and $41.7$42.4 million for the years ended December 31, 2008, 2007 and 2006, respectively. For 2008, $6.7 million of amortization expense was recorded as part of cost of goods sold, with the remaining $52.6 million recorded as part of selling, general and 2005, respectively,administrative expenses. For 2007 and 2006, all amortization expense was recorded as part of selling, general and administrative.administrative expenses. Estimated annual amortization expense for the years ending December 31, 20082009 through 20122013 is $49.8$82.2 million, $50.4$79.9 million, $49.9$74.3 million, $47.2$72.2 million and $46.8$67.1 million, respectively.
 
8.9.OTHER CURRENT AND LONG-TERM LIABILITIES
 
Other current and long-term liabilities at December 31, 20072008 and 2006,2007 consist of the following (in millions):
 
              
 2007 2006 2008 2007 
 
Other current liabilities:              
License and service agreements $149.9 $115.0 $169.6  $149.9 
Certain claims accrual (Note 16)  62.8    
Fair value of derivatives  50.0  24.1  17.7   50.0 
Salaries, wages and benefits  59.3  49.3  91.5   59.3 
Accrued liabilities  230.2  175.3  236.5   230.2 
        
      
Total other current liabilities $489.4 $363.7 $578.1  $489.4 
        
      
Other long-term liabilities:              
Long-term income tax payable $137.0 $102.1 $116.9  $137.0 
Accrued retirement and postretirement benefit plans  129.9   66.3 
Other long-term liabilities  191.4  221.3  107.1   125.1 
        
      
Total other long-term liabilities $328.4 $323.4 $353.9  $328.4 
        
      
 
9.10.DEBT
 
We have a five year $1,350 million senior credit agreement (the “Senior Credit Facility”). The Senior Credit Facility is a revolving, multi-currency, senior unsecured credit facility maturing November 30, 2012. Available borrowings under the Senior Credit Facility at December 31, 2007,2008 were $1,245.7$889.9 million. The Senior Credit Facility contains provisions whereby borrowings may be increased to $1,750 million and the maturity date may be extended for up to two one-year periods.
 
We and certain of our wholly owned foreign subsidiaries are the borrowers under the Senior Credit Facility. Borrowings under the Senior Credit Facility bear interest at a LIBOR-based rate plus an applicable margin determined by reference to our senior unsecured long-term credit rating and the amounts drawn under the Senior Credit Facility, at an alternate base rate, or at a fixed rate determined through a competitive bid process. The Senior Credit Facility contains customary affirmative and negative covenants and events of default for an unsecured financing arrangement, including,
52


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
among other things, limitations on consolidations, mergers and sales of assets. Financial covenants include a maximum leverage ratio of 3.0 to 1.0 and a minimum interest coverage ratio of 3.5 to 1.0. If we fall below an investment grade credit rating, additional restrictions would result, including restrictions on investments, payment of dividends and stock repurchases. We were in compliance with all covenants under the Senior Credit Facility as of December 31, 2007.2008. Commitments under the Senior Credit Facility are subject to certain fees, including a facility and a utilization fee.
 
Outstanding long-term debt as of December 31, 20072008 was $104.3$460.1 million and $99.6$104.3 million as of December 31, 2006.2007. We had no current debt as of December 31, 20072008 or 2006.2007.
 
We also have available uncommitted credit facilities totaling $70.4$71.4 million.
 
The weighted average interest rate for borrowings under the Senior Credit Facility was 1.173.2 percent at December 31, 2007.2008. Borrowings under the Senior Credit Facility were U.S. Dollar and Japanese Yen-based borrowings at December 31, 20072008 and 2006 are Japanese Yen based borrowings.Yen-based borrowings at December 31, 2007. We paid $14.0 million, $8.5 million $5.8 million and $15.3$5.8 million in interest during 2008, 2007 2006 and 2005,2006, respectively.
 
Debt issuance costs of $22.8 million were incurred to obtain the Senior Credit Facility arrangement. These costs were capitalized and are amortized to interest expense over the lives of the related facility. At December 31, 2007,2008, unamortized debt issuance costs were $4.4$3.5 million.
52


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
10.11.RETIREMENT AND POSTRETIREMENT BENEFIT PLANS
 
We have defined benefit pension plans covering certain U.S. and Puerto Rico employees who were hired before September 2, 2002. Employees hired after September 2, 2002 are not part of the U.S. defined benefit plans. Employees who had not become a member of the Puerto Rico defined benefit plans by March 1, 2004 are not part of the Puerto Rico defined benefit plans.employees. The employees who are not participating in the defined benefit plans do receive additional benefits under our defined contribution plans. Plan benefits are primarily based on years of credited service and the participant’s average eligible compensation. In addition to the U.S. and Puerto Rico defined benefit pension plans, we sponsor variousnon-U.S. pension arrangements, including retirement and termination benefit plans required by local law or coordinated with government sponsored plans.
 
We also provide comprehensive medical and group life insurance benefits to certain U.S. and Puerto Rico eligible retirees who elect to participate in our comprehensive medical and group life plans. The medical plan is contributory, and the life insurance plan is non-contributory. No similar plans exist for employees outside the U.S. and Puerto Rico. Employees hired after September 2, 2002, are not eligible for retiree medical and life insurance benefits.
We use a December 31 measurement date for our benefit plans.
We adopted SFAS 158 (see Note 2 – Accounting Pronouncements) as of December 31, 2006. The adoption of SFAS 158 had the following effects on our consolidated balance sheet as of December 31, 2006 as we recognized the funded status of our defined benefit and postretirement benefit plans with a corresponding adjustment to Accumulated Other Comprehensive Income:
                 
  Prior to Additional Minimum
  Additional
       
  Liability Adjustment and
  Minimum Liability
  SFAS 158
  Post
 
  SFAS 158 Adoption  Adjustments  Adjustments  SFAS 158 
  
 
Prepaid pension $21.1  $3.0  $(23.0) $1.1 
Other assets  173.8      19.1   192.9 
Short-term accrued benefit liability  (10.5)     8.9   (1.6)
Long-term accrued benefit liability  (34.8)     (40.2)  (75.0)
Accumulated other comprehensive income  3.0   (3.0)  35.4   35.4 
 
Defined Benefit Plans
 
 
The components of net pension expense for the years ended December 31, 2008, 2007 2006 and 20052006 for our defined benefit retirement plans are as follows (in millions):
                         
  U.S. and Puerto Rico  Non-U.S. 
  2008  2007  2006  2008  2007  2006 
  
 
Service cost $11.7  $13.0  $13.1  $12.1  $10.8  $10.2 
Interest cost  9.7   8.8   7.4   7.3   5.7   4.8 
Expected return on plan assets  (13.5)  (10.9)  (8.2)  (9.3)  (8.0)  (6.6)
Settlement  3.4         0.1       
Amortization of prior service cost  0.1         (0.1)     0.1 
Amortization of unrecognized actuarial loss  2.2   2.9   3.7   0.1   0.2   0.2 
                     
                     
Net periodic benefit cost $13.6  $13.8  $16.0  $10.2  $8.7  $8.7 
                     
                     
 
                         
  U.S. and Puerto Rico  Non-U.S. 
  2007  2006  2005  2007  2006  2005 
  
 
Service cost $13.0  $13.1  $11.4  $10.8  $10.2  $8.7 
Interest cost  8.9   7.4   5.6   5.7   4.8   4.9 
Expected return on plan assets  (11.0)  (8.2)  (6.4)  (8.0)  (6.6)  (6.0)
Amortization of prior service cost        (0.1)     0.1    
Amortization of unrecognized actuarial loss  2.9   3.7   2.1   0.2   0.2   0.6 
                     
                     
Net periodic benefit cost $13.8  $16.0  $12.6  $8.7  $8.7  $8.2 
                     
                     
 
The weighted average actuarial assumptions used to determine net pension expense for our defined benefit retirement plans were as follows:
 
                                    
 U.S. and Puerto Rico Non-U.S.  U.S. and Puerto Rico Non-U.S. 
 2007 2006 2005 2007 2006 2005  2008 2007 2006 2008 2007 2006 
   
Discount rate  6.14%  5.84%  6.25%  3.64%  3.20%  3.78%  6.16%  6.14%  5.84%  3.60%  3.64%  3.20%
Rate of compensation increase  3.84%  3.84%  3.82%  3.12%  2.27%  2.28%  3.84%  3.84%  3.84%  3.06%  3.12%  2.27%
Expected long-term return on plan assets  8.00%  8.25%  8.50%  4.73%  4.70%  4.77%  8.00%  8.00%  8.25%  4.64%  4.73%  4.70%
 
 
The expected long-term rates of return on plan assets is based on the period expected benefits will be paid and the historical rates of return on the different asset classes held in the plans. The expected long-term rate of return is the weighted average of the target asset allocation of each individual asset class. We believe that historical asset results approximate expected market returns applicable to the funding of a long-term benefit obligation.
 
53


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
Discount rates were determined for each of our defined benefit retirement plans at their measurement date to reflect the yield of a portfolio of high quality bonds matched against the timing and amounts of projected future benefit payments.
 
53


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
Changes in projected benefit obligations and plan assets, for the years ended December 31, 20072008 and 20062007 for our defined benefit retirement plans, were (in millions):
 
                                
 U.S. and Puerto Rico Non-U.S.  U.S. and Puerto Rico Non-U.S. 
 2007 2006 2007 2006  2008 2007 2008 2007 
   
Projected benefit obligation – beginning of year $144.2  $130.4  $167.9  $146.5  $166.0  $144.2  $181.6  $167.9 
Plan amendments  0.9   0.6   (1.2)        0.9      (1.2)
Service cost  13.0   13.1   10.8   10.2   11.7   13.0   12.1   10.8 
Interest cost  8.8   7.4   5.7   4.8   9.7   8.8   7.3   5.7 
Employee contributions        12.2   10.4         14.5   12.2 
Benefits paid  (2.8)  (1.5)  (16.4)  (17.3)  (9.7)  (2.8)  (22.5)  (16.4)
Actuarial (gain) loss  1.9   (5.8)  (5.7)  1.5   11.8   1.9   (8.5)  (5.7)
Settlement  (1.1)         
Translation loss        8.3   11.8         7.6   8.3 
                         
               
Projected benefit obligation – end of year $166.0  $144.2  $181.6  $167.9  $188.4  $166.0  $192.1  $181.6 
                         
               
Plan assets at fair market value – beginning of year $115.3  $85.6  $159.7  $135.7  $147.2  $115.3  $180.4  $159.7 
Actual return on plan assets  6.7   11.2   3.4   10.5   (39.3)  6.7   (31.4)  3.4 
Company contributions  28.0   20.0   13.3   9.9   40.3   28.0   15.2   13.3 
Employee contributions        12.2   10.4         14.5   12.2 
Benefits paid  (2.8)  (1.5)  (16.4)  (17.3)  (9.7)  (2.8)  (22.5)  (16.4)
Expenses            
Translation gain        8.2   10.5         7.5   8.2 
                         
               
Plan assets at fair market value – end of year $147.2  $115.3  $180.4  $159.7  $138.5  $147.2  $163.7  $180.4 
                         
               
Funded status $(18.8) $(28.9) $(1.2) $(8.1) $(49.9) $(18.8) $(28.4) $(1.2)
                         
               
Amounts recognized in consolidated balance sheet:                                
Prepaid pension $  $1.1  $7.1  $  $  $  $2.5  $7.1 
Short-term accrued benefit liability  (5.6)  (0.7)        (0.5)  (5.6)      
Long-term accrued benefit liability  (13.2)  (29.3)  (8.3)  (8.1)  (49.4)  (13.2)  (30.9)  (8.3)
                         
               
Net amount recognized $(18.8) $(28.9) $(1.2) $(8.1) $(49.9) $(18.8) $(28.4) $(1.2)
                         
               
Amounts recognized in accumulated other comprehensive income:                                
Unrecognized prior service cost $1.0  $0.2  $(1.1) $  $0.9  $1.0  $(1.3) $(1.1)
Unrecognized actuarial loss  43.2   39.8   6.0   7.3   101.0   43.2   31.2   6.0 
                         
               
Net amount recognized $44.2  $40.0  $4.9  $7.3  $101.9  $44.2  $29.9  $4.9 
                         
               
 
We estimate the following amounts recorded as part of accumulated other comprehensive income will be recognized as part of our net pension expense during 2008:2009:
         
  U.S. and
    
  Puerto Rico  Non-U.S. 
  
 
Unrecognized prior service cost $0.1  $(0.1)
Unrecognized actuarial loss  2.5   0.2 
     
     
  $2.6  $0.1 
     
     
         
  U.S. and
    
  Puerto Rico  Non-U.S. 
  
 
Unrecognized prior service cost $0.1  $(0.1)
Unrecognized actuarial loss  4.6   1.3 
     
     
  $4.7  $1.2 
     
     
 
 
 
54


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
The weighted average actuarial assumptions used to determine the projected benefit obligation for our defined benefit retirement plans were as follows:
                                    
 U.S. and Puerto Rico Non-U.S.  U.S. and Puerto Rico Non-U.S. 
 2007 2006 2005 2007 2006 2005  2008 2007 2006 2008 2007 2006 
   
Discount rate  6.16%  6.14%  5.84%  3.71%  3.23%  3.15%  5.79%  6.16%  6.14%  3.34%  3.71%  3.23%
Rate of compensation increase  3.84%  3.84%  3.82%  3.15%  2.28%  2.27%  3.84%  3.84%  3.84%  3.03%  3.15%  2.28%
 
 
Plans with projected benefit obligations in excess of plan assets as of December 31, 20072008 and 20062007 were as follows (in millions):
 
                            
 U.S. and Puerto Rico Non-U.S. U.S. and Puerto Rico Non-U.S. 
 2007 2006 2007 2006 2008 2007 2008 2007 
 
Benefit obligation $166.0 $136.8 $163.0 $152.0
Projected benefit obligation $188.4  $166.0  $178.3  $163.0 
Plan assets at fair market value  147.2  106.7  155.5  140.3  138.5   147.2   147.8   155.5 
 
Plans with accumulated benefit obligations in excess of plan assets as of December 31, 20072008 and 20062007 were as follows (in millions):
 
               
             U.S. and
   
 U.S. and Puerto Rico Non-U.S. Puerto Rico Non-U.S. 
 2007 2006 2007 2006 2008 2007 2008 2007 
 
Accumulated benefit obligation $20.5 $9.2 $5.5 $22.6 $15.5  $20.5  $140.4  $5.5 
Plan assets at fair market value  8.8    4.5  18.3  7.4   8.8   120.1   4.5 
 
The accumulated benefit obligation for U.S. and Puerto Rico defined benefit retirement pension plans was $116.8$140.6 million and $94.5$116.8 million as of December 31, 20072008 and 2006,2007, respectively. The accumulated benefit obligation fornon-U.S. defined benefit retirement plans was $150.9$178.7 million and $150.3$150.9 million as of December 31, 20072008 and 2006,2007, respectively.
 
The benefits expected to be paid out in each of the next five years and for the five years combined thereafter are as follows (in millions):
              
 U.S. and
   U.S. and
   
For the Years Ending December 31, Puerto Rico Non-U.S. Puerto Rico Non-U.S. 
 
2008 $7.2 $11.6
2009  2.9  12.8 $3.4  $17.6 
2010  3.7  14.1  3.8   16.9 
2011  4.9  14.5  5.1   15.8 
2012  6.3  11.6  6.4   14.0 
2013-2017  51.7  61.2
2013  7.3   14.4 
2014-2018  57.6   72.5 
 
Our weighted-average asset allocations at December 31, 20072008 and 2006,2007, by asset category are as follows:
 
                                
 U.S. and
    U.S. and
   
 Puerto Rico Non-U.S.  Puerto Rico Non-U.S. 
Asset Category 2007 2006 2007 2006  2008 2007 2008 2007 
   
Equity Securities  65%  65%  37%  34%  59%  65%  28%  37%
Debt Securities  35   35   38   38   31   35   43   38 
Real Estate        15   15         18   15 
Cash Funds        4   4   10      3   4 
Other        6   9         8   6 
                         
               
Total  100%  100%  100%  100%  100%  100%  100%  100%
                         
               
 
The U.S. and Puerto Rico defined benefit retirement plans’ overall investment strategy is to maximize total returns by emphasizing long-term growth of capital while avoiding risk. We have established target ranges of assets held by the plans of 50 to 75 percent for equity securities and 25 to 50 percent for debt securities. The plans strive to have sufficiently diversified assets so that adverse or unexpected results from one asset class will not have an unduly detrimental impact on the entire portfolio. The investments in the plans are rebalanced quarterly based upon the target asset allocation of the plans.
 
The investment strategies ofnon-U.S. based plans vary according to the plan provisions and local laws. The majority of the assets innon-U.S. based plans are located in Switzerland based plans. These assets are held in trusts and are commingled with the assets of other Swiss companies, with representatives of all the companies making the investment decisions. The overall strategy is to maximize total returns while avoiding risk. The trustees of the assets have established target ranges of assets held by the plans of 30 to 50 percent in debt securities, 20 to 37 percent in equity securities, 15 to 24 percent in real estate, 3 to 15 percent in cash funds and 0 to 12 percent in other funds.
 
As of December 31, 20072008 and 2006,2007, our defined benefit pension plans’ assets did not hold any direct investment in Zimmer Holdings common stock.
 
We expect that we will have no minimum funding requirements by law in 20082009 for the qualified U.S. and Puerto Rico defined benefit retirement plans. However, weplans, however, subsequent Congressional action may impact the minimum funding requirement for 2009. We expect to voluntarily contribute between $20$40 million to $24$50 million to these plans during 2008. Additionally, we expect to contribute
55


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
approximately $6 million million to our non-qualified defined benefit retirement plan during 2008.2009. Contributions tonon-U.S. defined benefit plans are estimated to be approximately $10$11 million in 2008.2009. We do not expect the plan assets in any of our plans to be returned to us in the next year.
 
55


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
Defined Contribution Plans
 
 
We also sponsor defined contribution plans for substantially all of the U.S. and Puerto Rico employees and certain employees in other countries. The benefits of these plans relate to local customs and practices in the countries concerned. We expensed $14.9 million, $12.8 million $12.6 million and $11.3$12.6 million related to these plans for the years ended December 31, 2008, 2007 and 2006, and 2005, respectively.
Postretirement Benefit Plans
The components of net periodic expense for the year ended December 31, 2007, 2006 and 2005 for our unfunded postretirement benefit plans are as follows (in millions):
             
  2007  2006  2005 
  
 
Service cost $1.6  $1.6  $1.6 
Interest cost  2.2   2.2   2.0 
Amortization of prior service cost  (0.5)  (0.4)   
Amortization of unrecognized actuarial loss  0.5   0.8   0.3 
         
         
Net periodic benefit cost $3.8  $4.2  $3.9 
         
         
The weighted average actuarial assumptions used in accounting for our postretirement benefit plans were as follows:
             
  2007  2006  2005 
  
 
Discount rate – Benefit obligation  6.16%  6.14%  5.84%
Discount rate – Net periodic benefit cost  6.14%  5.84%  6.25%
Initial healthcare cost trend rate  8.00%  8.50%  9.00%
Ultimate healthcare cost trend rate  5.00%  5.00%  5.00%
First year of ultimate trend rate  2014   2014   2014 
Changes in benefit obligations for our postretirement benefit plans were (in millions):
         
  2007  2006 
  
 
Benefit obligation – beginning of year $38.5  $39.8 
Plan amendments     (3.6)
Service cost  1.6   1.6 
Interest cost  2.2   2.2 
Employee contributions  0.1   0.1 
Benefits paid  (0.9)  (0.6)
Actuarial gain  (2.2)  (1.0)
     
     
Benefit obligation – end of year $39.3  $38.5 
     
     
Funded status $(39.3) $(38.5)
     
     
Amounts recognized in consolidated balance sheet:    
Short-term accrued benefit liability $(1.3) $(0.9)
Long-term accrued benefit liability  (38.0)  (37.6)
     
     
Net amount recognized $(39.3) $(38.5)
     
     
Amounts recognized in accumulated other comprehensive income:        
Unrecognized prior service cost $(2.9) $(3.3)
Unrecognized actuarial loss  8.0   10.5 
     
     
Net amount recognized $5.1  $7.2 
     
     
A one percentage point change in the assumed healthcare cost trend rates would have no significant effect on the service and interest cost components of net postretirement benefit expense and the accumulated postretirement benefit obligation. The effect of a change in the healthcare cost trend rate is tempered by an annual cap that limits medical costs we pay.
Amounts recorded as part of accumulated other comprehensive income that will be recognized as part of our postretirement benefit expense during 2008 are not expected to be material.
The benefits expected to be paid out in each of the next five years and for the five years combined thereafter are as follows (in millions):
     
For the Years Ending December 31,   
  
2008 $1.4 
2009  1.9 
2010  2.3 
2011  2.8 
2012  3.2 
2013–2017  17.5 
56


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
11.12.Income TaxesINCOME TAXES
 
The components of earnings before taxes consist of the following (in millions):
           
For the Years Ended December 31, 2007 2006 2005 
  
 
United States operations $597.0 $727.3 $706.5 
Foreign operations  534.6  441.7  334.2 
        
        
Total $1,131.6 $1,169.0 $1,040.7 
        
        
The provision for income taxes consists of (in millions):    
Current:          
Federal $173.0 $178.5 $150.5 
State  25.0  22.2  22.7 
Foreign  96.0  89.5  80.3 
        
        
   294.0  290.2  253.5 
        
        
Deferred:          
Federal  39.0  31.7  63.0 
State  19.0  5.0   
Foreign  5.9  7.1  (9.2)
        
        
   63.9  43.8  53.8 
        
        
Provision for income taxes $357.9 $334.0 $307.3 
        
        
 
             
For the Years Ending December 31, 2008  2007  2006 
  
 
United States operations $618.8  $597.0  $727.3 
Foreign operations  503.0   534.6   441.7 
         
         
Total $1,121.8  $1,131.6  $1,169.0 
         
         
The provision for income taxes consists of (in millions):    
Current:            
Federal $136.0  $173.0  $178.5 
State  27.3   25.0   22.2 
Foreign  107.0   96.0   89.5 
         
         
   270.3   294.0   290.2 
         
         
Deferred:            
Federal  31.6   39.0   31.7 
State  (2.0)  19.0   5.0 
Foreign  (27.6)  5.9   7.1 
         
         
   2.0   63.9   43.8 
         
         
Provision for income taxes $272.3  $357.9  $334.0 
         
         
 
Income taxes paid during 2008, 2007 and 2006 and 2005 were $332.9 million, $255.9 million and $257.6 million, and $189.2 million, respectively.
 
A reconciliation of the U.S. statutory income tax rate to our effective tax rate is as follows:
 
                        
For the Years Ended December 31, 2007 2006 2005  2008 2007 2006 
   
U.S. statutory income tax rate  35.0%  35.0%  35.0%  35.0%  35.0%  35.0%
State taxes, net of federal deduction  2.7   1.3   0.9   1.6   2.7   1.3 
Foreign income taxes at rates different from the U.S. statutory rate, net of foreign tax credits  (7.0)  (4.3)  (3.9)  (7.3)  (7.0)  (4.3)
Tax benefit relating to operations in Puerto Rico  (3.1)  (2.0)  (1.3)  (2.5)  (3.1)  (2.0)
Tax benefit relating to U.S. manufacturer’s deduction and export sales  (1.2)  (1.2)  (0.8)  (1.3)  (1.2)  (1.2)
R&D credit  (0.4)  (0.1)  (0.5)  (0.1)  (0.4)  (0.1)
Non-deductible expenses  0.2   0.1   0.1   0.1   0.2   0.1 
Department of Justice Settlement  5.2       
Department of Justice settlement  (2.8)  5.2    
In-process research and development charges  0.2         1.2   0.2    
Other     (0.2)     0.4      (0.2)
                 
           
Effective income tax rate  31.6%  28.6%  29.5%  24.3%  31.6%  28.6%
                 
           
 
Our operations in Puerto Rico, Switzerland and the State of Indiana benefit from various tax incentive grants. Unless these grants are extended, they will expire between fiscal years 2016 and 2019.
 
Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. We have established valuation allowances for deferred tax assets when the amount of expected future taxable income is not likely to support the use of the deduction or credit.
 
The components of deferred taxes consisted of the following (in millions):
                
December 31, 2007 2006 
 2008 2007 
   
Deferred tax assets:                
Inventory $118.6  $114.7  $165.9  $118.6 
Fixed assets     1.8 
Net operating loss carryover  101.4   138.6   64.8   101.4 
Tax credit carryover  20.7   88.4   23.7   20.7 
Capital loss carryover  1.7   1.7      1.7 
Accrued liabilities  97.3   95.3   105.4   97.3 
Share-based compensation  35.7   21.4   49.4   35.7 
Unremitted earnings of foreign subsidiaries  94.0   36.4   95.5   94.0 
Other  24.4   20.9   38.4   24.4 
         
       
Total deferred tax assets  493.8   519.2   543.1   493.8 
Less: Valuation allowances  (55.7)  (35.5)  (37.1)  (55.7)
         
       
Total deferred tax assets after valuation  438.1   483.7   506.0   438.1 
         
       
Deferred tax liabilities:                
Fixed assets $(36.3) $(26.9) $(79.1) $(36.3)
Intangible assets  (174.8)  (167.7)  (188.1)  (174.8)
Accrued liabilities  (1.4)  (5.4)  (0.4)  (1.4)
Other  (3.0)  (0.9)  (4.4)  (3.0)
         
       
Total deferred tax liabilities  (215.5)  (200.9)  (272.0)  (215.5)
         
       
Total net deferred tax assets $222.6  $282.8  $234.0  $222.6 
         
       
 
The vast majority of the net operating loss carryover iscarryovers are available to reduce future federal, state and stateforeign taxable earnings. At December 31, 2007,2008, these net operating loss carryovers generally expire within a period of 1 to 1920 years. Valuation allowances for net operating loss carryovers have been established in the amount of $16.3$18.9 million and $10.4$16.3 million at December 31, 20072008 and December 31, 2006,2007, respectively. The tax credit carryovers are entirely available to offset future federal, state and stateforeign tax liabilities. At December 31, 2007,2008, these tax credit carryovers generally expire within a period of 1 to 15 years. We have established valuation allowances for certain tax credit carryovers in the amount of $20.2$12.9 million and $15.0$20.2 million at December 31, 2008 and 2007, and December 31, 2006, respectively. The entire capital loss carryover is also available to reduce future federal taxable earnings; however, the capital loss carryover is subject to a valuation allowance and expires in 2 years. The remaining valuation allowances of $17.5$5.3 million and $8.4$17.5 million at December 31, 20072008 and December 31, 2006,2007, respectively, relate primarily to potential capital losses. We have established valuation allowances related to certain business combination transactions that, if not ultimately required, will result in a reduction ofthrough goodwill. These allowances were approximately $33.9$19.3 million and $29.0$33.9 million at December 31, 20072008 and December 31, 2006,2007, respectively.
 
At December 31, 2007,2008, we had an aggregate of approximately $493$871 million of unremitted earnings of foreign subsidiaries that have been, or are intended to be, indefinitely
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
reinvested for continued use in foreign operations. If the total undistributed earnings of foreign subsidiaries were remitted, a significant amount of the additional tax would be offset by the allowable foreign tax credits. It is not practical for us to determine the additional tax of remitting these earnings.
 
57


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
In September 2007, we reached a settlement with the United States Department of Justice into resolve an ongoing investigation into financial relationships between major orthopaedic manufacturers and consulting orthopaedic surgeons. Under the terms of the settlement, we paid a civil settlement amount of $169.5 million and we recorded an expense in that amount. NoAt the time, no tax benefit has beenwas recorded related to the settlement expense due to the uncertainty as to the tax treatment. We intend to pursue resolutionDuring the third quarter of this uncertainty2008, we reached an agreement with taxing authorities, but are unable to ascertain the outcome or timing for such resolution at this time. For more information regardingU.S. Internal Revenue Service (IRS) confirming the deductibility of a portion of the settlement see Note 15.payment. As a result, during 2008 we recorded a current tax benefit of $31.7 million.
 
In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation No. 48, Accounting for Uncertainty in Income Taxes – an interpretation of FASB Statement No. 109, Accounting for Income Taxes (FIN 48). FIN 48 addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under FIN 48, we may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. FIN 48 also provides guidance on derecognition, classification, interest and penalties on income taxes, accounting in interim periods and requires increased disclosures.
 
We adopted FIN 48 on January 1, 2007. Prior to the adoption of FIN 48 we had a long term tax liability for expected settlement of various federal, state and foreign income tax liabilities that was reflected net of the corollary tax impact of these expected settlements of $102.1 million, as well as a separate accrued interest liability of $1.7 million. As a result of the adoption of FIN 48, we are required to present the different components of such liability on a gross basis versus the historical net presentation. The adoption resulted in the financial statement liability for unrecognized tax benefits decreasing by $6.4 million as of January 1, 2007. The adoption resulted in this decrease in the liability as well as a reduction to retained earnings of $4.8 million, a reduction in goodwill of $61.4 million, the establishment of a tax receivable of $58.2 million, which was recorded in other current and non-current assets on our consolidated balance sheet, and an increase in an interest/penalty payable of $7.9 million, all as of January 1, 2007. Therefore, after the adoption of FIN 48, the amount of unrecognized tax benefits is $95.7 million as of January 1, 2007,2007.
As of which $28.6December 31, 2008, the amount of unrecognized tax benefits is $129.5 million. Of this amount, $45.5 million would impact our effective tax rate if recognized. The amount$38.2 million of the $129.5 million liability for unrecognized tax benefits is $135.2 million asrelate to tax positions of December 31, 2007. Of this amount, $41.0 million would impact our effectiveacquired entities taken prior to their acquisition by us. Under FAS 141(R), if these liabilities are settled for different amounts, they will affect the income tax rate, if recognized.expense in the period of reversal or settlement.
 
AThe following is a tabular reconciliation of the beginning and endingtotal amounts of unrecognized tax benefits is as follows (in millions):
 
            
Balance at January 1, 2007 $95.7 
 2008 2007 
 
Balance at January 1 $135.2  $95.7 
Increases related to prior periods  27.4   12.1   27.4 
Decreases related to prior periods  (5.5)  (32.0)  (5.5)
Increases related to current period  21.9   15.8   21.9 
Decreases related to settlements with taxing authorities  (1.3)  (1.3)  (1.3)
Decreases related to lapse of statue of limitations  (3.0)  (0.3)  (3.0)
    
   
Balance at December 31, 2007 $135.2 
Balance at December 31 $129.5  $135.2 
    
   
 
We recognize accrued interest and penalties related to unrecognized tax benefits in income tax expense in the Consolidated Statements of Earnings, which is consistent with the recognition of these items in prior reporting periods. As of January 1,December 31, 2007, we recorded a liability of $9.6$19.6 million for accrued interest and penalties, of which $7.5$14.7 million would impact our effective tax rate, if recognized. The amount of this liability is $19.6$22.9 million as of December 31, 2007.2008. Of this amount, $14.7$17.1 million would impact our effective tax rate, if recognized.
 
We expect that the amount of tax liability for unrecognized tax benefits will change in the next twelve months; however, we do not expect these changes will have a significant impact on our results of operations or financial position.
 
The U.S. federal statute of limitations remains open for the year 2003 and onward withonward. The U.S. federal returns for years 2003 and 2004 are currently under examination by the IRS. It is reasonably possible thatOn July 15, 2008, the IRS issued its examination report. We filed a resolutionformal protest on August 15, 2008 and requested a conference with the IRS forAppeals Office regarding disputed issues. Although the appeals process could take several years, 2003 through 2004 will be reached within the next twelve months, but we do not anticipate this wouldresolution of the audit will result in any materialsignificant impact on our results of operations, financial position.position or cash flows. In addition, for the 1999 tax year of Centerpulse, which we acquired in October 2003, one issue remains in dispute. The resolution of this issue would not impact our effective tax rate, as it would be recorded as an adjustment to goodwill.
 
State income tax returns are generally subject to examination for a period of 3 to 5 years after filing of the respective return. The state impact of any federal changes remains subject to examination by various states for a period of up to one year after formal notification to the states. We have various state income tax returns in the process of examination, administrative appeals or litigation. It is
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
reasonably possible that such matters will be resolved in the next twelve months, but we do not anticipate that the resolution of these matters would result in any material impact on our results of operations or financial position.
 
Foreign jurisdictions have statutes of limitations generally ranging from 3 to 5 years. Years still open to examination by foreign tax authorities in major jurisdictions include Australia (2003 onward), Canada (1999(2002 onward), France (2005(2006 onward), Germany (2005 onward), Italy (2003(2005 onward), Japan (2001(2002 onward), Puerto Rico (2005 onward), Singapore (2003 onward), Switzerland (2004(2006 onward), and the United Kingdom (2005(2006 onward).
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
Our tax returns are currently under examination in various foreign jurisdictions. The majormost significant foreign tax jurisdictionsjurisdiction under examination include Germany, Italy and Switzerland.is the United Kingdom. It is reasonably possible that such audits will be resolved in the next twelve months, but we do not anticipate that the resolution of these audits would result in any material impact on our results of operations or financial position.
 
12.13.CAPITAL STOCK AND EARNINGS PER SHARE
 
We have 2are authorized to issue 250 million shares of Series A Participating Cumulative Preferred Stock authorized for issuance,preferred stock, none of which were issued or outstanding as of December 31, 2007.2008.
 
The numerator for both basic and diluted earnings per share is net earnings available to common stockholders. The denominator for basic earnings per share is the weighted average number of common shares outstanding during the period. The denominator for diluted earnings per share is weighted average shares outstanding adjusted for the effect of dilutive stock options and other equity awards. The following is a reconciliation of weighted average shares for the basic and diluted share computations for the years ending December 31 (in millions):
 
                     
 2007 2006 2005 2008 2007 2006 
 
Weighted average shares outstanding for basic net earnings per share  235.5  243.0  247.1  227.3   235.5   243.0 
Effect of dilutive stock options and other equity awards  2.0  2.4  2.7  1.0   2.0   2.4 
               
          
Weighted average shares outstanding for diluted net earnings per share  237.5  245.4  249.8  228.3   237.5   245.4 
                  
            
    
 
For the year ended December 31, 2007,2008, an average of 3.111.2 million options to purchase shares of common stock were not included in the computation of diluted earnings per share as the exercise prices of these options were greater than the average market price of the common stock. For the years ended December 31, 20062007 and 2005,2006, an average of 7.63.1 million and 2.97.6 million options, respectively, were not included.
 
During 2008, we repurchased approximately 10.8 million shares of our common stock at an average price of $68.72 per share for a total cash outlay of $737.0 million, including commissions. In December 2005,April 2008, we announced that our Board of Directors authorized a stock$1.25 billion share repurchase program of up to $1 billion throughwhich expires December 31, 2007. In December 2006, our Board of Directors2009. Approximately $1.13 billion remains authorized an additional stock repurchase program of up to $1 billion through December 31, 2008. As of December 31, 2007 we had acquired approximately 19,345,200 shares at a cost of $1,378.9 million, before commissions.under this plan.
 
13.14.SEGMENT DATA
 
We design, develop, manufacture and market reconstructive orthopaedic implants, including joint and dental reconstructive implants, spinal implants, trauma products and related orthopaedic surgical products which include surgical supplies and instruments designed to aid in orthopaedic surgical procedures and post-operation rehabilitation. We also provide other healthcare relatedhealthcare-related services. Revenue related to these services currently represents less than 1 percent of our total net sales. We manage operations through three major geographic segments – the Americas, which is comprised principally of the United States and includes other North, Central and South American markets; Europe, which is comprised principally of Europe and includes the Middle East and Africa; and Asia Pacific, which is comprised primarily of Japan and includes other Asian and Pacific markets. This structure is the basis for our reportable segment information discussed below. Management evaluates operating segment performance based upon segment operating profit exclusive of operating expenses pertaining to global operations and corporate expenses, share-based compensation expense, settlement, certain claims, acquisition, integration and other expenses, inventorystep-up, in-process research and development write-offs and intangible asset amortization expense. Global operations include research, development engineering, medical education, brand management, corporate legal, finance, and human resource functions, and U.S. and Puerto Rico basedRico-based manufacturing operations and logistics. Intercompany transactions have been eliminated from segment operating profit. Management reviews accounts receivable, inventory, property, plant and equipment, goodwill and intangible assets by reportable segment exclusive of U.S and Puerto Rico basedRico-based manufacturing operations and logistics and corporate assets.
 
 
 
5958


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
Net sales, segment operating profit and year-end assets are as follows (in millions):
 
                                
                            Net Sales Operating Profit Year-End Assets 
 Net Sales Operating Profit Year-End Assets 2008 2007 2006 2008 2007 2006 2008 2007 
 2007 2006 2005 2007 2006 2005 2007 2006  
Americas $2,277.0 $2,076.5 $1,941.8 $1,184.2  $1,093.7  $1,020.8  $2,552.6 $2,444.9 $2,353.9  $2,277.0  $2,076.5  $1,209.4  $1,184.2  $1,093.7  $2,845.6  $2,552.6 
Europe  1,081.0  931.1  874.8  432.6   385.9   317.9   1,999.2  1,864.7  1,179.1   1,081.0   931.1   470.2   429.6   385.9   2,200.0   1,999.2 
Asia Pacific  539.5  487.8  469.5  260.1   231.5   212.4   348.3  314.1  588.1   539.5   487.8   257.1   259.5   231.5   395.1   348.3 
                                              
           
Net sales $3,897.5 $3,495.4 $3,286.1              $4,121.1  $3,897.5  $3,495.4                     
                                              
           
Share-based payment expense        (70.1)  (74.8)                     (69.9)  (70.1)  (74.8)        
Inventorystep-up
        (0.5)     (5.0)                  (7.0)  (0.5)           
Settlement        (169.5)                           (169.5)           
Certain claims              (69.0)              
Acquisition, integration and other        (25.2)  (6.1)  (56.6)                  (68.5)  (25.2)  (6.1)        
Global operations and corporate functions        (484.0)  (465.0)  (434.5)  1,733.6  1,350.7              (632.3)  (480.4)  (465.0)  1,798.3   1,733.6 
                           
                  
Operating profit       $1,127.6  $1,165.2  $1,055.0                  $1,090.0  $1,127.6  $1,165.2         
                           
           
Total assets                $6,633.7 $5,974.4                         $7,239.0  $6,633.7 
       
      
 
U.S. sales were $2,140.3$2,212.3 million, $1,962.5$2,142.2 million and $1,845.6$1,962.5 million for the years ended December 31, 2008, 2007 2006 and 2005,2006, respectively. Sales to any individual country outside of the U.S. were not significant. Sales are attributable to a country based upon the customer’s country of domicile.
 
Beginning in 2008, our Hips product category sales no longer include bone cement and accessory sales, which have been reclassified to our Orthopaedic Surgical Products and Other (“OSP and other”) product category. Amounts in 2007 and 2006 related to sales of bone cement and accessory products have been reclassified to conform to 2008 presentation.
Net sales by product category are as follows (in millions):
            
          2008 2007 2006 
 2007 2006 2005  
Reconstructive                  
Knees $1,636.9 $1,460.5 $1,366.2 $1,763.0  $1,634.6  $1,460.5 
Hips  1,298.9  1,188.9  1,140.6  1,279.5   1,221.4   1,126.9 
Extremities  104.0  77.6  66.1  121.0   104.0   77.6 
Dental  221.0  179.0  148.1  227.5   221.0   179.0 
             
          
Total  3,260.8  2,906.0  2,721.0  3,391.0   3,181.0   2,844.0 
Trauma  205.8  194.7  179.8  221.4   205.8   194.7 
Spine  197.0  177.4  160.4  230.6   197.0   177.4 
OSP and other  233.9  217.3  224.9  278.1   313.7   279.3 
             
          
Total $3,897.5 $3,495.4 $3,286.1 $4,121.1  $3,897.5  $3,495.4 
             
          
 
Long-lived tangible assets as of December 31, 20072008 and 20062007 are as follows:follows (in millions):
 
        
       2008 2007 
 2007 2006  
Americas $707.3 $558.5 $918.3  $707.3 
Europe  211.8  203.6  272.5   211.8 
Asia Pacific  52.8  45.0  73.3   52.8 
       
      
Total $971.9 $807.1 $1,264.1  $971.9 
       
      
 
The Americas long-lived tangible assets are located primarily in the U.S. Approximately $195.3$232.7 million of Europe long-lived tangible assets as of December 31, 2008 are located in Switzerland.
 
Capital expenditures by operating segment for the years ended December 31, 2008, 2007 2006 and 20052006 were as follows (in millions):
            
          2008 2007 2006 
 2007 2006 2005  
Americas                  
Additions to other property, plant and equipment $0.7 $0.7 $0.7 $1.5  $0.7  $0.7 
Europe                  
Additions to instruments  25.4  20.0  8.3  25.3   25.4   20.0 
Additions to other property, plant and equipment  24.6  25.9  20.0  59.6   24.6   25.9 
Asia Pacific                  
Additions to instruments  1.2  1.7  2.4  2.2   1.2   1.7 
Additions to other property, plant and equipment  2.4  2.5  1.0  9.4   2.4   2.5 
Global operations and corporate functions                  
Additions to instruments  111.9  104.5  139.3  210.4   111.9   104.5 
Additions to other property, plant and equipment  165.0  113.0  83.6  179.5   165.0   113.0 
 
 
For segment reporting purposes, deployed instruments are included in the measurement of operating segment assets while undeployed instruments at U.S. and Puerto Rico basedRico-based manufacturing operations and logistics are included in global operations and corporate functions. The majority of instruments are purchased by U.S. and Puerto Rico basedRico-based manufacturing operations and logistics and are deployed to the operating segments as needed for the business.
 
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
Depreciation and amortization included in operating segment profit for the years ended December 31, 2008, 2007 2006 and 20052006 was as follows (in millions):
            
             2008 2007 2006 
 2007 2006 2005   
 
Americas $66.9  $56.7  $51.0  $78.5  $66.9  $56.7 
Europe  60.7   46.5   40.8   57.0   60.7   46.5 
Asia Pacific  22.7   18.7   14.8   25.6   22.7   18.7 
Global operations and corporate functions  79.7   75.5   79.1   114.0   79.7   75.5 
               
           
Total $275.1  $230.0  $197.4 
 $230.0  $197.4  $185.7          
            
     
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
14.15.LEASES
 
Future minimum rental commitments under non-cancelable operating leases in effect as of December 31, 20072008 were $35.4 million for 2008, $28.5$38.2 million for 2009, $21.5$30.1 million for 2010, $16.1$20.9 million for 2011, $12.5$15.9 million for 2012, $14.3 million for 2013 and $20.3$29.9 million thereafter. Total rent expense for the years ended December 31, 2008, 2007 and 2006 and 2005 aggregated $41.4 million, $37.1 million $31.1 million and $27.9$31.1 million, respectively.
 
15.16.COMMITMENTS AND CONTINGENCIES
 
Intellectual Property and Product Liability and Intellectual Property-RelatedLiability-Related Litigation
 
 
As a resultIn July 2008, we temporarily suspended marketing and distribution of our acquisition of Centerpulse theDurom® Acetabular Component(DuromCup)in 2003, we acquired the entity involved in Centerpulse’s hip and knee implant litigation matter. The litigation was a result of a voluntary recall of certain hip and knee implants manufactured and sold by Centerpulse. On March 13, 2002, a U.S. Class Action Settlement Agreement was entered into by Centerpulse that resolved U.S. claims related to the affected products and a settlement trust was established and funded for the most part by Centerpulse. The court approved the settlement arrangement on May 8, 2002. Under the terms of the settlement agreement, we will reimburse the settlement trust a specified amount for each revision surgery over 4,000 and revisions on reprocessed shells over 64. As of December 31, 2007, the claims administrator has received 4,133 likely valid claims for hips (cut-off date June 5, 2003) and knees (cut-off date November 17, 2003) and 200 claims for reprocessed shells (cut-off date September 8, 2004). We believe the litigation liability recorded as of December 31, 2007 is adequateallow us to update product labeling to provide for any futuremore detailed surgical technique instructions to surgeons and implement a surgical training program in the U.S. Following our announcement, product liability lawsuits and other claims regardinghave been asserted against us, some of which we have settled. There are a number of claims still pending and we expect additional claims will be submitted. We recorded a provision of $47.5 million in the hipthird quarter of 2008, representing management’s estimate of theseDuromCup-related claims. We increased that provision by $21.5 million in the fourth quarter of 2008. The provision is limited to revisions within two years of an original surgery that occurred prior to July 2008. These parameters are consistent with our data which indicates that cup loosenings associated with surgical technique are most likely to occur within that time period. Any claims received outside of these defined parameters will be managed in the normal course and knee implant litigation.reflected in our standard product liability accruals.
 
On February 15, 2005, Howmedica Osteonics Corp.  (“Howmedica”) filed an action against us and an unrelated party in the United States District Court for the District of New Jersey alleging infringement of U.S. Patent Nos. 6,174,934; 6,372,814; 6,664,308; and 6,818,020. On June 13, 2007, the Court granted our motion for summary judgment on the invalidity of the asserted claims of U.S. Patent Nos. 6,174,934; 6,372,814; and 6,664,308 by ruling that all of the asserted claims are invalid for indefiniteness. On August 19, 2008, the Court granted our motion for summary judgment of non-infringement of certain claims of U.S. Patent No. 6,818,020, reducing the number of claims at issue in the suit to five. We continue to believe that our defenses against infringement of the remaining claims are valid and meritorious, and we intend to defend the Howmedicathis lawsuit vigorously.
 
WeIn addition to certain claims related to theDuromCup discussed above, we are also subject to product liability and other claims and lawsuits arising in the ordinary course of business, for which we maintain insurance, subject to self-insured retention limits. We establish accruals for product liability and other claims in conjunction with outside counsel based on current information and historical settlement information for open claims, related fees and for claims incurred but not reported. While it is not possible to predict with certainty the outcome of these cases, it is the opinion of management that, upon ultimate resolution, liabilities from these cases in excess of those recorded, if any, will not have a material adverse effect on our consolidated financial position, results of operations or cash flows.
 
Government Investigations and Related Litigation
 
 
In March 2005, the United StatesU.S. Department of Justice through the United StatesU.S. Attorney’s Office in Newark, New Jersey commenced an investigation of us and four other orthopaedic companies pertaining to consulting contracts, professional service agreements and other agreements by which remuneration is provided to orthopaedic surgeons. On September 27, 2007, we reached a settlement with the government to resolve all claims related to this investigation. As part of the settlement, we entered into a settlement agreement with the United States of AmericaU.S. through the United StatesU.S. Department of Justice and on behalf of the Office of Inspector General of the Department of Health and Human Services (the “OIG-HHS”). In addition, we entered into a Deferred Prosecution Agreement (the “DPA”) with the United StatesU.S. Attorney’s Office for the District of New Jersey (the “U.S. Attorney”) and a Corporate Integrity Agreement (the “CIA”) with the OIG-HHS. We did not admit any wrongdoing, plead guilty to any criminal charges or pay any criminal fines as part of the settlement.
 
We settled all civil and administrative claims related to the federal investigation forby making a cashsettlement payment to the United StatesU.S. government of $169.5 million. We recorded a $169.5 million expense during the third quarter of 2007 in connection with the settlement.
 
Under the terms of the DPA, the U.S. Attorney filed a criminal complaint in the United StatesU.S. District Court for the District of New Jersey charging us with conspiracy to commit violations of the Anti-Kickback Statute (42 U.S.C.§ 1320a-7b) during the years 2002 through 2006. The court deferred prosecution of the criminal complaint during the18-month term of the DPA. The U.S. Attorney will seek dismissal of the criminal complaint after the18-month period if we comply with the provisions of the DPA. The DPA provides for oversight by a federally appointedfederally-appointed monitor.
Under the CIA, which has a term of five years, we agreed, among other provisions, to continue the operation of our enhanced Corporate Compliance Program, designed to promote compliance with federal healthcare program
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ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
requirements, in accordance with the terms set forth in that agreement.the CIA. We also agreed to retain an independent review organization (“IRO”) to perform annual reviews to assist us in assessing our compliance with the obligations set forth in the CIA to ensure that arrangements we enter into do not violate the Anti-Kickback Statute. Our obligation to retain an IRO is suspended during the18-month term of the DPA. A material breach of the DPA or the CIA may subject us to further criminal or civil actionand/or to exclusion by OIG-HHS from participation in all federal healthcare programs, which would have a material adverse effect on our financial position, results of operations and cash flows.
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
 
In November 2007, we received a civil investigative demand from the Massachusetts Attorney General’s office seeking additional information regarding the financial relationships we publicly disclosed pursuant to the DPA with a number of Massachusetts healthcare providers. We received a similar inquiry from the Oregon Attorney General’s office in October 2008. We are cooperating fully with the investigators with regard to this matter. We understand that similar inquiries were directed to other companies in the orthopaedics industry.these matters.
 
In June 2006, we received a subpoena from the United States Department of Justice, Antitrust Division, requesting that we produce documents for the period beginning January 2001 through June 2006, pertaining to an investigation of possible violations of federal criminal law, including possible violations of the antitrust laws, involving the manufacture and sale of orthopaedic implant devices. We are cooperating fully with federal authorities with regard to this matter. We understand that similar inquiries were directed to at least four other companies in the orthopaedics industry.
On September 25, 2007, the Staff of the SECU.S. Securities and Exchange Commission (“SEC”) informed us that it was conducting an informal investigation regarding potential violations of the Foreign Corrupt Practices Act in the sale of medical devices in a number of foreign countries by companies in the medical device industry. We understand that at least four other medical device companies received similar letters. We are fully cooperating with the SEC and the U.S. Department of Justice with regard to this informal investigation.
 
Following announcementDerivative Actions and Class Actions
On April 24, 2008, a complaint was filed in the U.S. District Court for the Southern District of New York, Thorpe v. Zimmer, Inc., et al., naming us and two of our entry intosubsidiaries as defendants. The complaint relates to a putative class action on behalf of certain residents of New York who had hip or knee implant surgery involving Zimmer products during an unspecified period. The complaint alleges that our relationships with orthopaedic surgeons and others violated the DPANew York deceptive practices statute and CIAunjustly enriched us. The plaintiff requests actual damages or $50.00, whichever is greater, on behalf of each class member, a permanent injunction from our engaging in allegedly improper practices in the future and commencementrestitution in an unspecified amount. We believe this lawsuit is without merit, and we intend to defend it vigorously.
On August 5, 2008, a complaint was filed in the U.S. District Court for the Southern District of Indiana, Plumbers and Pipefitters Local Union 719 Pension Fund v. Zimmer Holdings, Inc., et al., naming us and two of our executive officers as defendants. The complaint relates to a putative class action on behalf of persons who purchased our common stock between January 29, 2008 and July 22, 2008. The complaint alleges that we and two of our executive officers engaged in violations of federal securities laws by allegedly failing to disclose developments relating to our OSP manufacturing operations in Dover, Ohio and problems relating to theDuromCup. The plaintiff seeks unspecified damages and interest, attorneys’ fees, costs and other relief. On December 24, 2008, the informal SEC investigation described above, twolead plaintiff filed a consolidated complaint that alleges the same claims and relates to the same time period. The defendants filed a motion to dismiss the consolidated complaint on February 23, 2009. The motion to dismiss is pending with the court. We believe this lawsuit is without merit, and we and the individual defendants intend to defend it vigorously.
On August 15, 2008, a shareholder derivative actions were filed in Kosciusko Superior Court in Warsaw, Indiana. The first action, captionedBottnerHays v. Dvorak et al.al., was filed on October 16, 2007.in the U.S. District Court for the Southern District of Indiana. The second action, captionedCapizzi v. Dvorak et al., was filed on October 30, 2007. On November 19, 2007, these two cases were consolidated under the captionIn re Zimmer, Inc. Derivative Litigation. The plaintiffs seekplaintiff seeks to maintain the action purportedly on our behalf against allcertain of our current and former directors and two former directors. On December 10, 2007, the plaintiffs filed a consolidated amended derivative complaint, which claims,non-director executive officers. The plaintiff alleges, among other things, breaches of fiduciary dutyduties, abuse of control, unjust enrichment and gross mismanagement by the individualnamed defendants which allegedly allowed misconduct to occur, including alleged illegal payments to doctors,based on substantially the same factual allegations as the putative federal securities class action referenced above brought by the Plumbers and caused us financial harm, including the cost of the settlement with the federal government described above.Pipefitters Local Union 719 Pension Fund. The plaintiffs doplaintiff does not seek damages from us, but instead requestrequests damages of an unspecified amount on our behalf. The plaintiffsplaintiff also requestseeks equitable relief to remedy the individual defendants’ alleged misconduct, attorneys’ fees, costs and other relief. The court has entered a scheduling order that permits the plaintiff to file an amended complaint on or before March 11, 2009. Under that same court order, the defendants are not required to respond to any complaint until May 11, 2009.
On November 20, 2008, a complaint was filed in the U.S. District Court for the Northern District of Indiana, Dewald v. Zimmer Holdings, Inc., et al., naming us and certain of our current and former directors and employees as defendants. The complaint relates to a putative class action on behalf of all persons who were participants in or beneficiaries of our U.S. or Puerto Rico Savings and Investment Programs (“plans”) between October 5, 2007 and the date of filing and whose accounts included investments in our common stock. The complaint alleges, among other things, that the court order (i) disgorgementdefendants breached their fiduciary duties in violation of profits, benefitsthe Employee Retirement Income Security Act of 1974, as amended, by continuing to offer Zimmer stock as an investment option in the plans when the stock purportedly was no longer a prudent investment and that defendants failed to provide plan participants with complete and accurate information sufficient to advise them of the risks of investing their retirement savings in Zimmer stock. The plaintiff seeks an unspecified monetary payment to the plans, injunctive and equitable relief, attorneys’ fees, costs and other compensation obtained by the individual defendants and (ii) certain matters of corporate governance be placed before our stockholders for a vote.relief. On January 16, 23, 2009, the plaintiff filed an amended complaint that alleges the same claims and clarifies that the class period is October 5, 2007 through September 2, 2008. The
61


ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Notes to Consolidated Financial Statements(Continued)
defendants are not required to respond to the amended complaint until March 23, 2009. We believe this lawsuit is without merit, and we and the individual defendants filed separate motionsintend to dismiss the complaint and memoranda in support. We and the individual defendants also filed a joint motion to stay discovery pending a ruling on the motions to dismiss. The motions are currently pending with the court.defend it vigorously.

 
16.17.QUARTERLY FINANCIAL INFORMATION (UNAUDITED)
(in millions, except per share data)
                                
                         2008 Quarter Ended 2007 Quarter Ended 
 2007 Quarter Ended 2006 Quarter Ended Mar Jun Sep Dec Mar Jun Sep Dec 
 Mar Jun Sep Dec Mar Jun Sep Dec  
Net sales $950.2 $970.6 $903.2 $1,073.5 $860.4 $881.6 $819.8 $933.6 $1,059.2  $1,079.5  $952.2  $1,030.2  $950.2  $970.6  $903.2  $1,073.5 
Gross profit  743.8  754.2  704.0  819.6  671.0  681.6  636.6  726.1  804.5   817.2   715.0   787.1   743.8   754.2   704.0   819.6 
Net earnings  233.4  231.5  44.5  263.8  205.6  200.9  183.3  244.7  239.3   227.1   214.7   167.5   233.4   231.5   44.5   263.8 
Net earnings per common share                                                
Basic  0.99  0.98  0.19  1.13  0.83  0.82  0.76  1.03  1.03   0.99   0.96   0.75   0.99   0.98   0.19   1.13 
Diluted  0.98  0.97  0.19  1.12  0.82  0.81  0.76  1.02  1.02   0.99   0.95   0.75   0.98   0.97   0.19   1.12 
 
 
 
62


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
ITEM 9.Changes in and Disagreements With Accountants on Accounting and Financial Disclosure
 
None
None
 
ITEM 9A. Controls and Procedures
 
We have established disclosure controls and procedures and internal controls over financial reporting to provide reasonable assurance that material information relating to us, including our consolidated subsidiaries, is made known on a timely basis to management and the Board of Directors. However, no control system, no matter how well designed and operated, can provide absolute assurance that the objectives of the control system are met, and no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within a company have been detected.
 
Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, evaluated the effectiveness of the design and operation of our disclosure controls and procedures (as defined inRule 13a-15(e) of the Securities Exchange Act of 1934). Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures as of the end of the period covered by this report are effective.
 
There was no change in our internal control over financial reporting (as defined inRule 13a-15(f) of the Securities Exchange Act of 1934) that occurred during the quarter ended December 31, 2007,2008 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. Management’s report on internal control over financial reporting appears in this report at the conclusion of Part II, Item 7A.
 
ITEM 9B.Other Information
 
During the fourth quarter of 2007,2008, the Audit Committee of the Board of Directors was not asked to and did not approve the engagement of PricewaterhouseCoopers LLP, our independent registered public accounting firm, to perform any non-audit services. This disclosure is made pursuant to Section 10A(i)(2) of the Securities Exchange Act of 1934, as added by Section 202 of the Sarbanes-Oxley Act of 2002.
 
We submitted the Annual CEO Certification for 20072008 required by the New York Stock Exchange to the exchange on June 4, 2007.3, 2008.
 
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

ITEM 10.Directors, Executive Officers and Corporate Governance
 
The information required by this Item concerning our directors and executive officers is incorporated herein by reference from our definitive Proxy Statement for our 20082009 Annual Meeting of Stockholders which will be filed with the Commission pursuant to Regulation 14A within 120 days after the end of our most recent fiscal year and the information included under the caption “Executive Officers” in Part I of this report.
ITEM 11.Executive Compensation
 
The information required by this Item concerning remuneration of our officers and directors and information concerning material transactions involving such officers and directors is incorporated herein by reference from our definitive Proxy Statement for our 20082009 Annual Meeting of Stockholders which will be filed with the Commission pursuant to Regulation 14A within 120 days after the end of our most recent fiscal year.
ITEM 12.Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters
 
The information required by this Item concerning the stock ownership of management and five percent beneficial owners and related stockholder matters, including equity compensation plan information, is incorporated herein by reference from our definitive Proxy Statement for our 20082009 Annual Meeting of Stockholders which will be filed with the Commission pursuant to Regulation 14A within 120 days after the end of our most recent fiscal year.
ITEM 13.Certain Relationships and Related Transactions, and Director Independence
 
The information required by this Item concerning certain relationships and related transactions and director independence is incorporated herein by reference from our definitive Proxy Statement for our 20082009 Annual Meeting of Stockholders which will be filed with the Commission pursuant to Regulation 14A within 120 days after the end of our most recent fiscal year.
ITEM 14.Principal Accounting Fees and Services
 
The information required by this Item concerning principal accounting fees and services is incorporated herein by reference from our definitive Proxy Statement for our 20082009 Annual Meeting of Stockholders which will be filed with the Commission pursuant to Regulation 14A within 120 days after the end of our most recent fiscal year.
 
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

ITEM 15.Exhibits, and Financial Statement Schedules
 
(a) 1. Financial Statements
 
 
The following consolidated financial statements of Zimmer Holdings, Inc. and its subsidiaries are set forth in Part II, Item 8.
 
 
Report of Independent Registered Public Accounting Firm
 
 
Consolidated Statements of Earnings for the Years Ended December 31, 2008, 2007 2006 and 20052006
 
 
Consolidated Balance Sheets as of December 31, 20072008 and 20062007
 
 
Consolidated Statements of Stockholders’ Equity for the Years Ended December 31, 2008, 2007 2006 and 20052006
 
 
Consolidated Statements of Cash Flows for the Years Ended December 31, 2008, 2007 2006 and 20052006
 
 
Consolidated Statements of Comprehensive Income for the Years Ended December 31, 2008, 2007 2006 and 20052006
 
 
Notes to Consolidated Financial Statements
 
 
2. Financial Statement Schedules
 
 
Schedule II.  Valuation and Qualifying Accounts
 
 
Other financial statement schedules are omitted because they are not applicable or the required information is shown in the financial statements or the notes thereto.
 
 
3. Exhibits
 
 
A list of exhibits required to be filed as part of this report is set forth in the Index to Exhibits, which immediately precedes such exhibits and is incorporated herein by reference.
 
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

 
Pursuant to the requirements of Section 13 or 15(d) 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 Holdings, Inc.
 
 By: 
/s/  DAVIDDavid C. DVORAKDvorak
David C. Dvorak
President and Chief Executive Officer
 
Dated: February 29, 200827, 2009
 
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.
 
     
Signature Title Date
 
 
     
/s/  David C. Dvorak

David C. Dvorak
 President, Chief Executive Officer and Director
(Principal Executive Officer)
 February 29, 200827, 2009
     
/s/  James T. Crines

James T. Crines
 Executive Vice President, Finance
and Chief Financial Officer
(Principal Financial Officer)
 February 29, 200827, 2009
     
/s/  Derek M. Davis

Derek M. Davis
 Vice President, Finance, and Corporate Controller
and Chief Accounting Officer
(Principal Accounting Officer)
 February 29, 200827, 2009
/s/  Betsy J. Bernard

Betsy J. Bernard
DirectorFebruary 27, 2009

Marc N. Casper
DirectorFebruary 27, 2009
/s/  Larry C. Glasscock

Larry C. Glasscock
DirectorFebruary 27, 2009
/s/  Robert A. Hagemann

Robert A. Hagemann
DirectorFebruary 27, 2009
/s/  Arthur J. Higgins

Arthur J. Higgins
DirectorFebruary 27, 2009
     
/s/  John L. McGoldrick

John L. McGoldrick
 Director February 29, 200827, 2009
     
/s/  Stuart M. EssigCecil B. Pickett, Ph.D. 

Stuart M. EssigCecil B. Pickett, Ph.D. 
 Director February 29, 2008
/s/  Larry C. Glasscock

Larry C. Glasscock
DirectorFebruary 29, 2008
/s/  Arthur J. Higgins

Arthur J. Higgins
DirectorFebruary 29, 200827, 2009
     
/s/  Augustus A. White, III, M.D., Ph.D.

Augustus A. White, III, M.D., Ph.D.
 Director February 29, 200827, 2009
 
 
 
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ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Index to Exhibits
   
Exhibit No Description
 
 2.1Stock Purchase Agreement dated as of September 4, 2008 (incorporated by reference to Exhibit 2.1 to the Registrant’s Current Report on Form 8-K filed September 4, 2008)
3.1 Restated Certificate of Incorporation of Zimmer Holdings, Inc. dated July 28, 2001, together with Certificate of Amendment of Restated Certificate of Incorporation of Zimmer Holdings, Inc. dated May 9, 200713, 2008 (incorporated by reference to Exhibit 3.1 to the Registrant’s Quarterly Report onForm 10-Q filed August 7, 2007)5, 2008)
 3.2Certificate of Designations of Series A Participating Cumulative Preferred Stock of Zimmer Holdings, Inc., dated as of August 6, 2001 (incorporated by reference to Exhibit 3.2 to the Registrant’s Current Report onForm 8-K filed November 13, 2001)
 3.3 Restated By-Laws of Zimmer Holdings, Inc. effective November 30, 2007May 6, 2008 (incorporated by reference to Exhibit 3.1 to the Registrant’s Current Report onForm 8-K filed November 27, 2007)May 9, 2008)
 4.1 Specimen Common Stock certificate (incorporated by reference to Exhibit 4.3 to the Registrant’s Registration Statement onForm S-8 filed January 20, 2006)
10.1* Zimmer Holdings, Inc. 2001 Stock Incentive Plan (incorporated by reference to Appendix B to the Registrant’s definitive Proxy Statement on Schedule 14A filed March 24, 2003)
10.2* First Amendment to the Zimmer Holdings, Inc. 2001 Stock Incentive Plan (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed December 15, 2005)
10.3* Zimmer Holdings, Inc. 2006 Stock Incentive Plan, as amended (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed December 13, 2006)
10.4* Zimmer Holdings, Inc. Executive Performance Incentive Plan, effective August 6, 2001as amended (incorporated by reference to Appendix CB to the Registrant’s definitive Proxy Statement on Schedule 14A filed March 24, 2003)20, 2008)
10.5* Zimmer Holdings, Inc. Stock Plan for Non-Employee Directors, effective August 6, 2001 (incorporated by reference to Exhibit 10.6 to the Registrant’s Current Report onForm 8-K filed August 6, 2001)
10.6* First Amendment to the Zimmer Holdings, Inc. Stock Plan for Non-Employee Directors (incorporated by reference to Exhibit 10.3 to the Registrant’s Current Report onForm 8-K filed December 15, 2005)
10.7* Restated Zimmer Holdings, Inc. Deferred Compensation Plan for Non-Employee Directors, effective January 1, 2005 (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed December 15, 2005)
10.8*First Amendment to the Restated Zimmer Holdings, Inc. Deferred Compensation Plan for Non-Employee Directors
10.9* Restated Zimmer, Inc. Long-Term Disability Income Plan for Highly Compensated Employees (incorporated by reference to Exhibit 10.9 to the Registrant’s Annual Report onform 10-K filed February 28, 2007)
10.9*Employment Agreement with J. Raymond Elliott (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed November 20, 2006)
10.10* Change in Control Severance Agreement with David C. Dvorak (incorporated by reference to Exhibit 10.4 to the Registrant’s Quarterly Report onForm 10-Q filed November 9, 2007)
10.11* Form of Change in Control Severance Agreement with Bruno A. Melzi (incorporated by reference to Exhibit 10.3 to the Registrant’s Quarterly Report onForm 10-Q filed May 8, 2002)
10.12*Change in Control Severance Agreement with Sheryl L. Conley (incorporated by reference to Exhibit 10.2 to the Registrant’s Quarterly Report onForm 10-Q dated filed August 8, 2003)
10.13* Form of Change in Control Severance Agreement with James T. Crines and Cheryl R. Blanchard (incorporated by reference to Exhibit 10.1 to the Registrant’s Quarterly Report onForm 10-Q filed May 8, 2007)
10.14*10.13* Form of Change in Control Severance Agreement with Jeffery A. McCaulley, Mark C. Throdahl and Chad F. Phipps and Derek M. Davis (incorporated by reference to Exhibit 10.5 to the Registrant’s Quarterly Report onForm 10-Q filed November 9, 2007)
10.15*10.14* Change in Control Severance Agreement with Jon E. Kramer (incorporated by reference to Exhibit 10.1 to the Registrant’s Quarterly Report onForm 10-Q filed November 8, 2004)Derek M. Davis
10.16*10.15* Change in Control Severance Agreement with Stephen Hong Liang, Ooi (incorporated by reference to Exhibit 10.21 to the Registrant’s Annual Report onForm 10-K filed March 12, 2003)
10.17*10.16* Restated Benefit Equalization Plan of Zimmer Holdings, Inc. and Its Subsidiary or Affiliated Corporations Participating in the Zimmer Holdings, Inc. Savings and Investment Program (incorporated by reference to Exhibit 10.2 to the Registrant’s Quarterly Report onForm 10-Q filed August 9, 2005)
10.18*10.17* Restated Benefit Equalization Plan of Zimmer Holdings, Inc. and Its Subsidiary or Affiliated Corporations Participating in the Zimmer Holdings, Inc. Retirement Income Plan or the Zimmer Puerto Rico Retirement Income Plan (incorporated by reference to Exhibit 10.3 to the Registrant’s Quarterly Report onForm 10-Q filed August 9, 2005)
10.19*First Amendment of Benefit Equalization Plan of Zimmer Holdings, Inc. and Its Subsidiary or Affiliate Corporations Participating in the Zimmer Holdings, Inc. Retirement Income Plan or the Zimmer Puerto Rico Retirement Income Plan (incorporated by reference to Exhibit 10.4 to the Registrant’s Quarterly Report onForm 10-Q filed August 9, 2005)
67


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Index to Exhibits(Continued)
Exhibit NoDescription
10.20*Second Amendment of Benefit Equalization Plan of Zimmer Holdings, Inc. and its Subsidiary or Affiliate Corporations Participating in the Zimmer Holdings, Inc. Retirement Income Plan or the Zimmer Puerto Rico Retirement Income Plan (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed May 4, 2006)
10.21*10.18* Form of Non-Disclosure, Non-Competition and Non-Solicitation Employment Agreement (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed March 27, 2006)
10.22*10.19* Non-Disclosure, Non-Competition and Non-Solicitation Employment Agreement with Stephen Hong Liang, Ooi (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed March 27, 2006)
10.23*10.20* Confidentiality, Non-Competition and Non-Solicitation Agreement with Bruno A. Melzi (incorporated by reference to Exhibit 10.3 to the Registrant’s Current Report onForm 8-K filed March 27, 2006)
10.24*10.21* Form of Nonqualified Stock Option Award Letter under the Zimmer Holdings, Inc. 2001 Stock Incentive Plan (incorporated by reference to Exhibit 10.3 to the Registrant’s Current Report onForm 8-K filed January 11, 2006)
10.25*10.22* Form of Restricted Stock Award Letter under the Zimmer Holdings, Inc. 2001 Stock Incentive Plan (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed January 12, 2005)
10.26*10.23* Form of Nonqualified Performance-Conditioned Stock Option Grant Award Letter under the Zimmer Holdings, Inc. 2001 Stock Incentive Plan (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed January 21, 2005)
67


10.27*
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Index to Exhibits(Continued)
 Form of Performance Share Award Letter under the Zimmer Holdings, Inc. 2001 Stock Incentive Plan (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed January 11, 2006)
10.28*Exhibit No Form of Performance Share Award Letter under the Zimmer Holdings, Inc. 2001 Stock Incentive Plan (forNon-U.S. employees) (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed January 11, 2006)Description
10.29*
10.24* Form of Nonqualified Stock Option Award Letter under the Zimmer Holdings, Inc. Stock Plan for Non-Employee Directors (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed April 5, 2005)
10.30*10.25* Form of Restricted Stock Unit Award Letter under the Zimmer Holdings, Inc. Stock Plan for Non-Employee Directors (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed February 21, 2006)
10.31*10.26* Form of Nonqualified Stock Option Award Letter under the Zimmer Holdings, Inc. 2006 Stock Incentive Plan (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed December 13, 2006)
10.32*10.27* Form of Nonqualified Stock Option Award Letter forNon-U.S. Employees under the Zimmer Holdings, Inc. 2006 Stock Incentive Plan (incorporated by reference to Exhibit 10.3 to the Registrant’s Current Report onForm 8-K filed December 13, 2006)
10.33*10.28* Form of Restricted Stock Award Letter under the Zimmer Holdings, Inc. 2006 Stock Incentive Plan (five-year vesting) (incorporated by reference to Exhibit 10.4 to the Registrant’s Current Report onForm 8-K filed December 13, 2006)
10.34*10.29* Form of Restricted Stock Unit Award Letter forNon-U.S. Employees under the Zimmer Holdings, Inc. 2006 Stock Incentive Plan (five-year vesting) (incorporated by reference to Exhibit 10.5 to the Registrant’s Current Report onForm 8-K filed December 13, 2006)
10.35*10.30* Form of Restricted Stock Unit Award Letter under the Zimmer Holdings, Inc. 2006 Stock Incentive Plan (two-year vesting) (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed December 11, 2007)
10.36*10.31* Form of Restricted Stock Unit Award Letter for Non-US Employees under the Zimmer Holdings, Inc. 2006 Stock Incentive Plan (two-year vesting) (incorporated by reference to Exhibit 10.2 to the Registrant’s Current Report onForm 8-K filed December 11, 2007)
10.37*Form of Performance-Based Restricted Stock Unit Award Letter under the Zimmer Holdings, Inc. 2006 Stock Incentive Plan (incorporated by reference to Exhibit 10.1 to the Registrant’s Quarterly Report onForm 10-Q filed August 7, 2007)
10.38*10.32* Summary Compensation Sheet
10.3910.33 $1,350,000,000 Amended and Restated Credit Agreement dated as of November 30, 2007 (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed December 6, 2007)
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Index to Exhibits(Continued)
Exhibit NoDescription
10.4010.34 Settlement Agreement dated September 27, 2007, among the United States of America, acting through the United States Department of Justice and on behalf of the Office of Inspector General of the Department of Health and Human Services, and Zimmer Holdings, Inc. on behalf of its wholly owned subsidiary Zimmer, Inc. (incorporated by reference to Exhibit 10.1 to the Registrant’s Quarterly Report onForm 10-Q filed November 9, 2007)
10.4110.35 Corporate Integrity Agreement dated September 27, 2007, among Zimmer Holdings, Inc., Zimmer, Inc. and the Office of Inspector General of the Department of Health and Human Services (incorporated by reference to Exhibit 10.2 to the Registrant’s Quarterly Report onForm 10-Q filed November 9, 2007)
10.4210.36 Deferred Prosecution Agreement dated September 27, 2007, between Zimmer, Inc. and the United States Attorney’s Office for the District of New Jersey (incorporated by reference to Exhibit 10.3 to the Registrant’s Quarterly Report onForm 10-Q filed November 9, 2007)
10.4310.37 Zimmer, Inc. Monitor Agreement and Agreement Regarding Fees and Reimbursements, dated October 25, 2007 (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed October 31, 2007)
10.4410.38 Form of Indemnification Agreement with Non-Employee Directors and Officers (incorporated by reference to Exhibit 10.1 to the Registrant’s Current Report onForm 8-K filed February 25,July 31, 2008)
21 List of Subsidiaries of Zimmer Holdings, Inc.
23 Consent of PricewaterhouseCoopers LLP
31.1 Certification pursuant toRule 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 toRule 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
 
indicates management contracts or compensatory plans or arrangements
 
 
 
6968


ZIMMER HOLDINGS, INC.                                                                                                                                                              2007FORM 10-K ANNUAL REPORT
ZIMMER HOLDINGS, INC.2008FORM 10-K ANNUAL REPORT

Valuation and Qualifying AccountsSchedule II
 
                                        
 (In millions) (In millions) 
 
   Additions
         Additions
         
 Balance at
 Charged
   Effects of
 Balance at
 Balance at
 Charged
   Effects of
 Acquired
 Balance at
 
 Beginning
 (Credited)
 Deductions
 Foreign
 End of
 Beginning
 (Credited)
 Deductions
 Foreign
 Abbott Spine
 End of
 
Description of Period to Expense to Reserve Currency Period of Period to Expense to Reserve Currency Allowances Period 
 
Doubtful Accounts:                               
Year Ended December 31, 2005 $28.4 $(2.2) $(1.5) $(1.4) $23.3
Year Ended December 31, 2006  23.3  (3.2)  (1.0)  1.3   20.4 $23.3  $(3.2) $(1.0) $1.3  $  $20.4 
Year Ended December 31, 2007  20.4  1.4   (1.2)  1.1   21.7  20.4   1.4   (1.2)  1.1      21.7 
Year Ended December 31, 2008  21.7   (0.5)  (1.9)  (1.2)  1.9   20.0 
  
Excess and Obsolete Inventory:                               
Year Ended December 31, 2005 $124.1 $21.6  $(18.5) $(6.2) $121.0
Year Ended December 31, 2006  121.0  32.6   (26.0)  1.9   129.5 $121.0  $32.6  $(26.0) $1.9  $  $129.5 
Year Ended December 31, 2007  129.5  38.6   (26.9)  2.5   143.7  129.5   38.6   (26.9)  2.5      143.7 
Year Ended December 31, 2008  143.7   66.5   (23.1)  (2.6)  15.1   199.6 
  
Excess and Obsolete Instruments:                               
Year Ended December 31, 2005 $36.4 $10.0  $(7.8) $(0.9) $37.7
Year Ended December 31, 2006  37.7  8.3   (5.4)  0.1   40.7 $37.7  $8.3  $(5.4) $0.1  $  $40.7 
Year Ended December 31, 2007  40.7  3.1   (12.5)  0.4   31.7  40.7   3.1   (12.5)  0.4      31.7 
Year Ended December 31, 2008  31.7   5.6   (2.9)  0.3   2.4   37.1 
 
 
 
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