UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

~~FORM 10-Q~~

☒QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE

SECURITIES EXCHANGE ACT OF 1934

☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934



For the ~~quarter~~quarterly period ended	Commission File Number
June 30, ~~2018~~2019	0-16093

CONMED CORPORATION

(Exact name of the registrant as specified in its charter)



New York			16-0977505
(State or other jurisdiction of incorporation or organization)			~~16-0977505~~ (I.R.S. Employer Identification No.)

525 French Road	Utica,	New York	13502
(Address of principal executive offices)			~~13502~~ (Zip Code)

~~(315)~~ (315) 797-8375

(Registrant's telephone number, including area code)

Securities registered pursuant to Rule 12(b) of the Act



Title of each class	Trading Symbol	Name of each exchange on which registered
Common Stock, $0.01 par value	CNMD	NASDAQ

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.

Yesý☒ No o☐

Indicate by check mark whether the registrant has submitted electronically ~~and posted on its corporate Web site, if any,~~ every Interactive Data File required to be submitted ~~and posted~~ pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit ~~and post~~ such files).

Yesý☒ No o☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, smaller reporting company or an emerging growth company. See the definitions of "large accelerated filer", "accelerated filer", "smaller reporting company" and "emerging growth company" in Rule 12b-2 of the Exchange Act (Check one).

Large accelerated filerý☒ Accelerated filer o☐ Non-accelerated filer o☐

Smaller reporting company o☐ Emerging growth company o☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).

Yes ☐ No ☒

~~Yes~~ o No ý

The number of shares outstanding of registrant's common stock, as of July ~~30, 2018~~29, 2019 is ~~28,110,755~~28,292,720 shares.

CONMED CORPORATION

QUARTERLY REPORT ON FORM 10-Q

FOR THE QUARTER ENDED JUNE 30, ~~2018~~2019



PART I FINANCIAL INFORMATION
Item Number		Page

Item 1.	Financial Statements (unaudited)

	– Consolidated Condensed Statements of Comprehensive Income for the three and six months ended June 30, ~~2018~~2019 and ~~2017~~2018	1

	– Consolidated Condensed Balance Sheets as of June 30, ~~2018~~2019 and December 31, ~~2017~~2018	2

	– Consolidated Condensed Statements of ~~Cash Flows~~Shareholders' Equity for the six months ended June 30, ~~2018~~2019 and ~~2017~~2018	3

	– Consolidated Condensed Statements of Cash Flows for the six months ended June 30, 2019 and 2018	5

	– Notes to Consolidated Condensed Financial Statements	46


Item 2.	Management's Discussion and Analysis of Financial Condition and Results of Operations	1624

Item 3.	Quantitative and Qualitative Disclosures About Market Risk	2231

Item 4.	Controls and Procedures	2231

PART II OTHER INFORMATION

Item 1.	Legal Proceedings	2231

Item 6.	Exhibits	2333


Signatures		2434

PART I FINANCIAL INFORMATION

Item 1.

CONMED CORPORATION

CONSOLIDATED CONDENSED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited, in thousands except per share amounts)


	Three Months Ended				Six Months Ended				Three Months Ended				Six Months Ended
	June 30,				June 30,				June 30,				June 30,
	2018		2017		2018		2017		2019		2018		2019			2018
Net sales	$	212,820	$	197,154	$	414,884	$	383,720	$	238,263	$	212,820	$	456,641		$	414,884

Cost of sales	96,549		92,502		189,056		179,183		107,073		96,549		204,013			189,056

Gross profit	116,271		104,652		225,828		204,537		131,190		116,271		252,628			225,828

Selling and administrative expense	89,604		83,828		174,172		178,589		100,726		89,604		199,952			174,172

Research and development expense	9,985		8,041		17,696		15,659		11,806		9,985		22,381			17,696

Operating expenses	99,589		91,869		191,868		194,248		112,532		99,589		222,333			191,868

Income from operations	16,682		12,783		33,960		10,289		18,658		16,682		30,295			33,960

Other expense									321		—		4,546			—

Interest expense	5,091		4,398		9,909		8,518		11,839		5,091		21,208			9,909

Income before income taxes	11,591		8,385		24,051		1,771		6,498		11,591		4,541			24,051

Provision for income taxes	2,872		2,246		4,675		177
Provision (benefit) for income taxes									803		2,872		(2,175		)	4,675

Net income	$	8,719	$	6,139	$	19,376	$	1,594	$	5,695	$	8,719	$	6,716		$	19,376

Comprehensive income	$	7,307	$	10,144	$	20,709	$	9,220	$	5,751	$	7,307	$	6,847		$	20,709


Per share data:

Net income
Basic	$	0.31	$	0.22	$	0.69	$	0.06	$	0.20	$	0.31	$	0.24		$	0.69
Diluted	0.30		0.22		0.67		0.06		0.19		0.30		0.23			0.67

Dividends per share of common stock	$	0.20	$	0.20	$	0.40	$	0.40

Weighted average common shares
Basic	28,075		27,891		28,059		27,894		28,276		28,075		28,228			28,059
Diluted	28,846		28,139		28,739		28,086		29,337		28,846		29,197			28,739

See notes to consolidated condensed financial statements.

CONMED CORPORATION

CONSOLIDATED CONDENSED BALANCE SHEETS

(Unaudited, in thousands except share and per share amounts)


	June 30, 2018			December 31, 2017			June 30, 2019			December 31, 2018
ASSETS
Current assets:
Cash and cash equivalents	$	23,401		$	32,622		$	22,549		$	17,511
Accounts receivable, net	161,687			167,037			179,039			181,550
Inventories	143,405			141,436			172,802			154,599
Prepaid expenses and other current assets	18,907			15,688			22,887			20,691
Total current assets	347,400			356,783			397,277			374,351
Property, plant and equipment, net	114,964			116,229			117,329			113,245
Goodwill	401,104			401,954			616,427			400,440
Other intangible assets, net	429,896			414,940			538,210			413,193
Other assets	70,368			68,055			90,160			67,909
Total assets	$	1,363,732		$	1,357,961		$	1,759,403		$	1,369,138




LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
Current portion of long-term debt	$	16,951		$	14,699		$	13,515		$	18,336
Accounts payable	52,116			42,044			51,139			53,498
Accrued compensation and benefits	31,665			34,258			36,755			42,924
Other current liabilities	75,935			59,002			54,392			46,186
Total current liabilities	176,667			150,003			155,801			160,944

Long-term debt	432,236			471,744			796,148			438,564
Deferred income taxes	80,090			77,668			74,800			81,061
Other long-term liabilities	26,547			27,114			35,645			26,299
Total liabilities	715,540			726,529			1,062,394			706,868

Commitments and contingencies

Shareholders' equity:
Preferred stock, par value $ .01 per share;
authorized 500,000 shares; none outstanding	—			—			—			—
Common stock, par value $ .01 per share;
100,000,000 shares authorized; 31,299,194 shares
issued in 2018 and 2017, respectively	313			313
Common stock, par value $ .01 per share; 100,000,000 shares authorized; 31,299,194 shares issued in 2019 and 2018, respectively							313			313
Paid-in capital	336,560			333,795			376,519			341,738
Retained earnings	448,675			440,085			460,267			464,851
Accumulated other comprehensive loss	(47,745		)	(49,078		)	(55,606		)	(55,737		)
Less: 3,192,917 and 3,338,015 shares of common stock
in treasury, at cost in 2018 and 2017, respectively	(89,611		)	(93,683		)
Less: 3,010,251 and 3,167,422 shares of common stock in treasury, at cost in 2019 and 2018, respectively							(84,484		)	(88,895		)
Total shareholders’ equity	648,192			631,432			697,009			662,270
Total liabilities and shareholders’ equity	$	1,363,732		$	1,357,961		$	1,759,403		$	1,369,138

See notes to consolidated condensed financial statements.

CONMED CORPORATION

CONSOLIDATED CONDENSED STATEMENTS OF SHAREHOLDERS' EQUITY

(Unaudited, in thousands except share and per share amounts)



	Common Stock			Paid-in Capital			Retained Earnings			Accumulated Other Comprehensive Loss			Treasury Stock			Shareholders’ Equity
	Shares	Amount
Balance at December 31, 2018	31,299	$	313	$	341,738		$	464,851		$	(55,737	)	$	(88,895	)	$	662,270
Common stock issued under employee plans				(769		)							2,517			1,748
Stock-based compensation				2,703												2,703
Dividends on common stock ($0.20 per share)							(5,643		)							(5,643		)
Convertible note discount (net of income tax expense of $12,470)				39,145												39,145
Convertible note hedge, (net of income tax benefit of $12,369)				(38,829		)										(38,829		)
Issuance of warrants				30,567												30,567
Comprehensive income (loss):
Foreign currency translation adjustments										(578		)
Pension liability (net of income tax expense of $173)										547
Cash flow hedging gain (net of income tax expense of $34)										106
Net income							1,021
Total comprehensive income																1,096
Balance at March 31, 2019	31,299	$	313	$	374,555		$	460,229		$	(55,662	)	$	(86,378	)	$	693,057
Common stock issued under employee plans				(1,144		)							1,894			750
Stock-based compensation				3,108												3,108
Dividends on common stock ($0.20 per share)							(5,657		)							(5,657		)
Comprehensive income (loss):
Foreign currency translation adjustments										1,108
Pension liability (net of income tax expense of $174)										546
Cash flow hedging loss (net of income tax benefit of $509)										(1,598		)
Net income							5,695
Total comprehensive income																5,751
Balance at June 30, 2019	31,299	$	313	$	376,519		$	460,267		$	(55,606	)	$	(84,484	)	$	697,009



	Common Stock			Paid-in Capital			Retained Earnings			Accumulated Other Comprehensive Loss			Treasury Stock			Shareholders’ Equity
	Shares	Amount
Balance at December 31, 2017	31,299	$	313	$	333,795		$	440,085		$	(49,078	)	$	(93,683	)	$	631,432
Common stock issued under employee plans				(1,344		)							2,001			657
Stock-based compensation				2,303												2,303
Dividends on common stock ($0.20 per share)							(5,606		)							(5,606		)
Comprehensive income:
Foreign currency translation adjustments										649
Pension liability (net of income tax expense of $162)										510
Cash flow hedging gain (net of income tax expense of $505)										1,586
Net income							10,657
Total comprehensive income																13,402
Cumulative effect of change in accounting principle⁽¹⁾							440									440
Balance at March 31, 2018	31,299	$	313	$	334,754		$	445,576		$	(46,333	)	$	(91,682	)	$	642,628
Common stock issued under employee plans				(844		)							2,071			1,227
Stock-based compensation				2,650												2,650
Dividends on common stock ($0.20 per share)							(5,620		)							(5,620		)
Comprehensive income (loss):
Foreign currency translation adjustments										(5,749		)
Pension liability (net of income tax expense of $162)										510
Cash flow hedging gain (net of income tax expense of $1,219)										3,827
Net income							8,719
Total comprehensive income																7,307
Balance at June 30, 2018	31,299	$	313	$	336,560		$	448,675		$	(47,745	)	$	(89,611	)	$	648,192

⁽¹⁾We recorded the cumulative impact of adopting ASU 2014-09, Revenue from Contracts with Customers, (and its amendments) as of January 1, 2018.

See notes to consolidated condensed financial statements.

CONMED CORPORATION

CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS

(Unaudited, in thousands)


	Six Months Ended						Six Months Ended
	June 30,						June 30,
	2018			2017			2019			2018
Cash flows from operating activities:
Net income	$	19,376		$	1,594		$	6,716		$	19,376
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	9,006			9,758			8,967			9,006
Amortization of debt discount							3,774			—
Amortization	21,492			18,442			27,076			21,492
Stock-based compensation	4,953			4,221			5,811			4,953
Deferred income taxes	118			(4,275		)	(6,254		)	118
Increase in cash flows from changes in assets and liabilities:
Loss on early extinguishment of debt							300			—
Increase (decrease) in cash flows from changes in assets and liabilities:
Accounts receivable	3,506			6,298			6,935			3,506
Inventories	(3,014		)	572			(13,809		)	(3,014		)
Accounts payable	9,981			4,393			(5,078		)	9,981
Accrued compensation and benefits	(2,371		)	(7,233		)	(6,979		)	(2,371		)
Other assets	(16,306		)	(15,005		)	(13,939		)	(16,306		)
Other liabilities	(1,094		)	12,561			4,137			(1,094		)
	26,271			29,732			10,941			26,271
Net cash provided by operating activities	45,647			31,326			17,657			45,647

Cash flows from investing activities:
Purchases of property, plant and equipment	(7,291		)	(5,525		)	(9,006		)	(7,291		)
Payments related to business and asset acquisitions, net of cash acquired	—			(1,765		)
Payments related to business acquisition, net of cash acquired							(364,928		)	—
Net cash used in investing activities	(7,291		)	(7,290		)	(373,934		)	(7,291		)

Cash flows from financing activities:
Payments on term loan	(6,563		)	(4,375		)	(147,688		)	(6,563		)
Proceeds from term loan							265,000			—
Payments on revolving line of credit	(87,000		)	(68,000		)	(393,000		)	(87,000		)
Proceeds from revolving line of credit	57,000			71,000			343,000			57,000
Proceeds from convertible notes							345,000			—
Payments related to contingent consideration							(4,405		)	—
Payments related to debt issuance costs							(16,210		)	—
Dividends paid on common stock	(11,198		)	(11,138		)	(11,269		)	(11,198		)
Purchases of convertible hedges							(51,198		)	—
Proceeds from issuance of warrants							30,567			—
Other, net	684			(1,218		)	1,482			684
Net cash used in financing activities	(47,077		)	(13,731		)
Net cash provided by (used in) financing activities							361,279			(47,077		)

Effect of exchange rate changes on cash and cash equivalents	(500		)	2,408			36			(500		)

Net increase (decrease) in cash and cash equivalents	(9,221		)	12,713			5,038			(9,221		)

Cash and cash equivalents at beginning of period	32,622			27,428			17,511			32,622

Cash and cash equivalents at end of period	$	23,401		$	40,141		$	22,549		$	23,401

Non-cash investing and financing activities:
Contractual obligations from asset acquisition	$	25,849		$	—		$	—		$	25,849

Dividends payable	$	5,620		$	5,584		$	5,657		$	5,620

See notes to consolidated condensed financial statements.

CONMED CORPORATION

NOTES TO CONSOLIDATED CONDENSED FINANCIAL STATEMENTS

(Unaudited, in thousands except per share amounts)

Note 1 – Operations

CONMED Corporation (“CONMED”, the “Company”, “we” or “us”) is a medical technology company that provides surgical devices and equipment for minimally invasive procedures. The Company’s products are used by surgeons and physicians in a variety of specialties including orthopedics, general surgery, gynecology, neurosurgery, thoracic surgery and gastroenterology.

Note 2 - Interim Financial Information

The accompanying unaudited consolidated condensed financial statements have been prepared in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by generally accepted accounting principles for annual financial statements. The information herein reflects all normal recurring material adjustments, which are, in the opinion of management, necessary for the fair statements of the results for the periods presented. The consolidated condensed financial statements herein consist of all wholly-owned domestic and foreign subsidiaries with all significant intercompany transactions eliminated. Results for the period ended June 30, ~~2018~~2019 are not necessarily indicative of the results that may be expected for the year ending December 31, ~~2018~~2019.

The consolidated condensed financial statements and notes thereto should be read in conjunction with the consolidated financial statements and notes for the year ended December 31, ~~2017~~2018 included in our Annual Report on Form 10-K.

Note 3 - ~~Revenues~~Business Acquisition

On February 11, 2019 we acquired Buffalo Filter, LLC and all of the issued and outstanding common stock of Palmerton Holdings, Inc. from Filtration Group FGC LLC (the "Buffalo Filter Acquisition") for approximately $365 million in cash. Buffalo Filter develops, manufactures and markets smoke evacuation technologies that are complementary to our general surgery offering. The acquisition was funded through a combination of cash on hand and long-term borrowings as further described below.

The ~~Company adopted Accounting Standards Update ("ASU") No. 2014-09, Revenue from Contracts with Customers, which~~following table summarizes the estimated fair values of the assets acquired and liabilities assumed as a result of the Buffalo Filter Acquisition. The assessment of fair value is ~~codified in Accounting Standards Codification ("ASC") 606, effective January 1, 2018. ASC 606 is a comprehensive new revenue recognition model~~based on preliminary valuations and estimates that ~~requires a company~~were available to ~~recognize revenue when it transfers promised goods or services to customers in an amount that reflects~~management at the ~~consideration~~time the ~~company expects to receive in exchange for those goods or services. The Company has applied the modified retrospective approach to adoption whereby the standard is applied only to the current period.~~

~~Adoption of ASC 606 did not have a material impact on our~~ consolidated condensed financial ~~statements. Certain costs previously included in selling~~statements were prepared. Accordingly, the allocation of purchase price is preliminary and ~~administrative expense and principally related~~therefore subject to ~~administrative fees paid to group purchasing organizations are required to be~~adjustment during the measurement adjustment period.



Cash	$	119
Other current assets	9,315
Current assets	9,434
Property, plant & equipment	4,036
Deferred income taxes	80
Goodwill	215,793
Customer relationships	124,000
Developed technology	9,000
Trademarks & tradenames	7,000
Other non-current assets	166
Total assets acquired	$	369,509

Current liabilities assumed	4,462
Total liabilities assumed	4,462
Net assets acquired	$	365,047

The goodwill recorded as part of the acquisition primarily represents revenue synergies, as well as operating efficiencies and cost savings. Goodwill deductible for tax purposes is $215.8 million. The weighted amortization period for intangibles acquired is 16 years. Customer relationships, developed technology and trademarks and tradenames are being amortized over a ~~reduction~~weighted average life of ~~revenue under the new standard. These costs amounted to $2.0 million~~16, 10 and ~~$2.1 million during the three months ended June 30, 2018 and 2017, respectively, and $3.9 million and $3.8 million during the six months ended June 30, 2018 and 2017,~~20 years, respectively. ~~These costs are included as a reduction in net sales in~~

The unaudited pro forma information for the three and six months ended June 30, 2019 and 2018, assuming Buffalo Filter Acquisition occurred as of January 1, 2018 are presented below. This information has been prepared for comparative purposes only and does not purport to be indicative of the results of operations which actually would have resulted had the Buffalo Filter acquisition occurred on the dates indicated, or which may result in the future.



	Three Months Ended June 30,				Six Months Ended June 30,
	2019		2018		2019		2018
Net sales	$	238,263	$	222,407	$	461,660	$	433,680
Net income (loss)	8,625		1,890		17,370		(1,319		)

These pro forma results include certain adjustments, primarily due to increases in amortization expense due to fair value adjustments of intangible assets, increases in interest expense due to additional borrowings incurred to finance the acquisition and amortization of debt issuance costs incurred to finance the transaction, and acquisition related costs including transaction costs such as legal, accounting, valuation and other professional services as well as integration costs such as severance and retention.

Acquisition related costs included in the determination of pro forma net income for the three months ended June 30, 2018 included $0.5 million in cost of goods sold and $2.5 million in selling and administrative expense and the six months ended June 30, 2018 included $1.2 million in cost of goods sold and $9.7 million in selling and administrative expense on the consolidated condensed statement of comprehensive income. Such amounts are excluded from the determination of pro forma net income for the three and six months ended June 30, ~~2017, respectively. There is no impact on net income or earnings per share as a result~~2019.

Net sales associated with Buffalo Filter of ~~this change.~~

The Company recognizes revenue when we have satisfied a performance obligation by transferring a promised good or service (that is an asset) to a customer. An asset is transferred when the customer obtains control of that asset. The following policies apply to our major categories of revenue transactions:

~~Revenue is recognized when product is shipped~~$13.5 million and ~~the customer obtains control of the product. Payment by the customer is due under fixed payment terms and collectability is reasonably assured.~~

We place certain of our capital equipment with customers on a loaned basis in return for commitments to purchase related single-use products over time periods generally ranging from one to three years. In these circumstances, no revenue is recognized upon capital equipment shipment as the equipment is loaned and subject to return if certain minimum single-use purchases are not met. Revenue is recognized upon the sale and shipment of the related single-use products. The cost of the equipment is amortized over its estimated useful life which is generally five years.

Product returns are only accepted at the discretion of the Company and in accordance with our “Returned Goods Policy”. Historically, the level of product returns has not been significant. We accrue for sales returns, rebates and allowances based upon an analysis of historical customer returns and credits, rebates, discounts and current market conditions.

Our terms of sale to customers generally do not include any obligations to perform future services. Limited warranties are provided for capital equipment sales and provisions for warranty are provided at the time of product sale based upon an analysis of historical data.

~~Amounts billed to customers related to shipping and handling~~$19.5 million have been ~~included~~recorded in ~~net sales. Shipping and handling costs included in selling and administrative expense were $6.6 million and $6.4 million~~the consolidated condensed statement of comprehensive income for the three and six months ended June 30, ~~2018~~2019, respectively. It is impracticable to determine the earnings recorded in the consolidated condensed statement of comprehensive income for the three and ~~2017, respectively.~~

~~We sell to a diversified base of customers around the world and, therefore, believe there is no material concentration of credit risk.~~

We assess the risk of loss on accounts receivable and adjust the allowance for doubtful accounts based on this risk assessment. Historically, losses on accounts receivable have not been material. Management believes that the allowance for doubtful accounts of $2.3 million atsix months ended June 30, ~~2018 is adequate to provide for probable losses resulting from accounts receivable.~~2019 as these amounts are not separately measured.

We recognize revenues related to the promotion and marketing of sports medicine allograft tissue in accordance with the contractual terms of our agreement with Musculoskeletal Transplant Foundation (“MTF”) on a net basis as our role is limited to that of an agent earning a commission or fee. MTF records revenue when the tissue is shipped to the customer. Our services are completed at this time and net revenues for the “Service Fee” for our promotional and marketing efforts are then recognized based on a percentage of the net amounts billed by MTF to its customers. The timing of revenue recognition is determined through review of the net billings made by MTF each month. Our net commission Service Fee is based on the contractual terms of our agreement and is currently 50%. This percentage can vary over the term of the agreement but is contractually determinable. Our Service Fee revenues are recorded net of amortization of the acquired assets, which are being amortized over the expected useful life of 25 years.

We sell extended warranties to customers that are typically for a period of one to three years. The related revenue is recorded as a contract liability and recognized over the life of the contract on a straight-line basis, which is reflective of our obligation to stand ready to provide repair services. The Company previously expensed as incurred commissions paid for the sale of extended warranty contracts to customers. Under the new guidance, the Company capitalizes these contract acquisition costs and realizes the expense in line with the related extended warranty contract revenue recognition. Upon adoption of the new standard, we recorded a cumulative adjustment of $0.4 million net of income taxes to beginning shareholders’ equity in order to capitalize costs incurred to obtain contracts with customers.Note 4 - Revenues

The following tables present revenue disaggregated by primary geographic market where the products are sold, by product line and timing of revenue recognition:



	Three Months Ended						Three Months Ended
	June 30, 2019						June 30, 2018
	Orthopedic Surgery		General Surgery		Total		Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	43,335	$	85,601	$	128,936	$	41,057	$	68,599	$	109,656
Americas (excluding the United States)	15,781		7,823		23,604		16,586		8,348		24,934
Europe, Middle East & Africa	31,099		15,763		46,862		29,443		13,944		43,387
Asia Pacific	25,542		13,319		38,861		23,045		11,798		34,843
Total sales from contracts with customers	$	115,757	$	122,506	$	238,263	$	110,131	$	102,689	$	212,820

Timing of Revenue Recognition
Goods transferred at a point in time	$	106,772	$	121,927	$	228,699	$	101,663	$	102,323	$	203,986
Services transferred over time	8,985		579		9,564		8,468		366		8,834
Total sales from contracts with customers	$	115,757	$	122,506	$	238,263	$	110,131	$	102,689	$	212,820

Three Months Ended Three Months Ended
June 30, 2018 June 30, 2017
Orthopedic Surgery General Surgery Total Orthopedic Surgery General Surgery Total
Primary Geographic Markets
United States $ 41,057
$ 68,599
$ 109,656
$ 40,886
$ 59,124
$ 100,010
Americas (excluding the United States) 16,586
8,348
24,934
14,491
8,137
22,628
Europe, Middle East & Africa 29,443
13,944
43,387
27,500
12,839
40,339
Asia Pacific 23,045
11,798
34,843
22,684
11,493
34,177
Total sales from contracts with customers $ 110,131
$ 102,689
$ 212,820
$ 105,561
$ 91,593
$ 197,154

Timing of Revenue Recognition
Goods transferred at a point in time $ 108,041
$ 102,323
$ 210,364
$ 103,528
$ 91,422
$ 194,950
Services transferred over time 2,090
366
2,456
2,033
171
2,204
Total sales from contracts with customers $ 110,131
$ 102,689
$ 212,820
$ 105,561
$ 91,593
$ 197,154



	Six Months Ended						Six Months Ended
	June 30, 2019						June 30, 2018
	Orthopedic Surgery		General Surgery		Total		Orthopedic Surgery		General Surgery		Total
Primary Geographic Markets
United States	$	88,590	$	157,371	$	245,961	$	84,209	$	131,698	$	215,907
Americas (excluding the United States)	30,823		15,286		46,109		33,357		16,027		49,384
Europe, Middle East & Africa	61,505		31,688		93,193		57,745		26,928		84,673
Asia Pacific	48,276		23,102		71,378		43,683		21,237		64,920
Total sales from contracts with customers	$	229,194	$	227,447	$	456,641	$	218,994	$	195,890	$	414,884

Timing of Revenue Recognition
Goods transferred at a point in time	$	211,511	$	226,351	$	437,862	$	202,455	$	195,204	$	397,659
Services transferred over time	17,683		1,096		18,779		16,539		686		17,225
Total sales from contracts with customers	$	229,194	$	227,447	$	456,641	$	218,994	$	195,890	$	414,884

Six Months Ended Six Months Ended
June 30, 2018 June 30, 2017
Orthopedic Surgery General Surgery Total Orthopedic Surgery General Surgery Total
Primary Geographic Markets
United States $ 84,209
$ 131,698
$ 215,907
$ 83,276
$ 116,161
$ 199,437
Americas (excluding the United States) 33,357
16,027
49,384
28,109
14,958
43,067
Europe, Middle East & Africa 57,745
26,928
84,673
54,151
24,628
78,779
Asia Pacific 43,683
21,237
64,920
43,814
18,623
62,437
Total sales from contracts with customers $ 218,994
$ 195,890
$ 414,884
$ 209,350

$ 174,370
$ 383,720

Timing of Revenue Recognition
Goods transferred at a point in time $ 214,706
$ 195,204
$ 409,910
$ 205,332
$ 174,083
$ 379,415
Services transferred over time 4,288
686
4,974
4,018
287
4,305
Total sales from contracts with customers $ 218,994
$ 195,890
$ 414,884
$ 209,350
$ 174,370
$ 383,720

Contract liability balances related to the sale of extended warranties to customers are as follows:



	June 30, 2019		December 31, 2018

Contract liability	$	12,574	$	11,043

June 30, 2018 December 31, 2017

Contract liability $ 10,094
$ 7,786

Revenue recognized during the six months ended June 30, ~~2018~~2019 and June 30, ~~2017~~2018 from amounts included in contract liabilities at the beginning of the period were ~~$3.7~~$4.0 million and ~~$3.0~~$3.7 million, respectively. There were no material contract assets as of June 30, ~~2018~~2019 and December 31, ~~2017.~~2018.

Note 45 – Comprehensive Income

Comprehensive income consists of the following:



	Three Months Ended June 30,						Six Months Ended June 30,
	2019			2018			2019			2018
Net income	$	5,695		$	8,719		$	6,716		$	19,376

Other comprehensive income (loss):
Pension liability, net of income tax (income tax expense of $174 and $162 for the three months ended June 30, 2019 and 2018, respectively, and $347 and $324 for the six months ended June 30, 2019 and 2018, respectively)	546			510			1,093			1,020
Cash flow hedging gain (loss), net of income tax (income tax expense (benefit) of ($509) and $1,219 for the three months ended June 30, 2019 and 2018, respectively, and ($475) and $1,724 for the six months ended June 30, 2019 and 2018, respectively)	(1,598		)	3,827			(1,492		)	5,413
Foreign currency translation adjustment	1,108			(5,749		)	530			(5,100		)

Comprehensive income	$	5,751		$	7,307		$	6,847		$	20,709

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Net income $ 8,719
$ 6,139
$ 19,376
$ 1,594

Other comprehensive income (loss):
Pension liability, net of income tax (income tax expense of $162 and $293 for the three months ended June 30, 2018 and 2017, respectively, and $325 and $586 for the six months ended June 30, 2018 and 2017, respectively) 510
501
1,019
1,001
Cash flow hedging gain (loss) net of income tax (income tax expense (benefit) of $1,219 and ($1,026) for the three months ended June 30, 2018 and 2017, respectively, and $1,724 and ($1,522) for the six months ended June 30, 2018 and 2017, respectively) 3,827
(1,751 ) 5,413
(2,598 )
Foreign currency translation adjustment (5,749 ) 5,255
(5,099 ) 9,223

Comprehensive income $ 7,307
$ 10,144
$ 20,709
$ 9,220

Accumulated other comprehensive loss consists of the following:



	Cash Flow Hedging Gain (Loss)			Pension Liability			Cumulative Translation Adjustments			Accumulated Other Comprehensive Income (Loss)
Balance, December 31, 2018	$	4,085		$	(31,718	)	$	(28,104	)	$	(55,737	)

Other comprehensive income (loss) before reclassifications, net of tax	1,414			—			530			1,944
Amounts reclassified from accumulated other comprehensive income (loss) before tax^a	(3,832		)	1,440			—			(2,392		)
Income tax	926			(347		)	—			579

Net current-period other comprehensive income (loss)	(1,492		)	1,093			530			131

Balance, June 30, 2019	$	2,593		$	(30,625	)	$	(27,574	)	$	(55,606	)


	Cash Flow Hedging Gain (Loss)			Pension Liability			Cumulative Translation Adjustments			Accumulated Other Comprehensive Income (Loss)			Cash Flow Hedging Gain (Loss)			Pension Liability			Cumulative Translation Adjustments			Accumulated Other Comprehensive Income (Loss)
Balance, December 31, 2017	$	(3,530	)	$	(25,813	)	$	(19,735	)	$	(49,078	)	$	(3,530	)	$	(25,813	)	$	(19,735	)	$	(49,078	)

Other comprehensive income (loss) before reclassifications, net of tax	4,165			—			(5,099		)	(934		)	4,165			—			(5,100		)	(935		)
Amounts reclassified from accumulated other comprehensive income (loss) before tax^a	1,645			1,344			—			2,989			1,645			1,344			—			2,989
Income tax	(397		)	(325		)	—			(722		)	(397		)	(324		)	—			(721		)

Net current-period other comprehensive income	5,413			1,019			(5,099		)	1,333
Net current-period other comprehensive income (loss)													5,413			1,020			(5,100		)	1,333

Balance, June 30, 2018	$	1,883		$	(24,794	)	$	(24,834	)	$	(47,745	)	$	1,883		$	(24,793	)	$	(24,835	)	$	(47,745	)

Cash Flow
Hedging
Gain (Loss)

Pension
Liability

Cumulative
Translation
Adjustments

Accumulated
Other
Comprehensive
Income (Loss)
Balance, December 31, 2016 $ 1,546
$ (26,458 ) $ (33,614 ) $ (58,526 )

Other comprehensive income (loss) before reclassifications, net of tax (2,247 ) —
9,223
6,976
Amounts reclassified from accumulated other comprehensive income (loss) before tax^a
(556 ) 1,587
—
1,031
Income tax 205
(586 ) —
(381 )

Net current-period other comprehensive income (2,598 ) 1,001
9,223
7,626

Balance, June 30, 2017 $ (1,052 ) $ (25,457 ) $ (24,391 ) $ (50,900 )

(a) The cash flow hedging gain (loss) and pension liability accumulated other comprehensive income (loss) components are included in sales or cost of sales and as a component of net periodic pension cost, respectively. Refer to Note 56 and Note ~~10,~~12, respectively, for further details.

Note 56 – Fair Value of Financial Instruments

We enter into derivative instruments for risk management purposes only. We operate internationally and in the normal course of business are exposed to fluctuations in interest rates, foreign exchange rates and commodity prices. These fluctuations can increase the costs of financing, investing and operating the business. We use forward contracts, a type of derivative instrument, to manage certain foreign currency exposures.

By nature, all financial instruments involve market and credit risks. We enter into forward contracts with major investment grade financial institutions and have policies to monitor the credit risk of those counterparties. While there can be no assurance, we do not anticipate any material non-performance by any of these counterparties.

Foreign Currency Forward Contracts. We hedge forecasted intercompany sales denominated in foreign currencies through the use of forward contracts. We account for these forward contracts as cash flow hedges. To the extent these forward contracts meet hedge accounting criteria, changes in their fair value are not included in current earnings but are included in accumulated other comprehensive loss. These changes in fair value will be recognized into earnings as a component of sales or cost of sales when the forecasted transaction occurs. ~~The notional contract amounts for forward contracts outstanding at~~ ~~June 30, 2018~~ ~~which have been accounted for as cash flow hedges totaled $136.9 million. Net realized gains (losses) recognized for forward contracts accounted for as cash flow hedges approximated $(0.4) million and~~ ~~$0.2 million~~ ~~for the three months ended June 30, 2018 and 2017, respectively, and $(1.6) million and $0.6 million for the six months ended June 30, 2018 and 2017, respectively.~~

At June 30, 2018, $0.5 million of net unrealized gains on forward contracts accounted for as cash flow hedges, and included in accumulated other comprehensive loss, are expected to be recognized in earnings in the next twelve months.

We also enter into forward contracts to exchange foreign currencies for United States dollars in order to hedge our currency transaction exposures. These forward contracts settle each month at month-end, at which time we enter into new forward contracts. We have not designated these forward contracts as hedges and have not applied hedge accounting to them.

The following table presents the notional contract amounts for forward contracts ~~outstanding at~~ outstanding:



		As of
	FASB ASC Topic 815 Designation	June 30, 2019		December 31, 2018
Forward exchange contracts	Cash flow hedge	$	153,454	$	155,313
Forward exchange contracts	Non-designated	39,762		39,631

The remaining time to maturity as of June 30, ~~2018~~ ~~which have not been~~2019 is within 2 years for hedge designated foreign exchange contracts and approximately 1 month for non-hedge designated forward exchange contracts.

Statement of comprehensive income presentation

Derivatives designated as cash flow hedges

Foreign exchange contracts designated as cash flow hedges ~~totaled~~ ~~$34.3~~had the following effects on accumulated other comprehensive income (loss) and net earnings on our consolidated condensed statement of comprehensive income and our consolidated condensed balance sheet:



	Amount of Gain (Loss) Recognized in AOCI				Consolidated Condensed Statements of Comprehensive Income					Amount of Gain (Loss) Reclassified from AOCI
	Three Months Ended June 30,					Three Months Ended June 30,				Three Months Ended June 30,
						Total Amount of Line Item Presented
Derivative Instrument	2019		2018		Location of amount reclassified	2019		2018		2019		2018

Foreign exchange contracts	$	126	$	4,662	Net Sales	$	238,263	$	212,820	$	2,096	$	(415	)
					Cost of Sales	107,073		96,549		138		32
Pre-tax gain (loss)	$	126	$	4,662						$	2,234	$	(383	)
Tax expense (benefit)	30		1,126							540		(92		)
Net gain (loss)	$	96	$	3,536						$	1,694	$	(291	)



	Amount of Gain (Loss) Recognized in AOCI				Consolidated Condensed Statements of Comprehensive Income					Amount of Gain (Loss) Reclassified from AOCI
	Six Months Ended June 30,					Six Months Ended June 30,				Six Months Ended June 30,
						Total Amount of Line Item Presented
Derivative Instrument	2019		2018		Location of amount reclassified	2019		2018		2019		2018

Foreign exchange contracts	$	1,864	$	5,492	Net Sales	$	456,641	$	414,884	$	3,593	$	(1,828	)
					Cost of Sales	204,013		189,056		239		183
Pre-tax gain (loss)	$	1,864	$	5,492						$	3,832	$	(1,645	)
Tax expense (benefit)	450		1,327							926		(397		)
Net gain (loss)	$	1,414	$	4,165						$	2,906	$	(1,248	)

At June 30, 2019, $2.5 million~~. Net realized~~ of net unrealized gains ~~(losses)~~on forward contracts accounted for as cash flow hedges, and included in accumulated other comprehensive loss, are expected to be recognized in ~~connection with those forward contracts~~earnings in the next twelve months.

Derivatives not designated as cash flow hedges

Net gains and losses from derivative instruments not accounted for as hedges ~~approximated~~ ~~$0.4 million~~offset by gains and ~~$(0.4) million~~ ~~for the three months ended June 30, 2018 and 2017, respectively, offsetting gains (losses)~~losses on our intercompany receivables ~~of $(0.6) million and~~ ~~$0.3 million~~ for the three months ended June 30, 2018 and 2017, respectively. Net realized gains (losses) approximated $0.3 million and $(0.6) million for the six months ended June 30, 2018 and 2017, respectively, offsetting gains (losses) on our intercompany receivables of $(0.7) million and $0.3 million for the six months ended June 30, 2018 and 2017, respectively. These gains and losses have been recorded in selling and administrative expense in the consolidated condensed statements of comprehensive ~~income.~~income were:



		Three Months Ended June 30,						Six Months Ended June 30,
Derivative Instrument	Location on Consolidated Condensed Statements of Comprehensive Income	2019			2018			2019			2018

Net gain (loss) on currency forward contracts	Selling and administrative expense	$	(312	)	$	438		$	(493	)	$	350
Net gain (loss) on currency transaction exposures	Selling and administrative expense	$	67		$	(585	)	$	(161	)	$	(712	)

Balance sheet presentation

We record these forward foreign exchange contracts at fair value. The following tables summarize the fair value for forward foreign exchange contracts outstanding at June 30, ~~2018~~2019 and December 31, ~~2017~~2018:


June 30, 2018	Asset Fair Value		Liabilities Fair Value			Net Fair Value
June 30, 2019									Location on Consolidated Condensed Balance Sheet	Asset Fair Value		Liabilities Fair Value			Net Fair Value
Derivatives designated as hedged instruments:
Foreign exchange contracts	$	3,025	$	(1,487	)	$	1,538		Prepaids and other current assets	$	3,766	$	(441	)	$	3,325
Foreign exchange contracts									Other long-term assets	409		(315		)	94
										$	4,175	$	(756	)	$	3,419

Derivatives not designated as hedging instruments:
Foreign exchange contracts	14		(120		)	(106		)	Prepaids and other current assets	12		(120		)	(108		)

Total derivatives	$	3,039	$	(1,607	)	$	1,432			$	4,187	$	(876	)	$	3,311



December 31, 2018	Location on Consolidated Condensed Balance Sheet	Asset Fair Value		Liabilities Fair Value			Net Fair Value
Derivatives designated as hedged instruments:
Foreign exchange contracts	Prepaids and other current assets	$	5,817	$	(431	)	$	5,386

Derivatives not designated as hedging instruments:
Foreign exchange contracts	Prepaids and other current assets	19		(217		)	(198		)

Total derivatives		$	5,836	$	(648	)	$	5,188

December 31, 2017 Asset Fair Value Liabilities Fair Value
Net
Fair
Value
Derivatives designated as hedged instruments:
Foreign exchange contracts $ 346
$ (5,945 ) $ (5,599 )

Derivatives not designated as hedging instruments:

Foreign exchange contracts 4
(78 ) (74 )

Total derivatives $ 350
$ (6,023 ) $ (5,673 )

Our forward foreign exchange contracts are subject to a master netting agreement and qualify for netting in the consolidated condensed balance sheets. Accordingly, at June 30, 2018 and December 31, 2017, we have recorded the net fair value of $1.4 million in prepaid expenses and other current assets and non-current other assets and $5.7 million in other current liabilities, respectively.

Fair Value Disclosure. FASB guidance defines fair value and establishes a framework for measuring fair value and related disclosure requirements. This guidance applies when fair value measurements are required or permitted. The guidance indicates, among other things, that a fair value measurement assumes that the transaction to sell an asset or transfer a liability occurs in the principal market for the asset or liability or, in the absence of a principal market, the most advantageous market for the asset or liability. Fair value is defined based upon an exit price model.

Valuation Hierarchy. A valuation hierarchy was established for disclosure of the inputs to the valuations used to measure fair value. This hierarchy prioritizes the inputs into three broad levels as follows. Level 1 inputs are quoted prices (unadjusted) in active markets for identical assets or liabilities. Level 2 inputs are quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets in markets that are not active; inputs other than quoted prices that are observable for the asset or liability, including interest rates, yield curves and credit risks or inputs that are derived principally from, or

corroborated by, observable market data through correlation. Level 3 inputs are unobservable inputs based on our own assumptions used to measure assets and liabilities at fair value. A financial asset or liability’s classification within the hierarchy is determined based on the lowest level input that is significant to the fair value measurement. There have been no significant changes in the assumptions.

Valuation Techniques. Assets and liabilities carried at fair value and measured on a recurring basis as of June 30, ~~2018~~2019 consist of forward foreign exchange ~~contracts and contingent liabilities associated with a business acquisition.~~contracts. The Company values its forward foreign exchange contracts using quoted prices for similar assets. The most significant assumption is quoted currency rates. The value of the forward foreign exchange contract assets and liabilities were valued using Level 2 inputs and are listed in the table above.

The carrying amounts reported in our consolidated condensed balance sheets for cash and cash equivalents, accounts receivable, accounts payable and long-term debt approximate fair value.

Note 67 - Inventories

Inventories consist of the following:



	June 30, 2019		December 31, 2018
Raw materials	$	50,559	$	45,898
Work-in-process	16,475		15,000
Finished goods	105,768		93,701
Total	$	172,802	$	154,599

June 30,
2018 December 31,
2017
Raw materials $ 41,538
$ 41,844
Work-in-process 16,134
14,666
Finished goods 85,733
84,926
Total $ 143,405
$ 141,436

Note 78 – Earnings Per Share

Basic earnings per share (“basic EPS”) is computed by dividing net income by the weighted average number of common shares outstanding for the reporting period. Diluted earnings per share (“diluted EPS”) gives effect to all dilutive potential shares outstanding resulting from employee stock options, restricted stock units, performance share units and stock appreciation rights ("SARs") during the period.

The following table sets forth the computation of basic and diluted earnings per share for the three and six months ended June 30, ~~2018~~2019 and ~~2017~~2018:



	Three Months Ended June 30,				Six Months Ended June 30,
	2019		2018		2019		2018
Net income	$	5,695	$	8,719	$	6,716	$	19,376

Basic – weighted average shares outstanding	28,276		28,075		28,228		28,059

Effect of dilutive potential securities	1,061		771		969		680

Diluted – weighted average shares outstanding	29,337		28,846		29,197		28,739

Net income (per share)
Basic	$	0.20	$	0.31	$	0.24	$	0.69
Diluted	0.19		0.30		0.23		0.67

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Net income $ 8,719
$ 6,139
$ 19,376
$ 1,594

Basic – weighted average shares outstanding 28,075
27,891
28,059
27,894

Effect of dilutive potential securities 771
248
680
192

Diluted – weighted average shares outstanding 28,846
28,139
28,739
28,086

Net income (per share)

Basic $ 0.31
$ 0.22
$ 0.69
$ 0.06
Diluted 0.30
0.22
0.67
0.06

The shares used in the calculation of diluted EPS exclude options and SARs to purchase shares where the exercise price was greater than the average market price of common shares for the period and the effect of the inclusion would be anti-dilutive. Such shares aggregated approximately 0.8 million and 0.6 million for the three and six months ended June 30, 2019, respectively, and 0.8 million and 0.5 million for the three and six months ended June 30, 2018, ~~respectively,~~respectively. As more fully described in Note 17, our 2.625% convertible notes due in 2024 (the “Notes”) are convertible under certain circumstances, as defined in the indenture, into a combination of cash and ~~approximately 1.4 million~~CONMED common stock. Potential dilution upon conversion of the Notes occurs when the market price per share of our common stock, is greater than the conversion price of the Notes of $88.80. We intend to settle in cash the principal outstanding and ~~2.0 million for~~use the ~~three and six months ended~~treasury stock method when calculating their potential dilutive effect, if any. We have entered into convertible note hedge transactions to increase the effective conversion price of the Notes to $114.92. However, our convertible note hedges are not included when calculating potential dilutive shares since their effect is always anti-dilutive. As of June 30, ~~2017.~~2019, our share price has not exceeded the conversion price of the Notes; therefore, under the net share settlement method, there were no potential shares issuable under the Notes to be used in the calculation of diluted EPS.

Note 9 – Leases

The Company adopted ASU No. 2016-02, Leases (Topic 842) on January 1, 2019 and applied the modified retrospective approach to adoption whereby the standard is applied only to the current period. The Company leases various manufacturing facilities, office facilities and equipment under operating and finance leases. We determine if an arrangement is a lease at inception. Right-of-use ("ROU") assets represent our right to use an underlying asset for the lease term and lease liabilities represent our obligation to make lease payments arising from the lease. Operating lease ROU assets and liabilities are recognized at the lease commencement date based on the present value of lease payments over the lease term. As most of our leases do not provide an implicit rate, we use our incremental borrowing rate based on the information available at commencement date in determining the present value of lease payments. We use the implicit rate when readily determinable. Our lease terms may include options to extend or terminate the lease when it is reasonably certain that we will exercise that option. Lease expense for lease payments is recognized on a straight-line basis over the lease term. Certain of our leases include variable lease payments, mainly when a lease is tied to an index rate. These variable lease payments are recorded as expense in the period incurred and are not material.

The Company has lease agreements with lease and non-lease components, which we account for separately. For certain equipment leases, we apply a portfolio approach to efficiently account for the operating lease ROU assets and lease liabilities. We also elected the short-term lease exemption and do not recognize leases with terms less than one year on the balance sheet. The related short-term lease expense is not material.

Our leases have remaining lease terms of one year to twelve years, some of which include options to extend the leases for up to five years, and some of which include options to terminate the leases within one year. We only account for such extensions or early terminations when it is reasonably certain we will exercise such options.

Lease costs consists of the following:



	Three Months Ended June 30,		Six Months Ended June 30,
	2019		2019
Operating lease cost	$	1,986	$	3,971
Finance lease cost:
Depreciation	54		107
Interest on lease liabilities	6		13
Total finance lease cost	60		120
Total lease cost	$	2,046	$	4,091

Supplemental balance sheet information related to leases is as follows:



	June 30, 2019
Operating leases
Other assets (net of lease impairment of $1,131)	$	14,936

Other current liabilities	$	6,215
Other long-term liabilities	10,217
Total operating lease liabilities	$	16,432

Finance leases
Property, plant and equipment, gross	$	1,182
Accumulated depreciation	(363		)
Property, plant and equipment, net	$	819

Current portion of long-term debt	$	265
Long-term debt	243
Total finance lease liabilities	$	508


Weighted average remaining lease term (in years)
Operating leases	3.75 years
Finance leases	3.87 years

Weighted average discount rate
Operating leases	4.41		%
Finance leases	4.91		%

Supplemental cash flow information related to leases was as follows:



	Six Months Ended June 30,
	2019

Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases	$	4,268
Financing cash flows from finance leases	162

Right-of-use assets obtained in exchange for lease obligations:
Operating leases	849
Finance leases	52

Maturities of lease liabilities as of June 30, 2019 are as follows:



	Finance Lease			Operating Lease

Remaining, 2019	$	180		$	3,972
2020	234			5,075
2021	35			3,214
2022	88			2,499
2023	5			1,578
2024	—			723
Thereafter	—			771
Total lease payments	542			17,832

Less imputed interest	(34		)	(1,400		)

Total lease liabilities	$	508		$	16,432

As of June 30, 2019, we have no additional operating or finance leases that have not yet commenced. Maturities of lease liabilities under ASC 840 are consistent with the above disclosure.

The Company places certain of our capital equipment with customers on a loaned basis and at no charge in exchange for commitments to purchase related single-use products over time periods generally ranging from one to three years. Placed equipment is loaned and subject to return if minimum single-use purchases are not met. The Company accounts for these placements as operating leases but applies a practical expedient and does not separate the nonlease and lease components from the combined component. Accordingly, the Company accounts for the combined component as a single performance obligation with revenue recognized upon shipment of the related single use-products. The cost of the equipment is amortized over its estimated useful life which is generally five years.

Note 810 – Goodwill and Other Intangible Assets

The changes in the net carrying amount of goodwill for the six months ended June 30, ~~2018~~2019 are as follows:



Balance as of December 31, 2018	$	400,440

Goodwill resulting from business acquisition	215,793

Foreign currency translation	194

Balance as of June 30, 2019	$	616,427

Balance as of December 31, 2017 $ 401,954

Foreign currency translation (850 )

Balance as of June 30, 2018 $ 401,104

Assets and liabilities of acquired businesses are recorded at their estimated fair values as of the date of acquisition. Goodwill represents costs in excess of fair values assigned to the underlying net assets of acquired businesses. During the six months ended June 30, 2019, the Company acquired Buffalo Filter as further described in Note 3. Goodwill resulting from the acquisition amounted to $215.8 million and acquired intangible assets including customer and distributor relationships, developed technology and trademarks and tradenames amounted to $140.0 million.

Other intangible assets consist of the following:



	June 30, 2019						December 31, 2018
	Weighted Average Amortization Period (Years)	Gross Carrying Amount		Accumulated Amortization			Gross Carrying Amount		Accumulated Amortization
Amortized intangible assets:

Customer and distributor relationships	24	$	338,557	$	(105,878	)	$	214,577	$	(97,131	)

Sales representation, marketing and promotional rights	25	149,376		(45,000		)	149,376		(42,000		)

Patents and other intangible assets	15	69,174		(45,339		)	61,473		(44,242		)

Developed technology	15	100,965		(10,189		)	91,965		(7,369		)

Unamortized intangible assets:

Trademarks and tradenames		86,544		—			86,544		—

	22	$	744,616	$	(206,406	)	$	603,935	$	(190,742	)

June 30, 2018 December 31, 2017
Weighted Average Amortization Period (Years)
Gross
Carrying
Amount

Accumulated
Amortization

Gross
Carrying
Amount

Accumulated
Amortization
Amortized intangible assets:

Customer and distributor relationships 29 $ 214,616
$ (91,634 ) $ 214,685
$ (86,137 )

Promotional, marketing and distribution rights 25 149,376
(39,000 ) 149,376
(36,000 )

Patents and other intangible assets 14 70,031
(43,177 ) 69,668
(42,127 )

Developed technology 16 88,132
(4,992 ) 62,283
(3,352 )

Unamortized intangible assets:

Trademarks and tradenames 86,544
—
86,544
—

24 $ 608,699
$ (178,803 ) $ 582,556
$ (167,616 )

Customer and distributor relationships, trademarks and tradenames, developed technology and patents and other intangible assets primarily represent allocations of purchase price to identifiable intangible assets of acquired businesses. ~~Promotional,~~Sales representation, marketing and ~~distribution~~promotional rights represent intangible assets created under our ~~Sports Medicine Joint Development and Distribution Agreement (the "JDDA")~~agreement with Musculoskeletal Transplant Foundation (“MTF”).

Amortization expense related to intangible assets which are subject to amortization totaled ~~$5.7~~$8.3 million and $~~5.2~~5.7 million in the three months ended June 30, ~~2018~~2019 and ~~2017,~~2018, respectively, and ~~$11.2~~$15.7 million and ~~$10.3~~$11.2 million in the six months ended June 30, ~~2018~~2019 and ~~2017,~~2018, respectively, and is included as a reduction of revenue (for amortization related to our ~~promotional,~~sales representation, marketing and ~~distribution~~promotional rights) and in selling and administrative expense (for all other intangible assets) in the consolidated condensed statements of comprehensive income. Included in developed technology is ~~$25.8~~$4.0 million of earn-out consideration that is considered probable as of June 30, ~~2018~~2019 associated with a prior asset acquisition. This is recorded in other current liabilities at June 30, 2018. This acquired developed technology has a weighted average useful life of 14 years. Included in patents and other intangible assets at June 30, 2018 and December 31, 2017 is an in-process research and development asset that is not currently amortized.2019.

The estimated intangible asset amortization expense remaining for the year ending December 31, ~~2018~~2019 and for each of the five succeeding years is as follows:



	Amortization included in expense		Amortization recorded as a reduction of revenue		Total
Remaining, 2019	$	13,417	$	3,000	$	16,417
2020	27,301		6,000		33,301
2021	26,510		6,000		32,510
2022	25,361		6,000		31,361
2023	24,507		6,000		30,507
2024	23,730		6,000		29,730

Amortization included in expense Amortization recorded as a reduction of revenue Total
Remaining, 2018 $ 8,946
$ 3,000
$ 11,946
2019 18,550
6,000
24,550
2020 18,567
6,000
24,567
2021 17,614
6,000
23,614
2022 16,139
6,000
22,139
2023 15,504
6,000
21,504

Note 911 – Guarantees

We provide warranties on certain of our products at the time of sale and sell extended warranties. The standard warranty period for our capital ~~and reusable~~ equipment is generally ~~one~~1 year and our extended warranties typically vary from one to three years. Liability under service and warranty policies is based upon a review of historical warranty and service claim experience. Adjustments are made to accruals as claim data and historical experience warrant.

Changes in the carrying amount of service and product standard warranties for the six months ended June 30, are as follows:



	2019			2018
Balance as of January 1,	$	1,798		$	1,750

Provision for warranties	1,020			678
Claims made	(696		)	(611		)

Balance as of June 30,	$	2,122		$	1,817

2018 2017
Balance as of January 1, $ 1,750
$ 1,954

Provision for warranties 678
442

Claims made (611 ) (521 )

Balance as of June 30, $ 1,817
$ 1,875

Costs associated with extended warranty repairs are recorded as incurred and amounted to ~~$2.4~~$2.8 million and ~~$2.2~~$2.4 million for the six months ended June 30, ~~2018~~2019 and ~~2017,~~2018, respectively.

Note 1012 – Pension Plan

Net periodic pension cost consists of the following:



	Three Months Ended June 30,						Six Months Ended June 30,
	2019			2018			2019			2018
Service cost	$	253		$	169		$	506		$	338

Interest cost on projected benefit obligation	782			701			1,564			1,403

Expected return on plan assets	(1,181		)	(1,354		)	(2,362		)	(2,709		)

Net amortization and deferral	720			672			1,440			1,344

Net periodic pension cost	$	574		$	188		$	1,148		$	376

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Service cost $ 169
$ 151
$ 338
$ 302

Interest cost on projected benefit obligation 701
693
1,403
1,387

Expected return on plan assets (1,354 ) (1,325 ) (2,709 ) (2,650 )

Net amortization and deferral 672
794
1,344
1,587

Net periodic pension cost $ 188
$ 313
$ 376
$ 626

We do not expect to make any pension contributions during ~~2018.~~2019. Non-service cost of $0.3 million and $0.6 million are included in other expense in the consolidated condensed statement of comprehensive income for the three and six months ended June 30, 2019, respectively.

Note 1113 – Acquisition, Restructuring and Other Expense

Acquisition, restructuring and other expense consists of the following:



	Three Months Ended June 30,				Six Months Ended June 30,
	2019		2018		2019		2018

Business acquisition costs included in cost of sales	$	503	$	—	$	1,163	$	—

Business acquisition costs included in selling and administrative expense	$	2,461	$	—	$	9,706	$	—

Debt refinancing costs included in other expense	$	—	$	—	$	3,904	$	—

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Restructuring costs included in cost of sales $ —
$ 303
$ —
$ 1,472

Restructuring costs $ —
$ 26
$ —
$ 1,348
Business acquisition costs —
405
—
892
Legal matters —
2,465
—
16,714
Acquisition, restructuring and other expense included in selling and administrative expense $ —
$ 2,896
$ —
$ 18,954

During the three and six months ended June 30, ~~2018,~~2019, we ~~did not have any~~incurred $0.5 million and $1.2 million, respectively, in costs ~~related~~for inventory adjustments associated with the acquisition of Buffalo Filter as further described in Note 3. These costs were charged to ~~restructuring, acquisitions or legal matters.~~ cost of sales.

During the three and six months ended June 30, ~~2017,~~2019, we incurred ~~$0.3~~$2.5 million and ~~$1.5~~$9.7 million ~~respectively,~~ in costs associated with ~~operational restructuring. These costs~~the February 11, 2019 acquisition of Buffalo Filter as further described in Note 3 that were ~~charged to cost of sales and~~ included ~~severance, inventory and other charges.~~

~~During the six months ended June 30, 2017, we restructured certain~~in selling and administrative ~~functions~~expense. These costs include investment banking fees in the first quarter of 2019, and, ~~incurred $1.3 million~~consulting fees, legal fees, severance and integration related costs in ~~costs consisting principally of severance charges.~~

~~During~~ the three and six months ended June 30, 2017, we incurred $0.4 million and $0.9 million, respectively, in costs associated with the January 4, 2016 acquisition of SurgiQuest, Inc. The costs were associated with expensing of unvested options acquired and integration related costs.2019.

During the six months ended June 30, ~~2017,~~2019, we incurred ~~$12.2~~a $3.6 million charge related to commitment fees paid to certain of our lenders, which provided a financing commitment for the Buffalo Filter acquisition and recorded a loss on the early extinguishment of debt of $0.3 million in ~~costs associated~~conjunction with the ~~SurgiQuest, Inc. vs. Lexion Medical litigation verdict whereby SurgiQuest was found liable for $2.2 million in compensatory damages with an additional $10.0 million in punitive damages~~sixth amended and restated senior credit agreement as further described in Note 13. These costs remain accrued in other current liabilities at June 30, 2018 and were subsequently paid on July 10, 2018. In addition, during the three and six months ended June 30, 2017, we incurred $2.5 million and $4.5 million, respectively, in costs associated with this litigation and other legal matters.17.

Note 1214 — Business ~~Segments~~Segment

We are accounting and reporting for our business as a single operating segment entity engaged in the development, manufacturing and sale on a global basis of surgical devices and related equipment. Our chief operating decision maker (the executive management team) evaluates the various global product portfolios on a net sales basis and evaluates profitability, investment and cash flow metrics on a consolidated worldwide basis due to shared infrastructure and resources.

Our product lines consist of orthopedic surgery and general surgery. Orthopedic surgery consists of sports medicine instrumentation and small bone, large bone and specialty powered surgical instruments as well as imaging systems for use in minimally invasive surgery procedures including 2DHD and 3DHD vision technologies and service fees related to the promotion and marketing of sports medicine allograft tissue. General surgery consists of a complete line of endo-mechanical instrumentation for minimally invasive laparoscopic and gastrointestinal procedures, a line of cardiac monitoring products as well as electrosurgical generators and related instruments. These product lines' net sales are as follows:



	Three Months Ended June 30,				Six Months Ended June 30,
	2019		2018		2019		2018
Orthopedic surgery	$	115,757	$	110,131	$	229,194	$	218,994
General surgery	122,506		102,689		227,447		195,890
Consolidated net sales	$	238,263	$	212,820	$	456,641	$	414,884

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Orthopedic surgery $ 110,131
$ 105,561
$ 218,994
$ 209,350
General surgery 102,689
91,593
195,890
174,370
Consolidated net sales $ 212,820
$ 197,154
$ 414,884
$ 383,720

Note 1315 – Legal Proceedings

From time to time, we are subject to claims alleging product liability, patent infringement or other claims incurred in the ordinary course of business. These may involve our United States or foreign operations, or sales by foreign distributors. Likewise, from time to time, the Company may receive an information request or subpoena from a government agency such as the Securities and Exchange Commission, Department of Justice, Equal Employment Opportunity Commission, the Occupational Safety and Health Administration, the Department of Labor, the Treasury Department or other federal and state agencies or foreign governments or government agencies. These information requests or subpoenas may or may not be routine inquiries, or may begin as routine inquiries and over time develop into enforcement actions of various types. Likewise, if we receive reports of alleged misconduct from employees and third parties, ~~which~~ we investigate as appropriate.

Manufacturers of medical devices have been the subject of various enforcement actions relating to interactions with health care providers domestically or internationally whereby companies are claimed to have provided health care providers with inappropriate incentives to purchase their products. Similarly, the Foreign Corrupt Practices Act ("FCPA") imposes obligations on manufacturers with respect to interactions with health care providers who may be considered government officials based on their affiliation with public hospitals. The FCPA also requires publicly listed manufacturers to maintain accurate books and records, and maintain internal accounting controls sufficient to provide assurance that transactions are accurately recorded, lawful and in accordance with management's authorization. The FCPA poses unique challenges both because manufacturers operate in foreign cultures in which conduct illegal under the FCPA may not be illegal in local jurisdictions, and because, in some cases, a United States manufacturer may face risks under the FCPA based on the conduct of third parties over whom the manufacturer may not have complete control. While CONMED has not experienced any material enforcement action to date, there can be no assurance that the Company will not be subject to a material enforcement action in the future, or that the Company will not incur costs including, in the form of fees for lawyers and other consultants, that are material to the Company’s results of operations in the course of responding to a future inquiry or investigation.

Manufacturers of medical products may face exposure to significant product liability ~~claims.~~claims, as well as patent infringement and other claims incurred in the ordinary course of business. To date, we have not experienced any ~~product liability~~ claims that have been material to our financial statements or financial condition, but any such claims arising in the future could have a material adverse effect on our business, results of operations or cash flows. We currently maintain commercial product liability insurance of ~~$25~~$30 million per incident and ~~$25~~$30 million in the aggregate annually, which we believe is adequate. This coverage is on a claims-made basis. There can be no assurance that claims will not exceed insurance coverage, that the carriers will be solvent or that such insurance will be available to us in the future at a reasonable cost.

We establish reserves sufficient to cover probable losses associated with any such pending claims. We do not expect that the resolution of any pending claims, investigations or reports of alleged misconduct will have a material adverse effect on our financial condition, results of operations or cash flows. There can be no assurance, however, that future claims or investigations, or the costs associated with responding to such claims, investigations or reports of misconduct, especially claims and investigations not covered by insurance, will not have a material adverse effect on our financial condition, results of operations or cash flows.

Our operations are subject, and in the past have been subject, to a number of environmental laws and regulations governing, among other things, air emissions; wastewater discharges; the use, handling and disposal of hazardous substances and wastes; soil and groundwater remediation and employee health and safety. Likewise, the operations of our suppliers and sterilizers are subject to similar environmental laws and regulations. In some jurisdictions, environmental requirements may be expected to become more stringent in the future. In the United States, certain environmental laws can impose liability for the entire cost of site restoration upon each of the parties that may have contributed to conditions at the site regardless of fault or the lawfulness of the party’s activities. While we do not believe that the present costs of environmental compliance and remediation are material, there can be no assurance that future compliance or remedial obligations would not have a material adverse effect on our financial condition, results of operations or cash flows.

In April 2017, the previously disclosed lawsuit involving false advertising claim by Lexion Medical ("Lexion") against SurgiQuest arising prior to the acquisition of SurgiQuest by CONMED went to trial in federal court in the District of Delaware. The claims arose under the Lanham Act, as well as Delaware state laws. Lexion sought damages of $22.0 million for alleged lost profits and $18.7 million for costs related to alleged “corrective advertising,” as well as damages claimed for disgorgement of SurgiQuest’s alleged profits and attorneys' fees. On January 4, 2016, SurgiQuest became a subsidiary of CONMED, and we assumed the costs and liabilities related to the Lexion lawsuit subject to the terms of the merger agreement. On April 11, 2017, a jury returned a verdict finding SurgiQuest liable for $2.2 million in compensatory damages with an additional $10.0 million in punitive damages. These costs were recorded in selling and administrative expense during the six months ended June 30, 2017 and remain accrued in other current liabilities at June 30, 2018. The District Court entered judgment on April 13, 2017. CONMED and Lexion each filed post-verdict motions. Lexion sought an equitable award for disgorgement of SurgiQuest’s alleged profits, for so-called corrective advertising and for attorney’s fees. CONMED sought to vacate the award of punitive damages. By

memorandum decision dated May 16, 2018, the District Court denied both Lexion’s and SurgiQuest’s post-verdict motions. The period within which either Lexion or SurgiQuest was able to pursue an appeal expired in June without either party seeking to appeal the judgment. CONMED paid the judgment, together with post-judgment interest, in a total amount of $12.3 million on July 10, 2018.

In 2014, the Company acquired EndoDynamix, Inc. The agreement governing the terms of the acquisition ~~provide~~provides that, if various conditions are met, certain contingent payments relating to the first commercial sale of the products (the milestone payment), as well as royalties based on sales (the revenue based payments), are due to the seller. ~~We have~~In 2016, we notified the seller that there iswas a need to redesign the product, and that, as a consequence, the first commercial sale ~~has~~had been delayed. Consequently, the payment of contingent milestone and revenue-based payments ~~have been~~were delayed. On January 18, 2017, the seller provided notice ("the Notice") seeking $12.7 million, which essentially represents the seller's view as to the sum of the projected contingent milestone and revenue-based payments on an accelerated basis. CONMED responded to the Notice denying that there was any basis for acceleration of the payments due under the acquisition agreement. On February 22, 2017, the representative of the former shareholders of EndoDynamix filed a complaint in Delaware Chancery Court claiming breach of contract with respect to the duty to commercialize the product and seeking the contingent payments on an accelerated basis. We believe that there was a substantive contractual basis to support the Company's decision to redesign the product, such that there was no legitimate basis for seeking the acceleration of the contingent ~~payments. We~~payments at that time. In the third quarter of 2018, the Company decided to halt the development of the EndoDynamix clip applier. While we previously recorded a charge to write off assets and released a previously accrued contingent consideration liability, we expect to defend the claims asserted by the sellers of EndoDynamix in the Delaware Court, although there can be no assurance that we will prevail in the litigation.

We record reserves sufficient to cover probable and estimable losses associated with any such pending claims. We do not expect that the resolution of any pending claims, investigations or reports of alleged misconduct will have a material adverse effect on our financial condition, results of operations or cash flows. There can be no assurance, however, that future claims or investigations, or the costs associated with responding to such claims, investigations or reports of misconduct, especially claims and investigations not covered by insurance, will not have a material adverse effect on our financial condition, results of operations or cash flows.

Note 1416 – New Accounting Pronouncements

Recently Adopted Accounting Standards

In May 2014, the FASB issued Accounting Standards Update ("ASU") No. 2014-09, Revenue from Contracts with Customers, along with amendments issued in 2015 and 2016, which is codified in Accounting Standards Codification ("ASC") 606. This ASU is a comprehensive new revenue recognition model that requires a company to recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration the company expects to receive in exchange for those goods or services. We adopted this new guidance as of January 1, 2018, applying the modified retrospective method, and it did not have a material impact on our consolidated financial statements as further described in Note 3.

In November 2016, the FASB issued ASU No. 2016-18, Statement of Cash Flows (Topic 230): Restricted Cash. The amendments in this ASU require that a statement of cash flows explain the change during the period in total cash, cash equivalents and amounts generally described as restricted cash or restricted cash equivalents. ~~The Company adopted this new guidance effective January 1, 2018 and it did not have a material impact on the consolidated financial statements.~~

In March 2017, the FASB issued ASU No. 2017-07, Compensation Retirement Benefits (ASC 715) - Improving the Presentation of Net Periodic Pension Cost and Net Periodic Postretirement Benefit Cost. This ASU requires companies to record the service component of net periodic pension cost in the same income statement line as other compensation costs arising from services rendered by the pertinent employees during the period. The other components of net periodic pension cost would be presented in the income statement separately from the service cost component and outside the subtotal of income from operations, if one is presented. The Company adopted this new guidance effective January 1, 2018 and it did not have a material impact on the consolidated financial statements.

In May 2017, the FASB issued ASU No. 2017-09, Compensation - Stock Based Compensation (ASC 718) - Scope of Modification Accounting. This ASU does not change the accounting for modifications but clarifies that modification accounting guidance should be applied if there is a change to the value, vesting conditions, or award classification and would not be required if the changes are considered non-substantive. The Company adopted this new guidance effective January 1, 2018 and it did not have a material impact on the consolidated financial statements.

~~Recently Issued Accounting Standards, Not Yet Adopted~~

In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842) (“ASU 2016-02”)., along with amendments issued in 2017 and 2018. This ASU requires lessees to ~~put most~~record leases on their balance sheets but recognize the ~~expenses~~expense on their income statements in a manner similar to current practice. ASU 2016-02 states that a lessee would recognize a lease liability for the obligation to make lease payments and a ~~right-to-use~~right-of-use ("ROU") asset for the right to use the underlying asset for the lease term.

The Company adopted the new standard ~~is effective for interim~~on January 1, 2019, and ~~annual periods beginning after December 15, 2018 and early adoption is permitted.~~applied the modified retrospective approach along with the package of transition practical expedients. The Company has lease agreements with lease and non-lease components, which we account for separately. For certain equipment leases, we apply a portfolio approach to efficiently account for the operating lease ROU assets and lease liabilities. We also elected the short-term lease exemption and do not recognize leases with terms less than one year on the balance sheet. The related short-term lease expense is ~~currently evaluating the~~not material. On January 1, 2019, we recorded initial right-of-use assets and lease liabilities, that were previously unrecorded under prior GAAP, of $17.9 million. Operating lease ROU assets are included in other assets and lease liabilities are included in other current liabilities and other long-term liabilities. Our accounting for finance leases, which were capital leases under prior GAAP, remained substantially unchanged. Finance leases are included in property and equipment, current portion of long-term debt and long-term debt in our consolidated balance sheets. This update did not have a material impact ~~of the adoption of ASU 2016-02.~~

~~In January 2017, the FASB issued ASU~~ ~~No.~~ 2017-04, Intangibles - Goodwill and Other (Topic 350): Simplifying the Accounting for Goodwill Impairment. This ASU removes Step 2 of the goodwill impairment test, which requires hypothetical purchase price allocation. A goodwill impairment will now be the amount by which the reporting unit's carrying value exceeds its fair value, not to exceed the carrying amount of goodwill. ~~This new guidance is effective for periods beginning after December 15, 2019, however early adoption is permitted.~~ ~~The Company is currently assessing the impact of this guidance~~ on our ~~consolidated financial statements.~~net income, earnings per share or cash flows. Refer to Note 9 for further detail on leases.

In August 2017, the FASB issued ASU No. 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities. This ASU makes more financial and non-financial hedging strategies eligible for hedge accounting. It also amends the presentation and disclosure requirements and changes how companies assess effectiveness. It is intended to more closely align hedge accounting with companies’ risk management strategies, simplify the application of hedge accounting and increase transparency as to the scope and results of hedging programs. This guidance is effective for fiscal years beginning after December 15, 2018, including interim periods within that reporting period. Early adoption is permitted. We adopted this update on January 1, 2019 and it did not have a material impact on our consolidated financial statements.

In August 2018, the SEC adopted a final rule under SEC Release No. 33-10532, Disclosure Update and Simplification, that amends certain disclosure requirements that were redundant, duplicative, overlapping, outdated or superseded. The amendments also expanded the disclosure requirements on the analysis of shareholders' equity for interim financial statements, in which registrants must now analyze changes in shareholders’ equity, in the form of reconciliation, for the current and comparative year-to-date periods, with subtotals for each interim period. This final rule was effective on November 5, 2018. The Company adopted all relevant disclosure requirements during the fourth quarter of 2018, with the exception of the shareholders’ equity interim disclosures, which was adopted as of January 1, 2019.

Recently Issued Accounting Standards, Not Yet Adopted

In June 2016, the FASB issued ASU No. 2016-13 Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments, along with subsequent amendments issued in 2019. This ASU requires instruments measured at amortized cost, including accounts receivable, to be presented at the net amount expected to be collected. The new model requires an entity to estimate credit losses based on historical information, current information, and reasonable and supportable forecasts, including estimates of prepayments. The update is effective for fiscal years beginning after December 31, 2019 and early adoption is permissible during any interim period after December 31, 2018. The Company is currently assessing the impact of this guidance on our consolidated financial statements.

In ~~February~~August 2018, the FASB issued ASU ~~2018-02, Income Statement - Reporting Comprehensive Income~~2018-13, Fair Value Measurement (Topic ~~220).~~820): Disclosure Framework-Changes to the Disclosure Requirements for Fair Value Measurement, which modifies the disclosure requirements on fair value measurements. This ASU provides entities with the option to eliminate the stranded tax effects associated with the change in tax rates under the 2017 Tax Cuts and Jobs Act through a reclassification of the stranded tax effects from accumulated other comprehensive income (“AOCI”) to retained earnings. This guidanceupdate is effective for fiscal years beginning after December 15, ~~2018 with~~2019 and early adoption is permitted. The Company is currently assessing the impact of this guidance on our consolidated financial statements.

In ~~June~~August 2018, the FASB issued ASU ~~2018-07 Compensation – Stock Compensation~~2018-14, Compensation-Retirement Benefits-Defined Benefit Plans-General (Topic ~~718), Improvements~~715-20): Disclosure Framework-Changes to ~~Nonemployee Share-Based Payment Accounting.~~the Disclosure Requirements for Defined Benefit Plans, which modifies the disclosure requirements for defined benefit pension plans and other postretirement plans. This ASU ~~is intended to simplify aspects of share-based compensation issued to non-employees by making the guidance consistent with accounting for employee share-based compensation. This guidance~~ is effective for fiscal years beginning after December 15, ~~2018, including interim periods within that fiscal year. Early~~2020 and early adoption is permitted. The Company is currently ~~in the process of evaluating~~assessing the impact of this guidance on our consolidated financial statements.

~~Note 15 – Income Taxes~~

Note 17 - Long-Term Debt

Long-term debt consists of the following:



	June 30, 2019		December 31, 2018
Revolving line of credit	$	262,000	$	312,000
Term loan, net of deferred debt issuance costs of $1,727 and $311 in 2019 and 2018, respectively	259,960		144,064
2.625% convertible notes, net of deferred debt issuance costs of $9,964 and unamortized discount of $47,841 in 2019	287,195		—
Financing leases	508		—
Mortgage notes	—		836
Total debt	809,663		456,900
Less: Current portion	13,515		18,336
Total long-term debt	$	796,148	$	438,564

On ~~December 22, 2017~~February 7, 2019 we entered into a sixth amended and restated senior credit agreement consisting of: (a) a $265.0 million term loan facility and (b) a $585.0 million revolving credit facility. The revolving credit facility will terminate and the ~~2017 Tax Cuts~~loans outstanding under the term loan facility will expire on the earlier of (i) February 7, 2024 or (ii) 91 days prior to the earliest scheduled maturity date of the 2.625% convertible notes due in 2024 described below, (if, as of such date, more than $150.0 million in aggregate principal amount of such convertible notes (or any refinancing thereof) remains outstanding). The term loan facility is payable in quarterly installments increasing over the term of the facility. Proceeds from the term loan facility and ~~Jobs Act (“Tax Reform”) was enacted. At December 31, 2017,~~borrowings under the ~~Company recorded estimated provisional amounts~~revolving credit facility were used to repay the then existing senior credit agreement and in part to finance the acquisition of Buffalo Filter. Initial interest rates are at LIBOR plus an interest rate margin of 1.875% (4.250% at June 30, 2019). For those borrowings where we elect to use the alternate base rate, the initial base rate will be the greatest of (i) the Prime Rate, (ii) the Federal Funds Rate plus 0.50% or (iii) the one-month Eurocurrency Rate plus 1.00%, plus, in each case, an interest rate margin.

There were $261.7 million in borrowings outstanding on the term loan facility as of June 30, 2019. There were $262.0 million in borrowings outstanding under the revolving credit facility as of June 30, 2019. Our available borrowings on the revolving credit facility at June 30, 2019 were $320.5 million with approximately $2.5 million of the facility set aside for outstanding letters of credit.

The sixth amended and restated senior credit agreement is collateralized by substantially all of our personal property and assets. The sixth amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of certain financial ratios and restrict dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. We were in full compliance with these covenants and restrictions as of June 30, 2019. We are also required, under certain circumstances, to make mandatory prepayments from net cash proceeds from any issuance of equity and asset sales.

On January 29, 2019, we issued $345.0 million in 2.625% convertible notes due in 2024 (the "Notes"). Interest is payable semi-annually in arrears on February 1 and August 1 of each year, commencing August 1, 2019. The Notes will mature on February 1, 2024, unless earlier repurchased or converted. The Notes represent subordinated unsecured obligations and are convertible under certain circumstances, as defined in the indenture, into a combination of cash and CONMED common stock. The Notes may be converted at an initial conversion rate of 11.2608 shares of our common stock per $1,000 principal amount of Notes (equivalent to an initial conversion price of approximately $88.80 per share of common stock). Holders of the Notes may convert their Notes at their option at any time on or after November 1, 2023 through the second scheduled trading day preceding the maturity date. Holders of their Notes will also have the right to convert the Notes prior to November 1, 2023, but only upon the occurrence of specified events. The conversion rate is subject to anti-dilution adjustments if certain events occur. A portion of the net proceeds from the offering of the notes were used as part of the financing for the ~~deemed repatriation toll charge implemented by~~Buffalo Filter acquisition and $21.0 million were used to pay the ~~Tax Reform, related~~cost of certain convertible notes hedge transactions as further described below.

Our effective borrowing rate for nonconvertible debt at the time of issuance of the Notes was estimated to ~~foreign tax credits, deferred tax revaluation amounts and deferred tax liabilities on unremitted foreign earnings. Staff Accounting Bulletin No. (SAB) 118 provides an extended measurement period~~be 6.14%, which resulted in $51.6 million of the $345.0 million aggregate principal amount of Notes issued, or $39.1 million after taxes, being attributable to ~~finalize the effects of Tax Reform for the period of enactment. Tax expense for~~equity. For the three and six months ended June 30, ~~2018 includes no changes from these initial assessments.~~

~~FASB Staff Q&A, Topic 740, No. 5, Accounting for Global Intangible Low-Taxed Income, (GILTI) allows for an election~~2019, we have recorded interest expense related to ~~account for GILTI under~~ the ~~deferred method which requires recognizing deferred taxes for basis differences which will impact~~amortization of debt discount on the ~~GILTI inclusion upon reversal or as a period cost. The Company is still evaluating this election~~Notes of $2.3 million and ~~will complete its accounting for Tax Reform, including this election, within~~$3.8 million, respectively, at the ~~measurement period prescribed by SAB 118.~~

~~Income tax expense has been recorded at an~~ effective ~~tax~~interest rate of ~~24.8% and 26.8% for~~6.14%. The debt discount on the Notes is being amortized through February 2024. For the three ~~months ended June 30, 2018~~ and ~~2017, respectively, and at an effective tax rate of 19.4% and 10.0% for the~~ six months ended June 30, ~~2018~~2019, we have recorded interest expense on the Notes of $2.3 million and ~~2017, respectively.~~$3.8 million, respectively, at the contractual coupon rate of 2.625%.

In connection with the offering of the Notes, we entered into convertible note hedge transactions with a number of financial institutions (each, an “option counterparty”). The ~~lower effective rate for the three months ended June 30, 2018, as compared~~convertible note hedge transactions cover, subject to anti-dilution adjustments substantially similar to those applicable to the Notes, the number of shares of our common stock underlying the Notes. Concurrently with entering into the convertible note hedge transactions, we also entered into separate warrant transactions with each option counterparty whereby we sold to such option counterparty warrants to purchase, subject to customary anti-dilution adjustments, the same ~~period in~~number of shares of our common stock.

The convertible note hedge transactions are expected generally to reduce the ~~prior year, was primarily the result~~potential dilution upon conversion of the ~~lower federal statutory tax rate of 21% enacted with Tax Reform which was~~Notes and/or offset ~~by other provisions of Tax Reform including global intangible low-taxed income (“GILTI”) as well as income earned in foreign jurisdictions with effective tax rates~~any cash payments we are required to make in excess of the ~~federal statutory rate. The higher effective~~principal amount of converted Notes, as the case may be, in the event that the market price per share of our common stock, as measured under the terms of the convertible note hedge transactions, is greater than the strike price ($114.92) of the convertible note hedge transactions, which initially corresponds to the conversion price of the Notes and is subject to anti-dilution adjustments substantially similar to those applicable to the conversion rate ~~for~~of the ~~six months ended~~Notes. If, however, the market price per share of our common stock, as measured under the terms of the warrant transactions, exceeds the strike price of the warrants, there would nevertheless be dilution to the extent that such market price exceeds the strike price of the warrants.

As of June 30, ~~2018, as compared to~~2019, we paid in full our mortgage note in connection with the ~~same period in the prior year, was primarily due to stock option income tax benefits which reduced the effective tax rate by 3.0% during the six months ended~~Largo, Florida property and facilities.

The scheduled maturities of long-term debt outstanding at June 30, ~~2018~~2019 are as compared to a reduction of 12.7% during the six months ended June 30, 2017. In addition, the lower federal statutory tax rate of 21% enacted with Tax Reform was offset by other provisions of Tax Reform including global intangible low-taxed income (“GILTI”) as well as income earned in foreign jurisdictions with effective tax rates in excess of the federal statutory rate.follows:



Remaining, 2019	$	6,625
2020	13,250
2021	18,219
2022	24,844
2023	460,750
2024	345,000



Item 2.	MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

Forward-Looking Statements

In this Report on Form 10-Q, we make forward-looking statements about our financial condition, results of operations and business. Forward-looking statements are statements made by us concerning events that may or may not occur in the future. These statements may be made directly in this document or may be “incorporated by reference” from other documents. Such statements may be identified by the use of words such as “anticipates”, “expects”, “estimates”, “intends” and “believes” and variations thereof and other terms of similar meaning.

Forward-Looking Statements are not Guarantees of Future Performance

Forward-looking statements involve known and unknown risks, uncertainties and other factors, including those that may cause our actual results, performance or achievements or industry results, to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Such factors include those identified under “Risk Factors” in our Annual Report on Form 10-K for the year-ended December 31, ~~2017~~2018 and the following, among others:

general economic and business conditions;

compliance with and changes in ~~foreign exchange and interest rates;~~

~~cyclical customer purchasing patterns due to budgetary and other constraints;~~

~~changes in customer preferences;~~

~~competition;~~

~~changes in technology;~~

~~the introduction and acceptance of new products;~~

~~the ability to evaluate, finance and integrate acquired businesses, products and companies;~~

~~changes in business strategy;~~

~~the availability and cost of materials;~~regulatory requirements;

the possibility that United States or foreign regulatory and/or administrative agencies may initiate enforcement actions against us or our distributors;

~~trade protection measures, tariffs~~competition;

changes in customer preferences;

changes in technology;

the introduction and acceptance of new products;

the availability and cost of materials;

cyclical customer purchasing patterns due to budgetary and other ~~border taxes, and import or export licensing requirements;~~

~~future levels of indebtedness and capital spending;~~constraints;

quality of our management and business abilities and the judgment of our personnel;

the availability, terms and deployment of capital;

future levels of indebtedness and capital spending;

changes in foreign exchange and interest rates;

the ability to evaluate, finance and integrate acquired businesses, products and companies;

changes in business strategy;

the risk of an information security breach, including a cybersecurity breach;

the risk of ~~litigation, especially patent litigation, as well as the cost associated with patent and other litigation;~~

~~the risk of~~ a lack of allograft ~~tissue~~tissues due to reduced donations of such tissues or due to tissues not meeting the appropriate high standards for screening and/or processing of such tissues;

the ability to defend and enforce intellectual property;

the risk of patent, product and other litigation, as well as the cost associated with such litigation;

environmental compliance and remediation costs, including the risks arising from environmental compliance with suppliers and sterilizers and, in particular, sterilizers which use Ethylene Oxide (“EtO”), as approximately 25% of CONMED’s products are sterilized with EtO; and

~~compliance with~~trade protection measures, tariffs and ~~changes in regulatory~~other border taxes, and import or export licensing requirements.

See “Management’s Discussion and Analysis of Financial Condition and Results of Operations” below and “Risk Factors” and “Business” in our Annual Report on Form 10-K for the year-ended December 31, ~~2017~~2018 for a further discussion of these factors. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. We do not undertake any obligation to publicly release any revisions to these forward-looking statements to reflect events or circumstances after the date of this Quarterly Report on Form 10-Q or to reflect the occurrence of unanticipated events.

Overview


	Three Months Ended June 30,				Six Months Ended June 30,				Three Months Ended June 30,				Six Months Ended June 30,
	2018		2017		2018		2017		2019		2018		2019		2018
Orthopedic surgery	52	%	54	%	53	%	55	%	49	%	52	%	50	%	53	%
General surgery	48	%	46	%	47	%	45	%	51	%	48	%	50	%	47	%
Consolidated net sales	100	%	100	%	100	%	100	%	100	%	100	%	100	%	100	%

A significant amount of our products are used in surgical procedures with approximately ~~80%~~79% of our revenues derived from the sale of single-use products. Our capital equipment offerings also facilitate the ongoing sale of related disposable products and accessories, thus providing us with a recurring revenue stream. We manufacture substantially all of our products in facilities located in the United States and Mexico. We market our products both domestically and internationally directly to customers and through distributors. International sales approximated 46% and 48% during ~~both~~ the six months ended June 30, 2019 and 2018, ~~and 2017.~~respectively.

Business Environment

On February 11, 2019 we acquired Buffalo Filter, LLC and all of the issued and outstanding common stock of Palmerton Holdings, Inc. from Filtration Group FGC LLC (the "Buffalo Filter Acquisition") for approximately $365 million in cash. Buffalo Filter develops, manufactures and markets smoke evacuation technologies that are complementary to our general surgery offering. See Note 3 to the consolidated condensed financial statements for further information on this business acquisition. The ~~development, manufacture, sale~~acquisition was funded through a combination of cash on hand and ~~distribution~~long-term borrowings as further described below.

We financed the purchase price for the Buffalo Filter Acquisition using a combination of ~~our products are subject to regulation by numerous agencies and legislative bodies, including~~ the ~~U.S. Food and Drug Administration ("FDA"~~issuance of $345.0 million of 2.625% convertible notes due 2024 issued on January 29, 2019 (the Convertible Notes”) and ~~comparable foreign counterparts. We continually review~~the incurrence of indebtedness under our ~~production systems~~sixth amended and restated senior secured credit agreement, which closed on February 7, 2019. Refer to Financing Cash Flows and Note 17 to the consolidated condensed financial statements for ~~opportunities to reduce operating costs, consolidate product lines or process flows, reduce inventory requirements and optimize existing processes while maintaining compliance with regulations.~~ further details.

Critical Accounting Policies

Preparation of our financial statements requires us to make estimates and assumptions which affect the reported amounts of assets, liabilities, revenues and expenses. Note 1 to the Consolidated Financial Statements in our Annual Report on Form 10-K for the year-ended December 31, ~~2017~~2018 describes the significant accounting policies used in preparation of the Consolidated Financial Statements. On an ongoing basis, we evaluate the critical accounting policies used to prepare our consolidated financial statements, including, but not limited to, those related to:

~~revenue recognition;~~

inventory valuation; and

goodwill and intangible ~~assets;~~assets.

~~pension plan;~~

~~stock-based compensation costs; and~~

~~income taxes.~~

See Note 39 and Note 16 to the consolidated condensed financial statements for updates to our accounting policy resulting from the adoption of ~~Accounting Standards Update ("ASU")~~ASU No. ~~2014-09, Revenue from Contracts with Customers,~~2016-02, Leases (Topic 842), which is codified in Accounting Standards Codification ("ASC") ~~606.~~842.

Consolidated Results of Operations

The following table presents, as a percentage of net sales, certain categories included in our consolidated condensed statements of income for the periods indicated:

Three Months Ended June 30, Six Months Ended June 30,
2018 2017 2018 2017
Net sales 100.0 % 100.0 % 100.0 % 100.0 %
Cost of sales 45.4
46.9
45.6
46.7
Gross profit 54.6
53.1
54.4
53.3
Selling and administrative expense 42.1
42.5
42.0
46.5
Research and development expense 4.7
4.1
4.3
4.1
Income from operations 7.8
6.5
8.2
2.7
Interest expense 2.4
2.2
2.4
2.2
Income before income taxes 5.4
4.3
5.8
0.5
Provision for income taxes 1.3
1.1
1.1
—
Net income 4.1 % 3.1 % 4.7 % 0.4 %

~~Sales~~



	Three Months Ended June 30,				Six Months Ended June 30,
	2019		2018		2019		2018
Net sales	100.0	%	100.0	%	100.0	%	100.0	%
Cost of sales	44.9		45.4		44.7		45.6
Gross profit	55.1		54.6		55.3		54.4
Selling and administrative expense	42.3		42.1		43.8		42.0
Research and development expense	5.0		4.7		4.9		4.3
Income from operations	7.8		7.8		6.6		8.2
Other expense	0.1		—		1.0		—
Interest expense	5.0		2.4		4.6		2.4
Income before income taxes	2.7		5.4		1.0		5.8
Provision (benefit) for income taxes	0.3		1.3		(0.5	)	1.1
Net income	2.4	%	4.1	%	1.5	%	4.7	%

Net Sales

The following table presents net sales by product line for the three and six months ended June 30, ~~2018~~2019 and ~~2017:~~2018:


	Three Months Ended								Six Months Ended								Three Months Ended
					% Change								% Change								% Change
	2018		2017		As Reported		Adjusted ^a		2018		2017		As Reported		Adjusted ^a		2019		2018		As Reported		Impact of Foreign Currency		Constant Currency
Orthopedic surgery	$	110.1	$	105.6	4.3	%	2.8	%	$	219.0	$	209.3	4.6	%	2.5	%	$	115.8	$	110.1	5.1	%	1.2	%	6.3	%
General surgery	102.7		91.6		12.1	%	12.9	%	195.9		174.4		12.3	%	12.7	%	122.5		102.7		19.3	%	0.5	%	19.8	%
Net sales	$	212.8	$	197.2	7.9	%	7.4	%	$	414.9	$	383.7	8.1	%	7.1	%	$	238.3	$	212.8	12.0	%	0.8	%	12.8	%

Single-use products	$	171.8	$	159.5	7.7	%	7.5	%	$	333.5	$	309.2	7.9	%	7.1	%	$	190.3	$	171.8	10.7	%	0.8	%	11.5	%
Capital products	41.0		37.7		8.9	%	7.1	%	81.4		74.5		9.2	%	7.2	%	48.0		41.0		17.1	%	1.1	%	18.2	%
Net sales	$	212.8	$	197.2	7.9	%	7.4	%	$	414.9	$	383.7	8.1	%	7.1	%	$	238.3	$	212.8	12.0	%	0.8	%	12.8	%

																	Six Months Ended
																					% Change
																	2019		2018		As Reported		Impact of Foreign Currency		Constant Currency
Orthopedic surgery																	$	229.2	$	219.0	4.7	%	1.3	%	6.0	%
General surgery																	227.4		195.9		16.1	%	0.7	%	16.8	%
Net sales																	$	456.6	$	414.9	10.1	%	1.0	%	11.1	%

Single-use products																	$	362.6	$	333.5	8.7	%	1.0	%	9.7	%
Capital products																	94.0		81.4		15.5	%	1.3	%	16.8	%
Net sales																	$	456.6	$	414.9	10.1	%	1.0	%	11.1	%

(a) Adjusted net sales growth is measured in constant currency and is adjusted for administrative fees that we began recording as a reduction of revenue under ASC 606 on January 1, 2018. Refer to Note 3 to the consolidated condensed financial statements and Non-GAAP Financial Measures below for further details.

Net sales increased ~~7.9%~~12.0% and ~~8.1%~~10.1% in the three and six months ended June 30, ~~2018,~~2019, respectively, compared to the same period a year ago due to growth in both the Orthopedic and General Surgery product lines, as described below. ~~The adoption of ASC 606 reduced~~Buffalo Filter sales ~~growth by $2.0~~were $13.5 million and ~~$3.9~~$19.5 million during the three and six months ended June 30, 2019, respectively.

Orthopedic surgery sales increased 5.1% and 4.7% in the three and six months ended June 30, ~~2018,~~2019, respectively, ~~as we are required to report certain costs previously recorded~~driven by new product innovations in ~~selling and administrative fees, and principally related to administration fees paid to group purchasing organizations, as a reduction of revenue beginning~~the procedure specific categories coupled with continued strength in ~~2018.~~ capital sales.

~~Orthopedic~~General surgery sales increased ~~4.3%~~19.3% and ~~4.6%~~16.1% in the three and six months ended June 30, ~~2018,~~2019, respectively, ~~primarily due to continued growth in our sports medicine and powered instrument offerings~~ driven by sales from the ~~introduction of new products.~~Buffalo Filter acquisition, as well as growth across the portfolio.


•	General surgery sales increased 12.1% and 12.3% in the three and six months ended June 30, 2018, respectively, driven by continued sales growth from all product offerings. New product introductions and continued strong AirSeal^® ~~sales contributed to this growth.~~

Cost of Sales

Cost of sales increased to $107.1 million in the three months ended June 30, 2019 as compared to $96.5 million in the three months ended June 30, 2018 and increased to $204.0 million in the six months ended June 30, 2019 as compared to ~~$92.5~~$189.1 million in the six months ended June 30, 2018. Gross profit margins increased 0.5 percentage points to 55.1% in the three months ended June 30, ~~2017. Gross profit margins increased 1.5 percentage points~~2019 as compared to 54.6% in the three months ended June 30, 2018 ~~as compared to 53.1% in the three months ended June 30, 2017. The increase in gross profit margins of 1.5~~and increased 0.9 percentage points ~~in the three months ended June 30, 2018 was mainly a result of favorable foreign exchange rates on sales and product mix offset by the impact of the adoption of ASC 606.~~

~~Cost of sales increased~~ to ~~$189.1 million~~55.3% in the six months ended June 30, ~~2018~~2019 as compared ~~to $179.2 million in the six months ended June 30, 2017. Gross profit margins increased 1.1 percentage points~~ to 54.4% in the six months ended June 30, ~~2018 as compared to 53.3% in the six months ended ended June 30, 2017.~~2018. The increase in gross profit margins of ~~1.1~~0.5 and 0.9 percentage points in the three and six months ended June 30, ~~2018~~2019 was ~~mainly a result of favorable foreign exchange rates on sales, a decrease in restructuring costs and product mix~~driven by improved performance by our manufacturing plants offset by $0.5 million and $1.2 million, respectively, in charges related to inventory adjustments associated with the ~~impact of the adoption of ASC 606.~~Buffalo Filter Acquisition as further described in Note 13.

Selling and Administrative Expense

Selling and administrative expense increased to $100.7 million in the three months ended June 30, 2019 as compared to $89.6 million in the three months ended June 30, 2018 ~~as compared~~and increased to ~~$83.8~~$200.0 million in the ~~three~~six months ended June 30, ~~2017 and decreased~~2019 as compared to $174.2 million in the six months ended June 30, ~~2018 as compared to $178.6 million in the six months ended June 30, 2017.~~2018. Selling and administrative expense as a percentage of net sales ~~decreased~~increased to 42.3% in the three months ended June 30, 2019 as compared to 42.1% in the three months ended June 30, 2018 ~~as compared~~and increased to ~~42.5%~~43.8% in the ~~three~~six months ended June 30, ~~2017 and decreased~~2019 as compared to 42.0% in the six months ended June 30, ~~2018 as compared to 46.5% in the six months ended June 30, 2017.~~2018.

The ~~significant factors affecting the 0.4~~0.2 and 1.8 percentage point ~~decrease~~increase in selling and administrative expense as a percentage of net sales in the three and six months ended June 30, ~~2018~~2019 as compared to the same period a year ago ~~included (1) a $2.0 million (1.1 percentage point) reduction in selling and administrative expense~~is mainly due to ~~the adoption of ASC 606 as we are required to report certain~~ costs ~~previously recorded in selling and administrative fees, and principally~~ related to ~~administration fees paid to group purchasing organizations, as a reduction of revenue beginning in 2018 and (2) a~~the Buffalo Filter Acquisition, including $2.5 million ~~(1.3 percentage point) decrease primarily due to~~and $9.7 million, respectively, in charges for investment banking fees, consulting fees, legal fees, ~~associated with the SurgiQuest, Inc. vs. Lexion Medical litigation as further described in Notes 11~~severance and ~~13 and and other legal matters during 2017. These decreases were offset by incremental compensation costs and investments in our infrastructure.~~

The significant factors affecting the 4.5 percentage point decrease in selling and administrative expense as a percentage of net sales in the six months ended June 30, 2018 as compared to the same period a year ago included (1) a $3.9 million (1.0 percentage point) reduction in selling and administrative expense due to the adoption of ASC 606 as we are required to report certain costs previously recorded in selling and administrative fees, and principallyintegration related to administration fees paid to group purchasing organizations, as a reduction of revenue beginning in 2018, (2) a $16.7 million (4.4 percentage point) decrease primarily associated with the $12.2 million SurgiQuest, Inc. vs. Lexion Medical litigation verdict as further described in Notes 11 and 13 and legal fees associated with this and other legal matters during 2017, and (3) a $1.3 million (0.4 percentage point) decrease in restructuring costs as further described in Note ~~11 to~~3 and Note 13, and the ~~consolidated condensed financial statements. These decreases were offset by incremental compensation costs and investments in~~associated amortization of the intangible assets. Offsetting these increases is lower spending as a percent of net sales as we leverage our ~~infrastructure.~~operating structure.

Research and Development Expense

Research and development expense increased to $11.8 million in the three months ended June 30, 2019 as compared to $10.0 million in the three months ended June 30, 2018 ~~as compared~~and increased to ~~$8.0~~$22.4 million in the ~~three~~six months ended June 30, ~~2017 and increased~~2019 as compared to $17.7 million in the six months ended June 30, ~~2018 as compared to $15.7 million in the six months ended June 30, 2017.~~2018. As a percentage of net sales, research and development expense increased ~~0.6~~0.3 percentage ~~points~~point to 5.0% in the three months ended June 30, 2019 as compared to 4.7% in the three months ended June 30, 2018 ~~as compared~~and increased 0.6% percentage points to ~~4.1%~~4.9% in the ~~three~~six months ended June 30, ~~2017 and increased 0.2 percentage points~~2019 as compared to 4.3% in the six months ended June 30, ~~2018~~2018. The increases in both periods resulted from our continued efforts to increase new product development.

Other Expense

Other expense in the three months ended June 30, 2019 related to non-service pension costs as ~~compared to 4.1%~~further described in Note 12.

Other expense in the six months ended June 30, ~~2017~~2019 was mainly related to costs associated with our sixth amended and restated senior credit agreement entered into on February 7, 2019 as ~~we continue~~further described in Note 17. These costs include a $3.6 million charge related to ~~increase efforts in new product development.~~commitment fees paid to certain of our lenders, which provided a financing commitment for the Buffalo Filter acquisition, and a loss on the early extinguishment of debt of $0.3 million.

Interest Expense

Interest expense increased to $11.8 million in the three months ended June 30, 2019 from $5.1 million in the three months ended June 30, 2018 ~~from $4.4~~and increased to $21.2 million in the ~~three~~six months ended June 30, ~~2017 and increased to~~2019 from $9.9 million in the six months ended June 30, 2018 ~~from $8.5~~due the additional borrowings under the sixth amended and restated senior credit agreement and the issuance of $345.0 million in ~~the six months ended June 30, 2017~~2.625% convertible notes due ~~to higher interest rates compared to the same periods a year ago.~~in 2024, as further described in Note 17. The weighted average interest rates on our borrowings ~~increased~~decreased to ~~4.32%~~3.89% in the three months ended June 30, ~~2018~~2019 as compared to ~~3.43%~~4.32% in the three months ended June 30, ~~2017~~2018 and ~~increased~~decreased to 3.92% in the six months ended June 30, 2019 as compared to 4.12% in the six months ended June 30, ~~2018 as compared to 3.32% in the six months ended June 30, 2017.~~2018.

Provision for Income Taxes

On December 22, 2017, the 2017 Tax Cuts and Jobs Act (“Tax Reform”) was enacted. Tax Reform made significant changes to U.S. federal income tax laws including permanently lowering the federal statutory tax rate from 35% to 21% effective January 1, 2018.

Income tax expense has been recorded at an effective tax rate of 12.4% for the three months ended June 30, 2019 compared to income tax expense recorded at an effective tax rate of 24.8% ~~and 26.8%~~ for the three months ended June 30, 2018 and ~~2017, respectively, and~~an income tax benefit has been recorded at an effective tax rate of (47.9)% for the six months ended June 30, 2019 as compared to an income tax expense recorded at an effective tax rate of 19.4% ~~and 10.0%~~ for the six months ended June 30, ~~2018 and 2017,~~

~~respectively.~~2018. The lower effective rate for the three months ended June 30, ~~2018,~~2019, as compared to the same period in the prior year, was primarily the result of recording discrete income tax benefits associated with stock options and other federal income tax items which decreased the ~~lower federal statutory tax~~effective rate by 21.5% for the three months ended June 30, 2019 as compared to a reduction of 21% enacted with Tax Reform which was offset by other provisions of Tax Reform including global intangible low-taxed income (“GILTI”) as well as income earned in foreign jurisdictions with effective tax rates in excess of7.2% for discrete items during the ~~federal statutory rate.~~three months ended June 30, 2018. The ~~higher~~lower effective rate for the six months ended June 30, ~~2018,~~2019, as compared to the same period in the prior year, was primarily due to ~~stock option~~recording discrete income tax benefits associated with stock options and other federal income tax items which ~~reduced~~decreased the effective ~~tax~~ rate by ~~3.0%~~82.7% for the six months ended June 30, 2019 as compared to a reduction of 12.5% for discrete items during the six months ended June 30, ~~2018 as compared to a reduction of 12.7% during the six months ended June 30, 2017.~~2018. In addition, the lower federal statutory tax rate of 21% enacted with Tax Reform was offset by other provisions of Tax Reform including global intangible low-taxed income (“GILTI”) as well as income earned in foreign jurisdictions with effective tax rates in excess of the federal statutory rate. ~~Refer to Note 15 in the consolidated condensed financial statements for further information regarding the impact of Tax Reform to the three and six months ended June 30, 2018.~~ A reconciliation of the United States statutory

income tax rate to our effective tax rate is included in our Annual Report on Form 10-K for the year ended December 31, ~~2017,~~2018, under Note 7 to the consolidated financial statements.

Non-GAAP Financial Measures

Net sales on ~~an "adjusted"~~a "constant currency" basis is a non-GAAP ~~measure that presents net sales in "constant currency" and adjusts for the adoption impact of ASC 606.~~measure. The Company analyzes net sales on a constant currency basis to better measure the comparability of results between periods. To measure percentage sales growth in constant currency, the Company removes the impact of changes in foreign currency exchange rates that affect the comparability and trend of net sales. In addition, the Company adjusts for the adoption impact of ASC 606. For GAAP purposes, we applied the modified retrospective transition approach which requires certain costs previously included in selling and administrative expense and principally related to administrative fees paid to group purchasing organizations, to be recorded as a reduction of revenue for periods subsequent to January 1, 2018. Amounts reported in prior years remain unchanged with these administrative fees included in selling and administrative expense. To improve comparability between reporting periods, we assumed ASC 606 had been applied as of January 1, 2017 thereby reducing net sales by the administrative fees for both periods when calculating adjusted sales growth.

Because non-GAAP financial measures are not standardized, it may not be possible to compare this financial measure with other companies' non-GAAP financial measures having the same or similar names. This adjusted financial measure should not be considered in isolation or as a substitute for reported net sales growth, the most directly comparable GAAP financial measure. This non-GAAP financial measure is an additional way of viewing net sales that, when viewed with our GAAP results, provides a more complete understanding of our business. The Company strongly encourages investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.

Liquidity and Capital Resources

Our liquidity needs arise primarily from capital investments, working capital requirements and payments on indebtedness under the ~~fifth~~sixth amended and restated senior credit agreement, described below. We have historically met these liquidity requirements with funds generated from operations and borrowings under our revolving credit facility. In addition, we have historically used term borrowings, including borrowings under the ~~fifth~~sixth amended and restated senior credit agreement, the issuance of convertible notes, and borrowings under separate loan facilities, in the case of real property purchases, to finance our acquisitions. We also have the ability to raise funds through the sale of stock or we may issue debt through a private placement or public offering. Management believes that cash flow from operations, including cash and cash equivalents on hand and available borrowing capacity under our ~~fifth~~sixth amended and restated senior credit agreement, will be adequate to meet our anticipated operating working capital requirements, debt service, funding of capital expenditures, dividend payments and common stock repurchases in the foreseeable future.

Operating cash flows

Our net working capital position was ~~$170.7~~$241.5 million at June 30, ~~2018.~~2019. Net cash provided by operating activities was ~~$45.6~~$17.7 million and ~~$31.3~~$45.6 million in the six months ended June 30, ~~2018~~2019 and ~~2017,~~2018, respectively, generated on net income of ~~$19.4~~$6.7 million and ~~$1.6~~$19.4 million for the six months ended June 30, ~~2018~~2019 and ~~2017,~~2018, respectively.

The ~~increase~~decrease in cash flows from operating activities for the six months ended June 30, ~~2018~~2019 as compared to the same period a year ago is primarily due to the ~~increase in~~following:

Lower net income ~~as 2017 included~~in 2019 compared to 2018 due to costs ~~associated~~incurred in conjunction with ~~restructuring and legal matters~~the Buffalo Filter Acquisition as further described in Note 113 and Note 13 to the consolidated condensed financial ~~statements, including the $12.2 million accrual related~~statements.

Higher inventory levels as we continue to ~~the Lexion trial verdict that was recorded during the six months ended June 30, 2017~~support new product introductions and ~~remains accrued at June 30, 2018. This accrual was subsequently paid on July 10, 2018.~~sales growth.

Higher commission and incentive compensation payments associated with increased sales.

Investing cash flows

Net cash used in investing activities in the six months ended June 30, ~~2018 consisted of capital expenditures.~~2019 increased $366.6 million from the same period a year ago mainly due to the $364.9 million payment for the Buffalo Filter Acquisition. Capital expenditures were ~~$7.3~~$9.0 million and ~~$5.5~~$7.3 million in the six months ended June 30, ~~2018~~2019 and ~~2017,~~2018, respectively, and are expected to approximate ~~$15.0~~$17.0 million in ~~2018.~~2019.

Financing cash flows

Net cash ~~used in~~provided by financing activities in the six months ended June 30, ~~2018 and 2017~~2019 was $361.3 million compared to a use of cash of $47.1 million ~~and $13.7 million, respectively.~~during 2018. Below is a summary of the significant financing ~~activities:~~

~~During~~activities impacting the change during the six months ended June 30, ~~2018, we~~2019 compared to 2018:

We received proceeds of $345.0 million related to the issuance of 2.625% convertible notes as further described below.

We entered into a $265.0 million term loan in conjunction with the refinancing of our senior credit agreement. This new term loan replaced the previous term loan and resulted in net proceeds of $117.3 million during the six months ended June 30, 2019 compared to $6.6 million in payments in the prior year.

We had net payments on our revolving line of credit of ~~$30.0~~$50.0 million compared to ~~net borrowings of $3.0~~$30.0 million during the six months ended June 30, ~~2017.~~2018.

We paid $51.2 million to purchase hedges related to our convertible notes. Partially offsetting this, were proceeds of $30.6 million from the issuance of warrants as further described below.

~~During~~We paid $16.2 million in debt issuance costs associated with the ~~six months ended June 30, 2018~~2.625% convertible notes and ~~2017, we repaid $6.6 million~~the sixth amended and restated senior credit agreement.

We paid $4.4 million ~~respectively, on our term loan~~ in ~~accordance with the agreement.~~contingent consideration related to prior asset acquisitions.

~~Dividend payments were $11.2 million and $11.1 million during the six months ended June 30, 2018 and 2017, respectively.~~

On ~~January 4, 2016,~~February 7, 2019 we entered into a ~~fifth~~sixth amended and restated senior credit agreement consisting of: (a) a ~~$175.0~~$265.0 million term loan facility and (b) a ~~$525.0~~$585.0 million revolving credit facility. The revolving credit facility ~~both expiring~~will terminate and the loans outstanding under the term loan facility will expire on ~~January 4, 2021.~~the earlier of (i) February 7, 2024 or (ii) 91 days prior to the earliest scheduled maturity date of the $345.0 million in 2.625% convertible notes due in 2024 described below, (if, as of such date, more than $150.0 million in aggregate principal amount of such convertible notes (or any refinancing thereof) remains outstanding). The term loan facility is payable in quarterly installments increasing over the term of the facility. Proceeds from the term loan facility and borrowings under the revolving credit facility were used to repay the then existing senior credit agreement and in part to finance the acquisition of ~~SurgiQuest. Interest~~Buffalo Filter. Initial interest rates are at LIBOR plus an interest rate margin of 1.875% ~~(3.98%~~(4.250% at June 30, ~~2018)~~2019). For those borrowings where we elect to use the ~~alternative~~alternate base rate, the initial base rate will be the ~~greater~~greatest of (i) the Prime Rate, (ii) the Federal Funds Rate plus 0.50% or (iii) the one-month Eurocurrency Rate plus ~~0.875%.~~1.00%, plus, in each case, an interest rate margin.

There were ~~$150.9~~$261.7 million in borrowings outstanding on the term loan facility as of June 30, ~~2018.~~2019. There were ~~$297.0~~$262.0 million in borrowings outstanding under the revolving credit facility as of June 30, ~~2018.~~2019. Our available borrowings on the revolving credit facility at June 30, ~~2018~~2019 were ~~$225.0~~$320.5 million with approximately ~~$3.0~~$2.5 million of the facility set aside for outstanding letters of credit.

The ~~fifth~~sixth amended and restated senior credit agreement is collateralized by substantially all of our personal property and assets. The ~~fifth~~sixth amended and restated senior credit agreement contains covenants and restrictions which, among other things, require the maintenance of certain financial ratios and restrict dividend payments and the incurrence of certain indebtedness and other activities, including acquisitions and dispositions. We were in full compliance with these covenants and restrictions as of June 30, ~~2018~~.2019. We are also required, under certain circumstances, to make mandatory prepayments from net cash proceeds from any issuance of equity and asset sales.

On January 29, 2019, we issued $345.0 million in 2.625% convertible notes due in 2024 (the "Notes"). Interest is payable semi-annually in arrears on February 1 and August 1 of each year, commencing August 1, 2019. The Notes will mature on February 1, 2024, unless earlier repurchased or converted. The Notes represent subordinated unsecured obligations and are convertible under certain circumstances, as defined in the indenture, into a combination of cash and CONMED common stock. The Notes may be converted at an initial conversion rate of 11.2608 shares of our common stock per $1,000 principal amount of Notes (equivalent to an initial conversion price of approximately $88.80 per share of common stock). Holders of the Notes may convert their Notes at their option at any time on or after November 1, 2023 through the second scheduled trading day preceding the maturity date. Holders of their Notes will also have the right to convert the Notes prior to November 1, 2023, but only upon the occurrence of specified events. The conversion rate is subject to anti-dilution adjustments if certain events occur. A portion of the net proceeds from the offering of the notes were used as part of the financing for the Buffalo Filter acquisition and $21.0 million were used to pay the cost of certain convertible notes hedge transactions as further described below.

In connection with the offering of the Notes, we entered into convertible note hedge transactions with a number of financial institutions (each, an “option counterparty”). The convertible note hedge transactions cover, subject to anti-dilution adjustments substantially similar to those applicable to the Notes, the number of shares of our common stock underlying the Notes. Concurrently with entering into the convertible note hedge transactions, we also entered into separate warrant transactions with each option counterparty whereby we sold to such option counterparty warrants to purchase, subject to customary anti-dilution adjustments, the same number of shares of our common stock.

The convertible note hedge transactions are expected generally to reduce the potential dilution upon conversion of the Notes and/or offset any cash payments we are required to make in excess of the principal amount of converted Notes, as the case may be, in the event that the market price per share of our common stock, as measured under the terms of the convertible note hedge transactions, is greater than the strike price ($114.92) of the convertible note hedge transactions, which initially corresponds to the conversion price of the Notes and is subject to anti-dilution adjustments substantially similar to those applicable to the

~~We have a~~conversion rate of the Notes. If, however, the market price per share of our common stock, as measured under the terms of the warrant transactions, exceeds the strike price of the warrants, there would nevertheless be dilution to the extent that such market price exceeds the strike price of the warrants, unless we elect to settle the warrants in cash.

As of June 30, 2019, we paid in full our mortgage note ~~outstanding~~ in connection with the Largo, Florida property and ~~facilities bearing interest at 8.25% per annum with semiannual payments of principal and interest through June 2019. The principal balance outstanding on the mortgage note aggregated~~ ~~$1.6 million~~ at ~~June 30, 2018. The mortgage note is collateralized by the Largo, Florida property and~~ facilities.

Our Board of Directors has authorized a ~~$200.0~~$200.0 million share repurchase program. Through June 30, ~~2018~~,2019, we have repurchased a total of 6.1 million shares of common stock aggregating ~~$162.6~~$162.6 million under this authorization and have ~~$37.4~~$37.4 million remaining available for share repurchases. The repurchase program calls for shares to be purchased in the open market or in private transactions from time to time. We may suspend or discontinue the share repurchase program at any time. We have not purchased any shares of common stock under the share repurchase program during ~~2018.~~2019. We have financed the repurchases and may finance additional repurchases through operating cash flow and from available borrowings under our revolving credit facility.

Management believes that cash flow from operations, including cash and cash equivalents on hand and available borrowing capacity under our ~~fifth~~sixth amended and restated senior credit agreement, will be adequate to meet our anticipated operating working capital requirements, debt service, funding of capital expenditures, dividend payments and common stock repurchases in the foreseeable future.

Contractual Obligations

On February 7, 2019 we entered into a sixth amended and restated senior credit agreement consisting of: (a) a $265.0 million term loan facility and (b) a $585.0 million revolving credit facility and on January 29, 2019, we issued $345.0 million in 2.625% convertible notes. As a result, the below is a summary of our long-term debt obligations for the next five years as of June 30, 2019.



	Payments Due by Period
	Total		Less than 1 Year		1-3 Years	3-5 Years	More than 5 Years

Long-term debt	$	868,688	$	13,250	36,438	819,000	$	—

New accounting pronouncements

See Note 1416 to the consolidated condensed financial statements for a discussion of new accounting pronouncements.

Item 3. Quantitative and Qualitative Disclosures About Market Risk

There have been no significant changes in our primary market risk exposures or in how these exposures are managed during the six months ended June 30, ~~2018.~~2019. Reference is made to Item 7A. of our Annual Report on Form 10-K for the year ended December 31, ~~2017~~2018 for a description of Qualitative and Quantitative Disclosures About Market Risk.

Item 4. Controls and Procedures

As of the end of the period covered by this report, an evaluation was carried out by CONMED Corporation’s management, with the participation of our Chief Executive Officer and Chief Financial Officer, of the effectiveness of our disclosure controls and procedures (as defined in Rule 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934). Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that these disclosure controls and procedures were effective as of the end of the period covered by this report. In addition, no change in our internal control over financial reporting (as defined in Rule 13a-15(f) and 15d-15(f) under the Securities Exchange Act of 1934) occurred during the quarter ended June 30, ~~2018~~2019 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II OTHER INFORMATION

Item 1. Legal Proceedings

Reference is made to Item 3 of the Company’s Annual Report on Form 10-K for the year-ended December 31, ~~2017~~2018 and to Note 1315 of the Notes to Consolidated Condensed Financial Statements included in Part I of this Report for a description of certain legal matters.

Item 6. Exhibits



Exhibit Index

Exhibit No.	Description of Exhibit	~~Sequential Page Number~~

31.1	Certification of Curt R. Hartman pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.	~~E-1~~

31.2	Certification of Todd W. Garner pursuant to Rule 13a-14(a) or Rule 15d-14(a) of the Securities Exchange Act, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.	~~E-2~~

32.1	Certifications of Curt R. Hartman and Todd W. Garner pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.	~~E-3~~

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

~~101~~101.SCH	~~The following materials from CONMED Corporation's Quarterly Report on Form 10-Q for the three and six months ended June 30, 2018 formatted in~~ XBRL (Extensible Business Reporting Language): (i) Consolidated Condensed Statements of Comprehensive Income for the three and six months ended June 30, 2018 and 2017, (ii) the Consolidated Condensed Balance Sheets at June 30, 2018 and December 31, 2017, (iii) Consolidated Condensed Statements of Cash Flows for the six months ended June 30, 2018 and 2017, and (iv) Notes to Consolidated Condensed Financial Statements for the three and six months ended June 30, 2018. In accordance with Rule 406T of Regulation S-T, the XBRL related information in Exhibit 101 to this Quarterly Report on Form 10-Q shall not be deemed to be “filed” for purposes of Section 18 of the Exchange Act, or otherwise subject to the liability of that section, and shall not be part of any registration statement or other document filed under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific reference in such filing.Taxonomy Extension Schema Document

101.CAL	XBRL Taxonomy Extension Calculation Linkbase Document

101.DEF	XBRL Taxonomy Extension Definition Linkbase Document

101.LAB	XBRL Taxonomy Extension Label Linkbase Document

101.PRE	XBRL Taxonomy Extension Presentation Linkbase Dcoument

SIGNATURES

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 on the date indicated below.



		CONMED CORPORATION



		By: /s/ Todd W. Garner
		Todd W. Garner
		Executive Vice President and
		Chief Financial Officer

		Date:
		August ~~2, 2018~~1, 2019

2434



	June 30, 2018		December 31, 2017

Contract liability	$	10,094	$	7,786



Balance as of December 31, 2017	$	401,954

Foreign currency translation	(850		)

Balance as of June 30, 2018	$	401,104