• Sales of $242.4 million increased 8.9% year over year as reported and 10.8% in constant currency and as adjusted⁽¹⁾.
• Domestic revenue increased 10.5% year over year as reported and 12.9% as adjusted⁽¹⁾.
• International revenue increased 7.3% as reported and 8.7% in constant currency.
• Diluted net earnings per share (GAAP) were $0.54, compared to diluted net earnings per share (GAAP) of $1.65 in the fourth quarter of 2017, a decrease of 67.3%. The prior-year quarter benefitted from the initial recognition of U.S. tax reform benefits.
• Adjusted diluted net earnings per share⁽²⁾ were $0.73 versus $0.69 in the fourth quarter of 2017, an increase of 5.8%.
• Signed a definitive agreement to acquire Buffalo Filter LLC, the leader in the high-growth smoke evacuation market, to augment the Company's existing General Surgery portfolio. The transaction is expected to close during the first quarter of 2019.

• Sales of $859.6 million increased 7.9% as reported and 8.4% in constant currency and as adjusted⁽¹⁾ compared to 2017.
• Domestic revenue increased 9.1% year over year as reported and 11.4% as adjusted⁽¹⁾.
• International revenue increased 6.7% as reported and 5.3% in constant currency.
• Diluted net earnings per share (GAAP) were $1.41, compared to $1.97 in 2017, a decrease of 28.4%.
• Adjusted diluted net earnings per share⁽²⁾ were $2.18 versus $1.89 in 2017, an increase of 15.3%.

"2018 was a great year for CONMED. We delivered strong revenue and earnings, continued our cadence of new product introductions and further invested to strengthen our business," commented Curt R. Hartman, CONMED's President and Chief Executive Officer. "We are well positioned to build off this momentum in 2019 as we benefit from the investments we have made in our Company infrastructure."

For the quarter ended December 31, 2018, domestic sales, which represented 51.6% of total revenue, increased 10.5% on a reported basis, with growth in both General Surgery and Orthopedics. On January 1, 2018, the Company began adjusting its sales for administrative fees by recording these fees as a reduction of revenue under ASU No. 2014-09, Revenue from Contracts with Customers ("ASC 606"). For the fourth quarter of 2017, these administrative fees totaled $2.4 million. As a result, on an adjusted⁽¹⁾ basis, domestic sales increased 12.9% year over year. International sales, which represented 48.4% of total revenue, increased 7.3% compared to the fourth quarter of 2017 on a reported basis. Foreign currency exchange rates, including the effects of the FX hedging program, had a negative impact of $1.6 million on fourth quarter sales. In constant currency, international sales increased 8.7% versus the prior-year period.

For the fiscal year ended December 31, 2018, domestic sales, which represented 52.2% of total revenue, increased 9.1%, with growth in both General Surgery and Orthopedics. International sales, which represented 47.8% of total revenue, increased 6.7% compared to 2017 on a reported basis. Foreign currency exchange rates, including the effects of the FX hedging program, had a positive impact of $5.1 million on fiscal year 2018 sales. In constant currency, international sales increased 5.3% versus the prior-year period.

For the quarter ended December 31, 2018, reported net income totaled $15.7 million, compared to reported net income of $46.7 million a year ago. Reported diluted net earnings per share were $0.54 in the quarter, compared to reported diluted net earnings per share of $1.65 in the prior-year period. The Company excludes the costs of special items, including acquisitions, restructurings, legal matters, gains on the sale of assets, debt refinancings, impairment charges, amortization of intangible assets, net of tax, as well as adjustments to the December 2017 tax balances and provisional income tax effects of the 2017 Tax Cuts and Jobs Act, from its adjusted diluted net earnings per share. Excluding the impact of these items, adjusted net income⁽³⁾ of $21.2 million increased 8.3% year over year, and adjusted diluted net earnings per share⁽²⁾ of $0.73 increased 5.8% year over year. The increase in adjusted net income⁽³⁾ resulted primarily from higher sales during the quarter.

For the fiscal year ended December 31, 2018, reported net income totaled $40.9 million, compared to reported net income of $55.5 million a year ago. Reported diluted net earnings per share were $1.41, compared to $1.97 in the prior-year period. Reported net income for 2017 included restructuring costs, business acquisition costs, legal costs and the tax benefit from the 2017 Tax Cuts and Jobs Act. Excluding the impact of the special items as described above and as provided in the reconciliation of GAAP to non-GAAP measures below, adjusted net income⁽³⁾ of $62.8 million increased 17.9% year over year and adjusted diluted net earnings per share⁽²⁾ of $2.18 increased 15.3% from the prior year.

The Company also forecasts full-year 2019 adjusted diluted net earnings per share in the range of $2.42 to $2.47. This represents growth over 2018 of approximately 11% to 13%. The adjusted diluted net earnings per share estimates for 2019 exclude amortization of intangible assets, which is estimated in the range of $18 to $20 million, net of tax, and the cost of special items, including acquisition costs and restructuring costs.

This guidance excludes any potential impact from the pending acquisition of Buffalo Filter LLC, expected to close in the first quarter of 2019. The company's current guidance also does not include any impact from the additional financing required for the acquisition. The company expects to provide updated financial guidance for 2019 that includes the impact of the Buffalo Filter LLC acquisition as part of its first quarter 2019 earnings release. As previously disclosed, the Company expects the acquisition to be neutral to adjusted diluted net earnings per share in 2019.

This conference call will also be webcast and can be accessed from the "Investors" section of CONMED's website at www.conmed.com. The webcast replay of the call will be available at the same site approximately one hour after the end of the call.

CONMED 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. CONMED has a direct selling presence in 19 countries, and international sales constitute approximately 50% of the Company's total sales. Headquartered in Utica, New York, the Company employs approximately 3,100 people. For more information, visit www.conmed.com.

This press release and today's conference call may contain forward-looking statements based on certain assumptions and contingencies that involve risks and uncertainties, which could cause actual results, performance, or trends to differ materially from those expressed in the forward-looking statements herein or in previous disclosures. For example, in addition to general industry and economic conditions, factors that could cause actual results to differ materially from those in the forward-looking statements may include, but are not limited to, the risk factors discussed in the Company's Annual Report on Form 10-K for the fiscal year ended December 31, 2017, and listed under the heading Forward-Looking Statements in the Company's most recently filed Form 10-Q. Any and all forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 and relate to the Company's performance on a going-forward basis. The Company believes that all forward-looking statements made by it have a reasonable basis, but there can be no assurance that management's expectations, beliefs or projections as expressed in the forward-looking statements will actually occur or prove to be correct.

The Company supplements the reporting of its financial information determined under accounting principles generally accepted in the United States (GAAP) with certain non-GAAP financial measures, including percentage sales growth in constant currency and as adjusted for ASC 606; adjusted gross profit; cost of sales excluding specified items; adjusted selling and administrative expenses; adjusted research and development expense; adjusted operating income; adjusted income tax expense; adjusted effective income tax rate; adjusted net income and adjusted diluted net earnings per share (EPS). The Company believes that these non-GAAP measures provide meaningful information to assist investors and shareholders in understanding its financial results and assessing its prospects for future performance. Management believes percentage sales growth as adjusted for ASC 606 and in constant currency and the other adjusted measures described above are important indicators of its operations because they exclude items that may not be indicative of, or are unrelated to, its core operating results and provide a baseline for analyzing trends in the Company's underlying business. Further, the presentation of EBITDA is a non-GAAP measurement that management considers useful for measuring aspects of the Company's cash flow. Management uses these non-GAAP financial measures for reviewing the operating results and analyzing potential future business trends in connection with its budget process and bases certain management incentive compensation on these non-GAAP financial measures.

Net sales on an "adjusted" basis is a non-GAAP measure that presents net sales in "constant currency" and adjusts for the adoption impact of ASC 606. 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, the Company 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, the Company 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, adjusted gross margin, adjusted selling and administrative expense, adjusted research and development expense and adjusted operating income. To measure earnings performance on a consistent and comparable basis, the Company excludes certain items that affect the comparability of operating results and the trend of earnings. These adjustments are irregular in timing, may not be indicative of past and future performance and are therefore excluded to allow investors to better understand underlying operating trends.

Because non-GAAP financial measures are not standardized, it may not be possible to compare these financial measures with other companies' non-GAAP financial measures having the same or similar names. These adjusted financial measures should not be considered in isolation or as a substitute for reported sales growth, gross profit, cost of sales, selling and administrative expenses, research and development expense, operating income, income tax expense (benefit), effective income tax rate, net income and diluted net earnings per share, the most directly comparable GAAP financial measures. These non-GAAP financial measures are an additional way of viewing aspects of the Company's operations that, when viewed with GAAP results and the reconciliations to corresponding GAAP financial measures below, provide a more complete understanding of the business. The Company strongly encourages investors and shareholders to review its financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.