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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 10-Q
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2024
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission file number: 001-13149
strykerlogoa74.jpg
STRYKER CORPORATION
(Exact name of registrant as specified in its charter)
Michigan38-1239739
(State of incorporation)(I.R.S. Employer Identification No.)
1941 Stryker Way Portage,Michigan49002
(Address of principal executive offices)(Zip Code)
(269)385-2600
(Registrant’s telephone number, including area code)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, $.10 Par ValueSYKNew York Stock Exchange
0.250% Notes due 2024SYK24ANew York Stock Exchange
2.125% Notes due 2027SYK27New York Stock Exchange
3.375% Notes due 2028SYK28New York Stock Exchange
0.750% Notes due 2029SYK29New York Stock Exchange
2.625% Notes due 2030SYK30New York Stock Exchange
1.000% Notes due 2031SYK31New York Stock Exchange

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes     No
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted 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 such files).    Yes     No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a 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.
Large accelerated filer
Accelerated filer
Emerging growth company
Non-accelerated filer
Small reporting company
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.    
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes     No
There were 381,075,364 shares of Common Stock, $0.10 par value, on June 30, 2024.

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
PART I – FINANCIAL INFORMATION
ITEM 1.FINANCIAL STATEMENTS
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF EARNINGS (Unaudited)
Three MonthsSix Months
2024202320242023
Net sales$5,422 $4,996 $10,665 $9,774 
Cost of sales2,006 1,815 3,916 3,577 
Gross profit$3,416 $3,181 $6,749 $6,197 
Research, development and engineering expenses363 346 731 685 
Selling, general and administrative expenses1,847 1,709 3,687 3,490 
Amortization of intangible assets155 161 308 322 
Total operating expenses$2,365 $2,216 $4,726 $4,497 
Operating income$1,051 $965 $2,023 $1,700 
Other income (expense), net(53)(66)(102)(122)
Earnings before income taxes$998 $899 $1,921 $1,578 
Income taxes173 161 308 248 
Net earnings$825 $738 $1,613 $1,330 
Net earnings per share of common stock:
Basic$2.17 $1.95 $4.24 $3.51 
Diluted$2.14 $1.93 $4.19 $3.47 
Weighted-average shares outstanding (in millions):
Basic381.0 379.7 380.7 379.4 
Effect of dilutive employee stock compensation4.4 4.2 4.5 4.2 
Diluted385.4 383.9 385.2 383.6 
Cash dividends declared per share of common stock$0.80 $0.75 $1.60 $1.50 
Anti-dilutive shares excluded from the calculation of dilutive employee stock options were de minimis in all periods.


CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited)
Three MonthsSix Months
2024202320242023
Net earnings$825 $738 $1,613 $1,330 
Other comprehensive income (loss), net of tax:
Marketable securities    
Pension plans(1)(1)1 (3)
Unrealized gains (losses) on designated hedges(3)11 (1)2 
Financial statement translation26 (35)61 (108)
Total other comprehensive income (loss), net of tax$22 $(25)$61 $(109)
Comprehensive income$847 $713 $1,674 $1,221 

See accompanying notes to Consolidated Financial Statements.
Dollar amounts are in millions except per share amounts or as otherwise specified.
1

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
CONSOLIDATED BALANCE SHEETS
June 30December 31
20242023
(Unaudited)
Assets
Current assets
Cash and cash equivalents$1,874 $2,971 
Marketable securities83 82 
Accounts receivable, less allowance of $186 ($182 in 2023)
3,622 3,765 
Inventories:
Materials and supplies1,163 1,242 
Work in process380 330 
Finished goods3,501 3,271 
Total inventories$5,044 $4,843 
Prepaid expenses and other current assets1,022 857 
Total current assets$11,645 $12,518 
Property, plant and equipment:
Land, buildings and improvements1,685 1,692 
Machinery and equipment4,937 4,652 
Total property, plant and equipment$6,622 $6,344 
Less allowance for depreciation3,304 3,129 
Property, plant and equipment, net$3,318 $3,215 
Goodwill15,408 15,243 
Other intangibles, net4,363 4,593 
Noncurrent deferred income tax assets1,606 1,670 
Other noncurrent assets2,790 2,673 
Total assets$39,130 $39,912 
Liabilities and shareholders' equity
Current liabilities
Accounts payable$1,304 $1,517 
Accrued compensation887 1,478 
Income taxes334 391 
Dividends payable305 304 
Accrued expenses and other liabilities2,001 2,137 
Current maturities of debt2,095 2,094 
Total current liabilities$6,926 $7,921 
Long-term debt, excluding current maturities10,127 10,901 
Income taxes350 567 
Other noncurrent liabilities1,965 1,930 
Total liabilities$19,368 $21,319 
Shareholders' equity
Common stock, $0.10 par value
38 38 
Additional paid-in capital2,305 2,200 
Retained earnings17,774 16,771 
Accumulated other comprehensive loss(355)(416)
Total shareholders' equity$19,762 $18,593 
Total liabilities and shareholders' equity$39,130 $39,912 

See accompanying notes to Consolidated Financial Statements.
Dollar amounts are in millions except per share amounts or as otherwise specified.
2

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (Unaudited)
Three MonthsSix Months
2024202320242023
Common stock shares outstanding (in millions)
Beginning380.9 379.6 380.1 378.7 
Issuance of common stock under stock compensation and benefit plans0.2 0.2 1.0 1.1 
Ending381.1 379.8 381.1 379.8 
Common stock
Beginning$38 $38 $38 $38 
Issuance of common stock under stock compensation and benefit plans    
Ending$38 $38 $38 $38 
Additional paid-in capital
Beginning$2,257 $2,090 $2,200 $2,034 
Issuance of common stock under stock compensation and benefit plans2 (2)(28)(20)
Share-based compensation46 39 133 113 
Ending$2,305 $2,127 $2,305 $2,127 
Retained earnings
Beginning$17,254 $15,072 $16,771 $14,765 
Net earnings825 738 1,613 1,330 
Cash dividends declared(305)(284)(610)(569)
Ending$17,774 $15,526 $17,774 $15,526 
Accumulated other comprehensive income (loss)
Beginning$(377)$(305)$(416)$(221)
Other comprehensive income (loss)22 (25)61 (109)
Ending$(355)$(330)$(355)$(330)
Total shareholders' equity$19,762 $17,361 $19,762 $17,361 

See accompanying notes to Consolidated Financial Statements.


Dollar amounts are in millions except per share amounts or as otherwise specified.
3

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
Six Months
20242023
Operating activities
Net earnings$1,613 $1,330 
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation210 194 
Amortization of intangible assets308 322 
Asset impairments19 3 
Share-based compensation133 113 
Sale of inventory stepped-up to fair value at acquisition9  
Deferred income tax (benefit) expense(31)2 
Changes in operating assets and liabilities:
Accounts receivable103 308 
Inventories(230)(589)
Accounts payable(205)(97)
Accrued expenses and other liabilities(653)(179)
Income taxes(284)(171)
Other, net(155)(103)
Net cash provided by operating activities$837 $1,133 
Investing activities
Acquisitions, net of cash acquired(334)(390)
Purchases of marketable securities(32)(35)
Proceeds from sales of marketable securities31 42 
Purchases of property, plant and equipment(319)(282)
Proceeds from settlement of net investment hedges99  
Other investing, net30  
Net cash used in investing activities$(525)$(665)
Financing activities
Proceeds (payments) on short-term borrowings, net (4)
Payments on long-term debt(600)(201)
Payments of dividends(609)(569)
Cash paid for taxes from withheld shares(127)(111)
Other financing, net(48)(1)
Net cash provided by (used in) financing activities$(1,384)$(886)
Effect of exchange rate changes on cash and cash equivalents(25)(25)
Change in cash and cash equivalents$(1,097)$(443)
Cash and cash equivalents at beginning of period2,971 1,844 
Cash and cash equivalents at end of period$1,874 $1,401 

See accompanying notes to Consolidated Financial Statements.
Dollar amounts are in millions except per share amounts or as otherwise specified.
4

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)
NOTE 1 - BASIS OF PRESENTATION
General Information
Management believes the accompanying unaudited Consolidated Financial Statements contain all adjustments, including normal recurring items, considered necessary to fairly present the financial position of Stryker Corporation and its consolidated subsidiaries ("Stryker," the "Company," "we," "us" or "our") on June 30, 2024 and the results of operations for the three and six months 2024. The results of operations included in these Consolidated Financial Statements may not necessarily be indicative of our annual results. These statements should be read in conjunction with our Annual Report on Form 10-K for 2023.
New Accounting Pronouncements Not Yet Adopted
In December 2023 the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2023-09 (Topic 740): Income Taxes: Improvements to Income Tax Disclosures which expands the existing rules on income tax disclosures. This update requires entities to disclose specific categories in the tax rate reconciliation, provide additional information for reconciling items that meet a quantitative threshold and disclose additional information about income taxes paid on an annual basis. The new disclosure requirements are effective for fiscal years beginning after December 15, 2024 and we will adopt this ASU in 2025.
In November 2023 the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures which expands disclosure requirements to require entities to disclose significant segment expenses that are regularly provided to or easily computed from information regularly provided to the chief operating decision maker. This update also requires all annual disclosures currently required by Topic 280 to be disclosed in interim periods. The new disclosure requirements are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. We will adopt this ASU in the fourth quarter 2024.
We evaluate all ASUs issued by the FASB for consideration of their applicability. ASUs not included in our disclosures were assessed and determined to be either not applicable or are not expected to have a material impact on our Consolidated Financial Statements.
NOTE 2 - REVENUE RECOGNITION
Our policies for recognizing sales have not changed from those described in our Annual Report on Form 10-K for 2023.
We disaggregate our net sales by business and geographic location for each of our segments as we believe it best depicts how the nature, amount, timing and certainty of our net sales and cash flows are affected by economic factors.
Beginning in the first quarter 2024, a product line previously included in Instruments has been reclassified to Endoscopy to align with a change in our internal reporting structure. We have reflected this change in all historical periods presented.
Net Sales by Business
Three MonthsSix Months
2024202320242023
MedSurg and Neurotechnology:
Instruments$698 $622 $1,365 $1,188 
Endoscopy768 713 1,546 1,420 
Medical908 841 1,772 1,619 
Neurovascular327 311 637 595 
Neuro Cranial416 373 796 728 
$3,117 $2,860 $6,116 $5,550 
Orthopaedics and Spine:
Knees$602 $562 $1,190 $1,128 
Hips428 393 821 768 
Trauma and Extremities832 766 1,662 1,535 
Spine307 296 607 580 
Other136 119 269 213 
$2,305 $2,136 $4,549 $4,224 
Total$5,422 $4,996 $10,665 $9,774 
Net Sales by Geography
Three Months 2024Three Months 2023
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$564 $134 $504 $118 
Endoscopy623 145 576 137 
Medical763 145 682 159 
Neurovascular127 200 123 188 
Neuro Cranial339 77 306 67 
$2,416 $701 $2,191 $669 
Orthopaedics and Spine:
Knees$433 $169 $406 $156 
Hips261 167 249 144 
Trauma and Extremities610 222 559 207 
Spine229 78 221 75 
Other98 38 85 34 
$1,631 $674 $1,520 $616 
Total$4,047 $1,375 $3,711 $1,285 
Net Sales by Geography
Six Months 2024Six Months 2023
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$1,096 $269 $945 $243 
Endoscopy1,259 287 1,149 271 
Medical1,478 294 1,294 325 
Neurovascular248 389 241 354 
Neuro Cranial648 148 595 133 
$4,729 $1,387 $4,224 $1,326 
Orthopaedics and Spine:
Knees$862 $328 $822 $306 
Hips512 309 485 283 
Trauma and Extremities1,221 441 1,113 422 
Spine450 157 433 147 
Other187 82 146 67 
$3,232 $1,317 $2,999 $1,225 
Total$7,961 $2,704 $7,223 $2,551 
We sell certain customer lease agreements and the related leased assets to third-party financial institutions to accelerate our cash collection cycle. The lease receivables are sold without recourse and are derecognized from our Consolidated Balance Sheets at the time of sale. Under the terms of our arrangements,
Dollar amounts are in millions except per share amounts or as otherwise specified.
5

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
we collect lease payments on behalf of the financial institutions but maintain no other form of continuing involvement. Sales of these lease agreements are classified as operating activities in our Consolidated Statements of Cash Flows. Fees earned for our servicing activities are immaterial. Revenue related to customer lease agreements sold under these arrangements represented approximately 3% of our total revenue for the three and six months 2024 and 2023.    
Contract Assets and Liabilities
On June 30, 2024 and December 31, 2023 contract assets recorded in our Consolidated Balance Sheets were not significant.
Our contract liabilities arise as a result of consideration received from customers at inception of contracts for certain businesses or where the timing of billing for services precedes satisfaction of our performance obligations. This occurs primarily when payment is received upfront for certain multi-period extended service contracts. Our contract liabilities of $921 and $860 on June 30, 2024 and December 31, 2023 are classified within accrued expenses and other liabilities and other noncurrent liabilities within our Consolidated Balance Sheets based on the timing of when we expect to complete our performance obligations.
Changes in contract liabilities during the six months 2024 were as follows:
June 30
2024
Beginning contract liabilities$860 
Revenue recognized from beginning of year contract liabilities(268)
Net advance consideration received during the period329 
Ending contract liabilities$921 
NOTE 3 - ACCUMULATED OTHER COMPREHENSIVE (LOSS) INCOME (AOCI)
Three Months 2024Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$(26)$41 $(392)$(377)
OCI  (2)8 49 55 
Income taxes 1 (3)(17)(19)
Reclassifications to:
Cost of sales  (10) (10)
Other (income) expense, net  (1)(8)(9)
Income taxes  3 2 5 
Net OCI$ $(1)$(3)$26 $22 
Ending$ $(27)$38 $(366)$(355)
Three Months 2023Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$(1)$29 $43 $(376)$(305)
OCI (1)1 24 (24) 
Income taxes (2)(5)(4)(11)
Reclassifications to:
Cost of sales  (9) (9)
Other (income) expense, net1 (1)(1)(9)(10)
Income taxes 1 2 2 5 
Net OCI$ $(1)$11 $(35)$(25)
Ending$(1)$28 $54 $(411)$(330)
Six Months 2024Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$ $(28)$39 $(427)$(416)
OCI   24 130 154 
Income taxes 1 (7)(57)(63)
Reclassifications to:
Cost of sales  (20) (20)
Other (income) expense, net  (3)(16)(19)
Income taxes  5 4 9 
Net OCI$ $1 $(1)$61 $61 
Ending$ $(27)$38 $(366)$(355)
Six Months 2023Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$(1)$31 $52 $(303)$(221)
OCI (1)3 27 (123)(94)
Income taxes (5)(6)28 17 
Reclassifications to:
Cost of sales  (22) (22)
Other (income) expense, net1 (2)(2)(17)(20)
Income taxes 1 5 4 10 
Net OCI$ $(3)$2 $(108)$(109)
Ending$(1)$28 $54 $(411)$(330)
NOTE 4 - DERIVATIVE INSTRUMENTS
We use operational and economic hedges, foreign currency exchange forward contracts, net investment hedges (both derivative and non-derivative financial instruments) and interest rate derivative instruments to manage the impact of currency exchange and interest rate fluctuations on earnings, cash flow and equity. We do not enter into derivative instruments for speculative purposes. We are exposed to potential credit loss in the event of nonperformance by counterparties on our outstanding derivative instruments but do not anticipate nonperformance by any of our counterparties. Should a counterparty default, our maximum loss exposure is the asset balance of the instrument. We have not changed our hedging strategies, accounting practices or objectives from those disclosed in our Annual Report on Form 10-K for 2023.
Foreign Currency Hedges
June 2024Cash FlowNet InvestmentNon-DesignatedTotal
Gross notional amount$1,611 $1,607 $4,579 $7,797 
Maximum term in years3.0
Fair value:
Other current assets$32 $ $40 $72 
Other noncurrent assets2 14  16 
Other current liabilities(22) (7)(29)
Other noncurrent liabilities(1)(18) (19)
Total fair value$11 $(4)$33 $40 
December 2023Cash FlowNet InvestmentNon-DesignatedTotal
Gross notional amount$1,650 $1,662 $4,315 $7,627 
Maximum term in years2.9
Fair value:
Other current assets$24 $74 $16 $114 
Other noncurrent assets2   2 
Other current liabilities(16) (36)(52)
Other noncurrent liabilities(2)(43) (45)
Total fair value$8 $31 $(20)$19 
Dollar amounts are in millions except per share amounts or as otherwise specified.
6

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
We had €1.5 billion at June 30, 2024 and December 31, 2023 in certain forward currency contracts designated as net investment hedges to hedge a portion of our investments in certain of our entities with functional currencies denominated in Euros. In addition to these derivative financial instruments designated as net investment hedges, we had €4.9 billion at June 30, 2024 and December 31, 2023 of senior unsecured notes designated as net investment hedges to selectively hedge portions of our investment in certain international subsidiaries. The currency effects of our Euro-denominated senior unsecured notes are reflected in AOCI within shareholders' equity where they offset gains and losses recorded on our net investment in international subsidiaries.
In the six months 2024 we settled certain foreign currency forward contracts designated as net investment hedges resulting in cash proceeds of $99. The amounts in AOCI related to settled net investment hedges will remain in AOCI until the hedged investment is either sold or substantially liquidated.
The total after-tax gain (loss) recognized in OCI related to designated net investment hedges was $171 in the six months 2024.
Currency Exchange Rate Gains (Losses) Recognized in Net Earnings
Three MonthsSix Months
Derivative InstrumentRecognized in:2024202320242023
Cash FlowCost of sales$10 $9 $20 $22 
Net InvestmentOther income (expense), net8 9 16 17 
Non-DesignatedOther income (expense), net10 5 13 9 
Total$28 $23 $49 $48 
Pretax gains (losses) on derivatives designated as cash flow hedges of $22 and net investment hedges of $31 recorded in AOCI are expected to be reclassified to cost of sales and other income (expense), net in earnings within 12 months of June 30, 2024. This cash flow hedge reclassification is primarily due to the sale of inventory that includes previously hedged purchases. A component of the AOCI amounts related to net investment hedges is reclassified over the life of the hedge instruments as we elected to exclude the initial value of the component related to the spot-forward difference from the effectiveness assessment.
Interest Rate Hedges
Pretax gains of $4 recorded in AOCI related to interest rate hedges closed in conjunction with debt issuances are expected to be reclassified to other income (expense), net in earnings within 12 months of June 30, 2024. The cash flow effect of interest rate hedges is recorded in cash flow from operations.
NOTE 5 - FAIR VALUE MEASUREMENTS
Our policies for managing risk related to foreign currency, interest rates, credit and markets and our process for determining fair value have not changed from those described in our Annual Report on Form 10-K for 2023.
In 2023 we recorded $192 of contingent consideration related to the acquisition of Cerus Endovascular Limited (Cerus) described in Note 7.
There were no significant transfers into or out of any level of the fair value hierarchy in 2024.
Assets Measured at Fair Value
June 30December 31
20242023
Cash and cash equivalents$1,874 $2,971 
Trading marketable securities241 209 
Level 1 - Assets$2,115 $3,180 
Available-for-sale marketable securities:
Corporate and asset-backed debt securities$48 $43 
United States agency debt securities1 4 
United States treasury debt securities29 31 
Certificates of deposit5 4 
Total available-for-sale marketable securities$83 $82 
Foreign currency exchange forward contracts88 116 
Level 2 - Assets$171 $198 
Total assets measured at fair value$2,286 $3,378 
Liabilities Measured at Fair Value
June 30December 31
20242023
Deferred compensation arrangements$241 $209 
Level 1 - Liabilities$241 $209 
Foreign currency exchange forward contracts$48 $97 
Level 2 - Liabilities$48 $97 
Contingent consideration:
Beginning$289 $121 
Additions1 192 
Change in estimate and foreign exchange(15)(2)
Settlements(48)(22)
Ending$227 $289 
Level 3 - Liabilities$227 $289 
Total liabilities measured at fair value$516 $595 
Fair Value of Available for Sale Securities by Maturity
June 30December 31
20242023
Due in one year or less$41 $46 
Due after one year through three years$42 $36 
On June 30, 2024 and December 31, 2023 the aggregate difference between the cost and fair value of available-for-sale marketable securities was nominal. Interest income on cash and cash equivalents, short-term investments and marketable securities income was $26 and $11 in the three months and $62 and $25 in the six months 2024 and 2023, which was recorded in other income (expense), net.
Our investments in available-for-sale marketable securities had a minimum credit quality rating of A2 (Moody's), A (Standard & Poor's) and A (Fitch). We do not plan to sell the investments, and it is not more likely than not that we will be required to sell the investments before recovery of their amortized cost basis, which may be maturity.
NOTE 6 - CONTINGENCIES AND COMMITMENTS
We are involved in various ongoing proceedings, legal actions and claims arising in the normal course of business, including proceedings related to product, labor, intellectual property and other matters, the most significant of which are more fully described below. The outcomes of these matters will generally not be known for prolonged periods of time. In certain of the legal proceedings the claimants seek damages as well as other compensatory and equitable relief that could result in the payment of significant claims and settlements and/or the imposition of injunctions or other equitable relief. For legal matters for which management had sufficient information to reasonably estimate our future obligations, a liability representing management's best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within the range is not known, is recorded. The estimates are based on consultation with legal counsel, previous settlement experience and settlement strategies. If actual outcomes are less
Dollar amounts are in millions except per share amounts or as otherwise specified.
7

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
favorable than those estimated by management, additional expense may be incurred, which could unfavorably affect future operating results. We are self-insured for certain claims and expenses. The ultimate cost to us with respect to product liability claims could be materially different than the amount of the current estimates and accruals and could have a material adverse effect on our financial position, results of operations and cash flows.
We are currently investigating whether certain business activities in certain foreign countries violated provisions of the Foreign Corrupt Practices Act (FCPA) and have engaged outside counsel to conduct these investigations. We have been contacted by the United States Securities and Exchange Commission, United States Department of Justice and certain other regulatory authorities and are cooperating with these agencies. At this time we are unable to predict the outcome of the investigations or the potential impact, if any, on our financial statements.
We have conducted voluntary recalls of certain products, including our Rejuvenate and ABG II Modular-Neck hip stems and certain lot-specific sizes and offsets of LFIT Anatomic CoCr V40 Femoral Heads. Additionally, we are responsible for certain product liability claims, primarily related to certain hip products sold by Wright Medical Group N.V. (Wright) prior to its 2014 divestiture of the OrthoRecon business.
We have incurred, and expect to incur in the future, costs associated with the defense and settlement of claims and lawsuits. Based on the information that has been received related to the matters discussed above, our accrual for these matters was $187 at June 30, 2024, representing our best estimate of probable loss. The final outcomes of these matters are dependent on many factors that are difficult to predict. Accordingly the ultimate cost related to these matters may be materially different than the amount of our current estimate and accruals and could have a material adverse effect on our results of operations and cash flows.
Leases
June 30December 31
20242023
Right-of-use assets $510 $494 
Lease liabilities, current $143 $143 
Lease liabilities, non-current $379 $356 
Other information:
Weighted-average remaining lease term (years)5.25.5
Weighted-average discount rate3.95 %3.87 %
Three MonthsSix Months
2024202320242023
Operating lease cost$50 $41 $97 $79 
NOTE 7 - ACQUISITIONS
We acquire stock in companies and various assets that continue to support our capital deployment and product development strategies. In the six months 2024 and 2023 cash paid for acquisitions, net of cash acquired was $334 and $390.
On March 20, 2024 we acquired SERF SAS (SERF) for net cash consideration of $244. SERF's implants strengthen the global portfolio of our Joint Replacement business within Orthopaedics and Spine. The purchase price allocation for SERF is based on preliminary valuations, primarily related to developed technology and customer relationships. Goodwill attributable to the acquisition is not deductible for tax purposes.
In May 2023 we acquired Cerus for net cash consideration of $289 and up to $225 in future milestone payments that had a fair value of $192 at the acquisition date. Cerus designs, develops and manufactures neurovascular products used for the treatment of hemorrhagic stroke. Cerus is part of our Neurovascular business within MedSurg and Neurotechnology. Goodwill attributable to the acquisition is not deductible for tax purposes.
The purchase price allocation for Cerus is:
Purchase Price Allocation of Acquired Net Assets
2023Cerus
Tangible assets acquired:
Accounts receivable$1 
Inventory2 
Deferred income tax assets4 
Other assets1 
Deferred income tax liabilities(60)
Other liabilities(22)
Intangible assets:
Developed technology240 
Goodwill315 
Purchase price, net of cash acquired of $7
$481 
Weighted average amortization period at acquisition (years):
Developed technologies13
The purchase price allocation for Cerus was finalized in the second quarter 2024 without material adjustments.
Consolidated Estimated Amortization Expense
Remainder of 20242025202620272028
$312 $597 $541 $518 $469 
NOTE 8 - DEBT AND CREDIT FACILITIES
We have lines of credit issued by various financial institutions that are available to fund our day-to-day operating needs. Certain of our credit facilities require us to comply with financial and other covenants. We were in compliance with all covenants on June 30, 2024.
On June 30, 2024 there were no borrowings outstanding under our revolving credit facility or our commercial paper program which allows for maturities up to 397 days from the date of issuance. The maximum amount of our commercial paper that can be outstanding at any time is $2,250.
In May 2024 we repaid the outstanding $600 principal amount of the 3.375% senior unsecured notes due May 15, 2024.
Dollar amounts are in millions except per share amounts or as otherwise specified.
8

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
Summary of Total DebtJune 30December 31
20242023
RateDue
Senior unsecured notes:
3.375%May 15, 2024$ $600 
FloatingNovember 16, 2024536 554 
0.250%December 3, 2024910 940 
1.150%June 15, 2025649 648 
3.375%November 1, 2025749 749 
3.500%March 15, 2026997 997 
2.125%November 30, 2027801 828 
3.650%March 7, 2028598 598 
4.850%December 8, 2028595 596 
3.375%December 11, 2028640 661 
0.750%March 1, 2029854 883 
1.950%June 15, 2030993 991 
2.625%November 30, 2030690 713 
1.000%December 3, 2031796 823 
4.100%April 1, 2043393 393 
4.375%May 15, 2044396 396 
4.625%March 15, 2046983 983 
2.900%June 15, 2050642 642 
Total debt$12,222 $12,995 
Less current maturities2,095 2,094 
Total long-term debt$10,127 $10,901 
June 30December 31
20242023
Unamortized debt issuance costs$32 $50 
Borrowing capacity on existing facilities$2,159 $2,160 
Fair value of senior unsecured notes$11,253 $12,252 
The fair value of the senior unsecured notes was estimated using quoted interest rates, maturities and amounts of borrowings based on quoted active market prices and yields that took into account the underlying terms of the debt instruments. Substantially all of our debt is classified within Level 2 of the fair value hierarchy.
NOTE 9 - INCOME TAXES
Our effective tax rates were 17.3% and 16.0% in the three and six months 2024 and 17.9% and 15.7% in the three and six months 2023. The effective tax rates for the three and six months 2024 and 2023 reflect the continued lower effective income tax rates as a result of our European operations and certain discrete tax items.
NOTE 10 - SEGMENT INFORMATION
Three MonthsSix Months
2024202320242023
MedSurg and Neurotechnology$3,117 $2,860 $6,116 $5,550 
Orthopaedics and Spine2,305 2,136 4,549 4,224 
Net sales$5,422 $4,996 $10,665 $9,774 
MedSurg and Neurotechnology$861 $780 $1,665 $1,407 
Orthopaedics and Spine676 601 1,281 1,202 
Segment operating income$1,537 $1,381 $2,946 $2,609 
Items not allocated to segments:
Corporate and other
$(203)$(165)$(466)$(387)
Acquisition and integration-related costs(23)(2)(10)(8)
Amortization of intangible assets
(155)(161)(308)(322)
Structural optimization and other special charges(75)(72)(89)(114)
Medical device regulations
(15)(27)(28)(55)
Recall-related matters
(17)(3)(22)(3)
Regulatory and legal matters
2 14  (20)
Consolidated operating income$1,051 $965 $2,023 $1,700 
There were no significant changes to total assets by segment from the information provided in our Annual Report on Form 10-K for 2023.
Dollar amounts are in millions except per share amounts or as otherwise specified.
9

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
ITEM 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
ABOUT STRYKER
Stryker is a global leader in medical technologies and, together with our customers, we are driven to make healthcare better. We offer innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside our customers around the world, we impact more than 150 million patients annually.
We segregate our operations into two reportable business segments: (i) MedSurg and Neurotechnology and (ii) Orthopaedics and Spine. MedSurg and Neurotechnology products include surgical equipment and navigation systems (Instruments), endoscopic and communications systems (Endoscopy), patient handling, emergency medical equipment and intensive care disposable products (Medical), minimally invasive products for the treatment of acute ischemic and hemorrhagic stroke (Neurovascular), a comprehensive line of products for traditional brain and open skull based surgical procedures; orthobiologic and biosurgery products, including synthetic bone grafts and vertebral augmentation products (Neuro Cranial). Orthopaedics and Spine products consist primarily of implants used in hip and knee joint replacements and trauma and extremity surgeries, and cervical, thoracolumbar and interbody systems used in spinal injury, deformity and degenerative therapies.
Macroeconomic Environment
The global economy continues to experience inflationary pressures in part due to global supply chain disruptions, labor shortages and other impacts of the macroeconomic environment which we anticipate will continue. Higher interest rates and capital costs, higher shipping costs, increased costs of labor, fluctuating foreign currency exchange rates and the military conflicts in Russia and Ukraine and the Middle East result in additional economic challenges and uncertainties. These conditions may cause our customers to decrease or delay orders for our products and services, and the higher interest rates may impact deal mix for our capital products.
Overview of the Three and Six Months
In the three months 2024 we achieved sales growth of 8.5% from 2023. Excluding the impact of acquisitions and divestitures, sales grew 9.0% in constant currency. We reported operating income margin of 19.4%, net earnings of $825 and net earnings per diluted share of $2.14. Excluding the impact of certain items, adjusted operating income margin(1) increased by 30 basis points to 24.6%, with adjusted net earnings(1) of $1,085 and adjusted net earnings per diluted share(1) of $2.81, an increase of 10.6% from 2023.
In the six months 2024 we achieved sales growth of 9.1% from 2023. Excluding the impact of acquisitions and divestitures, sales grew 9.5% in constant currency. We reported operating income margin of 19.0%, net earnings of $1,613 and net earnings per diluted share of $4.19. Excluding the impact of certain items, adjusted operating income margin(1) increased by 60 basis points to 23.3%, with adjusted net earnings(1) of $2,047 and adjusted net earnings per diluted share(1) of $5.31, an increase of 13.5% from 2023.
Recent Developments
On March 20, 2024 we acquired SERF for net cash consideration of $244. SERF's implants strengthen the global portfolio of our Joint Replacement business within Orthopaedics and Spine. Refer to Note 7 to our Consolidated Financial Statements for further information.
(1) Refer to "Non-GAAP Financial Measures" for a discussion of non-GAAP financial measures used in this report and a reconciliation to the most directly comparable GAAP financial measure.

CONSOLIDATED RESULTS OF OPERATIONS
Three MonthsSix Months
Percent Net SalesPercentagePercent Net SalesPercentage
2024202320242023Change2024202320242023Change
Net sales$5,422 $4,996 100.0 %100.0 %8.5 %$10,665 $9,774 100.0 %100.0 %9.1 %
Gross profit3,416 3,181 63.0 63.7 7.4 6,749 6,197 63.3 63.4 8.9 
Research, development and engineering expenses363 346 6.7 6.9 4.9 731 685 6.9 7.0 6.7 
Selling, general and administrative expenses1,847 1,709 34.1 34.2 8.1 3,687 3,490 34.6 35.7 5.6 
Amortization of intangible assets155 161 2.9 3.2 (3.7)308 322 2.9 3.3 (4.3)
Other income (expense), net(53)(66)(1.0)(1.3)(19.7)(102)(122)(1.0)(1.2)(16.4)
Income taxes173 161 nmnm7.5308 248 nmnm24.2 
Net earnings$825 $738 15.2 %14.8 %11.8 %$1,613 $1,330 15.1 %13.6 %21.3 %
Net earnings per diluted share$2.14 $1.93 10.9 %$4.19 $3.47 20.7 %
Adjusted net earnings per diluted share(1)
$2.81 $2.54 10.6 %$5.31 $4.68 13.5 %


nm - not meaningful
Dollar amounts are in millions except per share amounts or as otherwise specified.
10

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
Geographic and Segment Net SalesThree MonthsSix Months
Percentage ChangePercentage Change
20242023As ReportedConstant
Currency
20242023As ReportedConstant
Currency
Geographic:
United States$4,047 $3,711 9.1 %9.1 %$7,961 $7,223 10.2 %10.2 %
International1,375 1,285 7.0 10.5 2,704 2,551 6.0 8.7 
Total$5,422 $4,996 8.5 %9.4 %$10,665 $9,774 9.1 %9.8 %
Segment:
MedSurg and Neurotechnology$3,117 $2,860 9.0 %9.8 %$6,116 $5,550 10.2 %10.8 %
Orthopaedics and Spine2,305 2,136 7.9 8.9 4,549 4,224 7.7 8.5 
Total$5,422 $4,996 8.5 %9.4 %$10,665 $9,774 9.1 %9.8 %
Supplemental Net Sales Growth Information
Three MonthsSix Months
Percentage ChangePercentage Change
United StatesInternationalUnited StatesInternational
20242023As ReportedConstant CurrencyAs ReportedAs ReportedConstant Currency20242023As ReportedConstant CurrencyAs ReportedAs ReportedConstant Currency
MedSurg and Neurotechnology:
Instruments$698 $622 12.3 %12.9 %12.3 %12.4 %15.4 %$1,365 $1,188 14.9 %15.3 %16.0 %10.4 %12.5 %
Endoscopy768 713 7.6 8.3 8.2 5.3 9.0 1,546 1,420 8.9 9.4 9.6 5.6 8.6 
Medical908 841 8.0 8.4 11.9 (8.7)(6.5)1,772 1,619 9.4 9.7 14.2 (9.5)(8.1)
Neurovascular327 311 5.3 8.0 2.3 7.3 11.8 637 595 7.1 9.6 2.6 10.2 14.5 
Neuro Cranial416 373 11.6 12.2 10.6 16.2 19.9 796 728 9.3 9.9 8.9 11.4 14.7 
$3,117 $2,860 9.0 %9.8 %10.3 %4.9 %8.3 %$6,116 $5,550 10.2 %10.8 %12.0 %4.6 %7.3 %
Orthopaedics and Spine:
Knees$602 $562 7.1 %8.0 %6.6 %8.2 %11.7 %$1,190 $1,128 5.5 %6.2 %4.8 %7.3 %10.0 %
Hips428 393 8.9 10.6 4.3 16.9 21.7 821 768 7.0 8.4 5.5 9.6 13.5 
Trauma and Extremities832 766 8.6 9.3 9.1 7.4 9.8 1,662 1,535 8.3 8.6 9.7 4.5 5.9 
Spine307 296 3.8 4.4 4.4 2.0 4.3 607 580 4.6 5.0 4.1 6.0 7.6 
Other136 119 14.3 16.4 15.4 11.7 18.9 269 213 26.2 28.7 28.1 22.1 29.9 
$2,305 $2,136 7.9 %8.9 %7.3 %9.4 %12.9 %$4,549 $4,224 7.7 %8.5 %7.8 %7.5 %10.1 %
Total $5,422 $4,996 8.5 %9.4 %9.1 %7.0 %10.5 %$10,665 $9,774 9.1 %9.8 %10.2 %6.0 %8.7 %
Note: Beginning in the first quarter 2024, a product line previously included in Instruments has been reclassified to Endoscopy to align with a change in our internal reporting structure. We have reflected this change in all historical periods presented.
Consolidated Net Sales
Consolidated net sales increased 8.5% in the three months 2024 as reported and 9.4% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.9%. Excluding the 0.4% impact of acquisitions and divestitures, net sales in constant currency increased by 7.9% from increased unit volume and 1.1% due to higher prices. The unit volume increase was due to higher product shipments across all MedSurg and Neurotechnology and Orthopaedics and Spine businesses.
Consolidated net sales increased 9.1% in the six months 2024 as reported and 9.8% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.7%. Excluding the 0.3% impact of acquisitions and divestitures, net sales in constant currency increased by 8.6% from increased unit volume and 0.9% due to higher prices. The unit volume increase was due to higher product shipments across all MedSurg and Neurotechnology and Orthopaedics and Spine businesses.
MedSurg and Neurotechnology Net Sales
MedSurg and Neurotechnology net sales increased 9.0% in the three months 2024 as reported and 9.8% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.8%. Excluding the 0.1% impact of acquisitions and divestitures, net sales in constant currency increased by 7.6% from increased unit volume and 2.1% from higher prices. The unit volume
increase was due to higher shipments across all MedSurg and Neurotechnology businesses.
MedSurg and Neurotechnology net sales increased 10.2% in the six months 2024 as reported and 10.8% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.6%. Excluding the 0.2% impact of acquisitions and divestitures, net sales in constant currency increased by 8.8% from increased unit volume and 1.8% from higher prices. The unit volume increase was due to higher shipments across all MedSurg and Neurotechnology businesses.
Orthopaedics and Spine Net Sales
Orthopaedics and Spine net sales increased 7.9% in the three months 2024 as reported and 8.9% in constant currency, as foreign currency exchange rates negatively impacted net sales by 1.0%. Excluding the 0.9% impact of acquisitions and divestitures, net sales in constant currency increased 8.4% from increased unit volume partially offset by 0.4% from lower prices. The unit volume increase was due to higher shipments across all Orthopaedics and Spine businesses.
Orthopaedics and Spine net sales increased 7.7% in the six months 2024 as reported and 8.5% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.8%. Excluding the 0.5% impact of acquisitions and divestitures, net sales in constant currency increased 8.3% from increased unit volume partially offset by 0.3% from lower prices. The unit volume increase was due to higher shipments across all Orthopaedics and Spine businesses.
Dollar amounts are in millions except per share amounts or as otherwise specified.
11

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
Gross Profit
Gross profit was $3,416 and $3,181 in the three months 2024 and 2023. The key components of the change were:
Gross Profit
Percent Net Sales
Three Months 202363.7 %
Sales pricing40 bps
Volume and mix50 bps
Manufacturing and supply chain costs(80) bps
Structural optimization and other special charges(60) bps
Inventory stepped up to fair value(20) bps
Three Months 202463.0 %
Gross profit as a percentage of net sales in the three months 2024 decreased to 63.0% from 63.7% in 2023 primarily due to higher manufacturing and supply chain costs and structural optimization and other special charges partially offset by favorable volumes and higher sales prices.
Gross profit was $6,749 and $6,197 in the six months 2024 and 2023. The key components of the change were:
Gross Profit
Percent Net Sales
Six Months 202363.4 %
Sales pricing30 bps
Volume and mix50 bps
Manufacturing and supply chain costs(50) bps
Structural optimization and other special charges(30) bps
Inventory stepped up to fair value(10) bps
Six Months 202463.3 %
Gross profit as a percentage of net sales in the six months 2024 remained relatively flat with 2023.
While segment mix was not a significant driver of the change in gross profit as a percent of net sales between the three and six months 2024 and 2023, we generally expect segment mix to have an unfavorable impact for the foreseeable future as we anticipate more rapid sales growth in our lower gross margin MedSurg and Neurotechnology segment than our Orthopaedics and Spine segment.
Research, Development and Engineering Expenses
Research, development and engineering expenses increased $17 or 4.9% in the three months 2024. As a percentage of net sales, expenses in the three months 2024 of 6.7% was relatively consistent with the three months 2023 of 6.9%.
Research, development and engineering expenses increased $46 or 6.7% in the six months 2024. As a percentage of net sales, expenses in the six months 2024 of 6.9% was relatively consistent with the six months 2023 of 7.0%.
Selling, General and Administrative Expenses
Selling, general and administrative expenses increased $138 or 8.1% in the three months 2024. As a percentage of net sales, expenses in the three months 2024 of 34.1% was relatively consistent with the three months 2023 of 34.2%.
Selling, general and administrative expenses increased $197 or 5.6% in the six months 2024 and decreased as a percentage of net sales to 34.6% from 35.7% in 2023, primarily due to higher charges in the six months 2023 for structural optimization and certain legal matters, in addition to continued spend discipline in the six months 2024.
Amortization of Intangible Assets
Amortization of intangible assets was $155 and $161 in the three months and $308 and $322 in the six months 2024 and 2023.
Refer to Note 7 to our Consolidated Financial Statements for further information.
Operating Income
Operating income was $1,051 and $965 in the three months 2024 and 2023. Operating income as a percentage of net sales in the three months 2024 increased to 19.4% from 19.3% in 2023. Refer to the discussion above for the primary drivers of the change.
Operating income was $2,023 and $1,700 in the six months 2024 and 2023. Operating income as a percentage of net sales in the six months 2024 increased to 19.0% from 17.4% in 2023. Refer to the discussion above for the primary drivers of the change.
MedSurg and Neurotechnology operating income as a percentage of net sales increased to 27.6% in the three months 2024 from 27.3% in 2023. Orthopaedics and Spine operating income as a percentage of net sales increased to 29.3% in the three months 2024 from 28.1% in 2023. The key components of the change were:
Operating Income
Percent Net Sales
MedSurg and NeurotechnologyOrthopaedics and Spine
Three Months 202327.3 %28.1 %
Sales pricing150 bps (30) bps
Volume250 bps 740 bps
Manufacturing and supply chain costs(90) bps (320) bps
Research, development and engineering expenses(80) bps (60) bps
Selling, general and administrative expenses(200) bps (210) bps
Three Months 202427.6 %29.3 %
The increase in MedSurg and Neurotechnology operating income as a percentage of net sales for the three months was primarily driven by higher unit volumes and higher prices partially offset by higher selling, general and administrative expenses, higher manufacturing and supply chain costs and higher research, development and engineering expenses due to disciplined increases in spend and investments to support our growth.
The increase in Orthopaedics and Spine operating income as a percentage of net sales for the three months was primarily driven by higher unit volumes partially offset by higher manufacturing and supply chain costs and higher selling, general and administrative expenses.
MedSurg and Neurotechnology operating income as a percentage of net sales increased to 27.2% in the six months 2024 from 25.4% in 2023. Orthopaedics and Spine operating income as a percentage of net sales decreased to 28.2% in the six months 2024 from 28.5% in 2023. The key components of the change were:
Operating Income
Percent Net Sales
MedSurg and NeurotechnologyOrthopaedics and Spine
Six Months 202325.4 %28.5 %
Sales pricing130 bps (20) bps
Volume300 bps 410 bps
Manufacturing and supply chain costs40 bps (150) bps
Research, development and engineering expenses(90) bps (70) bps
Selling, general and administrative expenses(200) bps (200) bps
Six Months 202427.2 %28.2 %
The increase in MedSurg and Neurotechnology operating income as a percentage of net sales for the six months was primarily
Dollar amounts are in millions except per share amounts or as otherwise specified.
12

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
driven by higher unit volumes and higher prices partially offset by higher selling, general and administrative expenses and higher research, development and engineering expenses due to disciplined increases in spend and investments to support our growth.
The decrease in Orthopaedics and Spine operating income as a percentage of net sales for the six months was primarily driven by higher selling, general and administrative expenses, higher manufacturing and supply chain costs and higher research, development and engineering expenses due to disciplined increases in spend and investments to support our growth partially offset by higher unit volumes.
Other Income (Expense), Net
Other income (expense), net was ($53) and ($66) in the three months and ($102) and ($122) in the six months 2024 and 2023.
Income Taxes
Our effective tax rates were 17.3% and 16.0% in the three and six months 2024 and 17.9% and 15.7% in the three and six months 2023. The effective tax rates for the three and six months 2024 and 2023 reflect the continued lower effective income tax rates as a result of our European operations and certain discrete tax items. The Organisation for Economic Cooperation and Development (OECD), which represents a coalition of member countries, has put forth two proposed base erosion and profit shifting frameworks that revise the existing profit allocation and nexus rules (Pillar One) and ensure a minimal level of taxation (Pillar Two). On December 12, 2022 the European Union member states agreed to implement the Inclusive Framework’s global corporate minimum tax rate of 15%, and various countries within and outside the European Union have either enacted or proposed new tax laws implementing Pillar Two in 2024. The OECD continues to release additional guidance and we anticipate more countries will enact similar tax laws. Some of the new tax laws are effective in 2024 while others will be effective in future years. These tax law changes and any additional contemplated tax law changes could increase tax expense in future periods.
Net Earnings
Net earnings increased to $825 or $2.14 per diluted share in the three months 2024 from $738 or $1.93 per diluted share in 2023. Net earnings increased to $1,613 or $4.19 per diluted share in the six months 2024 from $1,330 or $3.47 per diluted share in 2023. Refer to the discussion above for the primary drivers of the change.
Non-GAAP Financial Measures
We supplement the reporting of our 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; percentage organic sales growth; adjusted gross profit; adjusted selling, general and administrative expenses; adjusted research, development and engineering expenses; adjusted operating income; adjusted other income (expense), net; adjusted income taxes; adjusted effective income tax rate; adjusted net earnings; and adjusted net earnings per diluted share (Diluted EPS). We believe these non-GAAP financial measures provide meaningful information to assist investors and shareholders in understanding our financial results and assessing our prospects for future performance. Management believes percentage sales growth in constant currency and the other adjusted measures described above are important indicators of our operations because they exclude items that may not be indicative of or are unrelated to our core operating results and provide a baseline for analyzing trends in our underlying businesses. Management uses these non-GAAP financial measures for reviewing the operating results of reportable business segments and analyzing potential future business trends in connection with our budget process and bases certain management incentive compensation on these non-GAAP financial measures. To measure percentage sales growth in constant currency, we remove the impact of changes in foreign currency exchange rates that affect the comparability and trend of sales. Percentage sales growth in constant currency is calculated by translating current and prior year results at the same foreign currency exchange rate. To measure percentage organic sales growth, we remove the impact of changes in foreign currency exchange rates, acquisitions and divestitures, which affect the comparability and trend of sales. Percentage organic sales growth is calculated by translating current year and prior year results at the same foreign currency exchange rates excluding the impact of acquisitions and divestitures. To measure earnings performance on a consistent and comparable basis, we exclude certain items that affect the comparability of operating results and the trend of earnings. The income tax effect of each adjustment was determined based on the tax effect of the jurisdiction in which the related pre-tax adjustment was recorded. These adjustments are irregular in timing and may not be indicative of our past and future performance. The following are examples of the types of adjustments that may be included in a period:
1.Acquisition and integration-related costs. Costs related to integrating recently acquired businesses (e.g., costs associated with the termination of sales relationships, employee retention and workforce reductions, manufacturing integration costs and other integration-related activities), changes in the fair value of contingent consideration, amortization of inventory stepped-up to fair value, specific costs (e.g., deal costs and costs associated with legal entity rationalization) related to the consummation of the acquisition process and legal entity rationalization and acquisition-related tax items.
2.Amortization of purchased intangible assets. Periodic amortization expense related to purchased intangible assets.
3.Structural optimization and other special charges. Costs associated with employee retention and workforce reductions, the closure or transfer of manufacturing and other facilities (e.g., site closure costs, contract termination costs and redundant employee costs during the work transfers), product line exits (primarily inventory, long-lived
Dollar amounts are in millions except per share amounts or as otherwise specified.
13

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
asset and specifically-identified intangible asset write-offs), certain long-lived and intangible asset write-offs and impairments and other charges.
4.Medical device regulations. Costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the new medical device reporting regulations and other requirements of the European Union.
5.Recall-related matters. Changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve the Rejuvenate, LFIT V40, Wright legacy hip products and other product recalls.
6.Regulatory and legal matters. Changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
7.Tax matters. Impact of accounting for certain significant and discrete tax items.
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, selling, general and administrative expenses, research, development and engineering expenses, operating income, other income (expense), net, income taxes, effective income tax rate, net earnings and net earnings per diluted share, the most directly comparable GAAP financial measures. These non-GAAP financial measures are an additional way of viewing aspects of our operations when viewed with our GAAP results and the reconciliations to corresponding GAAP financial measures at the end of the discussion of Consolidated Results of
Operations below. We strongly encourage investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.
The weighted-average diluted shares outstanding used in the calculation of adjusted net earnings per diluted share are the same as those used in the calculation of reported net earnings per diluted share for the respective period.


























Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures
Three Months 2024Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
Reported$3,416 $1,847 $363 $1,051 $(53)$173 $825 17.3 %$2.14 
Reported percent net sales63.0 %34.1 %6.7 %19.4 %(1.0)%nm15.2 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value— — — 0.1 0.02 
Other acquisition and integration-related (a)— (14)— 14 — 12 0.1 0.03 
Amortization of purchased intangible assets— — — 155 — 32 123 0.8 0.33 
Structural optimization and other special charges (b)40 (35)— 75 — 17 58 0.5 0.15 
Medical device regulations (c)— (11)15 — 11 0.1 0.02 
Recall-related matters (d)11 (6)— 17 — 13 0.1 0.03 
Regulatory and legal matters (e)— — (2)— (1)(1)— — 
Tax matters (f)— — — — (1)(38)37 (3.8)0.09 
Adjusted$3,480 $1,794 $352 $1,334 $(54)$195 $1,085 15.2 %$2.81 
Adjusted percent net sales64.2 %33.1 %6.5 %24.6 %(1.0)%nm20.0 %
Dollar amounts are in millions except per share amounts or as otherwise specified.
14

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
Three Months 2023Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
Reported$3,181 $1,709 $346 $965 $(66)$161 $738 17.9 %$1.93 
Reported percent net sales63.7 %34.2 %6.9 %19.3 %(1.3)%nm14.8 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value— — — — — — — — — 
Other acquisition and integration-related (a)— (2)— — — 0.1 — 
Amortization of purchased intangible assets— — — 161 — 34 127 1.1 0.33 
Structural optimization and other special charges (b)(63)— 72 — 17 55 0.7 0.14 
Medical device regulations (c)— — (27)27 — 19 0.4 0.05 
Recall-related matters (d)— (3)— — — 0.01 
Regulatory and legal matters (e)— 14 — (14)— (3)(11)(0.1)(0.03)
Tax matters (f)— — — — — (46)46 (4.9)0.11 
Adjusted$3,190 $1,655 $319 $1,216 $(66)$174 $976 15.2 %$2.54 
Adjusted percent net sales63.9 %33.1 %6.4 %24.3 %(1.3)%nm19.5 %

(a) Charges represent certain acquisition and integration-related costs associated with acquisitions, including:
Three Months
20242023
Termination of sales relationships$$— 
Employee retention and workforce reductions— 
Changes in the fair value of contingent consideration(2)
Manufacturing integration costs— 
Other integration-related activities
Adjustments to Operating Income $14 $2 
Adjustments to Income Taxes$2 $2 
Adjustments to Net Earnings$12 $ 

(b) Structural optimization and other special charges represent the costs associated with:
Three Months
20242023
Employee retention and workforce reductions$$47 
Closure/transfer of manufacturing and other facilities10 12 
Product line exits15 
Certain long-lived and intangible asset write-offs and impairments
Termination of sales relationships in certain countries— 
Other charges39 
Adjustments to Operating Income $75 $72 
Adjustments to Income Taxes$17 $17 
Adjustments to Net Earnings$58 $55 

(c) Charges represent the costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the medical device reporting regulations and other requirements of the new medical device regulations in the European Union.
(d) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve certain recall-related matters.
(e) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
(f) Benefits / (charges) represent the accounting impact of certain significant and discrete tax items, including:
Three Months
20242023
Adjustments related to the transfer of certain intellectual properties between tax jurisdictions$(47)$(47)
Certain tax audit settlements(2)(4)
Other tax matters115
Adjustments to Income Taxes$(38)$(46)
Benefits for certain tax audit settlements(1)
Adjustments to Other Income (Expense), Net$(1)$ 
Adjustments to Net Earnings$37 $46 
Dollar amounts are in millions except per share amounts or as otherwise specified.
15

STRYKER CORPORATION
2024 Second Quarter Form 10-Q
Six Months 2024Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
Reported$6,749 $3,687 $731 $2,023 $(102)$308 $1,613 16.0 %$4.19 
Reported percent net sales63.3 %34.6 %6.9 %19.0 %(1.0)%nm15.1 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value— — — 0.1 0.02 
Other acquisition and integration-related (a)— (1)— — (2)0.2 (0.01)
Amortization of purchased intangible assets— — — 308 — 64 244 1.1 0.64 
Structural optimization and other special charges (b)43 (46)— 89 — 20 69 0.4 0.18 
Medical device regulations (c)— (23)28 — 21 0.1 0.05 
Recall-related matters (d)11 (11)— 22 — 17 0.1 0.04 
Regulatory and legal matters (e)— — — — — — — — — 
Tax matters (f)— — — — (1)(79)78 (4.1)0.20 
Adjusted$6,817 $3,629 $708 $2,480 $(103)$330 $2,047 13.9 %$5.31 
Adjusted percent net sales63.9 %34.0 %6.6 %23.3 %(1.0)%nm19.2 %
Six Months 2023Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
Reported$6,197 $3,490 $685 $1,700 $(122)$248 $1,330 15.7 %$3.47 
Reported percent net sales63.4 %35.7 %7.0 %17.4 %(1.2)%nm13.6 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value— — — — — — — — — 
Other acquisition and integration-related (a)— (8)— — 0.1 0.01 
Amortization of purchased intangible assets— — — 322 — 68 254 1.4 0.66 
Structural optimization and other special charges (b)11 (103)— 114 — 25 89 0.6 0.23 
Medical device regulations (c)— — (55)55 — 13 42 0.3 0.11 
Recall-related matters (d)— (3)— — — 0.01 
Regulatory and legal matters (e)— (20)— 20 — 17 — 0.04 
Tax matters (f)— — — — (9)(66)57 (4.0)0.15 
Adjusted$6,208 $3,356 $630 $2,222 $(131)$295 $1,796 14.1 %$4.68 
Adjusted percent net sales63.5 %34.3 %6.4 %22.7 %(1.3)%nm18.4 %

(a) Charges represent certain acquisition and integration-related costs associated with acquisitions, including:
Six Months
20242023
Termination of sales relationships$$— 
Employee retention and workforce reductions— 
Changes in the fair value of contingent consideration(14)(3)
Manufacturing integration costs
Other integration-related activities
Adjustments to Operating Income $1 $8 
Adjustments to Income Taxes$3 $3 
Adjustments to Net Earnings$(2)$5 

(b) Structural optimization and other special charges represent the costs associated with:
Six Months
20242023
Employee retention and workforce reductions$$68 
Closure/transfer of manufacturing and other facilities16 24 
Product line exits15 
Certain long-lived and intangible asset write-offs and impairments10 
Termination of sales relationships in certain countries— 
Other charges45 10 
Adjustments to Operating Income $89 $114 
Adjustments to Income Taxes$20 $25 
Adjustments to Net Earnings$69 $89 

(c) Charges represent the costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the medical device reporting regulations and other requirements of the new medical device regulations in the European Union.
(d) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve certain recall-related matters.
(e) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
(f) Benefits / (charges) represent the accounting impact of certain significant and discrete tax items, including:
Dollar amounts are in millions except per share amounts or as otherwise specified.
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STRYKER CORPORATION
2024 Second Quarter Form 10-Q
Six Months
20242023
Adjustments related to the transfer of certain intellectual properties between tax jurisdictions$(94)$(94)
Certain tax audit settlements(2)24
Other tax matters174
Adjustments to Income Taxes$(79)$(66)
Benefits for certain tax audit settlements(1)(9)
Adjustments to Other Income (Expense), Net$(1)$(9)
Adjustments to Net Earnings$78 $57 
FINANCIAL CONDITION AND LIQUIDITY
Six Months
Net cash provided by (used in):20242023
Operating activities$837 $1,133 
Investing activities(525)(665)
Financing activities(1,384)(886)
Effect of exchange rate changes(25)(25)
Change in cash and cash equivalents$(1,097)$(443)
Operating Activities
Cash provided by operating activities was $837 and $1,133 in the six months 2024 and 2023. The decrease was primarily due to the timing of payments and collections in working capital accounts partially offset by higher net earnings.
Investing Activities    
Cash used in investing activities was $525 and $665 in the six months 2024 and 2023. The six months 2024 included cash paid for the SERF acquisition partially offset by proceeds from the settlement of certain foreign currency forward contracts designated as net investment hedges. The six months 2023 included cash paid for the Cerus acquisition. Refer to Notes 4 and 7 to our Consolidated Financial Statements for further information on derivative instruments and acquisitions.
Financing Activities
Cash used in financing activities was $1,384 and $886 in the six months 2024 and 2023. Cash used in 2024 was primarily comprised of the repayment of the outstanding $600 principal amount of maturing senior unsecured notes, dividend payments of $609 and cash paid for taxes on withheld shares of $127. Cash used in 2023 was primarily driven by a repayment of $200 on the term loan used to fund the acquisition of Vocera, dividend payments of $569 and cash paid for taxes on withheld shares of $111.
We did not repurchase any shares in the six months 2024 and 2023.
Liquidity
Cash, cash equivalents and marketable securities were $1,957 and $3,053 on June 30, 2024 and December 31, 2023. Current assets exceeded current liabilities by $4,719 and $4,597 on June 30, 2024 and December 31, 2023. We anticipate being able to support our short-term liquidity and operating needs from a variety of sources including cash from operations, commercial paper and existing credit lines.
We have raised funds in the capital markets and have accessed the credit markets in the past and may continue to do so from time-to-time. We continue to have strong investment-grade short-term and long-term debt ratings that we believe should enable us to refinance our debt as needed.
Our cash, cash equivalents and marketable securities held in locations outside the United States was 31% on June 30, 2024 compared to 25% on December 31, 2023.
CRITICAL ACCOUNTING POLICIES AND ESTIMATES
There were no changes to our critical accounting policies and estimates from those disclosed in our Annual Report on Form 10-K for 2023.
New Accounting Pronouncements Not Yet Adopted
Refer to Note 1 to our Consolidated Financial Statements for information.
Guarantees and Other Off-Balance Sheet Arrangements
We do not have guarantees or other off-balance sheet financing arrangements, including variable interest entities, of a magnitude that we believe could have a material impact on our financial condition or liquidity.
OTHER MATTERS
Legal and Regulatory Matters
We are involved in various ongoing proceedings, legal actions and claims arising in the normal course of our business, including proceedings related to product, labor, intellectual property and other matters. Refer to Note 6 to our Consolidated Financial Statements for further information.
FORWARD-LOOKING STATEMENTS
This report contains statements that are not historical facts and are considered "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These statements are based on current projections about operations, industry conditions, financial condition and liquidity. Words that identify forward-looking statements include, without limitation, words such as "may," "could," "will," "should," "possible," "plan," "predict," "forecast," "potential," "anticipate," "estimate," "expect," "project," "intend," "believe," "may impact," "on track," "goal," "strategy" and words and terms of similar substance used in connection with any discussion of future operating or financial performance, an acquisition or our businesses. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. Those statements are not guarantees and are subject to risks, uncertainties and assumptions that are difficult to predict. Therefore, actual results could differ materially and adversely from these forward-looking statements, historical experience or our present expectations. Some important factors that could cause our actual results to differ from our expectations in any forward-looking statements include the risks discussed in Item 1A. "Risk Factors" of our Annual Report on Form 10-K for 2023. This Form 10-Q should be read in conjunction with our Consolidated Financial Statements and accompanying notes to our Consolidated Financial Statements in our Annual Report on Form 10-K for 2023. While we believe that the assumptions underlying such forward-looking statements are reasonable, there can be no assurance that future events or developments will not cause such statements to be inaccurate. All forward-looking statements contained in this report are qualified in their entirety by this cautionary statement. We expressly disclaim any intention or obligation to publicly update or revise any forward-
Dollar amounts are in millions except per share amounts or as otherwise specified.
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STRYKER CORPORATION
2024 Second Quarter Form 10-Q
looking statement to reflect any change in our expectations or in events, conditions or circumstances on which those expectations may be based, or that affect the likelihood that actual results will differ from those contained in the forward-looking statements.
ITEM 3.QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We consider our greatest potential area of market risk exposure to be exchange rate risk on our operating results. Quantitative and qualitative disclosures about exchange rate risk are included in Item 7A "Quantitative and Qualitative Disclosures About Market Risk" of our Annual Report on Form 10-K for 2023. There were no material changes from the information provided therein.
ITEM 4.CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of the Chief Executive Officer and Chief Financial Officer (the Certifying Officers), evaluated the effectiveness of the Company's disclosure controls and procedures (as defined in Rules 13a-15(e) or 15d-15(e) promulgated under the Securities Exchange Act of 1934, as amended) on June 30, 2024. Based on that evaluation, the Certifying Officers concluded the Company's disclosure controls and procedures were effective as of June 30, 2024.
Changes in Internal Control Over Financial Reporting
There was no change to our internal control over financial reporting during the six months 2024 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
PART II – OTHER INFORMATION
ITEM 1A.RISK FACTORS
We are not aware of any material changes to the risk factors included in Item 1A. "Risk Factors" in our Annual Report on Form 10-K for 2023.
ITEM 2.UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
We issued 4,416 shares of our common stock in the three months 2024 as performance incentive awards to employees. These shares are not registered under the Securities Act of 1933 based on the conclusion that the awards would not be events of sale within the meaning of Section 2(a)(3) of the Act.
In March 2015 we announced that our Board of Directors had authorized us to purchase up to $2,000 of our common stock. The manner, timing and amount of repurchases are determined by management based on an evaluation of market conditions, stock price, and other factors and are subject to regulatory considerations. Purchases are made from time-to-time in the open market, in privately negotiated transactions or otherwise.
In the six months 2024 we did not repurchase any shares of our common stock under our authorized repurchase program. The total dollar value of shares of our common stock that could be acquired under our authorized repurchase program was $1,033 as of June 30, 2024.
ITEM 5.OTHER INFORMATION
Certain of our officers or directors have made elections to participate in, and are participating in, our employee stock purchase plan and 401(k) plan and have made, and may from time to time make, elections to have shares withheld to cover withholding taxes due or pay the exercise price of stock options, restricted stock units and performance stock units, which may constitute non-Rule 10b5–1 trading arrangements (as defined in Item 408(c) of Regulation S-K).
On May 22, 2024 M. Kathryn Fink, our Vice President, Chief Human Resources Officer, adopted a trading plan intended to satisfy the affirmative defense conditions of Rule 10b5-1(c) under the Exchange Act for the sale of shares of Stryker common stock. The plan terminates on the earlier of the close of trading on May 1, 2025 or the date the maximum aggregate number of shares to be sold under the plan is sold, subject to early termination for certain specified events set forth in the plan. The maximum aggregate number of shares to be sold under the plan is 9,468 shares.
ITEM 6.EXHIBITS
10(i)*†
10(ii)†
31(i)†
31(ii)†
32(i)††
32(ii)††
101.INSiXBRL Instance Document
101.SCHiXBRL Schema Document
101.CALiXBRL Calculation Linkbase Document
101.DEFiXBRL Definition Linkbase Document
101.LABiXBRL Label Linkbase Document
101.PREiXBRL Presentation Linkbase Document
104Cover Page Interactive Data File (the cover page XBRL tags are embedded within the Inline XBRL document)
* Compensation arrangement
† Filed with this Form 10-Q
†† Furnished with this Form 10-Q
Dollar amounts are in millions except per share amounts or as otherwise specified.
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STRYKER CORPORATION
2024 Second Quarter Form 10-Q
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
STRYKER CORPORATION
(Registrant)
Date:July 31, 2024/s/ KEVIN A. LOBO
Kevin A. Lobo
Chair, Chief Executive Officer and President
Date:July 31, 2024/s/ GLENN S. BOEHNLEIN
Glenn S. Boehnlein
Vice President, Chief Financial Officer
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