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 September 30, 2022March 31, 2023
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.)
2825 Airview Boulevard Kalamazoo,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
1.125% Notes due 2023SYK23New York Stock Exchange
0.250% Notes due 2024SYK24ANew York Stock Exchange
2.125% Notes due 2027SYK27New 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 filerAccelerated filerEmerging growth company
Non-accelerated filerSmall 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 378,429,929379,608,166 shares of Common Stock, $0.10 par value, on September 30, 2022.March 31, 2023.

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
PART I – FINANCIAL INFORMATION
ITEM 1.FINANCIAL STATEMENTS
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF EARNINGS (Unaudited)
Three MonthsNine MonthsThree Months
202220212022202120232022
Net salesNet sales$4,479 $4,160 $13,247 $12,407 Net sales$4,778 $4,275 
Cost of salesCost of sales1,697 1,518 4,905 4,484 Cost of sales1,762 1,541 
Gross profitGross profit$2,782 $2,642 $8,342 $7,923 Gross profit$3,016 $2,734 
Research, development and engineering expensesResearch, development and engineering expenses364 306 1,128 904 Research, development and engineering expenses339 413 
Selling, general and administrative expensesSelling, general and administrative expenses1,455 1,602 4,704 4,682 Selling, general and administrative expenses1,781 1,710 
Recall charges(4)16 14 98 
Recall charges, netRecall charges, net— 14 
Amortization of intangible assetsAmortization of intangible assets159 144 469 474 Amortization of intangible assets161 150 
Total operating expensesTotal operating expenses$1,974 $2,068 $6,315 $6,158 Total operating expenses$2,281 $2,287 
Operating incomeOperating income$808 $574 $2,027 $1,765 Operating income$735 $447 
Other income (expense), netOther income (expense), net(79)(105)(241)Other income (expense), net(56)(61)
Earnings before income taxesEarnings before income taxes$816 $495 $1,922 $1,524 Earnings before income taxes$679 $386 
Income taxesIncome taxes— 57 127 192 Income taxes87 63 
Net earningsNet earnings$816 $438 $1,795 $1,332 Net earnings$592 $323 
Net earnings per share of common stock:Net earnings per share of common stock:Net earnings per share of common stock:
BasicBasic$2.16 $1.17 $4.75 $3.54 Basic$1.56 $0.86 
DilutedDiluted$2.14 $1.14 $4.70 $3.48 Diluted$1.54 $0.84 
Weighted-average shares outstanding (in millions):Weighted-average shares outstanding (in millions):Weighted-average shares outstanding (in millions):
BasicBasic378.4 377.1 378.1 376.8 Basic379.0 377.7 
Effect of dilutive employee stock compensationEffect of dilutive employee stock compensation3.4 5.6 4.1 5.5 Effect of dilutive employee stock compensation4.2 5.0 
DilutedDiluted381.8 382.7 382.2 382.3 Diluted383.2 382.7 
Cash dividends declared per share of common stockCash dividends declared per share of common stock$0.695 $0.63 $2.085 $1.89 Cash dividends declared per share of common stock$0.750 $0.695 
Anti-dilutive shares excluded from the calculation of dilutive employee stock options were 5.0 for the three months 2022 and 4.2 for the nine months 2022 and de minimis in all other periods.


CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited)
Three MonthsNine MonthsThree Months
202220212022202120232022
Net earningsNet earnings$816 $438 $1,795 $1,332 Net earnings$592 $323 
Other comprehensive income (loss), net of tax:Other comprehensive income (loss), net of tax:Other comprehensive income (loss), net of tax:
Marketable securitiesMarketable securities— (1)Marketable securities— (1)
Pension plansPension plans10 17 Pension plans(2)(1)
Unrealized gains (losses) on designated hedgesUnrealized gains (losses) on designated hedges33 43 Unrealized gains (losses) on designated hedges(9)
Financial statement translationFinancial statement translation179 112 393 287 Financial statement translation(73)53 
Total other comprehensive income (loss), net of taxTotal other comprehensive income (loss), net of tax$197 $127 $442 $341 Total other comprehensive income (loss), net of tax$(84)$52 
Comprehensive incomeComprehensive income$1,013 $565 $2,237 $1,673 Comprehensive income$508 $375 

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

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
CONSOLIDATED BALANCE SHEETS
September 30December 31March 31December 31
2022202120232022
(Unaudited)(Unaudited)
AssetsAssetsAssets
Current assetsCurrent assetsCurrent assets
Cash and cash equivalentsCash and cash equivalents$1,420 $2,944 Cash and cash equivalents$1,671 $1,844 
Marketable securitiesMarketable securities77 75 Marketable securities86 84 
Accounts receivable, less allowance of $150 ($167 in 2021)3,103 3,022 
Accounts receivable, less allowance of $180 ($154 in 2022)Accounts receivable, less allowance of $180 ($154 in 2022)3,215 3,565 
Inventories:Inventories:Inventories:
Materials and suppliesMaterials and supplies852 691 Materials and supplies1,144 1,006 
Work in processWork in process309 264 Work in process366 348 
Finished goodsFinished goods2,722 2,359 Finished goods2,823 2,641 
Total inventoriesTotal inventories$3,883 $3,314 Total inventories$4,333 $3,995 
Prepaid expenses and other current assetsPrepaid expenses and other current assets835 662 Prepaid expenses and other current assets850 787 
Total current assetsTotal current assets$9,318 $10,017 Total current assets$10,155 $10,275 
Property, plant and equipment:Property, plant and equipment:Property, plant and equipment:
Land, buildings and improvementsLand, buildings and improvements1,665 1,656 Land, buildings and improvements1,770 1,739 
Machinery and equipmentMachinery and equipment3,869 3,842 Machinery and equipment4,200 4,066 
Total property, plant and equipmentTotal property, plant and equipment$5,534 $5,498 Total property, plant and equipment$5,970 $5,805 
Less accumulated depreciation2,736 2,665 
Less allowance for depreciationLess allowance for depreciation2,933 2,835 
Property, plant and equipment, netProperty, plant and equipment, net$2,798 $2,833 Property, plant and equipment, net$3,037 $2,970 
GoodwillGoodwill14,993 12,918 Goodwill14,849 14,880 
Other intangibles, netOther intangibles, net5,053 4,840 Other intangibles, net4,779 4,885 
Noncurrent deferred income tax assetsNoncurrent deferred income tax assets1,390 1,760 Noncurrent deferred income tax assets1,443 1,410 
Other noncurrent assetsOther noncurrent assets2,431 2,263 Other noncurrent assets2,567 2,464 
Total assetsTotal assets$35,983 $34,631 Total assets$36,830 $36,884 
Liabilities and shareholders' equityLiabilities and shareholders' equityLiabilities and shareholders' equity
Current liabilitiesCurrent liabilitiesCurrent liabilities
Accounts payableAccounts payable$1,213 $1,129 Accounts payable$1,366 $1,413 
Accrued compensationAccrued compensation927 1,092 Accrued compensation713 1,149 
Income taxesIncome taxes243 192 Income taxes371 292 
Dividends payableDividends payable263 263 Dividends payable285 284 
Accrued product liabilitiesAccrued product liabilities391 401 Accrued product liabilities227 230 
Accrued expenses and other liabilitiesAccrued expenses and other liabilities1,526 1,465 Accrued expenses and other liabilities1,700 1,744 
Current maturities of debtCurrent maturities of debtCurrent maturities of debt1,204 1,191 
Total current liabilitiesTotal current liabilities$4,571 $4,549 Total current liabilities$5,866 $6,303 
Long-term debt, excluding current maturitiesLong-term debt, excluding current maturities12,751 12,472 Long-term debt, excluding current maturities11,857 11,857 
Income taxesIncome taxes621 913 Income taxes625 641 
Other noncurrent liabilitiesOther noncurrent liabilities1,577 1,820 Other noncurrent liabilities1,587 1,467 
Total liabilitiesTotal liabilities$19,520 $19,754 Total liabilities$19,935 $20,268 
Shareholders' equityShareholders' equityShareholders' equity
Common stock, $0.10 par valueCommon stock, $0.10 par value38 38 Common stock, $0.10 par value38 38 
Additional paid-in capitalAdditional paid-in capital2,028 1,890 Additional paid-in capital2,090 2,034 
Retained earningsRetained earnings14,486 13,480 Retained earnings15,072 14,765 
Accumulated other comprehensive lossAccumulated other comprehensive loss(89)(531)Accumulated other comprehensive loss(305)(221)
Total shareholders' equityTotal shareholders' equity$16,463 $14,877 Total shareholders' equity$16,895 $16,616 
Total liabilities and shareholders' equityTotal liabilities and shareholders' equity$35,983 $34,631 Total liabilities and shareholders' equity$36,830 $36,884 

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

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (Unaudited)
Three MonthsNine MonthsThree Months
202220212022202120232022
Common stock shares outstanding (in millions)Common stock shares outstanding (in millions)Common stock shares outstanding (in millions)
BeginningBeginning378.3 377.1 377.5 376.1 Beginning378.7 377.5 
Issuance of common stock under stock compensation and benefit plansIssuance of common stock under stock compensation and benefit plans0.1 0.1 0.9 1.1 Issuance of common stock under stock compensation and benefit plans0.9 0.7 
EndingEnding378.4 377.2 378.4 377.2 Ending379.6 378.2 
Common stockCommon stockCommon stock
BeginningBeginning$38 $38 $38 $38 Beginning$38 $38 
Issuance of common stock under stock compensation and benefit plansIssuance of common stock under stock compensation and benefit plans— — — — Issuance of common stock under stock compensation and benefit plans— — 
EndingEnding$38 $38 $38 $38 Ending$38 $38 
Additional paid-in capitalAdditional paid-in capitalAdditional paid-in capital
BeginningBeginning$1,989 $1,844 $1,890 $1,741 Beginning$2,034 $1,890 
Issuance of common stock under stock compensation and benefit plansIssuance of common stock under stock compensation and benefit plans(3)(2)(7)Issuance of common stock under stock compensation and benefit plans(18)(14)
Share-based compensationShare-based compensation33 34 140 141 Share-based compensation74 71 
EndingEnding$2,028 $1,875 $2,028 $1,875 Ending$2,090 $1,947 
Retained earningsRetained earningsRetained earnings
BeginningBeginning$13,933 $12,881 $13,480 $12,462 Beginning$14,765 $13,480 
Net earningsNet earnings816 438 1,795 1,332 Net earnings592 323 
Cash dividends declaredCash dividends declared(263)(238)(789)(713)Cash dividends declared(285)(263)
EndingEnding$14,486 $13,081 $14,486 $13,081 Ending$15,072 $13,540 
Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)
BeginningBeginning$(286)$(943)$(531)$(1,157)Beginning$(221)$(531)
Other comprehensive income (loss)Other comprehensive income (loss)197 127 442 341 Other comprehensive income (loss)(84)52 
EndingEnding$(89)$(816)$(89)$(816)Ending$(305)$(479)
Total shareholders' equityTotal shareholders' equity$16,463 $14,178 $16,463 $14,178 Total shareholders' equity$16,895 $15,046 

See accompanying notes to Consolidated Financial Statements.


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

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
Nine MonthsThree Months
2022202120232022
Operating activitiesOperating activitiesOperating activities
Net earningsNet earnings$1,795 $1,332 Net earnings$592 $323 
Adjustments to reconcile net earnings to net cash provided by operating activities:Adjustments to reconcile net earnings to net cash provided by operating activities:Adjustments to reconcile net earnings to net cash provided by operating activities:
DepreciationDepreciation276 278 Depreciation96 92 
Amortization of intangible assetsAmortization of intangible assets469 474 Amortization of intangible assets161 150 
Asset impairmentsAsset impairments18 119 Asset impairments— 
Share-based compensationShare-based compensation140 141 Share-based compensation74 71 
Recall charges14 98 
Recall charges, netRecall charges, net— 14 
Sale of inventory stepped-up to fair value at acquisitionSale of inventory stepped-up to fair value at acquisition12 231 Sale of inventory stepped-up to fair value at acquisition— 
Changes in operating assets and liabilities:Changes in operating assets and liabilities:Changes in operating assets and liabilities:
Accounts receivableAccounts receivable(186)(145)Accounts receivable365 53 
InventoriesInventories(754)(231)Inventories(314)(229)
Accounts payableAccounts payable111 134 Accounts payable(56)(52)
Accrued expenses and other liabilitiesAccrued expenses and other liabilities184 Accrued expenses and other liabilities(405)(348)
Recall-related paymentsRecall-related payments(26)(180)Recall-related payments(14)(9)
Income taxesIncome taxes(262)(193)Income taxes23 (3)
Other, netOther, net21 Other, net(79)136 
Net cash provided by operating activitiesNet cash provided by operating activities$1,621 $2,263 Net cash provided by operating activities$445 $203 
Investing activitiesInvesting activitiesInvesting activities
Acquisitions, net of cash acquiredAcquisitions, net of cash acquired(2,563)(226)Acquisitions, net of cash acquired— (2,563)
Purchases of marketable securitiesPurchases of marketable securities(43)(38)Purchases of marketable securities(28)(9)
Proceeds from sales of marketable securitiesProceeds from sales of marketable securities40 43 Proceeds from sales of marketable securities25 11 
Purchases of property, plant and equipmentPurchases of property, plant and equipment(400)(319)Purchases of property, plant and equipment(130)(119)
Proceeds from settlement of net investment hedges197 — 
Other investing, netOther investing, net(5)Other investing, net(2)
Net cash used in investing activitiesNet cash used in investing activities$(2,762)$(545)Net cash used in investing activities$(132)$(2,682)
Financing activitiesFinancing activitiesFinancing activities
Proceeds (payments) on short-term borrowings, netProceeds (payments) on short-term borrowings, net(376)Proceeds (payments) on short-term borrowings, net(2)(170)
Proceeds from issuance of long-term debtProceeds from issuance of long-term debt1,500 Proceeds from issuance of long-term debt— 1,500 
Payments on long-term debtPayments on long-term debt(502)(1,151)Payments on long-term debt(100)— 
Payments of dividendsPayments of dividends(788)(713)Payments of dividends(284)(262)
Cash paid for taxes from withheld sharesCash paid for taxes from withheld shares(89)(88)Cash paid for taxes from withheld shares(94)(72)
Other financing, netOther financing, net(48)(137)Other financing, net(1)(3)
Net cash provided by (used in) financing activitiesNet cash provided by (used in) financing activities$(303)$(2,077)Net cash provided by (used in) financing activities$(481)$993 
Effect of exchange rate changes on cash and cash equivalentsEffect of exchange rate changes on cash and cash equivalents(80)(21)Effect of exchange rate changes on cash and cash equivalents(5)— 
Change in cash and cash equivalentsChange in cash and cash equivalents$(1,524)$(380)Change in cash and cash equivalents$(173)$(1,486)
Cash and cash equivalents at beginning of periodCash and cash equivalents at beginning of period2,944 2,943 Cash and cash equivalents at beginning of period1,844 2,944 
Cash and cash equivalents at end of periodCash and cash equivalents at end of period$1,420 $2,563 Cash and cash equivalents at end of period$1,671 $1,458 

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

STRYKER CORPORATION2022 Third2023 First 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 September 30, 2022March 31, 2023 and the results of operations for the three and nine months 2022.2023. 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 2021.2022. Certain immaterial reclassifications have been made to prior year's segment operating income to conform with current year presentation in our Consolidated Financial Statements.
New Accounting Pronouncements Not Yet Adopted
We evaluate all Accounting Standards Updates (ASUs) issued by the Financial Accounting Standards Board (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.
In September 2022 the FASB issued ASU 2022-04, Liabilities - Supplier Finance Programs: Disclosure of Supplier Finance Program Obligations, which requires entities that utilize supplier finance programs in connection with the purchase of goods and services to disclose information about the key terms of the programs, a rollforward of the obligations under the programs and where those obligations are presented in the balance sheet. The new disclosure requirements are effective for fiscal years beginning after December 15, 2022, including interim periods within those fiscal years. Early adoption is permitted. We are currently evaluating these new expanded disclosure requirements.
New Accounting Pronouncements Recently Adopted
On January 1, 2022 we adopted ASU 2021-08, Business Combinations: Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. This update requires an entity to recognize and measure contract assets and contract liabilities acquired in a business combination in accordance with Accounting Standards Codification 606, Revenue from Contracts with Customers. The adoption of this update did not 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 2021.2022.
We disaggregate our net sales by product linebusiness 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 of 2023, we consolidated Other MedSurg and Neurotechnology into Endoscopy as Other MedSurg and Neurotechnology (primarily Sustainability Solutions) has been fully integrated into our Endoscopy business. Endoscopy includes sales related to Other of $81 and $69 for the three months 2023 and 2022. We have reflected these changes in all historical periods presented.
Net Sales by Business
Three Months
20232022
MedSurg and Neurotechnology:
Instruments$575 $528 
Endoscopy698 607 
Medical778 664 
Neurovascular284 301 
Neuro Cranial355 323 
$2,690 $2,423 
Orthopaedics and Spine:
Knees$566 $464 
Hips375 327 
Trauma and Extremities769 685 
Spine284 279 
Other94 97 
$2,088 $1,852 
Total$4,778 $4,275 
Net Sales by Product Line
Net Sales by GeographyNet Sales by Geography
Three MonthsNine MonthsThree Months 2023Three Months 2022
2022202120222021United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:MedSurg and Neurotechnology:MedSurg and Neurotechnology:
InstrumentsInstruments$535 $525 $1,626 $1,511 Instruments$450 $125 $414 $114 
EndoscopyEndoscopy590 525 1,728 1,512 Endoscopy564 134 486 121 
MedicalMedical765 636 2,095 1,898 Medical612 166 525 139 
NeurovascularNeurovascular294 295 901 885 Neurovascular118 166 110 191 
Neuro CranialNeuro Cranial332 299 992 890 Neuro Cranial289 66 264 59 
Other72 69 218 203 
$2,588 $2,349 $7,560 $6,899 $2,033 $657 $1,799 $624 
Orthopaedics and Spine:Orthopaedics and Spine:Orthopaedics and Spine:
KneesKnees$481 $439 $1,445 $1,325 Knees$416 $150 $345 $119 
HipsHips347 328 1,038 990 Hips236 139 202 125 
Trauma and ExtremitiesTrauma and Extremities672 639 2,033 1,953 Trauma and Extremities554 215 487 198 
SpineSpine280 282 849 867 Spine212 72 200 79 
OtherOther111 123 322 373 Other61 33 72 25 
$1,891 $1,811 $5,687 $5,508 $1,479 $609 $1,306 $546 
TotalTotal$4,479 $4,160 $13,247 $12,407 Total$3,512 $1,266 $3,105 $1,170 
Net Sales by Geography
Three Months 2022Three Months 2021
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$425 $110 $415 $110 
Endoscopy480 110 418 107 
Medical625 140 496 140 
Neurovascular110 184 113 182 
Neuro Cranial274 58 244 55 
Other71 68 
$1,985 $603 $1,754 $595 
Orthopaedics and Spine:
Knees$365 $116 $321 $118 
Hips225 122 199 129 
Trauma and Extremities494 178 447 192 
Spine206 74 201 81 
Other85 26 97 26 
$1,375 $516 $1,265 $546 
Total$3,360 $1,119 $3,019 $1,141 
Net Sales by Geography
Nine Months 2022Nine Months 2021
United StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:
Instruments$1,290 $336 $1,171 $340 
Endoscopy1,371 357 1,179 333 
Medical1,686 409 1,457 441 
Neurovascular333 568 339 546 
Neuro Cranial819 173 724 166 
Other214 200 
$5,713 $1,847 $5,070 $1,829 
Orthopaedics and Spine:
Knees$1,078 $367 $964 $361 
Hips657 381 606 384 
Trauma and Extremities1,470 563 1,362 591 
Spine615 234 611 256 
Other243 79 290 83 
$4,063 $1,624 $3,833 $1,675 
Total$9,776 $3,471 $8,903 $3,504 
Contract Assets and Liabilities
On March 31, 2023 and December 31, 2022 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 $757 and $741 on March 31, 2023 and December 31, 2022 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 year were as follows:
March 2023
Beginning contract liabilities$741
Revenue recognized from beginning of year contract liabilities(129)
Net advance consideration received during the period145 
Ending contract liabilities$757
NOTE 3 - ACCUMULATED OTHER COMPREHENSIVE (LOSS) INCOME (AOCI)
Three Months 2023Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$(1)$31 $52 $(303)$(221)
OCI— (99)(94)
Income taxes— (3)(1)32 28 
Reclassifications to:
Cost of sales— — (13)— (13)
Other (income) expense, net— (1)(1)(8)(10)
Income taxes— — 
Net OCI— (2)(9)(73)(84)
Ending$(1)$29 $43 $(376)$(305)
Dollar amounts are in millions except per share amounts or as otherwise specified.5

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
Contract Assets and Liabilities
On September 30, 2022 and December 31, 2021 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. We generally satisfy performance obligations within one year from the contract inception date. Our contract liabilities were $661 and $529 on September 30, 2022 and December 31, 2021.
Three Months 2022Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$ $(155)$40 $(416)$(531)
OCI(1)(4)86 85 
Income taxes— (2)(25)(25)
Reclassifications to:
Other (income) expense, net— (1)(11)(10)
Income taxes— (1)— 
Net OCI(1)(1)53 52 
Ending$(1)$(156)$41 $(363)$(479)
NOTE 3 - ACCUMULATED OTHER COMPREHENSIVE (LOSS) INCOME (AOCI)
Three Months 2022Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$(1)$(148)$65 $(202)$(286)
OCI— 11 19 304 334 
Income taxes— (3)(1)(119)(123)
Reclassifications to:
Cost of sales— — (7)— (7)
Other (income) expense, net— (2)(8)(7)
Income taxes— (1)(1)— 
Net OCI$— $10 $$179 $197 
Ending$(1)$(138)$73 $(23)$(89)
Three Months 2021Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$(3)$(256)$26 $(710)$(943)
OCI71 83 
Income taxes— — (2)47 45 
Reclassifications to:
Cost of sales— — — 
Other (income) expense, net— (2)(8)(6)
Income taxes(1)(1)
Net OCI$$$$112 $127 
Ending$ $(251)$33 $(598)$(816)
Nine Months 2022Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$ $(155)$40 $(416)$(531)
OCI(1)15 55 658 727 
Income taxes— (3)(7)(242)(252)
Reclassifications to:
Cost of sales— — (10)— (10)
Other (income) expense, net— (4)(30)(27)
Income taxes— (2)(1)
Net OCI$(1)$17 $33 $393 $442 
Ending$(1)$(138)$73 $(23)$(89)
Nine Months 2021Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Beginning$(3)$(259)$(10)$(885)$(1,157)
OCI40 269 314 
Income taxes— (2)(13)37 22 
Reclassifications to:
Cost of sales— — — 
Other (income) expense, net— 12 (25)(6)
Income taxes(1)(3)— 
Net OCI$$$43 $287 $341 
Ending$ $(251)$33 $(598)$(816)
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 our 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 2021.2022.
Foreign Currency Hedges
September 2022Cash FlowNet InvestmentNon-DesignatedTotal
March 2023March 2023Cash FlowNet InvestmentNon-DesignatedTotal
Gross notional amountGross notional amount$923 $1,448 $3,137 $5,508 Gross notional amount$1,109 $1,636 $3,268 $6,013 
Maximum term in yearsMaximum term in years4.1Maximum term in years3.6
Fair value:Fair value:Fair value:
Other current assetsOther current assets$45 $— $140 $185 Other current assets$14 $— $$23 
Other noncurrent assetsOther noncurrent assets185 — 188 Other noncurrent assets78 — 79 
Other current liabilitiesOther current liabilities(7)— (10)(17)Other current liabilities(5)— (46)(51)
Other noncurrent liabilitiesOther noncurrent liabilities(1)— — (1)Other noncurrent liabilities— (25)— (25)
Total fair valueTotal fair value$40 $185 $130 $355 Total fair value$10 $53 $(37)$26 
December 2021Cash FlowNet InvestmentNon-DesignatedTotal
December 2022December 2022Cash FlowNet InvestmentNon-DesignatedTotal
Gross notional amountGross notional amount$973 $2,266 $5,512 $8,751 Gross notional amount$1,053 $1,598 $3,417 $6,068 
Maximum term in yearsMaximum term in years4.9Maximum term in years3.9
Fair value:Fair value:Fair value:
Other current assetsOther current assets$15 $39 $92 $146 Other current assets$20 $— $$29 
Other noncurrent assetsOther noncurrent assets65 — 66 Other noncurrent assets89 — 90 
Other current liabilitiesOther current liabilities(7)— (10)(17)Other current liabilities(6)— (79)(85)
Other noncurrent liabilitiesOther noncurrent liabilities(1)(16)— (17)
Total fair valueTotal fair value$9 $104 $82 $195 Total fair value$14 $73 $(70)$17 
We had €1.5 billion and €2.0 billion on September 30, 2022at March 31, 2023 and December 31, 2021 of2022 in certain foreignforward currency forward 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 €4.4 billion on September 30, 2022at March 31, 2023 and December 31, 20212022 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 nine months 2022 we settled certain foreign currency forward contracts designated as net investment hedges resulting in cash proceeds of $197.
The amounts in AOCI related to settled net investment hedges will remain in AOCI until the hedged investment is either sold or substantially liquidated.
On September 30, 2022 the total after taxafter-tax gain (loss) recognized in AOCIOCI related to designated net investment hedges was $603.($106) in the three months 2023.
Dollar amounts are in millions except per share amounts or as otherwise specified.6

STRYKER CORPORATION2022 Third Quarter Form 10-Q
Net Currency Exchange Rate Gains (Losses)
DerivativeDerivativeThree MonthsNine MonthsDerivativeThree Months
instrument:instrument:Recorded in:2022202120222021instrument:Recorded in:20232022
Cash FlowCash FlowCost of sales$$(4)$10 $(9)Cash FlowCost of sales$13 $— 
Net InvestmentNet InvestmentOther income (expense), net30 25 Net InvestmentOther income (expense), net11 
Non-DesignatedNon-DesignatedOther income (expense), net(1)(5)(6)Non-DesignatedOther income (expense), net(4)
Total$14 $(1)$42 $10 Total$17 $12 
Pretax gains (losses) on derivatives designated as cash flow hedges of $50$20 and net investment hedges of $34 recorded in AOCI are expected to be reclassified to cost of sales and other income (expense), net in earnings within 12 months as of September 30, 2022.March 31, 2023. 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 $5 recorded in AOCI related to other 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 September 30, 2022.March 31, 2023. 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 2021.2022.
DuringIn the three monthsthird quarter 2022 we determined that certain commercial and regulatory milestones related to technology acquired in the purchase of Mobius Imaging and Cardan Robotics were no longer probable of being achieved and recorded a $110 reduction in the fair value of contingent consideration reflected in selling, general and administrative expenses.
There were no significant transfers into or out of any level of the fair value hierarchy in 2022.2023.
Assets Measured at Fair ValueAssets Measured at Fair ValueSeptemberDecemberAssets Measured at Fair ValueMarchDecember
2022202120232022
Cash and cash equivalentsCash and cash equivalents$1,420 $2,944 Cash and cash equivalents$1,671 $1,844 
Trading marketable securitiesTrading marketable securities155 193 Trading marketable securities179 166 
Level 1 - AssetsLevel 1 - Assets$1,575 $3,137 Level 1 - Assets$1,850 $2,010 
Available-for-sale marketable securities:Available-for-sale marketable securities:Available-for-sale marketable securities:
Corporate and asset-backed debt securitiesCorporate and asset-backed debt securities$43 $48 Corporate and asset-backed debt securities$41 $42 
Foreign government debt securitiesForeign government debt securitiesForeign government debt securities
United States agency debt securitiesUnited States agency debt securitiesUnited States agency debt securities
United States Treasury debt securities30 19 
United States treasury debt securitiesUnited States treasury debt securities37 36 
Certificates of depositCertificates of depositCertificates of deposit
Total available-for-sale marketable securitiesTotal available-for-sale marketable securities$77 $75 Total available-for-sale marketable securities$86 $84 
Foreign currency exchange forward contractsForeign currency exchange forward contracts373 212 Foreign currency exchange forward contracts102 119 
Level 2 - AssetsLevel 2 - Assets$450 $287 Level 2 - Assets$188 $203 
Total assets measured at fair valueTotal assets measured at fair value$2,025 $3,424 Total assets measured at fair value$2,038 $2,213 
Dollar amounts are in millions except per share amounts or as otherwise specified.6

STRYKER CORPORATION2023 First Quarter Form 10-Q
Liabilities Measured at Fair ValueLiabilities Measured at Fair ValueSeptemberDecemberLiabilities Measured at Fair ValueMarchDecember
2022202120232022
Deferred compensation arrangementsDeferred compensation arrangements$155 $193 Deferred compensation arrangements$179 $166 
Level 1 - LiabilitiesLevel 1 - Liabilities$155 $193 Level 1 - Liabilities$179 $166 
Foreign currency exchange forward contractsForeign currency exchange forward contracts$18 $17 Foreign currency exchange forward contracts$76 $102 
Level 2 - LiabilitiesLevel 2 - Liabilities$18 $17 Level 2 - Liabilities$76 $102 
Contingent consideration:Contingent consideration:Contingent consideration:
BeginningBeginning$306 $393 Beginning$121 $306 
AdditionsAdditions62 Additions— 
Change in estimate(137)(1)
Change in estimate and foreign exchangeChange in estimate and foreign exchange— (137)
SettlementsSettlements(47)(148)Settlements(1)(49)
EndingEnding$123 $306 Ending$120 $121 
Level 3 - LiabilitiesLevel 3 - Liabilities$123 $306 Level 3 - Liabilities$120 $121 
Total liabilities measured at fair valueTotal liabilities measured at fair value$296 $516 Total liabilities measured at fair value$375 $389 
Fair Value of Available for Sale Securities by Maturity
September 2022December 2021March 2023December 2022
Due in one year or lessDue in one year or less$50 $36 Due in one year or less$51 $53 
Due after one year through three yearsDue after one year through three years$27 $39 Due after one year through three years$35 $31 
On September 30, 2022March 31, 2023 and December 31, 20212022 the aggregate difference between the cost and fair value of available-for-sale marketable securities was nominal. Interest on cash and cash equivalents, short-term investments and marketable securities income was $26$14 and $15 in the three months 2023 and $61 and $50 in the nine months 2022, and 2021, 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 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.
In April 2022 the United States District Court for the District of Delaware issued a judgment following a jury verdict in favor of PureWick Corporation (PureWick) for its 2019 complaint seeking patent infringement damages related to our PrimaFit and PrimoFit products. TheFollowing a jury trial, the court awarded damages related to this complaint and we recorded charges of $28 in March 2022. Stryker plans to appeal the results of the trial. In June 2022 PureWick filed a motion to seek enhancementenhance the damages awarded, which the court denied in March 2023. In 2022
PureWick also filed a separate complaint seeking additional patent infringement damages related to our PrimaFit products.
We are currently investigating whether certain business activities in a foreign country violated provisions of the judgmentForeign Corrupt Practices Act (FCPA) and if successful,have engaged outside counsel to conduct this investigation. We have been contacted by the judgment could total approximately $100United States Securities and include an
Dollar amounts are in millions except per share amounts or as otherwise specified.7

STRYKER CORPORATION2022 Third Quarter Form 10-Q
injunction against future sales. We intendExchange Commission and United States Department of Justice and are cooperating with both agencies. At this time we are unable to appealpredict the outcome of this case.the investigation or the potential impact, if any, on our financial statements.
Recall Matters
In June 2012 we voluntarily recalledWe have conducted voluntary recalls of certain products, including our Rejuvenate and ABG II Modular-Neck hip stems and terminated global distribution of these hip products. Product liability lawsuits relating to this voluntary recall have been filed against us. In November 2014 we entered into a settlement agreement to compensate eligible United States patients who had revision surgery prior to November 3, 2014 and in December 2016 the settlement program was extended to patients who had revision surgery prior to December 19, 2016. In September 2020 we entered into a second settlement agreement to compensate eligible United States patients who had revision surgery prior to September 9, 2020. There are remaining lawsuits that we will continue to defend against.
In August 2016 and May 2018 we voluntarily recalled certain lot-specific sizes and offsets of LFIT Anatomic CoCr V40 Femoral Heads. Product liability lawsuits and claims relating to this voluntary recall have been filed against us. In November 2018 we entered into a settlement agreement to resolve a significant number of claims and lawsuits related to the recalls. In April 2022 we executed a second agreement to resolve a significant number of claims and lawsuits related to the recalls. The specific terms of the settlement agreement, including the financial terms, are confidential.
With the acquisition of Wright Medical Group N.V. (Wright) in November 2020,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 will continue to evaluate each claim and the possible loss we may incur.
We have incurred, and expect to incur in the future, costs associated with the defense and settlement of these matters. For the nine months 2022 we have recorded charges of $14 primarilyclaims and lawsuits related to Wright hip products and made payments of $26 primarily related to Rejuvenate and ABG II Modular-Neck hip stems.our recalls. Based on the information that has been received, we have estimated the remaining rangerecorded reserves of $202, representing our best estimate of probable loss related to recall matters globally to be approximately $375 to $510. We have recorded reserves representing the remaining minimum of the range of probable loss.globally. 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.
LeasesLeasesSeptemberDecemberLeasesMarchDecember
2022202120232022
Right-of-use assetsRight-of-use assets$456 $419 Right-of-use assets$489 $473 
Lease liabilities, currentLease liabilities, current$116 $112 Lease liabilities, current$132 $121 
Lease liabilities, non-currentLease liabilities, non-current$349 $310 Lease liabilities, non-current$367 $357 
Other information:Other information:Other information:
Weighted-average remaining lease term5.5 years5.4 years
Weighted-average remaining lease term (years)Weighted-average remaining lease term (years)5.35.5
Weighted-average discount rateWeighted-average discount rate3.09 %2.86 %Weighted-average discount rate3.40 %3.22 %
Three MonthsNine Months
2022202120222021
Operating lease cost$37 $35 $110 $102 
Three Months
20232022
Operating lease cost$38 $31 
NOTE 7 - ACQUISITIONS
We acquire stock in companies and various assets that continue to support our capital deployment and product development strategies. There were no acquisitions in the three months 2023. The aggregate purchase price of our acquisitions, net of cash acquired was $2,563 and $267 in the ninethree months 2022 and 2021.2022.
In February 2022 we completed the acquisition of Vocera Communications, Inc. (Vocera) for $79.25 per share, or an aggregate purchase price of $2.6 billion, net of cash acquired ($3.0 billion including convertible notes). Vocera is a leader in the digital care coordination and communication category. Vocera is part of our Medical business within MedSurg and Neurotechnology. Goodwill attributable to the acquisition reflects the strategic benefits of expanding our presence in adjacent markets, diversifying our product portfolio, advancing innovations, and accelerating our digital aspirations. This goodwill is not deductible for tax purposes.


Dollar amounts are in millions except per share amounts or as otherwise specified.7

STRYKER CORPORATION2023 First Quarter Form 10-Q
In the ninethree months 2022 note holders elected to redeem the 1.50% and 0.50% convertible notes assumed in the Vocera acquisition for $101 and $324. These repayments are classified as financing activities in the Consolidated Statements of Cash Flows.
Share-based awards for Vocera employees vested upon our acquisition and a charge of $132 was recorded in selling, general and administrative expenses in 2022.
Purchase price allocations for our significant acquisitions are:
Purchase Price Allocation of Acquired Net Assets
2022Vocera
Tangible assets and liabilities:acquired:
Accounts receivable$33 
Inventory13 
Deferred income tax assets7391 
Other assets92 
Debt(425)
Deferred income tax liabilities(182)(193)
Other liabilities(115)(117)
Intangible assets:
Customer and distributor relationships550603 
Developed technology and patents178175 
Trade name18 
Goodwill2,3282,273 
Purchase price, net of cash acquired of $281$2,563 
Weighted-average life of intangible assetsWeighted average amortization period at acquisition (years):
Developed technologies136
Customer relationships15
Trademarks9
PurchaseThe purchase price allocationsallocation for Vocera were based on preliminary valuations, primarily relatedwas finalized in the three months 2023 without material adjustments.
On May 2, 2023 we acquired Cerus Endovascular Limited (Cerus) for $300 in cash and up to intangible assets$225 in future milestone payments. Cerus designs, develops and deferred income taxes. Our estimatesmanufactures neurovascular products used for the treatment of hemorrhagic stroke. We plan to integrate Cerus into our Neurovascular business within MedSurg and assumptions are subject to change within the measurement period.Neurotechnology.
Consolidated Estimated Amortization ExpenseConsolidated Estimated Amortization ExpenseConsolidated Estimated Amortization Expense
Remainder of 20222023202420252026
Remainder of 2023Remainder of 20232024202520262027
$159 $617 $587 $567 $510 463 $590 $571 $514 $493 
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 ourOur credit facilities require us to comply with financial and other covenants. We were in compliance with all covenants on September 30, 2022.March 31, 2023.
In February 2022 we entered into a $1.5 billion term loan agreement that matures on February 22, 2025 and bears interest at a base rate based on the Term Secured Overnight Financing Rate (SOFR) plus 0.725%. In the nine months 2022Through March 31, 2023 we have repaid $500$750 on the term loan.
Dollar amounts are in millions except per share amounts or as otherwise specified.8

STRYKER CORPORATION2022 Third Quarter Form 10-Q
In the first quarter of 2022 our Board of Directors approved an increase to the maximum amount of commercial paper that can be outstanding from $1,500 to $2,250.
On September 30, 2022March 31, 2023 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.
Summary of Total DebtSeptember 2022December 2021
RateDue
Senior unsecured notes:
1.125%November 30, 2023$530 $622 
0.600%December 1, 2023599 598 
3.375%May 15, 2024595 593 
0.250%December 3, 2024817 958 
1.150%June 15, 2025647 645 
3.375%November 1, 2025748 748 
3.500%March 15, 2026995 994 
2.125%November 30, 2027720 845 
3.650%March 7, 2028597 597 
0.750%March 1, 2029767 901 
1.950%June 15, 2030991 990 
2.625%November 30, 2030619 727 
1.000%December 3, 2031715 840 
4.100%April 1, 2043392 392 
4.375%May 15, 2044395 395 
4.625%March 15, 2046982 982 
2.900%June 15, 2050642 642 
Term loanFebruary 22, 20251,000 — 
Other10 
Total debt$12,759 $12,479 
Less current maturities of debt
Total long-term debt$12,751 $12,472 
September 2022December 2021
Unamortized debt issuance costs$55 $62 
Borrowing capacity on existing facilities$2,162 $2,162 
Fair value of senior unsecured notes$10,401 $13,391 
Summary of Total DebtMarch 2023December 2022
RateDue
Senior unsecured notes:
1.125%November 30, 2023$599 $585 
0.600%December 1, 2023599 599 
3.375%May 15, 2024597 596 
0.250%December 3, 2024925 903 
1.150%June 15, 2025647 647 
3.375%November 1, 2025748 748 
3.500%March 15, 2026996 995 
2.125%November 30, 2027814 795 
3.650%March 7, 2028597 597 
0.750%March 1, 2029868 848 
1.950%June 15, 2030991 991 
2.625%November 30, 2030701 684 
1.000%December 3, 2031809 790 
4.100%April 1, 2043392 392 
4.375%May 15, 2044395 396 
4.625%March 15, 2046983 983 
2.900%June 15, 2050642 642 
Term loan750 850 
Other
Total debt$13,061 $13,048 
Less current maturities1,204 1,191 
Total long-term debt$11,857 $11,857 
March 2023December 2022
Unamortized debt issuance costs$51 $52 
Borrowing capacity on existing facilities$2,160 $2,162 
Fair value of senior unsecured notes$11,274 $10,910 
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 0.0%12.8% and 6.6%16.3% in the three months 2023 and nine months 2022. InThe effective tax rates for the three months 2023 and 2022 reflect the continued lower effective income tax expense decreased $162 due to the effective settlementrates as a result of the United States federal income tax audit for years 2014 through 2018. In addition, other income (expense), net includes a benefit of $50 related to the release of accrued interest associated with this settlement. The nine months 2022 additionally include the reversal of deferred income tax on undistributed earnings of foreign subsidiaries no longer determined to be indefinitely reinvested. Our effective tax rates of 11.5%our European operations and 12.6% in the three and nine months 2021 include certain discrete tax items.

NOTE 10 - SEGMENT INFORMATION
As previously disclosed, effective December 31, 2021 we changed our reportable business segments to (i) MedSurg and Neurotechnology and (ii) Orthopaedics and Spine to align to our new internal reporting structure. We have reflected these changes in all historical periods presented.
Three MonthsNine MonthsThree Months
202220212022202120232022
MedSurg and NeurotechnologyMedSurg and Neurotechnology$2,588 $2,349 $7,560 $6,899 MedSurg and Neurotechnology$2,690 $2,423 
Orthopaedics and SpineOrthopaedics and Spine1,891 1,811 5,687 5,508 Orthopaedics and Spine2,088 1,852 
Net salesNet sales$4,479 $4,160 $13,247 $12,407 Net sales$4,778 $4,275 
MedSurg and NeurotechnologyMedSurg and Neurotechnology$626 $663 $1,838 $2,000 MedSurg and Neurotechnology$627 $630 
Orthopaedics and SpineOrthopaedics and Spine519 500 1,648 1,518 Orthopaedics and Spine601 503 
Segment operating incomeSegment operating income$1,145 $1,163 $3,486 $3,518 Segment operating income$1,228 $1,133 
Items not allocated to segments:Items not allocated to segments:Items not allocated to segments:
Corporate and otherCorporate and other$(144)$(105)$(488)$(421)Corporate and other$(222)$(199)
Acquisition and integration-related costsAcquisition and integration-related costs78 (126)(108)(495)Acquisition and integration-related costs(6)(149)
Amortization of intangible assetsAmortization of intangible assets(159)(144)(469)(474)Amortization of intangible assets(161)(150)
Restructuring-related and other charges(58)(178)(229)(209)
Structural optimization and other special chargesStructural optimization and other special charges(42)(109)
Medical device regulationsMedical device regulations(38)(27)(98)(72)Medical device regulations(28)(28)
Recall-related mattersRecall-related matters(16)(14)(98)Recall-related matters— (14)
Regulatory and legal mattersRegulatory and legal matters(20)(53)16 Regulatory and legal matters(34)(37)
Consolidated operating incomeConsolidated operating income$808 $574 $2,027 $1,765 Consolidated operating income$735 $447 
There were no significant changes to total assets by segment from information provided in our Annual Report on Form 10-K for 2021, other than the addition of the assets acquired in the Vocera acquisition which are included in the MedSurg and Neurotechnology segment.
NOTE 11 - ASSET IMPAIRMENTS
The government in China has launched regional and national programs for volume-based procurement ("VBP") of high-value medical consumables to reduce healthcare costs. Each VBP program has specific requirements to award contracts to the lowest bidders who are able to satisfy the quality and quantity requirements. The successful bidders may be guaranteed sales volume for certain products, while unsuccessful bidders may lose unit sales volume. The prices required for a successful bid have negatively impacted our existing commercial operations of joint replacement and trauma products in China.
As a result of the outcome of certain regional programs for our trauma products and the national VBP program for hips and knees we recorded charges of $105 to impair certain long-lived and intangible assets in the third quarter of 2021. These charges were included in selling, general and administrative expenses. The national VBP program for spine products took place in the third quarter of 2022 and we were unsuccessful in our bid. As a result we are exiting the spine business in China. Asset impairments recorded in the three months 2022 were not significant. Our total business in China represented approximately 2.5% of our revenues for the nine months 2022.

Dollar amounts are in millions except per share amounts or as otherwise specified.98

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
ITEM 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
ABOUT STRYKER
Stryker is one of the world's leading medical technology companies and, together with our customers, we are driven to make healthcare better. We offer innovative products and services in Medical and Surgical, Neurotechnology, Orthopaedics and Spine that help improve patient and hospitalhealthcare outcomes. Alongside its customers around the world, Stryker impacts more than 100130 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) and other medical device products used in a variety of medical specialties.. 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 is experiencing increased inflationary pressures in part due to global supply chain disruptions, labor shortages and other impacts of the COVID-19 pandemic and current macroeconomic environment which we anticipate will continue. Higher interest rates and capital costs, higher shipping costs, increased costs of labor, and weakeningfluctuating foreign currency exchange rates are creatingand the military conflict in Russia and Ukraine have created additional economic challenges. We expect thesechallenges and uncertainties. These conditions tomay cause our customers to decrease or delay orders for our products and services, and the higher interest rates tomay impact demanddeal mix for our capital products.
Our operations have beencontinue to be adversely impacted by the inflationary pressures, primarily related to labor steelshortages and transportation costs as well assupply chain challenges. Supply chain constraints modestly improved during the impact of purchasing electronic components at premium prices on the spot market. Salesquarter, however sales growth in certain products has beencontinues to be constrained by the continuing supply chain challenges and electronic component shortages, especially impacting the capital products in our MedSurg businesses.
Russia and Ukraine Conflict
The military conflict in Russia and Ukraine and the sanctions imposed by the United States government and other nations in response to this conflict have caused significant volatility and disruptions to the global markets. Given that we provide life-saving and life-enhancing products, we plan to continue operating in Russia provided we can safely do so. During the nine months 2022 net sales in Russia were approximately 0.3% of our revenues. Although Russia does not constitute a material portion of our business, there is uncertainty around the impact it will have on the global economy, supply chains and fuel and energy prices generally, and therefore our business. Refer to Part II, Item 1A. "Risk Factors" in our Quarterly Report on Form 10-Q for the quarter ended March 31, 2022 for further details.
China Volume-Based Procurement and Import Purchase Evaluation
The government in China has launched regional and national programs for volume-based procurement ("VBP")(VBP) of high-value medical consumables to reduce healthcare costs. Each VBP program has specific requirements to award contracts to the lowest bidders who are able to satisfy the quality and quantity requirements. The successful bidders may be guaranteed sales volume for certain products, while unsuccessful bidders may lose unit sales volume. We have been a winning bidder in certain national and regional VBP programs, including those for joint replacement and trauma products in 2021 and certain neurovascular products in the fourth quarter of 2022 and the first quarter of 2023. The prices required for a successful bid have negatively impacted our existingthe commercial operations of our joint replacement, trauma and traumacertain neurovascular products in China. The national
We were unsuccessful in our bids in the VBP program for spine products that took place in the third quarter of 2022 and we were unsuccessful in our bid. Asas a result we are exiting the spine business in China. We expect regional VBP programs toTo date our other businesses have not been significantly impacted, but may be initiated for neurovascular products in the fourth quarterfuture as a result of 2022 and additional VBP programs may be initiated in the future.programs. China has also issued national guiding standards for Import Purchase Evaluation which has increased the purchase of locally sourced equipment in China's public hospitals and is impacting our MedSurg business in China. Our business in China represented approximately 2.5% of1.6% our revenues forin the ninethree months 2022.2023.
Overview of the Three and Nine Months
In the three months 20222023 we achieved sales growth of 7.7%11.8% from 2021.2022. Excluding the impact of acquisitions and divestitures sales grew 9.9%13.6% in constant currency. We reported operating income margin of 18.0%15.4%, net earnings of $816$592 and net earnings per diluted share of $2.14.$1.54. Excluding the impact of certain items, adjusted operating income margin(1) contracted by 31070 basis points to 22.3%21.1%, with adjusted net earnings(1) of $810$820 and adjusted net earnings per diluted share(1) of $2.12, a decrease$2.14, an increase of 3.6%8.6% from 2021.2022.
Recent Developments
On May 2, 2023 we acquired Cerus Endovascular Limited (Cerus) for $300 in cash and up to $225 in future milestone payments. Cerus designs, develops and manufactures neurovascular products used for the treatment of hemorrhagic stroke. We plan to integrate Cerus into our Neurovascular business within MedSurg and Neurotechnology.

In(1) Refer to "Non-GAAP Financial Measures" for a discussion of non-GAAP financial measures used in this report and a reconciliation to the ninemost directly comparable GAAP financial measure.


































Dollar amounts are in millions except per share amounts or as otherwise specified.9

STRYKER CORPORATION2023 First Quarter Form 10-Q
CONSOLIDATED RESULTS OF OPERATIONS
Three Months
Percent Net SalesPercentage
2023202220232022Change
Net sales$4,778 $4,275 100.0 %100.0 %11.8 %
Gross profit3,016 2,734 63.1 64.0 10.3 
Research, development and engineering expenses339 413 7.1 9.7 (17.9)
Selling, general and administrative expenses1,781 1,710 37.3 40.0 4.2 
Recall charges, net— 14 — 0.3 nm
Amortization of intangible assets161 150 3.4 3.5 7.3
Other income (expense), net(56)(61)(1.2)(1.4)(8.2)
Income taxes87 63 nmnm38.1
Net earnings$592 $323 12.4 %7.6 %83.3 %
Net earnings per diluted share$1.54 $0.84 83.3 %
Adjusted net earnings per diluted share(1)
$2.14 $1.97 8.6 %


nm - not meaningful
Geographic and Segment Net SalesThree Months
Percentage Change
20232022As ReportedConstant
Currency
Geographic:
United States$3,512 $3,105 13.1 %13.1 %
International1,266 1,170 8.2 16.5 
Total$4,778 $4,275 11.8 %14.0 %
Segment:
MedSurg and Neurotechnology$2,690 $2,423 11.0 %13.1 %
Orthopaedics and Spine2,088 1,852 12.7 15.1 
Total$4,778 $4,275 11.8 %14.0 %
Supplemental Net Sales Growth Information
Three Months
Percentage Change
United StatesInternational
20232022As ReportedConstant CurrencyAs ReportedAs ReportedConstant Currency
MedSurg and Neurotechnology:
Instruments$575 $528 8.9 %10.7 %8.9 %8.8 %17.6 %
Endoscopy698 607 15.0 16.6 16.2 10.2 18.2 
Medical778 664 17.2 18.8 16.5 19.5 28.1 
Neurovascular284 301 (5.5)(1.1)7.3 (13.0)(6.3)
Neuro Cranial355 323 9.9 11.4 9.1 13.7 22.7 
$2,690 $2,423 11.0 %13.1 %13.0 %5.3 %13.3 %
Orthopaedics and Spine:
Knees$566 $464 22.0 %24.2 %20.6 %26.2 %35.5 %
Hips375 327 14.4 18.1 16.2 11.4 21.6 
Trauma and Extremities769 685 12.4 14.5 13.7 9.0 16.5 
Spine284 279 1.9 3.8 6.3 (9.0)(2.9)
Other94 97 (3.4)(1.0)(14.8)28.5 41.5 
$2,088 $1,852 12.7 %15.1 %13.2 %11.6 %20.2 %
Total$4,778 $4,275 11.8 %14.0 %13.1 %8.2 %16.5 %
Note: Beginning in the first quarter of 2023, we consolidated Other MedSurg and Neurotechnology into Endoscopy as Other MedSurg and Neurotechnology (primarily Sustainability Solutions) has been fully integrated into our Endoscopy business. Endoscopy includes sales related to Other of $81 and $69 for the three months 2022 we achieved2023 and 2022. We have reflected these changes in all historical periods presented.
Consolidated Net Sales
Consolidated net sales growth of 6.8% from 2021.increased 11.8% in the three months 2023 as reported and 14.0% in constant currency, as foreign currency exchange rates negatively impacted net sales by 2.2%. Excluding the 0.4% impact of acquisitions and divestitures, net sales grew 8.3% in constant currency. We reported operating income margin of 15.3%,currency increased by 12.9% from increased unit volume and 0.7% due to higher prices. The unit volume
increase was due to higher product shipments across most MedSurg and Neurotechnology businesses and all Orthopaedics and Spine businesses.
MedSurg and Neurotechnology Net Sales
MedSurg and Neurotechnology net earnings of $1,795 and net earnings per diluted share of $4.70. Excluding the impact of certain items, adjusted operating income margin(1) contracted by 240 basis points to 22.6%, with adjusted net earnings(1) of $2,422 and adjusted net earnings per diluted share(1) of $6.34, a decrease of 0.6% from 2021.
Recent Developments
In February 2022 we entered into a $1.5 billion term loan agreement that matures on February 22, 2025 and bears interest at a base rate based on the Term Secured Overnight Financing Rate (SOFR) plus 0.725%. In June and September 2022 we repaid $250 and $250 of this term loan.
In February 2022 we completed the acquisition of Vocera Communications, Inc. (Vocera) for $79.25 per share, or an aggregate purchase price of $2.6 billion, net of cash acquired ($3.0 billion including convertible notes). Vocera is a leadersales increased 11.0% in the digital care coordinationthree months 2023 as reported and communication category. Vocera is part of our Medical business within MedSurg and Neurotechnology. Goodwill attributable to the acquisition reflects the strategic benefits of expanding our presence13.1% in adjacent markets, diversifying our product portfolio, advancing innovations, and accelerating our digital aspirations. Refer to Note 7 to our Consolidated Financial Statements for further information.constant currency, as foreign currency exchange rates negatively impacted net sales
Dollar amounts are in millions except per share amounts or as otherwise specified.10

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
On August 16, 2022by 2.1%. Excluding the Inflation Reduction Act (“IRA”)0.7% impact of acquisitions and divestitures, net sales in constant currency increased by 10.5% from increased unit volume and 1.9% from higher prices. The unit volume increase was enacted into law.due to higher shipments across most MedSurg and Neurotechnology businesses.
Orthopaedics and Spine Net Sales
Orthopaedics and Spine net sales increased 12.7% in the three months 2023 as reported and 15.1% in constant currency, as foreign currency exchange rates negatively impacted net sales by 2.4%. Excluding the (0.1)% impact of acquisitions and divestitures, net sales in constant currency increased 16.0% from increased unit volume partially offset by 0.8% from lower prices. The IRA includes a 15% corporate alternative minimum tax effectiveunit volume increase was due to higher shipments across all Orthopaedics and Spine businesses.
Gross Profit
Gross profit was $3,016 and $2,734 in the three months 2023 and a 1% tax on share repurchases after December 31, 2022. We are currently evaluating the impactThe key components of the IRA and do not expect the tax-related provisions to have a material impact on our Consolidated Financial Statements. The impact of the excise tax on share repurchases will be dependent on the extent of share repurchases made in future periods.
(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.
change were:
CONSOLIDATED RESULTS OF OPERATIONS
Three MonthsNine Months
Percent Net SalesPercentagePercent Net SalesPercentage
2022202120222021Change2022202120222021Change
Net sales$4,479 $4,160 100.0 %100.0 %7.7 %$13,247 $12,407 100.0 %100.0 %6.8 %
Gross profit2,782 2,642 62.1 63.5 5.3 8,342 7,923 63.0 63.9 5.3 
Research, development and engineering expenses364 306 8.1 7.4 19.0 1,128 904 8.5 7.3 24.8 
Selling, general and administrative expenses1,455 1,602 32.5 38.5 (9.2)4,704 4,682 35.5 37.7 0.5 
Recall charges(4)16 (0.1)0.4 nm14 98 0.1 0.8 nm
Amortization of intangible assets159 144 3.5 3.5 10.4 469 474 3.5 3.8 (1.1)
Other income (expense), net(79)0.2 (1.9)nm(105)(241)(0.8)(1.9)(56.4)
Income taxes— 57 nmnm(100.0)127 192 nmnm(33.9)
Net earnings$816 $438 18.2 %10.5 %86.3 %$1,795 $1,332 13.6 %10.7 %34.8 %
Net earnings per diluted share$2.14 $1.14 87.7 %$4.70 $3.48 35.1 %
Adjusted net earnings per diluted share(1)
$2.12 $2.20 (3.6)%$6.34 $6.38 (0.6)%


nm - not meaningful
Geographic and Segment Net SalesThree MonthsNine Months
Percentage ChangePercentage Change
20222021As ReportedConstant
Currency
20222021As ReportedConstant
Currency
Geographic:
United States$3,360 $3,019 11.3 %11.3 %$9,776 $8,903 9.8 %9.8 %
International1,119 1,141 (1.9)11.7 3,471 3,504 (0.9)9.1 
Total$4,479 $4,160 7.7 %11.4 %$13,247 $12,407 6.8 %9.6 %
Segment:
MedSurg and Neurotechnology$2,588 $2,349 10.2 %13.5 %$7,560 $6,899 9.6 %12.1 %
Orthopaedics and Spine1,891 1,811 4.4 8.7 5,687 5,508 3.2 6.5 
Total$4,479 $4,160 7.7 %11.4 %$13,247 $12,407 6.8 %9.6 %
Supplemental Net Sales Growth Information
Three MonthsNine Months
Percentage ChangePercentage Change
United StatesInternationalUnited StatesInternational
20222021As ReportedConstant CurrencyAs ReportedAs ReportedConstant Currency20222021As ReportedConstant CurrencyAs ReportedAs ReportedConstant Currency
MedSurg and Neurotechnology:
Instruments$535 $525 1.8 %4.8 %2.3 %— %14.4 %$1,626 $1,511 7.6 %9.9 %10.1 %(1.0)%9.4 %
Endoscopy590 525 12.4 14.9 14.8 3.1 15.6 1,728 1,512 14.3 16.6 16.3 7.2 17.8 
Medical765 636 20.1 22.9 25.8 — 12.7 2,095 1,898 10.4 12.4 15.7 (7.3)1.2 
Neurovascular294 295 (0.3)7.6 (2.0)0.7 13.6 901 885 1.7 7.1 (1.7)3.8 12.7 
Neuro Cranial332 299 11.3 13.9 12.7 5.0 19.6 992 890 11.5 13.4 13.2 4.2 14.3 
Other72 69 5.9 6.0 5.8 12.9 16.4 218 203 7.8 7.8 7.3 42.1 45.2 
$2,588 $2,349 10.2 %13.5 %13.2 %1.3 %14.4 %$7,560 $6,899 9.6 %12.1 %12.7 %1.0 %10.4 %
Orthopaedics and Spine:
Knees$481 $439 9.6 %13.4 %13.7 %(1.7)%12.3 %$1,445 $1,325 9.1 %12.1 %11.8 %1.6 %12.8 %
Hips347 328 5.6 11.3 12.4 (5.0)9.6 1,038 990 4.8 9.2 8.3 (0.7)10.5 
Trauma and Extremities672 639 5.1 9.5 10.4 (7.1)7.3 2,033 1,953 4.1 7.2 7.9 (4.8)5.6 
Spine280 282 (1.0)2.6 2.0 (8.7)3.9 849 867 (2.1)0.6 0.6 (8.5)0.7 
Other111 123 (9.2)(5.6)(11.2)(1.7)15.5 322 373 (13.4)(10.6)(16.0)(4.3)9.0 
$1,891 $1,811 4.4 %8.7 %8.6 %(5.4)%8.8 %$5,687 $5,508 3.2 %6.5 %6.0 %(3.0)%7.7 %
Total$4,479 $4,160 7.7 %11.4 %11.3 %(1.9)%11.7 %$13,247 $12,407 6.8 %9.6 %9.8 %(0.9)%9.1 %
Gross Profit
Percent Net Sales
Three Months 202264.0%
Sales pricing30 bps
Volume and mix100 bps
Manufacturing and supply chain costs(230) bps
Inventory stepped up to fair value10 bps
Three Months 202363.1%
Gross profit as a percentage of net sales in the three months 2023 decreased to 63.1% from 64.0% in 2022 due to higher manufacturing and supply chain costs primarily due to higher raw material costs partially offset by higher prices and favorable volume and mix. While mix was not a significant driver of the change in gross profit as a percent of net sales between the three months 2023 and 2022, 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 decreased $74 or 17.9% in the three months 2023 and decreased as a percentage of net sales to 7.1% from 9.7% in 2022, primarily due to higher spend in the three months 2022 due to increased costs for product launches and the write-off of certain intangible assets.
Selling, General and Administrative Expenses
Selling, general and administrative expenses increased $71 or 4.2% in the three months 2023 and decreased as a percentage of net sales to 37.3% from 40.0% in 2022. Expenses in the three months 2022 included a charge of $132 for share-based awards for Vocera employees that vested upon our acquisition. In addition to the impact of this charge, the change in selling, general and administrative expenses as a percentage of net sales in the three months 2023 was affected by the moderating of cost controls previously implemented as well as sales force expansion.
Recall Charges, Net
There were no recall charges, net in the three months 2023. Charges of $14 in the three months 2022 were primarily related to the previously disclosed Wright hip products. Refer to Note 6 to our Consolidated Financial Statements for further information.
Amortization of Intangible Assets
Amortization of intangible assets was $161 and $150 in the three months 2023 and 2022. Refer to Note 7 to our Consolidated Financial Statements for further information.
Operating Income
Operating income was $735 and $447 in the three months 2023 and 2022. Operating income as a percentage of net sales in the three months 2023 increased to 15.4% from 10.5% in 2022. Refer to the sections above for discussion of the primary drivers of the change.
MedSurg and Neurotechnology operating income as a percentage of net sales decreased to 23.3% in the three months 2023 from 26.0% in 2022. Orthopaedics and Spine operating income as a percentage of net sales increase to 28.8% in the three months 2023 from 27.2% in 2022. The key components of the change were:
Operating Income
Percent Net Sales
MedSurg and NeurotechnologyOrthopaedics and Spine
Three Months 202226.0 %27.2 %
Sales pricing140 bps(60) bps
Volume410 bps700 bps
Manufacturing and supply chain costs(400) bps(20) bps
Research, development and engineering expenses(30) bps20 bps
Selling, general and administrative expenses(390) bps(480) bps
Three Months 202323.3 %28.8 %
The decrease in MedSurg and Neurotechnology operating income as a percentage of net sales was primarily impacted by higher manufacturing and supply chain costs due to the effects of inflation on the costs of raw materials and higher selling, general and administrative expenses due to moderating of cost controls previously implemented as well as sales force expansion, partially offset by higher sales prices and unit volumes.
The increase in Orthopaedics and Spine operating income as a percentage of net sales was primarily due to higher unit volumes, partially offset by higher selling, general and administrative expenses due to moderating of cost controls previously implemented as well as sales force expansion.
Other Income (Expense), Net
Other income (expense), net was ($56) and ($61) in the three months 2023 and 2022.
Income Taxes
Our effective tax rates were 12.8% and 16.3% in the three months 2023 and 2022. The effective tax rates for the three months 2023 and 2022 reflect the continued lower effective income tax rates as a result of our European operations and certain discrete tax items.
Net Earnings
Net earnings increased to $592 or $1.54 per diluted share in the three months 2023 from $323 or $0.84 per diluted share in 2022. Adjusted net earnings per diluted share(1) was $2.14 in 2023, an increase of 8.6% from 2022.
Dollar amounts are in millions except per share amounts or as otherwise specified.11

STRYKER CORPORATION2022 Third Quarter Form 10-Q
Consolidated Net Sales
Consolidated net sales increased 7.7% in the three months 2022 as reported and 11.4% in constant currency, as foreign currency exchange rates negatively impacted net sales by 3.7%. Excluding the 1.5% impact of acquisitions and divestitures, net sales in constant currency increased by 10.6% from increased unit volume partially offset by 0.7% due to lower prices. The unit volume increase was due to higher shipments across all MedSurg and Neurotechnology products and most Orthopaedics and Spine products.
Consolidated net sales increased 6.8% in the nine months 2022 as reported and 9.6% in constant currency, as foreign currency exchange rates negatively impacted net sales by 2.8%. Excluding the 1.3% impact of acquisitions and divestitures, net sales in constant currency increased by 9.4% from increased unit volume partially offset by 1.1% due to lower prices. The unit volume increase was due to higher shipments across all MedSurg and Neurotechnology products and most Orthopaedics and Spine products.
MedSurg and Neurotechnology Net Sales
MedSurg and Neurotechnology net sales increased 10.2% in the three months 2022 as reported and 13.5% in constant currency, as foreign currency exchange rates negatively impacted net sales by 3.3%. Excluding the 2.7% impact of acquisitions and divestitures, net sales in constant currency increased by 9.8% from increased unit volume and 1.0% from higher prices. The unit volume increase was due to higher shipments across all MedSurg and Neurotechnology products.
MedSurg and Neurotechnology net sales increased 9.6% in the nine months 2022 as reported and 12.1% in constant currency, as foreign currency exchange rates negatively impacted net sales by 2.5%. Excluding the 2.3% impact of acquisitions and divestitures, net sales in constant currency increased by 9.5% from increased unit volume and 0.3% from higher prices. The unit volume increase was due to higher shipments across all MedSurg products.
Orthopaedics and Spine Net Sales
Orthopaedics and Spine net sales increased 4.4% in the three months 2022 as reported and 8.7% in constant currency, as foreign currency exchange rates negatively impacted net sales by 4.3%. Net sales in constant currency increased 11.6% from increased unit volume partially offset by 2.9% from lower prices. The unit volume increase was due to higher shipments across most Orthopaedics and Spine products.
Orthopaedics and Spine net sales increased 3.2% in the nine months 2022 as reported and 6.5% in constant currency, as foreign currency exchange rates negatively impacted net sales by 3.3%. Net sales in constant currency increased 9.3% from increased unit volume partially offset by 2.8% from lower prices. The unit volume increase was due to higher shipments across most Orthopaedics and Spine products.
Gross Profit
Gross profit as a percentage of sales in the three months 2022 decreased to 62.1% from 63.5% in 2021. Excluding the impact of the items noted below, gross profit decreased to 62.6% of sales in the three months 2022 from 66.3% in 2021 due to increased costs from purchases of electronic components at premium prices on the spot market and other inflationary pressures, primarily related to labor, steel and transportation, as well as inefficiencies from supply chain disruptions.
Gross profit as a percentage of sales in the nine months 2022 decreased to 63.0% from 63.9% in 2021. Excluding the impact of the items noted below, gross profit decreased to 63.3% of sales in the nine months 2022 from 65.9% in 2021 primarily due to increased costs from purchases of electronic components at premium prices on the spot market and other inflationary pressures, primarily related to labor, steel and transportation, as well as inefficiencies from supply chain disruptions.
Percent Net Sales
Three Months2022202120222021
Reported$2,782 $2,642 62.1 %63.5 %
Inventory stepped-up to fair value— 94 — 2.3 
Restructuring-related and other charges19 20 0.5 0.5 
Medical device regulations— — 
Adjusted$2,802 $2,757 62.6 %66.3 %
Percent Net Sales
Nine Months2022202120222021
Reported$8,342 $7,923 63.0 %63.9 %
Inventory stepped-up to fair value12 231 0.1 1.9 
Restructuring-related and other charges29 20 0.2 0.1 
Medical device regulations— — 
Adjusted$8,386 $8,176 63.3 %65.9 %
Research, Development and Engineering Expenses
Research, development and engineering expenses increased $58 or 19.0% in the three months 2022 and increased as a percentage of sales to 8.1% from 7.4% in 2021. Excluding the impact of the items noted below, expenses increased to 7.1% of sales in 2022 from 6.7% in 2021.
Research, development and engineering expenses increased $224 or 24.8% in the nine months 2022 and increased as a percentage of sales to 8.5% from 7.3% in 2021. Excluding the impact of the items noted below, expenses increased to 7.1% of sales in 2022 from 6.7% in 2021.
The increases for the three and nine months reflect our continued investment in innovation, integration of recent acquisitions and for the nine months the write-off of certain intangible assets.
Percent Net Sales
Three Months2022202120222021
Reported$364 $306 8.1 %7.4 %
Restructuring-related and other charges(8)— (0.2)— 
Medical device regulations(39)(26)(0.8)(0.7)
Adjusted$317 $280 7.1 %6.7 %
Percent Net Sales
Nine Months2022202120222021
Reported$1,128 $904 8.5 %7.3 %
Restructuring-related and other charges(87)— (0.7)— 
Medical device regulations(95)(70)(0.7)(0.6)
Adjusted$946 $834 7.1 %6.7 %
Selling, General and Administrative Expenses
Selling, general and administrative expenses decreased $147 or 9.2% in the three months 2022 and decreased as a percentage of sales to 32.5% from 38.5% in 2021. During the three months 2022 we determined that certain commercial and regulatory milestones related to technology acquired in the purchase of Mobius Imaging and Cardan Robotics were no longer probable of being achieved and recorded $110 to reduce the fair value of contingent consideration as well as $8 in research, development and engineering expenses to write off the related in-process research and development intangible asset. Excluding the impact of the items noted below, expenses decreased to 33.1% of sales in 2022 from 34.1% in 2021.
Dollar amounts are in millions except per share amounts or as otherwise specified.12

STRYKER CORPORATION2022 Third Quarter Form 10-Q
Selling, general and administrative expenses increased $22 or 0.5% in the nine months 2022 and decreased as a percentage of sales to 35.5% from 37.7%. Share-based awards for Vocera employees vested upon our acquisition in 2022 and a charge of $132 was recorded. Excluding the impact of the items noted below, expenses decreased to 33.5% of sales in 2022 from 34.2% in 2021.
The decreases as a percentage of sales for the three and nine months were due to fixed cost leverage and continued cost discipline.
Percent Net Sales
Three Months2022202120222021
Reported$1,455 $1,602 32.5 %38.5 %
Other acquisition and integration-related78 (32)1.7 (0.8)
Restructuring-related and other charges(31)(158)(0.7)(3.8)
Medical device regulations— — — 
Regulatory and legal matters(20)(0.4)0.2 
Adjusted$1,484 $1,419 33.1 %34.1 %
Percent Net Sales
Nine Months2022202120222021
Reported$4,704 $4,682 35.5 %37.7 %
Other acquisition and integration-related(96)(264)(0.7)(2.1)
Restructuring-related and other charges(113)(189)(0.9)(1.5)
Regulatory and legal matters(53)16 (0.4)0.1 
Adjusted$4,442 $4,245 33.5 %34.2 %
Recall Charges
Recall charges were minimal in the three and nine months 2022 and the three months 2021. Charges of $98 in the nine months 2021 were primarily related to Rejuvenate and ABG II Modular-Neck hip stems. Refer to Note 6 to our Consolidated Financial Statements for further information.
Amortization of Intangible Assets
Amortization of intangible assets was $159 and $144 in the three months and $469 and $474 in the nine months 2022 and 2021. Refer to Note 7 to our Consolidated Financial Statements for further information.
Operating Income
Operating income increased $234 to 18.0% of sales in the three months 2022 from 13.8% of sales in 2021. Excluding the impact of the items noted below, operating income decreased to 22.3% of sales in 2022 from 25.4% in 2021 primarily due to higher costs from inflationary pressures, slightly lower selling price, unfavorable foreign currency and our continued investments in innovation, partially offset by leverage from higher sales volumes and cost discipline.
Operating income increased $262 or 14.8% to 15.3% of sales in the nine months 2022 from 14.2% of sales in 2021. Excluding the impact of the items noted below, operating income decreased to 22.6% of sales in 2022 from 25.0% in 2021 primarily due to higher costs from inflationary pressures, slightly lower selling price, unfavorable foreign currency and our continued investments in innovation, partially offset by leverage from higher sales and cost discipline.
Percent Net Sales
Three Months2022202120222021
Reported$808 $574 18.0 %13.8 %
Inventory stepped-up to fair value— 94 — 2.3 
Other acquisition and integration-related(78)32 (1.7)0.8 
Amortization of purchased intangible assets159 144 3.5 3.5 
Restructuring-related and other charges58 178 1.4 4.2 
Medical device regulations38 27 0.8 0.6 
Recall-related matters(4)16 (0.1)0.4 
Regulatory and legal matters20 (7)0.4 (0.2)
Adjusted$1,001 $1,058 22.3 %25.4 %
Percent Net Sales
Nine Months2022202120222021
Reported$2,027 $1,765 15.3 %14.2 %
Inventory stepped-up to fair value12 231 0.1 1.9 
Other acquisition and integration-related96 264 0.7 2.1 
Amortization of purchased intangible assets469 474 3.5 3.8 
Restructuring-related and other charges229 209 1.8 1.7 
Medical device regulations98 72 0.7 0.6 
Recall-related matters14 98 0.1 0.8 
Regulatory and legal matters53 (16)0.4 (0.1)
Adjusted$2,998 $3,097 22.6 %25.0 %
Other Income (Expense), Net
Other income (expense), net was $8 and ($79) in the three months and ($105) and ($241) in the nine months 2022 and 2021. The decrease in net expense in 2022 was primarily due to favorable investment returns and the reversal of accrued interest related to the effective settlement of the United States federal income tax audit for years 2014 through 2018. Refer to Note 9 to our Consolidated Financial Statements for further information.
Income Taxes
Our effective tax rates were 0.0% and 6.6% in the three and nine months 2022. In the three months 2022 income tax expense decreased $162 due to the effective settlement of the United States federal income tax audit for years 2014 through 2018. In addition, other income (expense), net includes a benefit of $50 related to the release of accrued interest associated with this settlement. The nine months 2022 additionally include the reversal of deferred income tax on undistributed earnings of foreign subsidiaries no longer determined to be indefinitely reinvested. Our effective tax rates of 11.5% and 12.6% in the three and nine months 2021 include certain discrete tax items.
Net Earnings
Net earnings increased to $816 or $2.14 per diluted share in the three months 2022 from $438 or $1.14 per diluted share in 2021. Adjusted net earnings per diluted share(1) was $2.12 in 2022, a decrease of 3.6% from 2021.
Net earnings increased to $1,795 or $4.70 per diluted share in the nine months 2022 from $1,332 or $3.48 per diluted share in 2021. Adjusted net earnings per diluted share(1) decreased 0.6% to $6.34 in 2022 from $6.38 in 2021.
Percent Net Sales
Three Months2022202120222021
Reported$816 $438 18.2 %10.5 %
Inventory stepped-up to fair value— 73 — 1.8 
Other acquisition and integration-related(82)24 (1.8)0.6 
Amortization of purchased intangible assets132 114 2.9 2.7 
Restructuring-related and other charges50 165 1.1 3.9 
Medical device regulations32 23 0.7 0.6 
Recall-related matters(4)12 (0.1)0.3 
Regulatory and legal matters15 (7)0.3 (0.2)
Tax matters(149)— (3.2)— 
Adjusted$810 $842 18.1 %20.2 %
Percent Net Sales
Nine Months2022202120222021
Reported$1,795 $1,332 13.6 %10.7 %
Inventory stepped-up to fair value176 0.1 1.4 
Other acquisition and integration-related46 204 0.3 1.6 
Amortization of purchased intangible assets371 378 2.8 3.1 
Restructuring-related and other charges190 198 1.4 1.7 
Medical device regulations82 60 0.6 0.5 
Recall-related matters10 85 0.1 0.7 
Regulatory and legal matters39 (19)0.3 (0.2)
Tax matters(120)26 (0.9)0.2 
Adjusted$2,422 $2,440 18.3 %19.7 %
Dollar amounts are in millions except per share amounts or as otherwise specified.13

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
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); free cash flow; and free cash flow conversion.. 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. To measure free cash flow, we adjust cash provided by operating activities byThe income tax effect of each adjustment was determined based on the amounttax effect of purchases of property, plant and equipment and proceeds from long-lived asset disposals and remove the impact of certain legal settlements and recall payments. To measure free cash flow conversion we divide free cash flow by adjusted net earnings.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 and specific costs (e.g., inventory step-up and deal costs) related to the consummation of the acquisition process.process and legal entity rationalization.
2.Amortization of purchased intangible assets. Periodic amortization expense related to purchased intangible assets.
3.Restructuring-relatedStructural optimization and other chargesspecial charges.. Costs associated with the termination of sales relationships in certain countries,employee retention and workforce reductions, eliminationthe 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 lines,line exits (primarily inventory, long-lived asset and specifically-identified intangible asset write-offs), certain long-lived and intangible asset write-offs and
impairments and associated costs and other restructuring-related activities.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. OurChanges in our best estimate of the minimum of the range of probable loss to resolve the Rejuvenate, LFIT V40, Wright legacy hip products and other product recalls.
6.Regulatory and legal matters. OurChanges in our best estimate of the minimum of the range of probable loss to resolve certain regulatory or other legal matters and other legalthe amount of favorable awards from settlements.
7.Tax matters. Charges represent the impactImpact 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 non-GAAP 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.


























Dollar amounts are in millions except per share amounts or as otherwise specified.1412

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial MeasuresReconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial MeasuresReconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures
Three Months 2022Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetNet EarningsEffective
Tax Rate
Diluted EPS
Three Months 2023Three Months 2023Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
ReportedReported$2,782 $1,455 $364 $808 $8 $816  %$2.14 Reported$3,016 $1,781 $339 $735 $(56)$87 $592 12.8 %$1.54 
Reported percent net salesReported percent net sales62.1 %32.5 %8.1 %18.0 %0.2 %18.2 %Reported percent net sales63.1 %37.3 %7.1 %15.4 %(1.2)%nm12.4 %
Acquisition and integration-related costs:Acquisition and integration-related costs:Acquisition and integration-related costs:
Inventory stepped-up to fair valueInventory stepped-up to fair value— — — — — — — — Inventory stepped-up to fair value— — — — — — — — — 
Other acquisition and integration-related— 78 — (78)— (82)2.0 (0.21)
Other acquisition and integration-related (a)Other acquisition and integration-related (a)— (6)— — 0.1 0.01 
Amortization of purchased intangible assetsAmortization of purchased intangible assets— — — 159 — 132 0.5 0.34 Amortization of purchased intangible assets— — — 161 — 34 127 2.0 0.33 
Restructuring-related and other charges19 (31)(8)58 — 50 — 0.13 
Medical device regulations(39)38 — 32 0.1 0.08 
Recall-related matters— — — (4)— (4)— (0.01)
Regulatory and legal matters— (20)— 20 — 15 0.2 0.04 
Tax matters— — — — (62)(149)11.7 (0.39)
Structural optimization and other special charges (b)Structural optimization and other special charges (b)(40)— 42 — 34 0.3 0.09 
Medical device regulations (c)Medical device regulations (c)— — (28)28 — 23 0.2 0.06 
Recall-related matters (d)Recall-related matters (d)— — — — — — — — — 
Regulatory and legal matters (e)Regulatory and legal matters (e)— (34)— 34 — 28 0.3 0.07 
Tax matters (f)Tax matters (f)— — — — (9)(20)11 (2.9)0.04 
AdjustedAdjusted$2,802 $1,484 $317 $1,001 $(54)$810 14.5 %$2.12 Adjusted$3,018 $1,701 $311 $1,006 $(65)$121 $820 12.8 %$2.14 
Adjusted percent net salesAdjusted percent net sales62.6 %33.1 %7.1 %22.3 %(1.2)%18.1 %Adjusted percent net sales63.2 %35.6 %6.5 %21.1 %(1.4)%nm17.2 %
Three Months 2021Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetNet EarningsEffective
Tax Rate
Diluted EPS
Reported$2,642 $1,602 $306 $574 $(79)$438 11.5 %$1.14 
Reported percent net sales63.5 %38.5 %7.4 %13.8 %(1.9)%10.5 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value94 — — 94 — 73 1.9 0.19 
Other acquisition and integration-related— (32)— 32 — 24 0.8 0.06 
Amortization of purchased intangible assets— — — 144 — 114 2.0 0.30 
Restructuring-related and other charges20 (158)— 178 — 165 (2.6)0.44 
Medical device regulations— (26)27 — 23 (0.1)0.06 
Recall-related matters— — — 16 — 12 0.3 0.03 
Regulatory and legal matters— — (7)— (7)0.2 (0.02)
Tax matters— — — — — — — — 
Adjusted$2,757 $1,419 $280 $1,058 $(79)$842 14.0 %$2.20 
Adjusted percent net sales66.3 %34.1 %6.7 %25.4 %(1.9)%20.2 %
Nine Months 2022Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetNet EarningsEffective
Tax Rate
Diluted EPS
Reported$8,342 $4,704 $1,128 $2,027 $(105)$1,795 6.6 %$4.70 
Reported percent net sales63.0 %35.5 %8.5 %15.3 %(0.8)%13.6 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value12 — — 12 — — 0.02 
Other acquisition and integration-related— (96)— 96 — 46 1.9 0.12 
Amortization of purchased intangible assets— — — 469 — 371 1.7 0.97 
Restructuring-related and other charges29 (113)(87)229 — 190 0.4 0.50 
Medical device regulations— (95)98 — 82 0.1 0.21 
Recall-related matters— — — 14 — 10 0.1 0.03 
Regulatory and legal matters— (53)— 53 — 39 0.3 0.10 
Tax matters— — — — (74)(120)3.0 (0.31)
Adjusted$8,386 $4,442 $946 $2,998 $(179)$2,422 14.1 %$6.34 
Adjusted percent net sales63.3 %33.5 %7.1 %22.6 %(1.4)%18.3 %
Nine Months 2021Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetNet EarningsEffective
Tax Rate
Diluted EPS
Reported$7,923 $4,682 $904 $1,765 $(241)$1,332 12.6 %$3.48 
Reported percent net sales63.9 %37.7 %7.3 %14.2 %(1.9)%10.7 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value231 — — 231 — 176 1.4 0.46 
Other acquisition and integration-related— (264)— 264 — 204 1.4 0.53 
Amortization of purchased intangible assets— — — 474 — 378 1.7 0.99 
Restructuring-related and other charges20 (189)— 209 11 198 (0.7)0.52 
Medical device regulations— (70)72 — 60 0.1 0.16 
Recall-related matters— — — 98 — 85 (0.1)0.22 
Regulatory and legal matters— 16 — (16)(3)(19)0.2 (0.05)
Tax matters— — — — — 26 (1.8)0.07 
Adjusted$8,176 $4,245 $834 $3,097 $(233)$2,440 14.8 %$6.38 
Adjusted percent net sales65.9 %34.2 %6.7 %25.0 %(1.9)%19.7 %
Three Months 2022Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
Reported$2,734 $1,710 $413 $447 $(61)$63 $323 16.3 %$0.84 
Reported percent net sales64.0 %40.0 %9.7 %10.5 %(1.4)%nm7.6 %
Acquisition and integration-related costs:
Inventory stepped-up to fair value— — — 0.1 0.01 
Other acquisition and integration-related (a)— (144)— 144 — 39 105 4.9 0.27 
Amortization of purchased intangible assets— — — 150 — 35 115 3.6 0.30 
Structural optimization and other special charges (b)(28)(79)109 — 25 84 2.5 0.22 
Medical device regulations (c)— — (28)28 — 24 0.2 0.06 
Recall-related matters (d)— — — 14 — 11 0.4 0.04 
Regulatory and legal matters (e)— (37)— 37 — 28 1.0 0.08 
Tax matters (f)— — — — — (58)58 (15.1)0.15 
Adjusted$2,741 $1,501 $306 $934 $(61)$121 $752 13.9 %$1.97 
Adjusted percent net sales64.1 %35.1 %7.2 %21.8 %(1.4)%nm17.6 %
(a)Charges represent certain acquisition and integration-related costs associated with acquisitions, including charges for termination of sales relationships ($0 in 2023, $8 in 2022), employee retention and workforce reductions ($0 in 2023, $4 in 2022), changes in the fair value of contingent consideration (($1) in 2023, ($16) in 2022), manufacturing integration costs ($2 in 2023, $9 in 2022), stock compensation payments upon a change in control ($0 in 2023, $132 in 2022) and other integration-related activities such as deal costs and costs associated with legal entity rationalization ($5 in 2023, $7 in 2022).
(b)Charges represent the costs associated with employee retention and workforce reductions ($21 in 2023, $9 in 2022), the closure/transfer of manufacturing and other facilities, including site closure costs, contract termination costs and redundant employee costs during the work transfers ($12 in 2023, $17 in 2022), product line exits (primarily inventory, long-lived asset and specifically-identified intangible asset write-offs) ($3 in 2023, $0 in 2022), certain long-lived and intangible asset write-offs and impairments ($1 in 2023, $80 in 2022) and other charges ($5 in 2023, $3 in 2022).
(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 minimum of the range of probable loss to resolve certain recall-related matters.
(e)Charges represent changes in our best estimate of the minimum of the range of probable loss to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
(f)Benefits and charges represent the accounting impact of certain significant and discrete tax items, including adjustments related to the transfer of certain intellectual properties between tax jurisdictions (charges of $47 in 2023 and $46 in 2022) and certain tax audit settlements (benefit of $9 included in Other Income (Expense), Net and benefit of $28 included in Income Taxes for 2023, $0 for 2022).
FINANCIAL CONDITION AND LIQUIDITY
Three Months20232022
Net cash provided by operating activities$445 $203 
Net cash used in investing activities(132)(2,682)
Net cash provided by (used in) financing activities(481)993 
Effect of exchange rate changes on cash and cash equivalents(5)— 
Change in cash and cash equivalents$(173)$(1,486)
Operating Activities
Cash provided by operating activities was $445 and $203 in the three months 2023 and 2022. The increase was primarily due to net earnings and higher accounts receivable collections.
Investing Activities
Cash used in investing activities was $132 and $2,682 in the three months 2023 and 2022. The three months 2022 included cash paid for the Vocera acquisition. Refer to Note 7 to our Consolidated Financial Statements for further information.
Financing Activities
Cash (used in) provided by financing activities was ($481) and $993 in the three months 2023 and 2022. Cash used in 2023 was primarily driven by dividend payments of $284 and a repayment of $100 on the term loan used to fund the acquisition of Vocera. Cash provided by financing activities in 2022 was primarily due to the issuance of the $1,500 term loan used to fund the acquisition of Vocera, partially offset by dividend payments of $262 and net repayments of $170 on short-term borrowings.
We did not repurchase any shares in the three months 2023 and 2022.
Liquidity
Cash, cash equivalents and marketable securities were $1,757 and $1,928 on March 31, 2023 and December 31, 2022. Current assets exceeded current liabilities by $4,289 and $3,972 on March 31, 2023 and December 31, 2022. We anticipate being
Dollar amounts are in millions except per share amounts or as otherwise specified.1513

STRYKER CORPORATION2022 Third2023 First Quarter Form 10-Q
FINANCIAL CONDITION AND LIQUIDITY
Nine Months20222021
Net cash provided by operating activities$1,621 $2,263 
Net cash used in investing activities(2,762)(545)
Net cash provided by (used in) financing activities(303)(2,077)
Effect of exchange rate changes on cash and cash equivalents(80)(21)
Change in cash and cash equivalents$(1,524)$(380)
Operating Activities
Cash provided by operating activities was $1,621 and $2,263 in the nine months 2022 and 2021. The decrease was primarily due to higher costs for certain electronic components and increases of other critical inventory to manage supply chain delays due to component shortages.
Investing Activities
Cash used in investing activities was $2,762 and $545 in the nine months 2022 and 2021. The increase in cash used in 2022 was primarily due to the acquisition of Vocera and investments in capital projects partially offset by settlements of certain foreign currency forward contracts designated as net investment hedges.
Financing Activities
Cash provided by (used in) financing activities was ($303) and ($2,077) in the nine months 2022 and 2021. Cash used in 2022 was primarily driven by dividend payments and repayments of debt, including $500 of payments on the $1,500 term loan used to fund the acquisition of Vocera. Cash used in 2021 was primarily due to debt repayments of $750 in March 2021 and $400 for the term loan in June 2021. We did not repurchase any shares in the nine months 2022 and 2021. Dividends paid to common shareholders were $788 and $713 in the nine months 2022 and 2021.
Liquidity
Cash, cash equivalents and marketable securities were $1,497 and $3,019 on September 30, 2022 and December 31, 2021. Current assets exceeded current liabilities by $4,747 and $5,468 on September 30, 2022 and December 31, 2021. 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 approximately 47%31% on September 30, 2022March 31, 2023 compared to 26%36% on December 31, 2021.2022.
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 2021.2022, except as follows:
We test goodwill annually for impairment at October 31 or whenever events or circumstances indicate that goodwill may be impaired. When it is unlikely that goodwill of a reporting unit is impaired, we perform a qualitative assessment that may be periodically supplemented with a corroborative quantitative analysis. The supplemental analysis supporting our 2021 annual goodwill impairment tests was performed using a market approach that utilizes trading multiples derived from a peer set of similar companies. The results of that supplemental analysis indicated that, at October 31, 2021, the implied fair values of our reporting units exceeded their respective carrying amounts by approximately 50% for our Spine reporting unit and at least 100% for all other reporting units.
When necessary, we perform a quantitative impairment test and determine the fair value of a reporting unit using an income approach and we corroborate our concluded value under the income approach using a market approach that utilizes trading multiples derived from a peer set of similar companies. The income approach calculates the present value of estimated future cash flows and requires certain assumptions and estimates to be made regarding market conditions and our future profitability. Considerable management judgment is necessary to evaluate the impact of operating and macroeconomic changes and to estimate future cash flows used to measure fair value. Assumptions used in our impairment evaluations, such as forecasted growth rates and cost of capital, are consistent with internal business plans. We believe such assumptions and estimates are also comparable to those that would be used by other marketplace participants.
During 2022 our Spine reporting unit’s operating performance was affected by several factors, including a slower than anticipated recovery of surgery volumes as we emerged from the COVID-19 pandemic, rising costs and our competitive environment. Consequently, for the year ended December 31, 2022 revenues, gross margin and operating income were 3%, 4% and 33% below budgeted amounts. For the annual impairment test of our Spine reporting unit at October 31, 2022, we performed a quantitative impairment test and recognized a goodwill impairment charge of $216. The fair value of our Spine reporting unit was determined using a discounted cash flow analysis, which is a form of the income approach. Significant inputs to the analysis included assumptions for future revenue growth, operating margin and the rate used to discount the estimated future cash flows to their present value, based on the reporting unit’s estimated weighted average cost of capital. The impairment charge for our Spine reporting unit was also significantly affected by the discount rate, which was impacted by central banks raising interest rates during 2022 and increased
risk due to macroeconomic conditions. Our assumptions for revenue growth and operating margin considered the operating factors described above, including surgery volumes, increased costs and our competitive environment.
The assumptions used in the discounted cash flow analysis are subject to inherent uncertainties and subjectivity. The use of different assumptions, estimates or judgments with respect to the estimation of future cash flows and the determination of the discount rate used to reduce such estimated future cash flows to their net present value could materially change any related impairment charge. We believe our estimates are appropriate based upon current and future market conditions and the best information available at the impairment assessment date. However, future impairment charges could be required if we do not achieve our cash flow, revenue and profitability projections or if there is an increase in the weighted average cost of capital. Changes in our estimates of the discount rate, long-term revenue growth and long-term operating margin would result in additional goodwill impairment charges as follows:
Change in selected assumptionAmount
100 bps increase in discount rate220
100 bps decrease in long-term revenue growth130
100 bps decrease in long-term operating margin40
For our other reporting units we performed qualitative assessments and concluded it was more likely than not that the fair values of those reporting units exceeded their respective carrying amounts. No impairment was identified for those reporting units in 2022 and we did not identify any factors at October 31, 2022 that would lead us to believe that those reporting units are at risk of a goodwill impairment. Future changes in the judgments, assumptions and estimates that are used in our impairment testing for goodwill and indefinite-lived intangible assets, including discount rates and cash flow projections, could result in significantly different estimates of the fair values. A significant reduction in the estimated fair values could result in impairment charges that could materially affect our results of operations.
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.







Dollar amounts are in millions except per share amounts or as otherwise specified.14

STRYKER CORPORATION2023 First Quarter Form 10-Q
FORWARD-LOOKING STATEMENTS
This report contains statements referring to us 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 which are intended to take advantage of the "safe harbor" provisions of the Reform Act, 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, including uncertainties related to the impact of the COVID-19 pandemic on our operations and financial results.predict. Therefore, actual results could differ materially and adversely from these forward-looking statements.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 thosethe risks discussed in Item 1A. "Risk Factors" of our Annual Report on Form 10-K for 2021 and Part II, Item 1A. "Risk Factors" in our Quarterly Reports on Form 10-Q for the quarters ended March 31 and June 30, 2022. 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 2021.2022. We disclaim any intention or obligation to publicly update or revise any forward-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 operations and financialoperating 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 2021.2022. There were no material changes from the information provided therein.
Dollar amounts are in millions except per share amounts or as otherwise specified.16

STRYKER CORPORATION2022 Third Quarter Form 10-Q
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 September 30, 2022.March 31, 2023. Based on that evaluation, the Certifying Officers concluded the Company's disclosure controls and procedures were effective as of September 30, 2022.March 31, 2023.
Changes in Internal Control Over Financial Reporting
There was no change to our internal control over financial reporting during the ninethree months 20222023 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. In February 2022 we completed the acquisition of Vocera and are currently integrating Vocera into our operations, compliance programs and internal control processes. Vocera constituted approximately 8.5% of our total assets as of September 30, 2022, including the goodwill and intangible assets recorded as part of the purchase price allocation and approximately 1% of our net sales in the nine months ended September 30, 2022. United States Securities and Exchange Commission guidance allows companies to exclude acquisitions from their assessment of the internal control over financial reporting during the first year following an acquisition while integrating the acquired company. We have excluded the acquired operations of Vocera from our assessment of the Company's 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 2021 and Part II, Item 1A. "Risk Factors" in our Quarterly Reports on Form 10-Q for the quarters ended March 31 and June 30, 2022.
ITEM 2.UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
We issued 2510,155 shares of our common stock in the three months 20222023 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 ninethree months 20222023 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 September 30, 2022.
March 31, 2023.
ITEM 5.OTHER INFORMATION
Section 13(r) of the Securities Exchange Act of 1934, as amended, requires an issuer to disclose in its annual or quarterly reports whether it or any of its affiliates knowingly engaged in certain activities, transactions or dealings relating to parties subject to sanctions administered by the Office of Foreign Assets Control (“OFAC”) within the United States Department of the Treasury, whether or not such activities are prohibited or sanctionable under United States law. On March 2, 2021, the United States government designated the Russian Federal Security Service (the “FSB”) under additional sanctions authorities. On the same day, OFAC issued General License No. 1B (the “OFAC General License”), which generally authorizes certain licensing, permitting, certification, notification and related transactions with the FSB as may be required pursuant to Russian encryption product import controls for the importation, distribution or use of certain information technology products and radio frequency technology products in the Russian Federation.
As required under Russian law and as permitted under the OFAC General License, one of our subsidiaries in Russia periodically files notifications with or applies for import licenses and permits from the FSB on our behalf in connection with the importation of our products into Russia. These notification and licensing activities are free of charge, and none of our gross revenue or net profits are attributable to such activities. We expect to continue to file notifications with and apply for import licenses and permits from the FSB to qualify our products for importation and distribution in the Russian Federation to the extent required under Russian law, but only so long as such notification and licensing activities are authorized by the OFAC General License, any successor general license or other authorization issued by OFAC.
During the three months 2022 we filed two notifications with the FSB as described above.
ITEM 6.EXHIBITS
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)
* Furnished with this Form 10-Q
Dollar amounts are in millions except per share amounts or as otherwise specified.1715

STRYKER CORPORATION2022 Third2023 First 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:November 1, 2022May 2, 2023/s/ KEVIN A. LOBO
Kevin A. Lobo
Chair, Chief Executive Officer and President
Date:November 1, 2022May 2, 2023/s/ GLENN S. BOEHNLEIN
Glenn S. Boehnlein
Vice President, Chief Financial Officer
1816