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 JuneSeptember 30, 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 379,778,279379,894,650 shares of Common Stock, $0.10 par value, on JuneSeptember 30, 2023.

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
PART I – FINANCIAL INFORMATION
ITEM 1.FINANCIAL STATEMENTS
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF EARNINGS (Unaudited)
Three MonthsSix MonthsThree MonthsNine Months
20232022202320222023202220232022
Net salesNet sales$4,996 $4,493 $9,774 $8,768 Net sales$4,909 $4,479 $14,683 $13,247 
Cost of salesCost of sales1,815 1,667 3,577 3,208 Cost of sales1,751 1,697 5,328 4,905 
Gross profitGross profit$3,181 $2,826 $6,197 $5,560 Gross profit$3,158 $2,782 $9,355 $8,342 
Research, development and engineering expensesResearch, development and engineering expenses346 351 685 764 Research, development and engineering expenses353 364 1,038 1,128 
Selling, general and administrative expensesSelling, general and administrative expenses1,706 1,539 3,487 3,249 Selling, general and administrative expenses1,701 1,455 5,188 4,704 
Recall charges, netRecall charges, net18 Recall charges, net(4)12 14 
Amortization of intangible assetsAmortization of intangible assets161 160 322 310 Amortization of intangible assets164 159 486 469 
Total operating expensesTotal operating expenses$2,216 $2,054 $4,497 $4,341 Total operating expenses$2,227 $1,974 $6,724 $6,315 
Operating incomeOperating income$965 $772 $1,700 $1,219 Operating income$931 $808 $2,631 $2,027 
Other income (expense), netOther income (expense), net(66)(52)(122)(113)Other income (expense), net(62)(184)(105)
Earnings before income taxesEarnings before income taxes$899 $720 $1,578 $1,106 Earnings before income taxes$869 $816 $2,447 $1,922 
Income taxesIncome taxes161 64 248 127 Income taxes177 — 425 127 
Net earningsNet earnings$738 $656 $1,330 $979 Net earnings$692 $816 $2,022 $1,795 
Net earnings per share of common stock:Net earnings per share of common stock:Net earnings per share of common stock:
BasicBasic$1.95 $1.73 $3.51 $2.59 Basic$1.82 $2.16 $5.33 $4.75 
DilutedDiluted$1.93 $1.72 $3.47 $2.56 Diluted$1.80 $2.14 $5.27 $4.70 
Weighted-average shares outstanding (in millions):Weighted-average shares outstanding (in millions):Weighted-average shares outstanding (in millions):
BasicBasic379.7 378.3 379.4 378.0 Basic379.8 378.4 379.5 378.1 
Effect of dilutive employee stock compensationEffect of dilutive employee stock compensation4.2 3.9 4.2 4.5 Effect of dilutive employee stock compensation4.2 3.4 4.2 4.1 
DilutedDiluted383.9 382.2 383.6 382.5 Diluted384.0 381.8 383.7 382.2 
Cash dividends declared per share of common stockCash dividends declared per share of common stock$0.75 $0.695 $1.50 $1.39 Cash dividends declared per share of common stock$0.75 $0.695 $2.25 $2.085 
Anti-dilutive shares excluded from the calculation of dilutive employee stock options were 4.55.0 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 MonthsSix MonthsThree MonthsNine Months
20232022202320222023202220232022
Net earningsNet earnings$738 $656 $1,330 $979 Net earnings$692 $816 $2,022 $1,795 
Other comprehensive income (loss), net of tax:Other comprehensive income (loss), net of tax:Other comprehensive income (loss), net of tax:
Marketable securitiesMarketable securities— — — (1)Marketable securities— — — (1)
Pension plansPension plans(1)(3)Pension plans(1)10 (4)17 
Unrealized gains (losses) on designated hedgesUnrealized gains (losses) on designated hedges11 24 25 Unrealized gains (losses) on designated hedges33 
Financial statement translationFinancial statement translation(35)161 (108)214 Financial statement translation80 179 (28)393 
Total other comprehensive income (loss), net of taxTotal other comprehensive income (loss), net of tax$(25)$193 $(109)$245 Total other comprehensive income (loss), net of tax$81 $197 $(28)$442 
Comprehensive incomeComprehensive income$713 $849 $1,221 $1,224 Comprehensive income$773 $1,013 $1,994 $2,237 

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

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
CONSOLIDATED BALANCE SHEETS
June 30December 31September 30December 31
2023202220232022
(Unaudited)(Unaudited)
AssetsAssetsAssets
Current assetsCurrent assetsCurrent assets
Cash and cash equivalentsCash and cash equivalents$1,401 $1,844 Cash and cash equivalents$1,860 $1,844 
Marketable securitiesMarketable securities77 84 Marketable securities76 84 
Accounts receivable, less allowance of $181 ($154 in 2022)3,261 3,565 
Accounts receivable, less allowance of $187 ($154 in 2022)Accounts receivable, less allowance of $187 ($154 in 2022)3,276 3,565 
Inventories:Inventories:Inventories:
Materials and suppliesMaterials and supplies1,221 1,006 Materials and supplies1,299 1,006 
Work in processWork in process391 348 Work in process342 348 
Finished goodsFinished goods2,981 2,641 Finished goods3,242 2,641 
Total inventoriesTotal inventories$4,593 $3,995 Total inventories$4,883 $3,995 
Prepaid expenses and other current assetsPrepaid expenses and other current assets819 787 Prepaid expenses and other current assets950 787 
Total current assetsTotal current assets$10,151 $10,275 Total current assets$11,045 $10,275 
Property, plant and equipment:Property, plant and equipment:Property, plant and equipment:
Land, buildings and improvementsLand, buildings and improvements1,646 1,739 Land, buildings and improvements1,650 1,739 
Machinery and equipmentMachinery and equipment4,441 4,066 Machinery and equipment4,505 4,066 
Total property, plant and equipmentTotal property, plant and equipment$6,087 $5,805 Total property, plant and equipment$6,155 $5,805 
Less allowance for depreciationLess allowance for depreciation3,005 2,835 Less allowance for depreciation3,049 2,835 
Property, plant and equipment, netProperty, plant and equipment, net$3,082 $2,970 Property, plant and equipment, net$3,106 $2,970 
GoodwillGoodwill15,172 14,880 Goodwill15,138 14,880 
Other intangibles, netOther intangibles, net4,917 4,885 Other intangibles, net4,731 4,885 
Noncurrent deferred income tax assetsNoncurrent deferred income tax assets1,439 1,410 Noncurrent deferred income tax assets1,406 1,410 
Other noncurrent assetsOther noncurrent assets2,648 2,464 Other noncurrent assets2,616 2,464 
Total assetsTotal assets$37,409 $36,884 Total assets$38,042 $36,884 
Liabilities and shareholders' equityLiabilities and shareholders' equityLiabilities and shareholders' equity
Current liabilitiesCurrent liabilitiesCurrent liabilities
Accounts payableAccounts payable$1,326 $1,413 Accounts payable$1,296 $1,413 
Accrued compensationAccrued compensation929 1,149 Accrued compensation1,223 1,149 
Income taxesIncome taxes298 292 Income taxes407 292 
Dividends payableDividends payable284 284 Dividends payable285 284 
Accrued product liabilitiesAccrued product liabilities220 230 Accrued product liabilities224 230 
Accrued expenses and other liabilitiesAccrued expenses and other liabilities1,729 1,744 Accrued expenses and other liabilities1,715 1,744 
Current maturities of debtCurrent maturities of debt1,798 1,191 Current maturities of debt2,308 1,191 
Total current liabilitiesTotal current liabilities$6,584 $6,303 Total current liabilities$7,458 $6,303 
Long-term debt, excluding current maturitiesLong-term debt, excluding current maturities11,149 11,857 Long-term debt, excluding current maturities10,382 11,857 
Income taxesIncome taxes469 641 Income taxes465 641 
Other noncurrent liabilitiesOther noncurrent liabilities1,846 1,467 Other noncurrent liabilities1,832 1,467 
Total liabilitiesTotal liabilities$20,048 $20,268 Total liabilities$20,137 $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 capital2,127 2,034 Additional paid-in capital2,183 2,034 
Retained earningsRetained earnings15,526 14,765 Retained earnings15,933 14,765 
Accumulated other comprehensive lossAccumulated other comprehensive loss(330)(221)Accumulated other comprehensive loss(249)(221)
Total shareholders' equityTotal shareholders' equity$17,361 $16,616 Total shareholders' equity$17,905 $16,616 
Total liabilities and shareholders' equityTotal liabilities and shareholders' equity$37,409 $36,884 Total liabilities and shareholders' equity$38,042 $36,884 

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

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (Unaudited)
Three MonthsSix MonthsThree MonthsNine Months
20232022202320222023202220232022
Common stock shares outstanding (in millions)Common stock shares outstanding (in millions)Common stock shares outstanding (in millions)
BeginningBeginning379.6 378.2 378.7 377.5 Beginning379.8 378.3 378.7 377.5 
Issuance of common stock under stock compensation and benefit plansIssuance of common stock under stock compensation and benefit plans0.2 0.1 1.1 0.8 Issuance of common stock under stock compensation and benefit plans0.1 0.1 1.2 0.9 
EndingEnding379.8 378.3 379.8 378.3 Ending379.9 378.4 379.9 378.4 
Common stockCommon stockCommon stock
BeginningBeginning$38 $38 $38 $38 Beginning$38 $38 $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 $38 $38 
Additional paid-in capitalAdditional paid-in capitalAdditional paid-in capital
BeginningBeginning$2,090 $1,947 $2,034 $1,890 Beginning$2,127 $1,989 $2,034 $1,890 
Issuance of common stock under stock compensation and benefit plansIssuance of common stock under stock compensation and benefit plans(2)(20)(8)Issuance of common stock under stock compensation and benefit plans(16)(2)
Share-based compensationShare-based compensation39 36 113 107 Share-based compensation52 33 165 140 
EndingEnding$2,127 $1,989 $2,127 $1,989 Ending$2,183 $2,028 $2,183 $2,028 
Retained earningsRetained earningsRetained earnings
BeginningBeginning$15,072 $13,540 $14,765 $13,480 Beginning$15,526 $13,933 $14,765 $13,480 
Net earningsNet earnings738 656 1,330 979 Net earnings692 816 2,022 1,795 
Cash dividends declaredCash dividends declared(284)(263)(569)(526)Cash dividends declared(285)(263)(854)(789)
EndingEnding$15,526 $13,933 $15,526 $13,933 Ending$15,933 $14,486 $15,933 $14,486 
Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)
BeginningBeginning$(305)$(479)$(221)$(531)Beginning$(330)$(286)$(221)$(531)
Other comprehensive income (loss)Other comprehensive income (loss)(25)193 (109)245 Other comprehensive income (loss)81 197 (28)442 
EndingEnding$(330)$(286)$(330)$(286)Ending$(249)$(89)$(249)$(89)
Total shareholders' equityTotal shareholders' equity$17,361 $15,674 $17,361 $15,674 Total shareholders' equity$17,905 $16,463 $17,905 $16,463 

See accompanying notes to Consolidated Financial Statements.


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

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
Six MonthsNine Months
2023202220232022
Operating activitiesOperating activitiesOperating activities
Net earningsNet earnings$1,330 $979 Net earnings$2,022 $1,795 
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:
DepreciationDepreciation194 185 Depreciation292 276 
Amortization of intangible assetsAmortization of intangible assets322 310 Amortization of intangible assets486 469 
Asset impairmentsAsset impairments— Asset impairments12 18 
Share-based compensationShare-based compensation113 107 Share-based compensation165 140 
Recall charges, netRecall charges, net18 Recall charges, net12 14 
Sale of inventory stepped-up to fair value at acquisitionSale of inventory stepped-up to fair value at acquisition— 12 Sale of inventory stepped-up to fair value at acquisition— 12 
Changes in operating assets and liabilities:Changes in operating assets and liabilities:Changes in operating assets and liabilities:
Accounts receivableAccounts receivable308 (159)Accounts receivable266 (186)
InventoriesInventories(589)(523)Inventories(922)(754)
Accounts payableAccounts payable(97)34 Accounts payable(118)111 
Accrued expenses and other liabilitiesAccrued expenses and other liabilities(159)(257)Accrued expenses and other liabilities165 
Recall-related paymentsRecall-related payments(23)(19)Recall-related payments(28)(26)
Income taxesIncome taxes(169)(132)Income taxes(69)(262)
Other, netOther, net(103)177 Other, net(100)
Net cash provided by operating activitiesNet cash provided by operating activities$1,133 $732 Net cash provided by operating activities$2,183 $1,621 
Investing activitiesInvesting activitiesInvesting activities
Acquisitions, net of cash acquiredAcquisitions, net of cash acquired(390)(2,563)Acquisitions, net of cash acquired(390)(2,563)
Purchases of marketable securitiesPurchases of marketable securities(35)(38)Purchases of marketable securities(41)(43)
Proceeds from sales of marketable securitiesProceeds from sales of marketable securities42 29 Proceeds from sales of marketable securities49 40 
Purchases of property, plant and equipmentPurchases of property, plant and equipment(282)(262)Purchases of property, plant and equipment(430)(400)
Proceeds from settlement of net investment hedgesProceeds from settlement of net investment hedges— 197 
Other investing, netOther investing, net
Net cash used in investing activitiesNet cash used in investing activities$(665)$(2,834)Net cash used in investing activities$(810)$(2,762)
Financing activitiesFinancing activitiesFinancing activities
Proceeds (payments) on short-term borrowings, netProceeds (payments) on short-term borrowings, net(4)(376)Proceeds (payments) on short-term borrowings, net540 (376)
Proceeds from issuance of long-term debtProceeds from issuance of long-term debt— 1,500 Proceeds from issuance of long-term debt— 1,500 
Payments on long-term debtPayments on long-term debt(201)(252)Payments on long-term debt(852)(502)
Payments of dividendsPayments of dividends(569)(525)Payments of dividends(854)(788)
Cash paid for taxes from withheld sharesCash paid for taxes from withheld shares(111)(84)Cash paid for taxes from withheld shares(121)(89)
Other financing, netOther financing, net(1)(23)Other financing, net(21)(48)
Net cash provided by (used in) financing activitiesNet cash provided by (used in) financing activities$(886)$240 Net cash provided by (used in) financing activities$(1,308)$(303)
Effect of exchange rate changes on cash and cash equivalentsEffect of exchange rate changes on cash and cash equivalents(25)(38)Effect of exchange rate changes on cash and cash equivalents(49)(80)
Change in cash and cash equivalentsChange in cash and cash equivalents$(443)$(1,900)Change in cash and cash equivalents$16 $(1,524)
Cash and cash equivalents at beginning of periodCash and cash equivalents at beginning of period1,844 2,944 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$1,401 $1,044 Cash and cash equivalents at end of period$1,860 $1,420 

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

STRYKER CORPORATION2023 SecondThird 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 JuneSeptember 30, 2023 and the results of operations for the three and sixnine months 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 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.
NOTE 2 - REVENUE RECOGNITION
Our policies for recognizing sales have not changed from those described in our Annual Report on Form 10-K for 2022.
We disaggregate our net sales by business and geographic location for each of our segments as we believe it best depicts how the nature, amount, timing and certainty of our net sales and cash flows are affected by economic factors.
Beginning in the first quarter 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 $87$84 and $77$72 for the three months 2023 and 2022 and $168$252 and $146$218 for the sixnine months 2023 and 2022. We have reflected these changes in all historical periods presented.
Net Sales by BusinessNet Sales by BusinessNet Sales by Business
Three MonthsSix MonthsThree MonthsNine Months
20232022202320222023202220232022
MedSurg and Neurotechnology:MedSurg and Neurotechnology:MedSurg and Neurotechnology:
InstrumentsInstruments$630 $563 $1,205 $1,091 Instruments$628 $535 $1,833 $1,626 
EndoscopyEndoscopy705 677 1,403 1,284 Endoscopy738 662 2,141 1,946 
MedicalMedical841 666 1,619 1,330 Medical798 765 2,417 2,095 
NeurovascularNeurovascular311 306 595 607 Neurovascular311 294 906 901 
Neuro CranialNeuro Cranial373 337 728 660 Neuro Cranial384 332 1,112 992 
$2,860 $2,549 $5,550 $4,972 $2,859 $2,588 $8,409 $7,560 
Orthopaedics and Spine:Orthopaedics and Spine:Orthopaedics and Spine:
KneesKnees$562 $500 $1,128 $964 Knees$515 $481 $1,643 $1,445 
HipsHips393 364 768 691 Hips362 347 1,130 1,038 
Trauma and ExtremitiesTrauma and Extremities766 676 1,535 1,361 Trauma and Extremities752 672 2,287 2,033 
SpineSpine296 290 580 569 Spine291 280 871 849 
OtherOther119 114 213 211 Other130 111 343 322 
$2,136 $1,944 $4,224 $3,796 $2,050 $1,891 $6,274 $5,687 
TotalTotal$4,996 $4,493 $9,774 $8,768 Total$4,909 $4,479 $14,683 $13,247 
Net Sales by GeographyNet Sales by GeographyNet Sales by Geography
Three Months 2023Three Months 2022Three Months 2023Three Months 2022
United StatesInternationalUnited StatesInternationalUnited StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:MedSurg and Neurotechnology:MedSurg and Neurotechnology:
InstrumentsInstruments$512 $118 $451 $112 Instruments$503 $125 $425 $110 
EndoscopyEndoscopy568 137 548 129 Endoscopy610 128 551 111 
MedicalMedical682 159 536 130 Medical660 138 625 140 
NeurovascularNeurovascular123 188 113 193 Neurovascular120 191 110 184 
Neuro CranialNeuro Cranial306 67 281 56 Neuro Cranial315 69 274 58 
$2,191 $669 $1,929 $620 $2,208 $651 $1,985 $603 
Orthopaedics and Spine:Orthopaedics and Spine:Orthopaedics and Spine:
KneesKnees$406 $156 $368 $132 Knees$385 $130 $365 $116 
HipsHips249 144 230 134 Hips231 131 225 122 
Trauma and ExtremitiesTrauma and Extremities559 207 489 187 Trauma and Extremities550 202 494 178 
SpineSpine221 75 209 81 Spine217 74 206 74 
OtherOther85 34 86 28 Other87 43 85 26 
$1,520 $616 $1,382 $562 $1,470 $580 $1,375 $516 
TotalTotal$3,711 $1,285 $3,311 $1,182 Total$3,678 $1,231 $3,360 $1,119 
Net Sales by GeographyNet Sales by GeographyNet Sales by Geography
Six Months 2023Six Months 2022Nine Months 2023Nine Months 2022
United StatesInternationalUnited StatesInternationalUnited StatesInternationalUnited StatesInternational
MedSurg and Neurotechnology:MedSurg and Neurotechnology:MedSurg and Neurotechnology:
InstrumentsInstruments$962 $243 $865 $226 Instruments$1,465 $368 $1,290 $336 
EndoscopyEndoscopy1,132 271 1,034 250 Endoscopy1,742 399 1,585 361 
MedicalMedical1,294 325 1,061 269 Medical1,954 463 1,686 409 
NeurovascularNeurovascular241 354 223 384 Neurovascular361 545 333 568 
Neuro CranialNeuro Cranial595 133 545 115 Neuro Cranial910 202 819 173 
$4,224 $1,326 $3,728 $1,244 $6,432 $1,977 $5,713 $1,847 
Orthopaedics and Spine:Orthopaedics and Spine:Orthopaedics and Spine:
KneesKnees$822 $306 $713 $251 Knees$1,207 $436 $1,078 $367 
HipsHips485 283 432 259 Hips716 414 657 381 
Trauma and ExtremitiesTrauma and Extremities1,113 422 976 385 Trauma and Extremities1,663 624 1,470 563 
SpineSpine433 147 409 160 Spine650 221 615 234 
OtherOther146 67 158 53 Other233 110 243 79 
$2,999 $1,225 $2,688 $1,108 $4,469 $1,805 $4,063 $1,624 
TotalTotal$7,223 $2,551 $6,416 $2,352 Total$10,901 $3,782 $9,776 $3,471 
Contract Assets and Liabilities
On JuneSeptember 30, 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 $784$788 and $741 on JuneSeptember 30, 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 six months 2023 were as follows:
June 2023
Beginning contract liabilities$741
Revenue recognized from beginning of year contract liabilities(230)
Net advance consideration received during the period273 
Ending contract liabilities$784
Dollar amounts are in millions except per share amounts or as otherwise specified.5

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
Changes in contract liabilities during the nine months 2023 were as follows:
September 30
2023
Beginning contract liabilities$741
Revenue recognized from beginning of year contract liabilities(306)
Net advance consideration received during the period353 
Ending contract liabilities$788
NOTE 3 - ACCUMULATED OTHER COMPREHENSIVE (LOSS) INCOME (AOCI)
Three Months 2023Three Months 2023Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotalThree Months 2023Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
BeginningBeginning$(1)$29 $43 $(376)$(305)Beginning$(1)$28 $54 $(411)$(330)
OCIOCI(1)24 (24)— OCI(1)11 133 144 
Income taxesIncome taxes— (2)(5)(4)(11)Income taxes— (2)(47)(48)
Reclassifications to:Reclassifications to:Reclassifications to:
Cost of salesCost of sales— — (9)— (9)Cost of sales— — (7)— (7)
Other (income) expense, netOther (income) expense, net(1)(1)(9)(10)Other (income) expense, net(1)(1)(2)(8)(12)
Income taxesIncome taxes— Income taxes— — 
Net OCINet OCI— (1)11 (35)(25)Net OCI— (1)80 81 
EndingEnding$(1)$28 $54 $(411)$(330)Ending$(1)$27 $56 $(331)$(249)
Three Months 2022Three Months 2022Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotalThree Months 2022Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
BeginningBeginning$(1)$(156)$41 $(363)$(479)Beginning$(1)$(148)$65 $(202)$(286)
OCIOCI— 32 268 308 OCI— 11 19 304 334 
Income taxesIncome taxes— (2)(4)(98)(104)Income taxes— (3)(1)(119)(123)
Reclassifications to:Reclassifications to:Reclassifications to:
Cost of salesCost of sales— — (3)— (3)Cost of sales— — (7)— (7)
Other (income) expense, netOther (income) expense, net— (1)(11)(10)Other (income) expense, net— (2)(8)(7)
Income taxesIncome taxes— — — Income taxes— (1)(1)— 
Net OCINet OCI— 24 161 193 Net OCI— 10 179 197 
EndingEnding$(1)$(148)$65 $(202)$(286)Ending$(1)$(138)$73 $(23)$(89)
Six Months 2023Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Nine Months 2023Nine Months 2023Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
BeginningBeginning$(1)$31 $52 $(303)$(221)Beginning$(1)$31 $52 $(303)$(221)
OCIOCI(1)27 (123)(94)OCI— 38 10 50 
Income taxesIncome taxes— (5)(6)28 17 Income taxes— (4)(8)(19)(31)
Reclassifications to:Reclassifications to:Reclassifications to:
Cost of salesCost of sales— — (22)— (22)Cost of sales— — (29)— (29)
Other (income) expense, netOther (income) expense, net(2)(2)(17)(20)Other (income) expense, net— (3)(4)(25)(32)
Income taxesIncome taxes— 10 Income taxes— 14 
Net OCINet OCI— (3)(108)(109)Net OCI— (4)(28)(28)
EndingEnding$(1)$28 $54 $(411)$(330)Ending$(1)$27 $56 $(331)$(249)
Six Months 2022Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
Nine Months 2022Nine Months 2022Marketable SecuritiesPension PlansHedgesFinancial Statement TranslationTotal
BeginningBeginning$ $(155)$40 $(416)$(531)Beginning$ $(155)$40 $(416)$(531)
OCIOCI(1)36 354 393 OCI(1)15 55 658 727 
Income taxesIncome taxes— — (6)(123)(129)Income taxes— (3)(7)(242)(252)
Reclassifications to:Reclassifications to:Reclassifications to:
Cost of salesCost of sales— — (3)— (3)Cost of sales— — (10)— (10)
Other (income) expense, netOther (income) expense, net— (2)(22)(20)Other (income) expense, net— (4)(30)(27)
Income taxesIncome taxes— (1)— Income taxes— (2)(1)
Net OCINet OCI(1)25 214 245 Net OCI(1)17 33 393 442 
EndingEnding$(1)$(148)$65 $(202)$(286)Ending$(1)$(138)$73 $(23)$(89)
NOTE 4 - DERIVATIVE INSTRUMENTS
We use operational and economic hedges, foreign currency exchange forward contracts, net investment hedges (both derivative and non-derivative financial instruments) and interest rate derivative instruments to manage the impact of currency exchange and interest rate fluctuations on earnings, cash flow and equity. We do not enter into derivative instruments for speculative purposes. We are exposed to potential credit loss in the event of nonperformance by counterparties on our outstanding derivative instruments but do not anticipate nonperformance by any of our counterparties. Should a
counterparty default, our maximum loss exposure is the asset balance of the instrument. We have not changed our hedging strategies, accounting practices or objectives from those disclosed in our Annual Report on Form 10-K for 2022.
Foreign Currency Hedges
June 2023Cash FlowNet InvestmentNon-DesignatedTotal
September 2023September 2023Cash FlowNet InvestmentNon-DesignatedTotal
Gross notional amountGross notional amount$809 $1,630 $3,885 $6,324 Gross notional amount$838 $1,583 $4,726 $7,147 
Maximum term in yearsMaximum term in years3.4Maximum term in years3.1
Fair value:Fair value:Fair value:
Other current assetsOther current assets$30 $— $24 $54 Other current assets$31 $95 $86 $212 
Other noncurrent assetsOther noncurrent assets79 — 81 Other noncurrent assets11 — 12 
Other current liabilitiesOther current liabilities(6)— (15)(21)Other current liabilities(8)— (6)(14)
Other noncurrent liabilitiesOther noncurrent liabilities— (27)— (27)Other noncurrent liabilities(1)(12)— (13)
Total fair valueTotal fair value$26 $52 $9 $87 Total fair value$23 $94 $80 $197 
December 2022Cash FlowNet InvestmentNon-DesignatedTotal
Gross notional amount$1,053 $1,598 $3,417 $6,068 
Maximum term in years3.9
Fair value:
Other current assets$20 $— $$29 
Other noncurrent assets89 — 90 
Other current liabilities(6)— (79)(85)
Other noncurrent liabilities(1)(16)— (17)
Total fair value$14 $73 $(70)$17 
We had €1.5 billion at JuneSeptember 30, 2023 and December 31, 2022 in certain forward currency contracts designated as net investment hedges to hedge a portion of our investments in certain of our entities with functional currencies denominated in Euros. In addition to these derivative financial instruments designated as net investment hedges, we had €4.9 billion and €4.4 billion at JuneSeptember 30, 2023 and December 31, 2022 of senior unsecured notes designated as net investment hedges to selectively hedge portions of our investment in certain international subsidiaries. The currency effects of our Euro-denominated senior unsecured notes are reflected in AOCI within shareholders' equity where they offset gains and losses recorded on our net investment in international subsidiaries.
The total after-tax gain (loss) recognized in OCI related to designated net investment hedges was ($101)$42 in the sixnine months 2023.
Net Currency Exchange Rate Gains (Losses)
DerivativeDerivativeThree MonthsSix MonthsDerivativeThree MonthsNine Months
instrument:instrument:Recorded in:2023202220232022instrument:Recorded in:2023202220232022
Cash FlowCash FlowCost of sales$$$22 $Cash FlowCost of sales$$$29 $10 
Net InvestmentNet InvestmentOther income (expense), net11 17 22 Net InvestmentOther income (expense), net25 30 
Non-DesignatedNon-DesignatedOther income (expense), netNon-DesignatedOther income (expense), net(1)13 
Total$23 $16 $48 $28 Total$19 $14 $67 $42 
Dollar amounts are in millions except per share amounts or as otherwise specified.6

STRYKER CORPORATION2023 Third Quarter Form 10-Q
Pretax gains (losses) on derivatives designated as cash flow hedges of $30$35 and net investment hedges of $34$31 recorded in AOCI are expected to be reclassified to cost of sales and other income (expense), net in earnings within 12 months of JuneSeptember 30, 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.
Dollar amounts are in millions except per share amounts or as otherwise specified.6

STRYKER CORPORATION2023 Second Quarter Form 10-Q
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 JuneSeptember 30, 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 2022.
In the third 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.
In the second quarter 2023 we recorded $192 of contingent consideration related to the acquisition of Cerus Endovascular Limited (Cerus) described in Note 7.
There were no significant transfers into or out of any level of the fair value hierarchy in 2023.
Assets Measured at Fair ValueAssets Measured at Fair ValueJuneDecemberAssets Measured at Fair ValueSeptemberDecember
2023202220232022
Cash and cash equivalentsCash and cash equivalents$1,401 $1,844 Cash and cash equivalents$1,860 $1,844 
Trading marketable securitiesTrading marketable securities192 166 Trading marketable securities189 166 
Level 1 - AssetsLevel 1 - Assets$1,593 $2,010 Level 1 - Assets$2,049 $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$36 $42 Corporate and asset-backed debt securities$38 $42 
Foreign government debt securitiesForeign government debt securities— Foreign government debt securities— 
United States agency debt securitiesUnited States agency debt securitiesUnited States agency debt securities
United States treasury debt securitiesUnited States treasury debt securities35 36 United States treasury debt securities32 36 
Certificates of depositCertificates of depositCertificates of deposit
Total available-for-sale marketable securitiesTotal available-for-sale marketable securities$77 $84 Total available-for-sale marketable securities$76 $84 
Foreign currency exchange forward contractsForeign currency exchange forward contracts135 119 Foreign currency exchange forward contracts224 119 
Level 2 - AssetsLevel 2 - Assets$212 $203 Level 2 - Assets$300 $203 
Total assets measured at fair valueTotal assets measured at fair value$1,805 $2,213 Total assets measured at fair value$2,349 $2,213 
Liabilities Measured at Fair ValueLiabilities Measured at Fair ValueJuneDecemberLiabilities Measured at Fair ValueSeptemberDecember
2023202220232022
Deferred compensation arrangementsDeferred compensation arrangements$192 $166 Deferred compensation arrangements$189 $166 
Level 1 - LiabilitiesLevel 1 - Liabilities$192 $166 Level 1 - Liabilities$189 $166 
Foreign currency exchange forward contractsForeign currency exchange forward contracts$48 $102 Foreign currency exchange forward contracts$27 $102 
Level 2 - LiabilitiesLevel 2 - Liabilities$48 $102 Level 2 - Liabilities$27 $102 
Contingent consideration:Contingent consideration:Contingent consideration:
BeginningBeginning$121 $306 Beginning$121 $306 
AdditionsAdditions192 Additions192 
Change in estimate and foreign exchangeChange in estimate and foreign exchange(3)(137)Change in estimate and foreign exchange(8)(137)
SettlementsSettlements(1)(49)Settlements(22)(49)
EndingEnding$309 $121 Ending$283 $121 
Level 3 - LiabilitiesLevel 3 - Liabilities$309 $121 Level 3 - Liabilities$283 $121 
Total liabilities measured at fair valueTotal liabilities measured at fair value$549 $389 Total liabilities measured at fair value$499 $389 
Fair Value of Available for Sale Securities by Maturity
JuneDecember
20232022
Due in one year or less$42 $53 
Due after one year through three years$35 $31 
Fair Value of Available for Sale Securities by Maturity
SeptemberDecember
20232022
Due in one year or less$43 $53 
Due after one year through three years$33 $31 
On JuneSeptember 30, 2023 and December 31, 2022 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 $11$15 and $20$26 in the three months and $25$40 and $35$61 in the sixnine months 2023 and 2022, 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. Following 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. If ultimately successful, PureWick may seek to recover its legal fees. In June 2022 PureWick filed a motion to enhance 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 current PrimaFit products. A trial for this matter is currently set for December 2023.
Dollar amounts are in millions except per share amounts or as otherwise specified.7

STRYKER CORPORATION2023 Third Quarter Form 10-Q
We are currently investigating whether certain business activities in certain foreign countries violated provisions of the Foreign Corrupt Practices Act (FCPA) and have engaged outside counsel to conduct these investigations. We have been contacted by the United States Securities and Exchange Commission, United States Department of Justice and certain other regulatory authorities and are cooperating with these agencies. At this time we are unable to predict the outcome of the investigations or the potential impact, if any, on our financial statements.
Recall Matters
We have conducted voluntary recalls of certain products, including our Rejuvenate and ABG II Modular-Neck hip stems and certain lot-specific sizes and offsets of LFIT Anatomic CoCr V40 Femoral Heads. Additionally, we are responsible for certain product liability claims, primarily related to certain hip products sold by Wright Medical Group N.V. (Wright) prior to its 2014 divestiture of the OrthoRecon business.
Dollar amounts are in millions except per share amounts or as otherwise specified.7

STRYKER CORPORATION2023 Second Quarter Form 10-Q
We have incurred, and expect to incur in the future, costs associated with the defense and settlement of claims and lawsuits related to our recalls. Based on the information that has been received, we have recorded reserves of $194,$198, representing our best estimate of probable loss related to recall matters 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.
LeasesLeasesJuneDecemberLeasesSeptember 30December 31
2023202220232022
Right-of-use assetsRight-of-use assets$481 $473 Right-of-use assets$491 $473 
Lease liabilities, currentLease liabilities, current$125 $121 Lease liabilities, current$130 $121 
Lease liabilities, non-currentLease liabilities, non-current$363 $357 Lease liabilities, non-current$369 $357 
Other information:Other information:Other information:
Weighted-average remaining lease term (years)Weighted-average remaining lease term (years)5.75.5Weighted-average remaining lease term (years)5.55.5
Weighted-average discount rateWeighted-average discount rate3.60 %3.22 %Weighted-average discount rate3.73 %3.22 %
Three MonthsSix Months
2023202220232022
Operating lease cost$41 $38 $79 $73 
Three MonthsNine Months
2023202220232022
Operating lease cost$48 $37 $127 $110 
NOTE 7 - ACQUISITIONS
We acquire stock in companies and various assets that continue to support our capital deployment and product development strategies. In the sixnine months 2023 and 2022 cash paid for acquisitions, net of cash acquired was $390 and $2,563.
On May 2, 2023 we acquired Cerus for net cash consideration of $289 and up to $225 in future milestone payments that had a fair value of $192 at the acquisition date. Cerus designs, develops and manufactures neurovascular products used for the treatment of hemorrhagic stroke. Cerus is part of our Neurovascular business within MedSurg and Neurotechnology. Goodwill attributable to the acquisition is not deductible for tax purposes.
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.
In the sixnine 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 AssetsPurchase Price Allocation of Acquired Net AssetsPurchase Price Allocation of Acquired Net Assets
2023202220232022
CerusVoceraCerusVocera
Tangible assets acquired:Tangible assets acquired:Tangible assets acquired:
Accounts receivableAccounts receivable$$33 Accounts receivable$$33 
InventoryInventory13 Inventory13 
Deferred income tax assetsDeferred income tax assets91 Deferred income tax assets91 
Other assetsOther assets92 Other assets92 
DebtDebt— (425)Debt— (425)
Deferred income tax liabilitiesDeferred income tax liabilities(60)(193)Deferred income tax liabilities(60)(193)
Other liabilitiesOther liabilities(22)(117)Other liabilities(22)(117)
Intangible assets:Intangible assets:Intangible assets:
Customer and distributor relationshipsCustomer and distributor relationships— 603 Customer and distributor relationships— 603 
Developed technologyDeveloped technology240 175 Developed technology240 175 
Trade nameTrade name— 18 Trade name— 18 
GoodwillGoodwill312 2,273 Goodwill312 2,273 
Purchase price, net of cash acquired of $7 and $281Purchase price, net of cash acquired of $7 and $281$481 $2,563 Purchase price, net of cash acquired of $7 and $281$481 $2,563 
Weighted average amortization period at acquisition (years):Weighted average amortization period at acquisition (years):Weighted average amortization period at acquisition (years):
Developed technologiesDeveloped technologies156Developed technologies136
Customer relationshipsCustomer relationships— 15Customer relationships— 15
TrademarksTrademarks— 9Trademarks— 9
The purchase price allocation for Cerus is based on preliminary valuations, primarily related to developed technology and deferred income taxes. Our estimates and assumptions are subject to change within the measurement period. The purchase price allocation for Vocera was finalized in the first quarter 2023 without material adjustments.
Consolidated Estimated Amortization ExpenseConsolidated Estimated Amortization ExpenseConsolidated Estimated Amortization Expense
Remainder of 2023Remainder of 20232024202520262027Remainder of 20232024202520262027
$319 $608 $591 $534 $511 159 $607 $590 $533 $512 
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. Our credit facilities require us to comply with financial and other covenants. We were in compliance with all covenants on JuneSeptember 30, 2023.
In February 2022August 2023 we entered into arepaid the remaining balance of $650 on the $1.5 billion term loan agreement that maturesscheduled to mature on February 22, 2025 and bears2025. We also issued €500 of floating rate senior notes due November 16, 2024. The notes bear interest at a base rate based on the Term Secured Overnight Financingthree-month Euro Interbank Offered Rate (SOFR)(EURIBOR) plus 0.725%0.3%. Through JuneThe notes are callable at February 16, 2024, May 16, 2024 or October 16, 2024 either by us or at the option of the notes holders. These notes are classified within current maturities of debt on our Consolidated Balance Sheet as of September 30, 2023 we have repaid $850 on the term loan.
In the first quarter 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 June 30, 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.2023.
Dollar amounts are in millions except per share amounts or as otherwise specified.8

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
Summary of Total DebtJuneDecember
20232022
RateDue
Senior unsecured notes:
1.125%November 30, 2023$598 $585 
0.600%December 1, 2023600 599 
3.375%May 15, 2024597 596 
0.250%December 3, 2024922 903 
1.150%June 15, 2025647 647 
3.375%November 1, 2025749 748 
3.500%March 15, 2026996 995 
2.125%November 30, 2027812 795 
3.650%March 7, 2028597 597 
0.750%March 1, 2029865 848 
1.950%June 15, 2030992 991 
2.625%November 30, 2030699 684 
1.000%December 3, 2031807 790 
4.100%April 1, 2043392 392 
4.375%May 15, 2044396 396 
4.625%March 15, 2046983 983 
2.900%June 15, 2050642 642 
Term loan650 850 
Other
Total debt$12,947 $13,048 
Less current maturities1,798 1,191 
Total long-term debt$11,149 $11,857 
JuneDecember
20232022
Unamortized debt issuance costs$47 $52 
Borrowing capacity on existing facilities$2,160 $2,162 
Fair value of senior unsecured notes$11,082 $10,910 
In the first quarter 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, 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 DebtSeptemberDecember
20232022
RateDue
Senior unsecured notes:
1.125%November 30, 2023$580 $585 
0.600%December 1, 2023600 599 
3.375%May 15, 2024598 596 
VariousNovember 16, 2024527 — 
0.250%December 3, 2024895 903 
1.150%June 15, 2025648 647 
3.375%November 1, 2025749 748 
3.500%March 15, 2026996 995 
2.125%November 30, 2027788 795 
3.650%March 7, 2028598 597 
0.750%March 1, 2029841 848 
1.950%June 15, 2030992 991 
2.625%November 30, 2030679 684 
1.000%December 3, 2031783 790 
4.100%April 1, 2043392 392 
4.375%May 15, 2044396 396 
4.625%March 15, 2046983 983 
2.900%June 15, 2050642 642 
Term loan— 850 
Other
Total debt$12,690 $13,048 
Less current maturities2,308 1,191 
Total long-term debt$10,382 $11,857 
SeptemberDecember
20232022
Unamortized debt issuance costs$45 $52 
Borrowing capacity on existing facilities$2,160 $2,162 
Fair value of senior unsecured notes$11,333 $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 17.9%20.4% and 15.7%17.4% in the three and sixnine months 2023 and 8.9%0.0% and 11.5%6.6% in the three and sixnine months 2022. The effective tax rates for the three and sixnine months 2023 and 2022 reflect the continued lower effective income tax rates as a result of our European operations and certain discrete tax items. In addition, theThe effective tax rates for the three and sixnine months 2022 also reflect income tax benefits of $162 due to the effective settlement of the United States federal income tax audit for years 2014 through 2018. In addition, the effective tax rate for the nine months 2022 reflects the reversal of deferred income tax on undistributed earnings of foreign subsidiaries as our revised capital plan determined that certain cash outside of the United States would no longer need to be repatriated during the period previously contemplated.
NOTE 10 - SEGMENT INFORMATION
Three MonthsSix MonthsThree MonthsNine Months
20232022202320222023202220232022
MedSurg and NeurotechnologyMedSurg and Neurotechnology$2,860 $2,549 $5,550 $4,972 MedSurg and Neurotechnology$2,859 $2,588 $8,409 $7,560 
Orthopaedics and SpineOrthopaedics and Spine2,136 1,944 4,224 3,796 Orthopaedics and Spine2,050 1,891 6,274 5,687 
Net salesNet sales$4,996 $4,493 $9,774 $8,768 Net sales$4,909 $4,479 $14,683 $13,247 
MedSurg and NeurotechnologyMedSurg and Neurotechnology$780 $629 $1,407 $1,259 MedSurg and Neurotechnology$859 $611 $2,266 $1,870 
Orthopaedics and SpineOrthopaedics and Spine601 579 1,202 1,082 Orthopaedics and Spine499 534 1,701 1,616 
Segment operating incomeSegment operating income$1,381 $1,208 $2,609 $2,341 Segment operating income$1,358 $1,145 $3,967 $3,486 
Items not allocated to segments:Items not allocated to segments:Items not allocated to segments:
Corporate and otherCorporate and other$(165)$(145)$(387)$(344)Corporate and other$(209)$(144)$(596)$(488)
Acquisition and integration-related costsAcquisition and integration-related costs(2)(37)(8)(186)Acquisition and integration-related costs78 (7)(108)
Amortization of intangible assetsAmortization of intangible assets(161)(160)(322)(310)Amortization of intangible assets(164)(159)(486)(469)
Structural optimization and other special chargesStructural optimization and other special charges(72)(62)(114)(171)Structural optimization and other special charges(28)(58)(142)(229)
Medical device regulationsMedical device regulations(27)(32)(55)(60)Medical device regulations(19)(38)(74)(98)
Recall-related mattersRecall-related matters(3)(4)(3)(18)Recall-related matters(9)(12)(14)
Regulatory and legal mattersRegulatory and legal matters14 (20)(33)Regulatory and legal matters(20)(19)(53)
Consolidated operating incomeConsolidated operating income$965 $772 $1,700 $1,219 Consolidated operating income$931 $808 $2,631 $2,027 
There were no significant changes to total assets by segment from the information provided in our Annual Report on Form 10-K for 2022.
Dollar amounts are in millions except per share amounts or as otherwise specified.9

STRYKER CORPORATION2023 SecondThird 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 healthcare outcomes. Alongside its customers around the world, Stryker impacts more than 130 million patients annually.
We segregate our operations into two reportable business segments: (i) MedSurg and Neurotechnology and (ii) Orthopaedics and Spine. MedSurg and Neurotechnology products include surgical equipment and navigation systems (Instruments), endoscopic and communications systems (Endoscopy), patient handling, emergency medical equipment and intensive care disposable products (Medical), minimally invasive products for the treatment of acute ischemic and hemorrhagic stroke (Neurovascular), a comprehensive line of products for traditional brain and open skull based surgical procedures; orthobiologic and biosurgery products, including synthetic bone grafts and vertebral augmentation products (Neuro Cranial). Orthopaedics and Spine products consist primarily of implants used in hip and knee joint replacements and trauma and extremity surgeries, and cervical, thoracolumbar and interbody systems used in spinal injury, deformity and degenerative therapies.
Macroeconomic Environment
The global economy continues to experience increased inflationary pressures in part due to global supply chain disruptions, labor shortages and other impacts of the macroeconomic environment which we anticipate will continue. Higher interest rates and capital costs, higher shipping costs, increased costs of labor, fluctuating foreign currency exchange rates and the military conflictconflicts in Russia and Ukraine and the Middle East have created additional economic challenges and uncertainties. These conditions may cause our customers to decrease or delay orders for our products and services, and the higher interest rates may impact deal mix for our capital products.
China Volume-Based Procurement, and Import Purchase Evaluation and Anti-Corruption Campaign
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. 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 2022 and the first sixnine months of 2023 and for the renewal of trauma products in the third quarter 2023. The prices required for a successful bid have negatively impacted the commercial operations of our joint
replacement, trauma and certain neurovascular products in China.
We were unsuccessful in our bids in the VBP program for spine products that took place in the third quarter 2022 and as a result we are exiting the spine business in China. To date our other
businesses have not been significantly impacted, but may be in the future as a result of additional VBP programs. In the second quarter 2023 government agencies announced data collection initiatives for sports medicine, biologics and craniomaxilliofacial products in preparation for VBP programs that could be announced as soon as the thirdfourth quarter 2023. The impact of VBP programs, if any, for these products is not expected to be significant.
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. Additionally, China's National Health Commission has launched an anti-corruption campaign focused on investigating government officials and individuals employed by state-owned entities and public institutions in the healthcare sector. We have seen some limitations to physician and surgeon access, but our business has not been significantly impacted. Our business in China represented approximately 1.8%1.9% of our revenues in the sixnine months 2023.
Overview of the Three and SixNine Months
In the three months 2023 we achieved sales growth of 11.2%9.6% from 2022. Excluding the impact of acquisitions and divestitures sales grew 11.9%9.2% in constant currency. We reported operating income margin of 19.3%19.0%, net earnings of $738$692 and net earnings per diluted share of $1.93.$1.80. Excluding the impact of certain items, adjusted operating income margin(1) increased by 60110 basis points to 24.3%23.4%, with adjusted net earnings(1) of $976$944 and adjusted net earnings per diluted share(1) of $2.54,$2.46, an increase of 12.9%16.0% from 2022.
In the sixnine months 2023 we achieved sales growth of 11.5%10.8% from 2022. Excluding the impact of acquisitions and divestitures sales grew 12.7%11.5% in constant currency. We reported operating income margin of 17.4%17.9%, net earnings of $1,330$2,022 and net earnings per diluted share of $3.47.$5.27. Excluding the impact of certain items, adjusted operating income margin(1) contractedincreased by 1040 basis points to 22.7%23.0%, with adjusted net earnings(1) of $1,796$2,740 and adjusted net earnings per diluted share(1) of $4.68,$7.14, an increase of 10.9%12.6% from 2022.
Recent Developments
OnIn May 2, 2023 we acquired Cerus Endovascular Limited (Cerus) for net cash consideration of $289 and up to $225 in future milestone payments. Cerus designs, develops and manufactures neurovascular products used for the treatment of hemorrhagic stroke. Cerus is part of our Neurovascular business within MedSurg and Neurotechnology. Refer to Note 7 to our Consolidated Financial Statements for further information.
In August 2023 we repaid the remaining balance of $650 on the $1.5 billion term loan scheduled to mature on February 22, 2025 and issued €500 of floating rate senior notes due November 16, 2024. The notes bear interest at a base rate based on the three-month Euro Interbank Offered Rate (EURIBOR) plus 0.3%.

(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.

Dollar amounts are in millions except per share amounts or as otherwise specified.10

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
CONSOLIDATED RESULTS OF OPERATIONSCONSOLIDATED RESULTS OF OPERATIONSCONSOLIDATED RESULTS OF OPERATIONS
Three MonthsSix MonthsThree MonthsNine Months
Percent Net SalesPercentagePercent Net SalesPercentagePercent Net SalesPercentagePercent Net SalesPercentage
2023202220232022Change2023202220232022Change2023202220232022Change2023202220232022Change
Net salesNet sales$4,996 $4,493 100.0 %100.0 %11.2 %$9,774 $8,768 100.0 %100.0 %11.5 %Net sales$4,909 $4,479 100.0 %100.0 %9.6 %$14,683 $13,247 100.0 %100.0 %10.8 %
Gross profitGross profit3,181 2,826 63.7 62.9 12.6 6,197 5,560 63.4 63.4 11.5 Gross profit3,158 2,782 64.3 62.1 13.5 9,355 8,342 63.7 63.0 12.1 
Research, development and engineering expensesResearch, development and engineering expenses346 351 6.9 7.8 (1.4)685 764 7.0 8.7 (10.3)Research, development and engineering expenses353 364 7.2 8.1 (3.0)1,038 1,128 7.1 8.5 (8.0)
Selling, general and administrative expensesSelling, general and administrative expenses1,706 1,539 34.1 34.3 10.9 3,487 3,249 35.7 37.1 7.3 Selling, general and administrative expenses1,701 1,455 34.7 32.5 16.9 5,188 4,704 35.3 35.5 10.3 
Recall charges, netRecall charges, net0.1 0.1 (25.0)18 — 0.2 (83.3)Recall charges, net(4)0.2 (0.1)(325.0)12 14 0.1 0.1 (14.3)
Amortization of intangible assetsAmortization of intangible assets161 160 3.2 3.6 0.6 322 310 3.3 3.5 3.9 Amortization of intangible assets164 159 3.3 3.5 3.1 486 469 3.3 3.5 3.6 
Other income (expense), netOther income (expense), net(66)(52)(1.3)(1.2)26.9 (122)(113)(1.2)(1.3)8.0 Other income (expense), net(62)(1.3)0.2 nm(184)(105)(1.3)(0.8)75.2 
Income taxesIncome taxes161 64 nm151.6248 127 nm95.3 Income taxes177 — nm425 127 nm234.6 
Net earningsNet earnings$738 $656 14.8 %14.6 %12.5 %$1,330 $979 13.6 %11.2 %35.9 %Net earnings$692 $816 14.1 %18.2 %(15.2)%$2,022 $1,795 13.8 %13.6 %12.6 %
Net earnings per diluted shareNet earnings per diluted share$1.93 $1.72 12.2 %$3.47 $2.56 35.5 %Net earnings per diluted share$1.80 $2.14 (15.9)%$5.27 $4.70 12.1 %
Adjusted net earnings per diluted share(1)
Adjusted net earnings per diluted share(1)
$2.54 $2.25 12.9 %$4.68 $4.22 10.9 %
Adjusted net earnings per diluted share(1)
$2.46 $2.12 16.0 %$7.14 $6.34 12.6 %


nm - not meaningful
Geographic and Segment Net SalesGeographic and Segment Net SalesThree MonthsSix MonthsGeographic and Segment Net SalesThree MonthsNine Months
Percentage ChangePercentage ChangePercentage ChangePercentage Change
20232022As ReportedConstant
Currency
20232022As ReportedConstant
Currency
20232022As ReportedConstant
Currency
20232022As ReportedConstant
Currency
Geographic:Geographic:Geographic:
United StatesUnited States$3,711 $3,311 12.1 %12.1 %$7,223 $6,416 12.6 %12.6 %United States$3,678 $3,360 9.5 %9.5 %$10,901 $9,776 11.5 %11.5 %
InternationalInternational1,285 1,182 8.7 11.5 2,551 2,352 8.5 13.9 International1,231 1,119 10.0 8.9 3,782 3,471 9.0 12.2 
TotalTotal$4,996 $4,493 11.2 %11.9 %$9,774 $8,768 11.5 %12.9 %Total$4,909 $4,479 9.6 %9.3 %$14,683 $13,247 10.8 %11.7 %
Segment:Segment:Segment:
MedSurg and NeurotechnologyMedSurg and Neurotechnology$2,860 $2,549 12.2 %12.9 %$5,550 $4,972 11.6 %13.0 %MedSurg and Neurotechnology$2,859 $2,588 10.5 %10.3 %$8,409 $7,560 11.2 %12.1 %
Orthopaedics and SpineOrthopaedics and Spine2,136 1,944 9.9 10.6 4,224 3,796 11.3 12.8 Orthopaedics and Spine2,050 1,891 8.4 8.0 6,274 5,687 10.3 11.1 
TotalTotal$4,996 $4,493 11.2 %11.9 %$9,774 $8,768 11.5 %12.9 %Total$4,909 $4,479 9.6 %9.3 %$14,683 $13,247 10.8 %11.7 %
Supplemental Net Sales Growth InformationSupplemental Net Sales Growth InformationSupplemental Net Sales Growth Information
Three MonthsSix MonthsThree MonthsNine Months
Percentage ChangePercentage ChangePercentage ChangePercentage Change
United StatesInternationalUnited StatesInternationalUnited StatesInternationalUnited StatesInternational
20232022As ReportedConstant CurrencyAs ReportedConstant Currency20232022As ReportedConstant CurrencyAs ReportedConstant Currency20232022As ReportedConstant CurrencyAs ReportedConstant Currency20232022As ReportedConstant CurrencyAs ReportedConstant Currency
MedSurg and Neurotechnology:MedSurg and Neurotechnology:MedSurg and Neurotechnology:
InstrumentsInstruments$630 $563 11.9 %12.4 %13.2 %6.7 %9.1 %$1,205 $1,091 10.4 %11.6 %11.1 %7.8 %13.3 %Instruments$628 $535 17.6 %17.1 %18.7 %13.3 %11.1 %$1,833 $1,626 12.8 %13.4 %13.6 %9.6 %12.5 %
EndoscopyEndoscopy705 677 4.1 4.6 3.5 6.9 9.7 1,403 1,284 9.3 10.3 9.5 8.5 13.8 Endoscopy738 662 11.3 11.3 10.6 14.7 14.5 2,141 1,946 10.0 10.6 9.9 10.4 14.0 
MedicalMedical841 666 26.3 26.9 27.2 22.5 25.7 1,619 1,330 21.7 22.9 21.9 21.0 26.9 Medical798 765 4.3 4.0 5.7 (2.0)(3.4)2,417 2,095 15.4 15.9 15.9 13.1 16.1 
NeurovascularNeurovascular311 306 1.5 3.6 9.0 (2.9)0.3 595 607 (2.0)1.3 8.1 (7.9)(2.9)Neurovascular311 294 5.9 6.5 8.7 4.2 5.3 906 901 0.6 3.1 8.3 (4.0)(0.1)
Neuro CranialNeuro Cranial373 337 10.8 11.3 9.6 16.5 20.0 728 660 10.3 11.3 9.4 15.1 21.3 Neuro Cranial384 332 15.5 15.5 14.5 20.4 19.8 1,112 992 12.1 12.7 11.1 16.8 20.8 
$2,860 $2,549 12.2 %12.9 %13.5 %8.0 %11.0 %$5,550 $4,972 11.6 %13.0 %13.3 %6.6 %12.1 %$2,859 $2,588 10.5 %10.3 %11.2 %7.9 %7.4 %$8,409 $7,560 11.2 %12.1 %12.6 %7.0 %10.5 %
Orthopaedics and Spine:Orthopaedics and Spine:Orthopaedics and Spine:
KneesKnees$562 $500 12.5 %13.2 %10.4 %18.1 %21.2 %$1,128 $964 17.0 %18.4 %15.3 %22.0 %27.8 %Knees$515 $481 7.1 %6.9 %5.3 %12.8 %12.0 %$1,643 $1,445 13.7 %14.5 %11.9 %19.1 %22.5 %
HipsHips393 364 8.1 9.3 8.8 6.8 10.3 768 691 11.1 13.5 12.3 9.0 15.6 Hips362 347 4.5 4.4 3.0 7.1 6.8 1,130 1,038 8.9 10.4 9.1 8.4 12.6 
Trauma and ExtremitiesTrauma and Extremities766 676 13.3 13.6 14.3 10.7 11.7 1,535 1,361 12.8 14.0 14.0 9.8 14.1 Trauma and Extremities752 672 11.9 10.9 11.5 13.0 9.3 2,287 2,033 12.5 13.0 13.2 10.8 12.5 
SpineSpine296 290 1.8 2.1 5.2 (7.0)(6.1)580 569 1.9 3.0 5.7 (8.0)(4.6)Spine291 280 4.1 3.3 5.4 0.5 (2.7)871 849 2.6 3.1 5.6 (5.3)(3.9)
OtherOther119 114 4.3 6.2 (1.6)22.3 30.9 213 211 0.7 2.9 (7.6)25.3 35.8 Other130 111 16.4 17.8 1.8 65.2 70.7 343 322 6.1 8.1 (4.3)38.2 47.6 
$2,136 $1,944 9.9 %10.6 %10.0 %9.5 %12.0 %$4,224 $3,796 11.3 %12.8 %11.6 %10.6 %15.9 %$2,050 $1,891 8.4 %8.0 %6.9 %12.4 %10.6 %$6,274 $5,687 10.3 %11.1 %10.0 %11.1 %14.1 %
TotalTotal$4,996 $4,493 11.2 %11.9 %12.1 %8.7 %11.5 %$9,774 $8,768 11.5 %12.9 %12.6 %8.5 %13.9 %Total$4,909 $4,479 9.6 %9.3 %9.5 %10.0 %8.9 %$14,683 $13,247 10.8 %11.7 %11.5 %9.0 %12.2 %
Note: Beginning in the first quarter 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 $87$84 and $77$72 for the three months 2023 and 2022 and $168$252 and $146$218 for the sixnine months 2023 and 2022. We have reflected these changes in all historical periods presented.
Consolidated Net Sales
Consolidated net sales increased 11.2%9.6% in the three months 2023 as reported and 11.9%9.3% in constant currency, as foreign currency exchange rates positively impacted net sales by 0.3%. Excluding the 0.1% impact of acquisitions and divestitures, net sales in constant currency increased by 8.9% from increased unit volume and 0.3% due to higher prices. The unit volume increase was due
to higher product shipments across all MedSurg and Neurotechnology and Orthopaedics and Spine businesses.
Consolidated net sales increased 10.8% in the nine months 2023 as reported and 11.7% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.7%. Net sales in constant currency increased by 11.4% from increased unit volume and 0.5% due to higher prices. The unit volume increase was due to higher product shipments across all
MedSurg and Neurotechnology and Orthopaedics and Spine businesses.
Consolidated net sales increased 11.5% in the six months 2023 as reported and 12.9% in constant currency, as foreign currency exchange rates negatively impacted net sales by 1.4%0.9%. Excluding the 0.2% impact of acquisitions and divestitures, net sales in constant currency increased by 12.1%11.0% from increased unit
Dollar amounts are in millions except per share amounts or as otherwise specified.11

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
volume and 0.6%0.5% due to higher prices. The unit volume increase was due to higher product shipments across all MedSurg and Neurotechnology and Orthopaedics and Spine businesses.
MedSurg and Neurotechnology Net Sales
MedSurg and Neurotechnology net sales increased 12.2%10.5% in the three months 2023 as reported and 12.9%10.3% in constant currency, as foreign currency exchange rates negativelypositively impacted net sales by 0.7%0.2%. NetExcluding the 0.2% impact of acquisitions and divestitures, net sales in constant currency increased by 11.5%8.7% from increased unit volume and 1.4% from higher prices. The unit volume increase was due to higher shipments across all MedSurg and Neurotechnology businesses.
MedSurg and Neurotechnology net sales increased 11.6%11.2% in the sixnine months 2023 as reported and 13.0%12.1% in constant currency, as foreign currency exchange rates negatively impacted net sales by 1.4%0.9%. Excluding the 0.4%0.3% impact of acquisitions and divestitures, net sales in constant currency increased by 11.0%10.2% from increased unit volume and 1.6% from higher prices. The unit volume increase was due to higher shipments across all MedSurg and Neurotechnology businesses.
Orthopaedics and Spine Net Sales
Orthopaedics and Spine net sales increased 9.9%8.4% in the three months 2023 as reported and 10.6%8.0% in constant currency, as foreign currency exchange rates negativelypositively impacted net sales by 0.7%0.4%. Net sales in constant currency increased 11.3%9.1% from increased unit volume partially offset by 0.7%1.1% from lower prices. The unit volume increase was due to higher shipments across all Orthopaedics and Spine businesses.
Orthopaedics and Spine net sales increased 11.3%10.3% in the sixnine months 2023 as reported and 12.8%11.1% in constant currency, as foreign currency exchange rates negatively impacted net sales by 1.5%0.8%. Net sales in constant currency increased 13.6%12.0% from increased unit volume partially offset by 0.8%0.9% from lower prices. The unit volume increase was due to higher shipments across all Orthopaedics and Spine businesses.
Gross Profit
Gross profit was $3,181$3,158 and $2,826$2,782 in the three months 2023 and 2022. The key components of the change were:
Gross Profit
Percent Net Sales
Three Months 202262.962.1%
Sales pricing10 bps
Volume and mix90 bps
Manufacturing and supply chain costs120 bps
Three Months 202364.3%
Gross profit as a percentage of net sales in the three months 2023 increased to 64.3% from 62.1% in 2022 due to favorable volume and lower manufacturing and supply chain costs primarily due to supply chain challenges impacting the capital products in our MedSurg businesses in the three months 2022.
Gross profit was $9,355 and $8,342 in the nine months 2023 and 2022. The key components of the change were:
Gross Profit
Percent Net Sales
Nine Months 202263.0 %
Sales pricing20 bps
Volume and mix100 bps
Manufacturing and supply chain costs(60) bps
Inventory stepped up to fair value2010 bps
ThreeNine Months 202363.7 %
Gross profit as a percentage of net sales in the threenine months 2023 increased to 63.7% from 62.9%63.0% in 2022 due to favorable volume and mix partially offset by higher manufacturing and supply chain costs primarily due to supply chain inefficiencies.
Gross Profit
Percent Net Sales
Six Months 202263.4%
Sales pricing20 bps
Volume and mix100 bps
Manufacturing and supply chain costs(130) bps
Inventory stepped up to fair value10 bps
Six Months 202363.4%
Gross profit as a percentage of net sales in the six months 2023 of 63.4% remained flat with 2022 due to higher prices and favorable volume and mix offset by higher manufacturing and supply chain costs primarily due to higher raw material costs and supply chain inefficiencies.
While segment mix was not a significant driver of the change in gross profit as a percent of net sales between the three and sixnine 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 $5$11 or 1.4%3.0% in the three months 2023 and decreased as a percentage of net sales to 6.9%7.2% from 7.8%8.1% in 2022, primarily due to increased costs for product launches and higher spend related to the new medical device regulations in the European Union in the three months 2022.
Research, development and engineering expenses decreased $79$90 or 10.3%8.0% in the sixnine months 2023 and decreased as a percentage of net sales to 7.0%7.1% from 8.7%8.5% in 2022, primarily due to increased costs for product launches, and the write-off of certain intangible assets and higher spend related to the new medical device regulations in the sixEuropean Union in the nine months 2022.
Selling, General and Administrative Expenses
Selling, general and administrative expenses increased $167$246 or 10.9%16.9% in the three months 2023 and decreasedincreased as a percentage of net sales to 34.1%34.7% from 34.3%32.5% in 2022, primarily due to disciplined increases in spend and investments to support our growth. Expenses as a percentage of net sales in the three months 2022 included the impactbenefit of $30a reduction of charges for acquisition$110 in the fair value of contingent consideration based on our determination that certain commercial and integration-related costs primarilyregulatory milestones related to Wrighttechnology acquired in the purchase of Mobius Imaging and Vocera.Cardan Robotics were no longer probable of being achieved.
Selling, general and administrative expenses increased $238$484 or 7.3%10.3% in the sixnine months 2023 and decreased as a percentage of net sales to 35.7%35.3% from 37.1%35.5% in 2022. The increase in selling, general and administrative expenses in the nine months 2023 was primarily due to disciplined increases in spend and investments to support our growth. Expenses as a percentage of net sales in the sixnine months 2022 included the impact of $132 of charges for share-based awards for Vocera employees that vested upon our acquisition. The increaseacquisition, offset by the benefit of the reduction in selling, general and administrative expenses in the six months 2023 was primarily due to disciplined increases in spend and investments to support our growth.fair value of contingent consideration described above.
Recall Charges, Net
Recall charges, net were $3a charge of $9 and credit of $4 in the three months and $3charges of $12 and $18$14 in the sixnine months 2023 and 2022. Charges in the three and sixnine months 2023 were primarily related to LFIT Anatomic CoCr V40 Femoral Heads. Charges in the three and sixnine months 2022 were primarily related to 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$164 and $160$159 in the three months and $322$486 and $310$469 in the sixnine months 2023 and 2022. Refer to Note 7 to our Consolidated Financial Statements for further information.
Operating Income
Operating income was $965 and $772 in the three months 2023 and 2022. Operating income as a percentage of net sales in the three months 2023 increased to 19.3% from 17.2% in 2022. Refer to the comments above for discussion of the primary drivers of the change.
Operating income was $1,700 and $1,219 in the six months 2023 and 2022. Operating income as a percentage of net sales in the six months 2023 increased to 17.4% from 13.9% in 2022. Refer to the comments above for discussion of the primary drivers of the change.
MedSurg and Neurotechnology operating income as a percentage of net sales increased to 27.3% in the three months 2023 from 24.7% in 2022. Orthopaedics and Spine operating
Dollar amounts are in millions except per share amounts or as otherwise specified.12

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
Operating Income
Operating income was $931 and $808 in the three months 2023 and 2022. Operating income as a percentage of net sales in the three months 2023 increased to 19.0% from 18.0% in 2022. Refer to the comments above for discussion of the primary drivers of the change.
Operating income was $2,631 and $2,027 in the nine months 2023 and 2022. Operating income as a percentage of net sales in the nine months 2023 increased to 17.9% from 15.3% in 2022. Refer to the comments above for discussion of the primary drivers of the change.
MedSurg and Neurotechnology operating income as a percentage of net sales increased to 30.0% in the three months 2023 from 23.6% in 2022. Orthopaedics and Spine operating income as a percentage of net sales decreased to 28.1%24.3% in the three months 2023 from 29.8%28.2% in 2022. The key components of the change were:
Operating Income
Percent Net Sales
Operating Income
Percent Net Sales
MedSurg and NeurotechnologyOrthopaedics and SpineMedSurg and NeurotechnologyOrthopaedics and Spine
Three Months 2022Three Months 202224.7 %29.8 %Three Months 202223.6 %28.2 %
Sales pricingSales pricing100 bps(50) bpsSales pricing110 bps(80) bps
VolumeVolume430 bps510 bpsVolume350 bps440 bps
Manufacturing and supply chain costsManufacturing and supply chain costs70 bps(170) bpsManufacturing and supply chain costs500 bps(280) bps
Research, development and engineering expensesResearch, development and engineering expenses30 bps10 bpsResearch, development and engineering expenses0 bps(80) bps
Selling, general and administrative expensesSelling, general and administrative expenses(370) bps(470) bpsSelling, general and administrative expenses(320) bps(390) bps
Three Months 2023Three Months 202327.3 %28.1 %Three Months 202330.0 %24.3 %
The increase in MedSurg and Neurotechnology operating income as a percentage of net sales for the three months was primarily impacteddriven by higher unit volumes and lower manufacturing and supply chain costs due to supply chain challenges impacting the capital products in our MedSurg businesses in the three months 2022 partially offset by higher selling, general and administrative expenses due to disciplined increases in spend and investments to support our growth.
The decrease in Orthopaedics and Spine operating income as a percentage of net sales for the three months was primarily impacteddriven by higher selling, general and administrative expenses due to disciplined increases in spend and investments to support our growth and higher manufacturing and supply chain costs primarily due to increased inventory reserves partially offset by higher unit volumes.
MedSurg and Neurotechnology operating income as a percentage of net sales increased to 26.9% in the nine months 2023 from 24.7% in 2022. Orthopaedics and Spine operating income as a percentage of net sales decreased to 27.1% in the nine months 2023 from 28.4% in 2022. The key components of the change were:
Operating Income
Percent Net Sales
MedSurg and NeurotechnologyOrthopaedics and Spine
Nine Months 202224.7 %28.4 %
Sales pricing120 bps(60) bps
Volume400 bps550 bps
Manufacturing and supply chain costs60 bps(150) bps
Research, development and engineering expenses0 bps(20) bps
Selling, general and administrative expenses(360) bps(450) bps
Nine Months 202326.9 %27.1 %
The increase in MedSurg and Neurotechnology operating income as a percentage of net sales for the nine months was primarily driven by higher unit volumes and higher prices partially offset by higher selling, general and administrative expenses due to disciplined increases in spend and investments to support our growth.
The decrease in Orthopaedics and Spine operating income as a percentage of net sales for the nine months was primarily driven by higher selling, general and administrative expenses due to disciplined increases in spend and investments to support our growth and higher manufacturing and supply chain costs primarily due to supply chain inefficiencies partially offset by higher unit volumes.
MedSurg and Neurotechnology operating income as a percentage of net sales increased to 25.4% in the six months 2023 from 25.3% in 2022. Orthopaedics and Spine operating income as a percentage of net sales was 28.5% in the six months 2023 and remained flat with 2022. The key components of the change were:
Operating Income
Percent Net Sales
MedSurg and NeurotechnologyOrthopaedics and Spine
Six Months 202225.3 %28.5 %
Sales pricing120 bps(50) bps
Volume420 bps610 bps
Manufacturing and supply chain costs(150) bps(100) bps
Research, development and engineering expenses0 bps10 bps
Selling, general and administrative expenses(380) bps(470) bps
Six Months 202325.4 %28.5 %
The increase in MedSurg and Neurotechnology operating income as a percentage of net sales for the six months was primarily impacted by higher unit volumes and higher prices partially offset by higher selling, general and administrative expenses due to disciplined increases in spend and investments to support our growth and higher manufacturing and supply chain costs primarily due to the effects of inflation on the cost of raw materials.
Orthopaedics and Spine operating income as a percentage of net sales for the six months remained flat with 2022 as higher unit volumes were offset by higher selling, general and administrative expenses due to disciplined increases in spend and investments to support our growth, higher manufacturing and supply chain costs primarily due to supply chain inefficiencies and lower prices.
Other Income (Expense), Net
Other income (expense), net was ($66)62) and ($52)$8 in the three months and ($122)184) and ($113)105) in the sixnine months 2023 and 2022. The increase in net expense in the three months 2023 was primarily due to higher interest expense.expense and the release of accrued interest of $50 in the three months 2022 related to the effective settlement of the United States federal income tax audit for years 2014 through 2018. The increase in net expense in the sixnine months 2023 was primarily due to foreign currency fluctuations, and higher interest expense and the release of accrued interest of $50 in the nine months 2022 related to the effective settlement of the United States federal income tax audit for years 2014 through 2018, partially offset by higher interest income and favorable investment returns.income.
Income Taxes
Our effective tax rates were 17.9%20.4% and 15.7%17.4% in the three and sixnine months 2023 and 8.9%0.0% and 11.5%6.6% in the three and sixnine months 2022. The effective tax rates for the three and sixnine months 2023 and 2022 reflect the continued lower effective income tax rates as a result of our European operations and certain discrete tax items. In addition, theThe effective tax rates for the three and sixnine months 2022 also reflect income tax benefits of $162 due to the effective settlement of the United States federal income tax audit for years 2014 through 2018. In addition, the effective tax rate for the nine months 2022 reflects the reversal of deferred income tax on undistributed earnings of foreign subsidiaries as our revised capital plan determined that certain cash outside of the United States would no longer need to be repatriated during the period previously contemplated.
Net Earnings
Net earnings increaseddecreased to $738$692 or $1.93$1.80 per diluted share in the three months 2023 from $656$816 or $1.72$2.14 per diluted share in 2022. Adjusted net earnings per diluted share(1) was $2.54$2.46 in three months 2023, an increase of 12.9%16.0% from 2022.
Net earnings increased to $1,330$2,022 or $3.47$5.27 per diluted share in the sixnine months 2023 from $979$1,795 or $2.56$4.70 per diluted share in 2022. Adjusted net earnings per diluted share(1) was $4.68$7.14 in the sixnine months 2023, an increase of 10.9%12.6% from 2022.
Dollar amounts are in millions except per share amounts or as otherwise specified.13

STRYKER CORPORATION2023 Third 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). 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
Dollar amounts are in millions except per share amounts or as otherwise specified.13

STRYKER CORPORATION2023 Second Quarter Form 10-Q
organic sales growth is calculated by translating current year and prior year results at the same foreign currency exchange rates excluding the impact of acquisitions and divestitures. To measure earnings performance on a consistent and comparable basis, we exclude certain items that affect the comparability of operating results and the trend of earnings. The income tax effect of each adjustment was determined based on the tax effect of the jurisdiction in which the related pre-tax adjustment was recorded. These adjustments are irregular in timing and may not be indicative of our past and future performance. The following are examples of the types of adjustments that may be included in a period:
1.Acquisition and integration-related costs. Costs related to integrating recently acquired businesses (e.g., costs associated with the termination of sales relationships, employee retention and workforce reductions, manufacturing integration costs and other integration-related activities), changes in the fair value of contingent consideration, amortization of inventory stepped-up to fair value and specific costs (e.g., deal costs) related to the consummation of the acquisition process and legal entity rationalization.
2.Amortization of purchased intangible assets. Periodic amortization expense related to purchased intangible assets.
3.Structural optimization and other special charges. Costs associated with employee retention and workforce reductions, the closure or transfer of manufacturing and other facilities (e.g., site closure costs, contract termination costs and redundant employee costs during the work transfers), product line exits (primarily inventory, long-lived asset and specifically-identified intangible asset write-offs), certain long-lived and intangible asset write-offs and
impairments and other charges.
4.Medical device regulations. Costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the new medical device reporting regulations and other requirements of the European Union.
5.Recall-related matters. Changes in our best estimate of the 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. 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.
7.Tax matters. Impact of accounting for certain significant and discrete tax items.
Because non-GAAP financial measures are not standardized, it
may not be possible to compare these financial measures with other companies' non-GAAP financial measures having the same or similar names. These adjusted financial measures should not be considered in isolation or as a substitute for reported sales growth, gross profit, selling, general and administrative expenses, research, development and engineering expenses, operating income, other income (expense), net, income taxes, effective income tax rate, net earnings and net earnings per diluted share, the most directly comparable GAAP financial measures. These non-GAAP financial measures are an additional way of viewing aspects of our operations when viewed with our GAAP results and the reconciliations to corresponding GAAP financial measures at the end of the discussion of Consolidated Results of Operations below. We strongly encourage investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.
The weighted-average diluted shares outstanding used in the calculation of 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.14

STRYKER CORPORATION2023 SecondThird 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 2023Three Months 2023Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPSThree Months 2023Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
ReportedReported$3,181 $1,706 $346 $965 $(66)$161 $738 17.9 %$1.93 Reported$3,158 $1,701 $353 $931 $(62)$177 $692 20.4 %$1.80 
Reported percent net salesReported percent net sales63.7 %34.1 %6.9 %19.3 %(1.3)%nm14.8 %Reported percent net sales64.3 %34.7 %7.2 %19.0 %(1.3)%nm14.1 %
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 (a)Other acquisition and integration-related (a)— (2)— — — 0.1 — Other acquisition and integration-related (a)— — (1)— (28)27 (3.1)0.07 
Amortization of purchased intangible assetsAmortization of purchased intangible assets— — — 161 — 34 127 1.1 0.33 Amortization of purchased intangible assets— — — 164 — 36 128 1.6 0.34 
Structural optimization and other special charges (b)Structural optimization and other special charges (b)(63)— 72 — 17 55 0.7 0.14 Structural optimization and other special charges (b)19 (9)— 28 — 21 0.3 0.06 
Medical device regulations (c)Medical device regulations (c)— — (27)27 — 19 0.4 0.05 Medical device regulations (c)— (18)19 — 15 0.2 0.04 
Recall-related matters (d)Recall-related matters (d)— — — — — 0.01 Recall-related matters (d)— — — — 0.1 0.01 
Regulatory and legal matters (e)Regulatory and legal matters (e)— 14 — (14)— (3)(11)(0.1)(0.03)Regulatory and legal matters (e)— — (1)— (2)0.1 — 
Tax matters (f)Tax matters (f)— — — — — (46)46 (4.9)0.11 Tax matters (f)— — — — (55)56 (6.4)0.14 
AdjustedAdjusted$3,190 $1,655 $319 $1,216 $(66)$174 $976 15.2 %$2.54 Adjusted$3,178 $1,694 $335 $1,149 $(61)$144 $944 13.2 %$2.46 
Adjusted percent net salesAdjusted percent net sales63.9 %33.1 %6.4 %24.3 %(1.3)%nm19.5 %Adjusted percent net sales64.7 %34.5 %6.8 %23.4 %(1.2)%nm19.2 %
Three Months 2022Three Months 2022Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPSThree Months 2022Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
ReportedReported$2,826 $1,539 $351 $772 $(52)$64 $656 8.9 %$1.72 Reported$2,782 $1,455 $364 $808 $8 $ $816  %$2.14 
Reported percent net salesReported percent net sales62.9 %34.3 %7.8 %17.2 %(1.2)%nm14.6 %Reported percent net sales62.1 %32.5 %8.1 %18.0 %0.2 %nm18.2 %
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— — — 0.1 0.01 Inventory stepped-up to fair value— — — — — — — — — 
Other acquisition and integration-related (a)Other acquisition and integration-related (a)— (30)— 30 — 23 0.4 0.06 Other acquisition and integration-related (a)— 78 — (78)— (82)2.0 (0.21)
Amortization of purchased intangible assetsAmortization of purchased intangible assets— — — 160 — 36 124 2.0 0.33 Amortization of purchased intangible assets— — — 159 — 27 132 0.5 0.34 
Structural optimization and other special charges (b)Structural optimization and other special charges (b)(54)— 62 — 56 (0.4)0.15 Structural optimization and other special charges (b)19 (31)(8)58 — 50 — 0.13 
Medical device regulations (c)Medical device regulations (c)(2)(28)32 — 26 0.2 0.07 Medical device regulations (c)(39)38 — 32 0.1 0.08 
Recall-related matters (d)Recall-related matters (d)— — — — 0.1 — Recall-related matters (d)— — — (4)— — (4)— (0.01)
Regulatory and legal matters (e)Regulatory and legal matters (e)— — (4)— — (4)— (0.02)Regulatory and legal matters (e)— (20)— 20 — 15 0.2 0.04 
Tax matters (f)Tax matters (f)— — — — (12)17 (29)2.6 (0.07)Tax matters (f)— — — — (62)87 (149)11.7 (0.39)
AdjustedAdjusted$2,843 $1,457 $323 $1,063 $(64)$139 $860 13.9 %$2.25 Adjusted$2,802 $1,484 $317 $1,001 $(54)$137 $810 14.5 %$2.12 
Adjusted percent net salesAdjusted percent net sales63.3 %32.4 %7.2 %23.7 %(1.4)%nm19.1 %Adjusted percent net sales62.6 %33.1 %7.1 %22.3 %(1.2)%nm18.1 %
(a)Charges represent certain acquisition and integration-related costs associated with acquisitions, including charges for termination of sales relationships ($02 in 2023, $6$2 in 2022), employee retention and workforce reductions ($03 in 2023, $14$11 in 2022), changes in the fair value of contingent consideration (($2)4) in 2023, ($9)107) in 2022), manufacturing integration costs ($0 in 2023, $8$6 in 2022), adjustments to acquisition-related tax provisions (charges of $28 included in Income Taxes for 2023, $0 for 2022) and other integration-related activities such as deal costs and costs associated with legal entity rationalization ($4(($2) in 2023, $11$10 in 2022).
(b)Charges represent the costs associated with employee retention and workforce reductions ($47(($5) in 2023, $20$7 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, $29$16 in 2022), product line exits (primarily inventory, long-lived asset and specifically-identified intangible asset write-offs) ($67 in 2023, ($8)$15 in 2022), certain long-lived and intangible asset write-offs and impairments ($29 in 2023, $12 in 2022) and other charges ($5 in 2023, $9$8 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$44 in 2023 and $46 in 2022), and certain tax audit settlements (benefit($0 for 2023, benefit of $4$45 included in Other Income (Expense) and benefit of $162 included in Income Taxes for 2023, $0 for 2022) and the reversal of deferred income tax on undistributed earnings of foreign subsidiaries ($0 for 2023, benefit of $71 for 2022).
Six Months 2023Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
Nine Months 2023Nine Months 2023Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
ReportedReported$6,197 $3,487 $685 $1,700 $(122)$248 $1,330 15.7 %$3.47 Reported$9,355 $5,188 $1,038 $2,631 $(184)$425 $2,022 17.4 %$5.27 
Reported percent net salesReported percent net sales63.4 %35.7 %7.0 %17.4 %(1.2)%nm13.6 %Reported percent net sales63.7 %35.3 %7.1 %17.9 %(1.3)%nm13.8 %
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 (a)Other acquisition and integration-related (a)— (8)— — 0.1 0.01 Other acquisition and integration-related (a)— (7)— — (25)32 (1.0)0.08 
Amortization of purchased intangible assetsAmortization of purchased intangible assets— — — 322 — 68 254 1.4 0.66 Amortization of purchased intangible assets— — — 486 — 104 382 1.5 1.00 
Structural optimization and other special charges (b)Structural optimization and other special charges (b)11 (103)— 114 — 25 89 0.6 0.23 Structural optimization and other special charges (b)30 (112)— 142 — 32 110 0.5 0.29 
Medical device regulations (c)Medical device regulations (c)— — (55)55 — 13 42 0.3 0.11 Medical device regulations (c)— (73)74 — 17 57 0.3 0.15 
Recall-related matters (d)Recall-related matters (d)— — — — — 0.01 Recall-related matters (d)— — — 12 — — 0.02 
Regulatory and legal matters (e)Regulatory and legal matters (e)— (20)— 20 — 17 — 0.04 Regulatory and legal matters (e)— (19)— 19 — 15 — 0.04 
Tax matters (f)Tax matters (f)— — — — (9)(66)57 (4.0)0.15 Tax matters (f)— — — — (8)(121)113 (4.9)0.29 
AdjustedAdjusted$6,208 $3,356 $630 $2,222 $(131)$295 $1,796 14.1 %$4.68 Adjusted$9,386 $5,050 $965 $3,371 $(192)$439 $2,740 13.8 %$7.14 
Adjusted percent net salesAdjusted percent net sales63.5 %34.3 %6.4 %22.7 %(1.3)%nm18.4 %Adjusted percent net sales63.9 %34.4 %6.6 %23.0 %(1.3)%nm18.7 %
Dollar amounts are in millions except per share amounts or as otherwise specified.15

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
Six Months 2022Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
Nine Months 2022Nine Months 2022Gross ProfitSelling, General & Administrative ExpensesResearch, Development & Engineering ExpensesOperating IncomeOther Income (Expense), NetIncome TaxesNet EarningsEffective
Tax Rate
Diluted EPS
ReportedReported$5,560 $3,249 $764 $1,219 $(113)$127 $979 11.5 %$2.56 Reported$8,342 $4,704 $1,128 $2,027 $(105)$127 $1,795 6.6 %$4.70 
Reported percent net salesReported percent net sales63.4 %37.1 %8.7 %13.9 %(1.3)%nm11.2 %Reported percent net sales63.0 %35.5 %8.5 %15.3 %(0.8)%nm13.6 %
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 value12 — — 12 — 0.1 0.02 Inventory stepped-up to fair value12 — — 12 — — 0.02 
Other acquisition and integration-related (a)Other acquisition and integration-related (a)— (174)— 174 — 46 128 2.0 0.33 Other acquisition and integration-related (a)— (96)— 96 — 50 46 1.9 0.12 
Amortization of purchased intangible assetsAmortization of purchased intangible assets— — — 310 — 71 239 2.6 0.63 Amortization of purchased intangible assets— — — 469 — 98 371 1.7 0.97 
Structural optimization and other special charges (b)Structural optimization and other special charges (b)10 (82)(79)171 — 31 140 0.6 0.37 Structural optimization and other special charges (b)29 (113)(87)229 — 39 190 0.4 0.50 
Medical device regulations (c)Medical device regulations (c)(2)(56)60 — 10 50 0.2 0.13 Medical device regulations (c)— (95)98 — 16 82 0.1 0.21 
Recall-related matters (d)Recall-related matters (d)— — — 18 — 14 0.2 0.04 Recall-related matters (d)— — — 14 — 10 0.1 0.03 
Regulatory and legal matters (e)Regulatory and legal matters (e)— (33)— 33 — 24 0.4 0.06 Regulatory and legal matters (e)— (53)— 53 — 14 39 0.3 0.10 
Tax matters (f)Tax matters (f)— — — — (12)(41)29 (3.7)0.08 Tax matters (f)— — — — (74)46 (120)3.0 (0.31)
AdjustedAdjusted$5,584 $2,958 $629 $1,997 $(125)$260 $1,612 13.9 %$4.22 Adjusted$8,386 $4,442 $946 $2,998 $(179)$397 $2,422 14.1 %$6.34 
Adjusted percent net salesAdjusted percent net sales63.7 %33.7 %7.2 %22.8 %(1.4)%nm18.4 %Adjusted percent net sales63.3 %33.5 %7.1 %22.6 %(1.4)%nm18.3 %

(a)Charges represent certain acquisition and integration-related costs associated with acquisitions, including charges for termination of sales relationships ($02 in 2023, $14$16 in 2022), employee retention and workforce reductions ($03 in 2023, $18$29 in 2022), changes in the fair value of contingent consideration (($3)7) in 2023, ($25)132) in 2022), manufacturing integration costs ($2 in 2023, $17$23 in 2022), stock compensation payments upon a change in control ($0 in 2023, $132 in 2022), adjustments to acquisition-related tax provisions (charges of $28 included in Income Taxes for 2023, $0 for 2022) and other integration-related activities such as deal costs and costs associated with legal entity rationalization ($97 in 2023, $18$28 in 2022).
(b)Charges represent the costs associated with employee retention and workforce reductions ($6863 in 2023, $29$36 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 ($2436 in 2023, $46$62 in 2022), product line exits (primarily inventory, long-lived asset and specifically-identified intangible asset write-offs) ($916 in 2023, ($8)$7 in 2022), certain long-lived and intangible asset write-offs and impairments ($312 in 2023, $92$104 in 2022) and other charges ($1015 in 2023, $12$20 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 $94$138 in 2023 and $92$138 in 2022), certain tax audit settlements (benefit of $9 included in Other Income (Expense), Net for 2023 and benefit of $24 included in Income Taxes for 2023, $0benefit of $45 included in Other Income (Expense) and benefit of $162 included in Income Taxes for 2022) and the reversal of deferred income tax on undistributed earnings of foreign subsidiaries ($0 for 2023, benefit of $71 for 2022).
FINANCIAL CONDITION AND LIQUIDITY
Six MonthsNine Months
2023202220232022
Net cash provided by (used in):Net cash provided by (used in):Net cash provided by (used in):
Operating activitiesOperating activities$1,133 $732 Operating activities$2,183 $1,621 
Investing activitiesInvesting activities(665)(2,834)Investing activities(810)(2,762)
Financing activitiesFinancing activities(886)240 Financing activities(1,308)(303)
Effect of exchange rate changes on cash and cash equivalentsEffect of exchange rate changes on cash and cash equivalents(25)(38)Effect of exchange rate changes on cash and cash equivalents(49)(80)
Change in cash and cash equivalentsChange in cash and cash equivalents$(443)$(1,900)Change in cash and cash equivalents$16 $(1,524)
Operating Activities
Cash provided by operating activities was $1,133$2,183 and $732$1,621 in the sixnine 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 $665$810 and $2,834$2,762 in the sixnine months 2023 and 2022. The sixnine months 2023 included cash paid for the Cerus acquisition and the sixnine months 2022 included cash paid for the Vocera acquisition.acquisition partially offset by settlements of certain foreign currency forward contracts designated as net investment hedges. Refer to Note 7 to our Consolidated Financial Statements for further information.information on the Cerus and Vocera acquisitions.
Financing Activities
Cash (used in) provided byused in financing activities was ($886)$1,308 and $240$303 in the sixnine months 2023 and 2022. Cash used in 2023 was primarily due to dividend payments of $569 and$854, repayments of $200$850 on the term loan used to fund the acquisition of Vocera.Vocera and cash paid of $121 for taxes on withheld shares, partially offset by proceeds from the issuance of €500 of floating rate senior notes. Cash provided byused in financing activities in 2022 was primarily due to $500 of
payments on the $1,500 term loan used to fund the acquisition of Vocera, partially offset by $250 of payments on the term loan, dividend payments of $525 and$788, net repayments of $376 on short-term borrowings.borrowings and cash paid of $89 for taxes on withheld shares.
We did not repurchase any shares in the sixnine months 2023 and 2022.
Liquidity
Cash, cash equivalents and marketable securities were $1,478$1,936 and $1,928 on JuneSeptember 30, 2023 and December 31, 2022. Current assets exceeded current liabilities by $3,567$3,587 and $3,972 on JuneSeptember 30, 2023 and December 31, 2022. 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 35%28% on JuneSeptember 30, 2023 compared to 36% on December 31, 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 2022, except as described in our Quarterly Report on Form 10-Q for the quarter ended March 31, 2023.
New Accounting Pronouncements Not Yet Adopted
Refer to Note 1 to our Consolidated Financial Statements for information.
Dollar amounts are in millions except per share amounts or as otherwise specified.16

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
Guarantees and Other Off-Balance Sheet Arrangements
We do not have guarantees or other off-balance sheet financing arrangements, including variable interest entities, of a magnitude that we believe could have a material impact on our financial condition or liquidity.
OTHER MATTERS
Legal and Regulatory Matters
We are involved in various ongoing proceedings, legal actions and claims arising in the normal course of our business, including proceedings related to product, labor, intellectual property and other matters. Refer to Note 6 to our Consolidated Financial Statements for further information.
FORWARD-LOOKING STATEMENTS
This report contains statements that are not historical facts and are considered "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These statements are based on current projections about operations, industry conditions, financial condition and liquidity. Words that identify forward-looking statements include, without limitation, words such as "may," "could," "will," "should," "possible," "plan," "predict," "forecast," "potential," "anticipate," "estimate," "expect," "project," "intend," "believe," "may impact," "on track," "goal," "strategy" and words and terms of similar substance used in connection with any discussion of future operating or financial performance, an acquisition or our businesses. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. Those statements are not guarantees and are subject to risks, uncertainties and assumptions that are difficult to predict. Therefore, actual results could differ materially and adversely from these forward-looking statements, historical experience or our present expectations. Some important factors that could cause our actual results to differ from our expectations in any forward-looking statements include the risks discussed in Item 1A. "Risk Factors" of our Annual Report on Form 10-K for 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 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 operating results. Quantitative and qualitative disclosures about exchange rate risk are included in Item 7A "Quantitative and Qualitative Disclosures About Market Risk" of our Annual Report on Form 10-K for 2022. There were no material changes from the information provided therein.
ITEM 4.CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
Our management, with the participation of the Chief Executive Officer and Chief Financial Officer (the Certifying Officers), evaluated the effectiveness of the Company's disclosure controls and procedures (as defined in Rules 13a-15(e) or 15d-15(e) promulgated under the Securities Exchange Act of 1934, as amended) on JuneSeptember 30, 2023. Based on that evaluation, the Certifying Officers concluded the Company's disclosure controls and procedures were effective as of JuneSeptember 30, 2023.
Changes in Internal Control Over Financial Reporting
There was no change to our internal control over financial reporting during the sixnine months 2023 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
PART II – OTHER INFORMATION
ITEM 1A.RISK FACTORS
We are not aware of any material changes to the risk factors included in Item 1A. "Risk Factors" in our Annual Report on Form 10-K for 2022.
ITEM 2.UNREGISTERED SALES OF EQUITY SECURITIES, AND USE OF PROCEEDS, AND ISSUER PURCHASES OF EQUITY SECURITIES
We issued 5,14670 shares of our common stock in the three months 2023 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 sixnine months 2023 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 JuneSeptember 30, 2023.
ITEM 5.OTHER INFORMATION
Certain of our officers or directors have made elections to participate in, and are participating in, our employee stock purchase plan and 401(k) plan and have made, and may from time to time make, elections to have shares withheld to cover withholding taxes due or pay the exercise price of stock options, restricted stock units and performance stock units, which may constitute non-Rule 10b5–1 trading arrangements (as defined in Item 408(c) of Regulation S-K).
Dollar amounts are in millions except per share amounts or as otherwise specified.17

STRYKER CORPORATION2023 SecondThird Quarter Form 10-Q
ITEM 6.EXHIBITS
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STRYKER CORPORATION2023 SecondThird 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:August 4,November 3, 2023/s/ KEVIN A. LOBO
Kevin A. Lobo
Chair, Chief Executive Officer and President
Date:August 4,November 3, 2023/s/ GLENN S. BOEHNLEIN
Glenn S. Boehnlein
Vice President, Chief Financial Officer
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