Form 8-K
8-K — STRYKER CORP
Accession: 0000310764-26-000041
Filed: 2026-06-26
Period: 2026-06-26
CIK: 0000310764
SIC: 3841 (SURGICAL & MEDICAL INSTRUMENTS & APPARATUS)
Item: Other Events
Item: Financial Statements and Exhibits
Documents
8-K — syk-20260626.htm (Primary)
EX-23.1 (ex231-consentofindependent.htm)
EX-99.1 (syk-20260626_d2.htm)
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8-K
8-K (Primary)
Filename: syk-20260626.htm · Sequence: 1
syk-20260626
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
CURRENT REPORT
Pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): June 26, 2026
STRYKER CORPORATION
(Exact name of registrant as specified in its charter)
Michigan 001-13149 38-1239739
(State of incorporation) (Commission File Number) (I.R.S. Employer Identification No.)
1941 Stryker Way Portage, Michigan 49002
(Address of principal executive offices) (Zip Code)
(269) 385-2600
(Registrant’s telephone number, including area code)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
☐ Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
☐ Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
☐ Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
☐ Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))
Securities registered pursuant to Section 12(b) of the Act:
Title of each class Trading Symbol(s) Name of each exchange on which registered
Common Stock, $.10 Par Value SYK New York Stock Exchange
2.125% Notes due 2027 SYK27 New York Stock Exchange
3.375% Notes due 2028 SYK28 New York Stock Exchange
0.750% Notes due 2029 SYK29 New York Stock Exchange
2.625% Notes due 2030 SYK30 New York Stock Exchange
1.000% Notes due 2031 SYK31 New York Stock Exchange
3.375% Notes due 2032 SYK32 New York Stock Exchange
3.625% Notes due 2036 SYK36 New York Stock Exchange
Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (§230.405 of this chapter) or Rule 12b-2 of the Securities Exchange Act of 1934 (§240.12b-2 of this chapter).
Emerging Growth 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. ☐
ITEM 8.01 OTHER EVENTS
Segment Reporting Changes
In the first quarter 2026 Stryker Corporation ("we" or the "Company") announced a change in our organizational structure. Our new Ortho Tech business combines the orthopaedic instruments portfolio from our Instruments business with the Mako and enabling technologies portfolio from our Other Orthopaedics business. By bringing Mako, power tools, cutting accessories, enabling technologies and the teams behind these products together under one business, we are simplifying the customer experience and striving to increase our speed to market through focused innovation.
Following this reorganization we will continue to have two business segments - (i) MedSurg and Neurotechnology and (ii) Orthopaedics, each of which comprise a reportable segment.
The rules of the Securities and Exchange Commission require that when a registrant prepares, on or after the date a registrant reports an accounting change such as the segment changes noted above, a new registration, proxy, or information statement (or amends a previously filed registration, proxy, or information statement) that includes or incorporates by reference financial statements, the registrant must recast the prior period financial statements included or incorporated by reference in the registration, proxy, or information statement to reflect these types of changes. Accordingly, the Company is filing this Form 8-K to recast our consolidated financial statements for each of the three years in the period ended December 31, 2025, to reflect the changes in segment reporting as described above. The updates do not represent a restatement of previously issued financial statements. The recast information of Items contained in the 2025 Form 10-K (the "2025 Annual Report") is presented in Exhibit 99.1 to this Form 8-K, which is incorporated herein by reference.
The information included in this Form 8-K is presented for informational purposes only in connection with the segment reporting changes described above and does not amend or restate our audited consolidated financial statements, which were included in the 2025 Annual Report. This filing does not reflect any subsequent information or events occurring after we filed the 2025 Annual Report other than adjustments to reflect the updated segment information in conjunction with the change in business structure previously described. The recast included in Exhibit 99.1 to this Form 8-K reflects changes to the 2025 Annual Report as a result of the change in business structure. Without limitation of the foregoing, this filing does not purport to update Management’s Discussion and Analysis of Financial Condition and Results of Operations contained in the 2025 Annual Report for any information, uncertainties, transactions, risks, events or trends occurring, or known to management. More current information is contained in the Company’s Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2026 (the “Quarterly Report on Form 10-Q”) and other filings with the Securities and Exchange Commission. This Form 8-K should be read in conjunction with the 2025 Annual Report and the Quarterly Report on Form 10-Q and other filings filed by us with the Securities and Exchange Commission. The Quarterly Report on Form 10-Q and other filings contain important information regarding events, developments and updates to certain expectations of the Company that have occurred since the filing of the 2025 Annual Report.
ITEM 9.01 FINANCIAL STATEMENTS AND EXHIBITS
(d) Exhibits
23.1
Consent of Independent Registered Public Accounting Firm
99.1
Recast of certain Items for Stryker's Annual Report on Form 10-K for the year ended December 31, 2025.
101.INS iXBRL Instance Document
101.SCH iXBRL Schema Document
101.CAL iXBRL Calculation Linkbase Document
101.DEF iXBRL Definition Linkbase Document
101.LAB iXBRL Label Linkbase Document
104 Cover Page Interactive Data File (the cover page XBRL tags are embedded within the Inline XBRL document)
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 hereunto duly authorized.
STRYKER CORPORATION
(Registrant)
Date: June 26, 2026 /s/ PRESTON W. WELLS
Preston W. Wells
Vice President, Chief Financial Officer
EX-23.1
EX-23.1
Filename: ex231-consentofindependent.htm · Sequence: 2
Document
Exhibit 23.1
Consent of Independent Registered Public Accounting Firm
We consent to the incorporation by reference in the following Registration Statements:
1.Registration Statement (Form S-3ASR No. 333-275853) of Stryker Corporation, and
2.Registration Statement (Form S-8 No. 333-140961) pertaining to the 2006 Long-Term Incentive Plan of Stryker Corporation, and
3.Registration Statements (Form S-8 No. 333-150396, Form S-8 333-221959 and Form S-8 No. 333-287683) pertaining to the 2008 Employee Stock Purchase Plan of Stryker Corporation, and
4.Registration Statements (Form S-8 No. 333-179142, Form S-8 333-221958 and Form S-8 No. 333-287683) pertaining to the 2011 Long-Term Incentive Plan of Stryker Corporation;
of our report dated February 11, 2026 (except for Notes 1, 2, and 14, as to which the date is June 26, 2026), with respect to the consolidated financial statements and schedule of Stryker Corporation and subsidiaries included in this Current Report on Form 8-K.
/s/ Ernst & Young LLP
Grand Rapids, Michigan
June 26, 2026
EX-99.1
EX-99.1
Filename: syk-20260626_d2.htm · Sequence: 3
syk-20260626_d2
STRYKER CORPORATION
TABLE OF CONTENTS
PART II
Item 7.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
1
Item 8.
Financial Statements and Supplementary Data
11
Item 15.
Financial Statement Schedules
32
Dollar amounts in millions except per share amounts or as otherwise specified.
1
STRYKER CORPORATION
ITEM 7.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
About Stryker
Stryker Corporation is a global leader in medical technologies
and, together with our customers, we are driven to make
healthcare better. We offer innovative products and services in
MedSurg, Neurotechnology, and Orthopaedics that help improve
patient and healthcare outcomes. Alongside our customers
around the world, we impact more than 150 million patients
annually. Our goal is to achieve sales growth at the high-end of
the medical technology (MedTech) industry and maintain our
long-term capital allocation strategy that prioritizes: (1)
Acquisitions, (2) Dividends and (3) Share repurchases.
In the first quarter 2026 we announced a change in our
organizational structure. Our new Ortho Tech business combines
the orthopaedic instruments portfolio from our Instruments
business with the Mako and enabling technologies portfolio from
our Other Orthopaedics business. By bringing Mako, power tools,
cutting accessories, enabling technologies and the teams behind
these products together under one business, we are simplifying
the customer experience and striving to increase our speed to
market through focused innovation.
Following this reorganization we will continue to have two
business segments - (i) MedSurg and Neurotechnology and (ii)
Orthopaedics, each of which comprise a reportable segment. All
historical financial segment information has been recast to
conform to this new presentation.
MedSurg and Neurotechnology products include surgical
equipment and navigation systems (Instruments), endoscopic
and communications systems (Endoscopy), patient handling,
emergency medical equipment, intensive care disposable
products, clinical communication and artificial intelligence-
assisted virtual care platform technology (Medical), and minimally
invasive products for the treatment of acute ischemic and
hemorrhagic stroke and venous thromboembolism (Vascular), 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 products
include implants and surgical equipment such as navigation
systems and robotics used in total joint replacements, such as
hip, knee and shoulder, ankle and trauma and extremities
surgeries. We bring patients and physicians advanced implant
designs and specialized instrumentation that make orthopaedic
surgery and recovery simpler, faster and more effective. We
support surgeons with technologies, products and services they
need to support each patient’s clinical challenge.
Macroeconomic Environment
In 2025 the United States government has announced new tariffs
on goods imported into the United States from dozens of
countries, including China and the European Union member
states. In response, governments have threatened or imposed
reciprocal tariffs or taken other measures, and the United States
is in the process of negotiating with certain governments. We
continue to monitor and evaluate the situation. Tariffs are
expected to continue to result in an increase in certain product
costs or have adverse impacts on, among other things, demand
for our products and supply chains. The overall macroeconomic
and geopolitical environment, including tariffs or changes in trade
policies, slower economic growth or recession, market volatility
and inflation, and uncertainty regarding all of the foregoing, pose
risks that could impact our business and results of operations.
For more information about these risks, see Item 1A. "Risk
Factors."
Overview of 2025
In 2025 we achieved reported net sales growth of 11.2%.
Excluding the impact of acquisitions and divestitures, sales grew
10.3% in constant currency. We reported net earnings of $3,246
and net earnings per diluted share of $8.40. Excluding the impact
of certain items, we achieved adjusted net earnings(1) of $5,267
and adjusted net earnings per diluted share(1) of $13.63
representing growth of 11.8%.
We continued our capital allocation strategy by investing $4,960
in acquisitions and paying $1,284 in dividends to our
shareholders.
In 2025 we completed various acquisitions for total consideration
of $4,960, net of cash acquired. Refer to Note 6 to our
Consolidated Financial Statements for further information.
In February 2025 we entered into a new revolving credit
agreement that replaces our previous agreement dated October
2021. The primary changes included increasing the aggregate
principal amount of the facility by $750 to $3,000 and extending
the maturity date to February 25, 2030. On December 31, 2025
there were no borrowings outstanding under our revolving credit
facility or our commercial paper program which allows for
maturities up to 397 days from the date of issuance. The
maximum amount of our commercial paper that can be
outstanding at any time is $3,000.
In February 2025 we issued $500 of 4.550% senior unsecured
notes due February 10, 2027, $700 of 4.700% senior unsecured
notes due February 10, 2028, $800 of 4.850% senior unsecured
notes due February 10, 2030 and $1,000 of 5.200% senior
unsecured notes due February 10, 2035. In the second quarter
2025 we repaid $650 of 1.150% senior unsecured notes and in
the fourth quarter 2025 we repaid $750 of 3.375% senior
unsecured notes.
(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 in millions except per share amounts or as otherwise specified.
2
STRYKER CORPORATION
CONSOLIDATED RESULTS OF OPERATIONS
Percent Net Sales
Percentage Change
2025
2024
2023
2025
2024
2023
2025 vs. 2024
2024 vs. 2023
Net sales
$25,116
$22,595
$20,498
100.0%
100.0%
100.0%
11.2%
10.2%
Gross profit
16,065
14,440
13,058
64.0
63.9
63.7
11.3
10.6
Research, development and engineering expenses
1,623
1,466
1,388
6.5
6.5
6.8
10.7
5.6
Selling, general and administrative expenses
8,651
7,685
7,111
34.4
34.0
34.7
12.6
8.1
Amortization of intangible assets
732
623
635
2.9
2.8
3.1
17.5
(1.9)
Goodwill and other impairments
170
977
36
0.7
4.3
0.2
nm
nm
Interest expense
(607)
(409)
(363)
(2.4)
(1.8)
(1.8)
48.4
12.7
Other income
232
212
148
0.9
0.9
0.8
9.4
43.2
Income taxes
1,268
499
508
nm
nm
nm
154.1
(1.8)
Net earnings
$3,246
$2,993
$3,165
12.9%
13.2%
15.4%
8.5%
(5.4)%
Net earnings per diluted share
$8.40
$7.76
$8.25
8.2%
(5.9)%
Adjusted net earnings per diluted share(1)
$13.63
$12.19
$10.60
11.8%
15.0%
nm - not meaningful
Geographic and Segment Net Sales
Percentage Change
2025 vs. 2024
2024 vs. 2023
2025
2024
2023
As
Reported
Constant
Currency
As
Reported
Constant
Currency
Geographic:
United States
$19,006
$16,943
$15,257
12.2%
12.2%
11.0%
11.0%
International
6,110
5,652
5,241
8.1
6.4
7.9
9.8
Total
$25,116
$22,595
$20,498
11.2%
10.7%
10.2%
10.7%
Segment:
MedSurg and Neurotechnology
$13,692
$11,753
$10,558
16.5%
16.2%
11.3%
11.8%
Orthopaedics
11,424
10,842
9,940
5.4
4.8
9.1
9.6
Total
$25,116
$22,595
$20,498
11.2%
10.7%
10.2%
10.7%
Supplemental Net Sales Growth Information
Percentage Change
2025 vs. 2024
2024 vs. 2023
United
States
International
United
States
International
2025
2024
2023
As
Reported
Constant
Currency
As
Reported
As
Reported
Constant
Currency
As
Reported
Constant
Currency
As
Reported
As
Reported
Constant
Currency
MedSurg and
Neurotechnology:
Instruments
$1,228
$1,069
$929
14.9%
14.6%
15.8%
8.9%
6.8%
15.0%
15.1%
15.6%
11.4%
11.6%
Endoscopy
3,807
3,389
3,068
12.3
12.3
12.2
12.8
12.4
10.5
11.0
11.1
7.7
10.7
Medical
4,204
3,852
3,459
9.1
8.8
10.0
4.8
2.8
11.4
11.7
14.6
(2.0)
(0.3)
Vascular
1,968
1,307
1,226
50.6
50.0
107.5
14.8
13.4
6.6
8.2
4.7
7.9
10.5
Neuro Cranial
2,485
2,136
1,876
16.3
15.9
16.5
15.5
13.1
13.9
14.1
15.0
8.7
10.2
$13,692
$11,753
$10,558
16.5%
16.2%
17.9%
11.6%
10.1%
11.3%
11.8%
13.1%
5.4%
7.6%
Orthopaedics:
Knees
$2,656
$2,447
$2,273
8.5%
8.2%
7.6%
11.0%
9.7%
7.6%
8.2%
6.7%
10.4%
12.2%
Hips
1,865
1,704
1,544
9.5
8.9
7.4
12.9
11.2
10.3
11.3
7.2
15.9
18.4
Trauma and Extremities
3,948
3,507
3,147
12.6
11.8
13.1
11.0
8.2
11.4
11.6
12.6
8.3
9.1
Ortho Tech
2,770
2,477
2,263
11.8
11.4
13.0
8.3
6.4
9.5
10.1
9.5
9.3
11.9
$11,239
$10,135
$9,227
10.9%
10.3%
10.9%
10.9%
8.8%
9.8%
10.4%
9.5%
10.6%
12.5%
Spinal Implants
185
707
713
(73.9)
(73.9)
(76.0)
(69.3)
(69.2)
(0.7)
(0.3)
(2.1)
2.5
3.8
$11,424
$10,842
$9,940
5.4%
4.8%
5.5%
5.2%
3.3%
9.1%
9.6%
8.7%
10.0%
11.8%
Total
$25,116
$22,595
$20,498
11.2%
10.7%
12.2%
8.1%
6.4%
10.2%
10.7%
11.0%
7.9%
9.8%
Note: In the first quarter 2026 we announced a change in our organizational structure. Our new Ortho Tech business combines our
orthopaedic instruments portfolio (Orthopaedic Instruments) from Instruments with Other Orthopaedics. In addition, our spine enabling
technologies portfolio (Enabling Technologies) from Other Orthopaedics was combined with the remaining Instruments business to align
with our internal reporting structure. Ortho Tech includes sales related to Orthopaedic Instruments of $2,110, $1,917 and $1,754 and
Other Orthopaedics of $660, $560 and $509 for 2025, 2024 and 2023. Instruments includes sales related to Enabling Technologies of
$155, $152 and $149 for 2025, 2024 and 2023.
Dollar amounts in millions except per share amounts or as otherwise specified.
3
STRYKER CORPORATION
Consolidated Net Sales
Consolidated net sales in 2025 increased 11.2% as reported and
10.7% in constant currency, as foreign currency exchange rates
positively impacted net sales by 0.5%. Excluding the 0.4% impact
of acquisitions and divestitures, net sales in constant currency
increased by 9.9% from increased unit volume and 0.4% due to
higher prices. The unit volume increase was primarily due to
higher shipments across all businesses.
Consolidated net sales in 2024 increased 10.2% as reported and
10.7% in constant currency, as foreign currency exchange rates
negatively impacted net sales by 0.5%. Excluding the 0.5%
impact of acquisitions and divestitures, net sales in constant
currency increased by 9.1% from increased unit volume and
1.1% due to higher prices. The unit volume increase was due to
higher shipments across all MedSurg and Neurotechnology
businesses and most Orthopaedics businesses.
MedSurg and Neurotechnology Net Sales
MedSurg and Neurotechnology net sales in 2025 increased
16.5% as reported and 16.2% in constant currency, as foreign
currency exchange rates positively impacted net sales by 0.3%.
Excluding the 5.4% impact of acquisitions and divestitures, net
sales in constant currency increased by 10.3% from increased
unit volume and 0.5% due to higher prices. The unit volume
increase was due to higher shipments across all MedSurg and
Neurotechnology businesses.
MedSurg and Neurotechnology net sales in 2024 increased
11.3% as reported and 11.8% in constant currency, as foreign
currency exchange rates negatively impacted net sales by 0.5%.
Excluding the 0.5% impact of acquisitions and divestitures, net
sales in constant currency increased by 9.7% from increased unit
volume and 1.6% due to higher prices. The unit volume increase
was due to higher shipments across all MedSurg and
Neurotechnology businesses.
Orthopaedics Net Sales
Orthopaedics net sales in 2025 increased 5.4% as reported and
4.8% in constant currency, as foreign currency exchange rates
positively impacted net sales by 0.6%. Excluding the 4.8% impact
of acquisitions and divestitures, net sales in constant currency
increased by 9.3% from increased unit volume and 0.3% due to
higher prices. The unit volume increase was due to higher
shipments across most Orthopaedics businesses.
Orthopaedics net sales in 2024 increased 9.1% as reported and
9.6% in constant currency, as foreign currency exchange rates
negatively impacted net sales by 0.5%. Excluding the 0.7%
impact of acquisitions and divestitures, net sales in constant
currency increased by 8.5% from increased unit volume and
0.4% due to higher prices. The unit volume increase was due to
higher shipments across all Orthopaedics businesses.
Gross Profit
Gross profit was $16,065, $14,440 and $13,058 in 2025, 2024,
and 2023. The key components of the change were:
Gross Profit
Percent Net Sales
2023
63.7%
Sales pricing
40 bps
Volume and mix
60 bps
Manufacturing and supply chain costs
(40) bps
Inventory stepped up to fair value
(20) bps
Structural optimization and other special charges
(20) bps
2024
63.9%
Sales pricing
10 bps
Volume and mix
70 bps
Manufacturing and supply chain costs
0 bps
Inventory stepped up to fair value
(60) bps
Structural optimization and other special charges
(10) bps
2025
64.0%
Gross profit as a percentage of net sales increased to 64.0% in
2025 from 63.9% in 2024 primarily due to higher sales pricing
and favorable volume partially offset by higher amortization of
inventory stepped up to fair value.
Gross profit as a percentage of net sales increased to 63.9% in
2024 from 63.7% in 2023 due to higher sales pricing and
favorable volume offset by higher manufacturing and supply
chain costs primarily due to inflationary pressures impacting fixed
and variable manufacturing costs as well as higher amortization
of inventory stepped up to fair value.
While segment mix was not a significant driver of the change in
gross profit as a percent of net sales between 2025, 2024 and
2023, we generally expect segment mix to have an unfavorable
impact for the foreseeable future as we anticipate more rapid
sales growth in our lower gross margin MedSurg and
Neurotechnology segment than our Orthopaedics segment.
Research, Development and Engineering Expenses
Research, development and engineering expenses as a
percentage of net sales in 2025 of 6.5% remained flat with 2024.
Research, development and engineering expenses as a
percentage of net sales in 2024 decreased to 6.5% from 6.8% in
2023 primarily due to lower spend on medical device regulations
in the European Union.
Selling, General and Administrative Expenses
Selling, general and administrative expenses as a percentage of
net sales in 2025 increased to 34.4% from 34.0% in 2024
primarily due to higher acquisition-related costs and continued
investments to support our growth. A charge of $139 for share-
based awards for Inari employees that vested upon our
acquisition is included in 2025.
Selling, general and administrative expenses as a percentage of
net sales in 2024 decreased to 34.0% from 34.7% in 2023
primarily due to continued spend discipline and lower charges for
structural optimization and certain legal matters partially offset by
higher acquisition-related costs.
Amortization of Intangible Assets
Amortization of intangible assets was $732, $623 and $635 in
2025, 2024 and 2023. These amounts include amortization
related to intangible assets acquired in 2025 from Inari, 2024
from various acquisitions and 2023 from Cerus Endovascular
Limited (Cerus). Refer to Notes 6 and 8 to our Consolidated
Financial Statements for further information.
Goodwill and Other Impairments
Goodwill and other impairments of $170, $977 and $36 were
recorded in 2025, 2024 and 2023.
Dollar amounts in millions except per share amounts or as otherwise specified.
4
STRYKER CORPORATION
In 2024 we recorded goodwill impairment charges of $456 related
to our Spine business and recognized an estimated loss of $362
as a result of classifying certain assets in our Spinal Implants
business as held for sale. Refer to Notes 8 and 16 to our
Consolidated Financial Statements for further information.
In 2025, 2024 and 2023 we recorded other impairments of $109,
$159 and $36. Refer to Note 15 to our Consolidated Financial
Statements for further information.
Operating Income
Operating income was $4,889, $3,689 and $3,888 in 2025, 2024
and 2023. Operating income increased as a percentage of sales
to 19.5% in 2025 from 16.3% in 2024 and increased from 19.0%
in 2023. 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 27.0% in 2025 from 26.7%
in 2024. MedSurg and Neurotechnology operating income as a
percentage of net sales increased to 26.7% in 2024 from 25.5%
in 2023. Orthopaedics operating income as a percentage of net
sales increased to 33.2% in 2025 from 31.8% in 2024.
Orthopaedics operating income as a percentage of net sales
increased to 31.8% in 2024 from 30.6% in 2023. The key
components of the change were:
Operating Income
Percent Net Sales
MedSurg and
Neurotechnology
Orthopaedics
2023
25.5%
30.6%
Sales pricing
60 bps
10 bps
Volume
40 bps
60 bps
Manufacturing and supply chain costs
(30) bps
(20) bps
Research, development and
engineering expenses
0 bps
10 bps
Selling, general and administrative
expenses
50 bps
60 bps
2024
26.7%
31.8%
Sales pricing
20 bps
10 bps
Volume
100 bps
30 bps
Manufacturing and supply chain costs
90 bps
(70) bps
Research, development and
engineering expenses
(20) bps
30 bps
Selling, general and administrative
expenses
(160) bps
140 bps
2025
27.0%
33.2%
The increase in MedSurg and Neurotechnology operating income
as a percentage of net sales in 2025 from 2024 was primarily
driven by higher unit volumes and prices, and lower
manufacturing and supply chain costs partially offset by higher
selling, general and administrative expenses due to the
acquisition of Inari.
The increase in MedSurg and Neurotechnology operating income
as a percentage of net sales in 2024 from 2023 was primarily
driven by higher unit volumes, higher prices and a decrease in
selling, general and administrative expenses as a percentage of
sales partially offset by higher manufacturing and supply chain
costs.
The increase in Orthopaedics operating income as a percentage
of net sales for 2025 from 2024 was primarily driven by lower
selling, general and administrative expenses, higher unit volumes
and prices partially offset by higher manufacturing and supply
chain costs.
The increase in Orthopaedics operating income as a percentage
of net sales for 2024 from 2023 was primarily driven by higher
sales volumes, higher prices, and a decrease in selling, general
and administrative expenses as a percentage of sales partially
offset by higher manufacturing and supply chain costs.
Interest Expense
Interest expense was $607, $409 and $363 in 2025, 2024 and
2023. The increase in 2025 from 2024 was due to increased
interest expense from our 2025 debt issuances. The increase in
2024 from 2023 was primarily due to the impact of additional
interest expense from our 2024 debt issuances.
Other Income
Other income was $232, $212 and $148 in 2025, 2024 and 2023.
The increase in 2025 from 2024 was primarily due to higher
interest income in 2025. The increase in 2024 from 2023 was
primarily due to higher interest income.
Income Taxes
Our effective tax rate was 28.1%, 14.3% and 13.8% for 2025,
2024 and 2023. The effective income tax rate for 2025 increased
from 2024 due to the 2025 tax effect of transfers of intellectual
property between tax jurisdictions and the 2024 tax effect of the
sale of the Spinal Implants business. The effective income tax
rate for 2024 increased from 2023 due to the 2023 tax effect of
transfers of intellectual property between tax jurisdictions offset
by the 2024 tax effect of the sale of the Spinal Implants business.
Our future results of operations could be affected by changes in
the effective tax rate as a result of changes in tax laws,
regulations and judicial rulings. We are continuing to evaluate the
impact of tax reform in the countries in which we operate as new
guidance is published and new regulations are adopted. In
addition, further changes in the tax laws could arise, including as
a result of the base erosion and profit shifting project undertaken
by the Organisation for Economic Cooperation and Development
(OECD). The OECD, which represents a coalition of member
countries, has put forth two proposed frameworks that revise the
existing profit allocation and nexus rules (Pillar 1) and ensure a
minimal level of taxation (Pillar 2), respectively, and several
countries enacted tax legislation based on these frameworks. In
January 2026, the OECD released Administrative Guidance
containing the SbS System and introduced two new Pillar 2 safe
harbors for multinationals headquartered in jurisdictions including
the United States with eligible tax systems. The safe harbors
must now be legislated domestically by each country with
enacted Pillar 2 legislation impacted by the new OECD
Administrative Guidance. These tax law changes and any
additional contemplated tax law changes, could impact tax
expense in future periods.
Net Earnings
Net earnings for 2025 increased to $3,246 or $8.40 per diluted
share from $2,993 or $7.76 per diluted share in 2024 and $3,165
or $8.25 per diluted share in 2023. Refer to the comments above
for discussion of the primary drivers of the change.
Non-GAAP Financial Measures
We supplement the reporting of our financial information
determined under accounting principles generally accepted in the
United States (GAAP) with certain non-GAAP financial measures,
including percentage sales growth in constant currency;
percentage organic sales growth; adjusted gross profit; adjusted
selling, general and administrative expenses; adjusted research,
development and engineering expenses; adjusted operating
income; adjusted other income (expense), net; adjusted income
taxes; adjusted effective income tax rate; adjusted net earnings;
and adjusted net earnings per diluted share (Diluted EPS). We
believe these non-GAAP financial measures provide meaningful
Dollar amounts in millions except per share amounts or as otherwise specified.
5
STRYKER CORPORATION
information to assist investors and shareholders in understanding
our financial results and assessing our prospects for future
performance. Management believes percentage sales growth in
constant currency and the other adjusted measures described
above are important indicators of our operations because they
exclude items that may not be indicative of or are unrelated to our
core operating results and provide a baseline for analyzing trends
in our underlying businesses. Management uses these non-
GAAP financial measures for reviewing the operating results of
reportable business segments and analyzing potential future
business trends in connection with our budget process and bases
certain management incentive compensation on these non-GAAP
financial measures. To measure percentage sales growth in
constant currency, we remove the impact of changes in foreign
currency exchange rates that affect the comparability and trend
of sales. Percentage sales growth in constant currency is
calculated by translating current and prior year results at the
same foreign currency exchange rate. To measure percentage
organic sales growth, we remove the impact of changes in
foreign currency exchange rates, acquisitions and divestitures,
which affect the comparability and trend of sales. Percentage
organic sales growth is calculated by translating current year and
prior year results at the same foreign currency exchange rates
excluding the impact of acquisitions and divestitures. To measure
earnings performance on a consistent and comparable basis, we
exclude certain items that affect the comparability of operating
results and the trend of earnings. The income tax effect of each
adjustment was determined based on the tax effect of the
jurisdiction in which the related pre-tax adjustment was recorded.
These adjustments are irregular in timing and may not be
indicative of our past and future performance. The following are
examples of the types of adjustments that may be included in a
period:
1.Acquisition and integration-related costs. Costs related to
integrating recently acquired businesses (e.g., costs
associated with the termination of sales relationships,
employee retention and workforce reductions, manufacturing
integration costs and other integration-related activities),
changes in the fair value of contingent consideration,
amortization of inventory stepped-up to fair value, specific
costs (e.g., deal costs and costs associated with legal entity
rationalization) related to the consummation of the
acquisition process and legal entity rationalization and
acquisition-related tax items.
2.Amortization of purchased intangible assets. Periodic
amortization expense related to purchased intangible assets.
3.Structural optimization and other special charges. Costs
associated with employee retention and workforce
reductions, the closure or transfer of manufacturing and
other facilities (e.g., site closure costs, contract termination
costs and redundant employee costs during the work
transfers), product line exits (primarily inventory, long-lived
asset and specifically-identified intangible asset write-offs),
certain long-lived and intangible asset write-offs and
impairments and other charges.
4.Medical device regulations. Costs specific to updating our
quality system, product labeling, asset write-offs and product
remanufacturing to comply with the new medical device
reporting regulations and other requirements of the
European Union.
5.Recall-related matters. Changes in our best estimate of the
probable loss, or the minimum of the range of probable
losses when a best estimate within a range is not known, to
resolve the Rejuvenate, LFIT V40, Wright legacy hip
products and other product recalls.
6.Regulatory and legal matters. Changes in our best estimate
of the probable loss, or the minimum of the range of
probable losses when a best estimate within a range is not
known, to resolve certain regulatory or other legal matters
and the amount of favorable awards from settlements.
7.Tax matters. Impact of accounting for certain significant and
discrete tax items.
Because non-GAAP financial measures are not standardized, it
may not be possible to compare these financial measures with
other companies' non-GAAP financial measures having the same
or similar names. These adjusted financial measures should not
be considered in isolation or as a substitute for reported sales
growth, gross profit, selling, general and administrative expenses,
research, development and engineering expenses, operating
income, other income (expense), net, income taxes, effective
income tax rate, net earnings and net earnings per diluted share,
the most directly comparable GAAP financial measures. These
non-GAAP financial measures are an additional way of viewing
aspects of our operations when viewed with our GAAP results
and the reconciliations to corresponding GAAP financial
measures at the end of the discussion of Consolidated Results of
Operations below. We strongly encourage investors and
shareholders to review our financial statements and publicly-filed
reports in their entirety and not to rely on any single financial
measure.
The weighted-average diluted shares outstanding used in the
calculation of adjusted net earnings per diluted share are the
same as those used in the calculation of reported net earnings
per diluted share for the respective period.
Dollar amounts in millions except per share amounts or as otherwise specified.
6
STRYKER CORPORATION
Reconciliation of the Most Directly Comparable GAAP Financial Measure to Non-GAAP Financial Measure
2025
Gross
Profit
Selling,
General &
Administrative
Expenses
Research,
Development &
Engineering
Expenses
Operating
Income
Other
Income
(Expense),
Net
Income
Taxes
Net
Earnings
Effective
Tax Rate
Diluted
EPS
Reported
$16,065
$8,651
$1,623
$4,889
$(375)
$1,268
$3,246
28.1%
$8.40
Acquisition and integration-related costs:
Inventory stepped-up to fair value
173
—
—
173
—
42
131
0.3
0.34
Other acquisition and integration-related (a)
24
(296)
(15)
335
—
36
299
(0.3)
0.78
Amortization of purchased intangible assets
—
—
—
732
—
151
581
0.9
1.49
Structural optimization and other special charges (b)
74
(113)
(4)
191
(27)
24
140
—
0.37
Goodwill and other impairments (c)
—
—
—
170
—
50
120
0.5
0.31
Medical device regulations (d)
1
—
(37)
38
—
8
30
0.1
0.08
Recall-related matters (e)
54
(4)
—
58
—
10
48
—
0.12
Regulatory and legal matters (f)
—
(17)
—
17
—
5
12
—
0.03
Tax matters (g)
—
—
—
—
—
(660)
660
(14.5)
1.71
Adjusted
$16,391
$8,221
$1,567
$6,603
$(402)
$934
$5,267
15.1%
$13.63
2024
Gross
Profit
Selling,
General &
Administrative
Expenses
Research,
Development &
Engineering
Expenses
Operating
Income
Other
Income
(Expense),
Net
Income
Taxes
Net
Earnings
Effective
Tax Rate
Diluted
EPS
Reported
$14,440
$7,685
$1,466
$3,689
$(197)
$499
$2,993
14.3%
$7.76
Acquisition and integration-related costs:
Inventory stepped-up to fair value
46
—
—
46
—
12
34
0.2
0.09
Other acquisition and integration-related (a)
—
(107)
(1)
108
—
23
85
0.2
0.22
Amortization of purchased intangible assets
—
—
—
623
—
128
495
1.0
1.28
Structural optimization and other special charges (b)
59
(77)
(2)
138
1
29
110
0.3
0.29
Goodwill and other impairments (c)
—
—
—
977
—
125
852
(0.6)
2.21
Medical device regulations (d)
9
—
(49)
58
—
14
44
0.1
0.11
Recall-related matters (e)
11
(29)
—
40
—
10
30
0.1
0.08
Regulatory and legal matters (f)
—
(36)
—
36
—
7
29
0.1
0.08
Tax matters (g)
—
—
—
—
—
(28)
28
(0.9)
0.07
Adjusted
$14,565
$7,436
$1,414
$5,715
$(196)
$819
$4,700
14.8%
$12.19
2023
Gross
Profit
Selling,
General &
Administrative
Expenses
Research,
Development &
Engineering
Expenses
Operating
Income
Other
Income
(Expense),
Net
Income
Taxes
Net
Earnings
Effective
Tax Rate
Diluted
EPS
Reported
$13,058
$7,111
$1,388
$3,888
$(215)
$508
$3,165
13.8%
$8.25
Acquisition and integration-related costs:
Inventory stepped-up to fair value
—
—
—
—
—
—
—
—
—
Other acquisition and integration-related (a)
—
(20)
—
20
—
(25)
45
(0.8)
0.12
Amortization of purchased intangible assets
—
—
—
635
—
132
503
1.2
1.31
Structural optimization and other special charges (b)
39
(130)
(1)
170
—
38
132
0.4
0.34
Goodwill and other impairments (c)
—
—
—
36
—
9
27
0.1
0.08
Medical device regulations (d)
2
—
(94)
96
—
22
74
0.2
0.19
Recall-related matters (e)
—
(18)
—
18
—
4
14
—
0.04
Regulatory and legal matters (f)
—
(92)
—
92
—
29
63
0.4
0.16
Tax matters (g)
—
—
—
—
(8)
(51)
43
(1.2)
0.11
Adjusted
$13,099
$6,851
$1,293
$4,955
$(223)
$666
$4,066
14.1%
$10.60
(a) Charges represent certain acquisition and integration-related costs associated with acquisitions, including:
2025
2024
2023
Termination of sales relationships
$—
$4
$5
Employee retention and workforce reductions
60
22
6
Changes in the fair value of contingent consideration
21
8
(1)
Manufacturing integration costs
19
3
2
Stock compensation payments upon a change in control
140
22
—
Other integration-related activities
95
49
8
Adjustments to Operating Income
$335
$108
$20
Charges for acquisition-related tax provisions
—
—
—
Other income taxes related to acquisition and integration-related costs
36
23
(25)
Adjustments to Income Taxes
$36
$23
$(25)
Adjustments to Net Earnings
$299
$85
$45
Dollar amounts in millions except per share amounts or as otherwise specified.
7
STRYKER CORPORATION
(b) Structural optimization and other special charges represent the costs associated with:
2025
2024
2023
Employee retention and workforce reductions
$55
$23
$69
Closure/transfer of manufacturing and other facilities
31
31
50
Product line exits
13
37
22
Termination of sales relationships
7
8
—
Other charges
85
39
29
Adjustments to Operating Income
$191
$138
$170
Adjustments to Other Income (Expense), Net
$(27)
$1
$—
Adjustments to Income Taxes
$24
$29
$38
Adjustments to Net Earnings
$140
$110
$132
(c) Goodwill and other impairments represent the costs associated with:
2025
2024
2023
Goodwill impairments
$—
$456
$—
Certain long-lived and intangible asset write-offs and impairments
114
466
26
Product line exits (e.g., long-lived asset and specifically-identified intangible asset write-offs)
56
55
10
Adjustments to Operating Income
$170
$977
$36
Adjustments to Income Taxes
$50
$125
$9
Adjustments to Net Earnings
$120
$852
$27
(d) 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.
(e) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to
resolve certain recall-related matters.
(f) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to
resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
(g) Benefits / (charges) represent the accounting impact of certain significant and discrete tax items, including:
2025
2024
2023
Adjustments related to the transfer of certain intellectual properties between tax jurisdictions
$(718)
$(185)
$(89)
Certain tax audit settlements
—
(1)
24
Deferred tax benefit on outside basis related to the anticipated sale of the Spinal Implants business
—
170
—
Other tax matters
58
(12)
14
Adjustments to Income Taxes
$(660)
$(28)
$(51)
Benefits for certain tax audit settlements
—
—
(9)
Other tax related adjustments
—
—
1
Adjustments to Other Income (Expense), Net
$—
$—
$(8)
Adjustments to Net Earnings
$660
$28
$43
FINANCIAL CONDITION AND LIQUIDITY
Net cash provided by (used in):
2025
2024
2023
Operating activities
$5,044
$4,242
$3,711
Investing activities
(4,866)
(3,000)
(962)
Financing activities
113
(525)
(1,594)
Effect of exchange rate changes
68
(36)
(28)
Change in cash and cash equivalents
$359
$681
$1,127
We believe our financial condition continues to be of high quality,
as evidenced by our ability to generate substantial cash from
operations and to readily access capital markets at competitive
rates despite the current macroeconomic environment. Operating
cash flow provides the primary source of cash to fund operating
needs and capital expenditures. Excess operating cash is used
first to fund acquisitions to complement our portfolio of
businesses. Other discretionary uses include dividends and
potentially share repurchases. We supplement operating cash
flow with debt to fund our activities as necessary. Our overall
cash position reflects our business results and a global cash
management strategy that takes into account liquidity
management, economic factors and tax considerations.
Operating Activities
Cash provided by operating activities was $5,044, $4,242 and
$3,711 in 2025, 2024 and 2023. The increase in 2025 was
primarily due to higher cash earnings and working capital
improvements. The increase in 2024 from 2023 was primarily due
to higher cash earnings partially offset by changes in working
capital.
Investing Activities
Cash used in investing activities was $4,866, $3,000 and $962 in
2025, 2024 and 2023. Cash used in 2025 included cash paid for
the acquisition of Inari, purchases of property, plant and
equipment, partially offset by proceeds from the sale of short
term investments and our Spinal Implants business. Cash used in
2024 included cash paid for various acquisitions and purchases
of short-term investments partially offset by proceeds from other
investing activities.
Financing Activities
Cash provided by financing activities in 2025 was $113 and used
in financing activities in 2024 and 2023 was $525 and $1,594.
Cash provided by 2025 was primarily driven by dividend
payments of $1,284 and repayments of $1,400 to pay off
maturing senior unsecured notes. These repayments were offset
by net proceeds of $2,979 from the issuance of senior unsecured
notes as described in Note 10 to our Consolidated Financial
statements. Cash used in 2024 was primarily driven by dividend
payments of $1,219 and repayments of $2,039 to pay off
maturing senior unsecured notes. These repayments were offset
by net proceeds of $3,011 from issuance of senior unsecured
notes.
We maintain debt levels that we consider appropriate after
evaluating a number of factors including cash requirements for
ongoing operations, investment and financing plans (including
acquisitions and share repurchase activities) and overall cost of
Dollar amounts in millions except per share amounts or as otherwise specified.
8
STRYKER CORPORATION
capital. Refer to Note 10 to our Consolidated Financial
Statements for further information.
2025
2024
2023
Dividends paid per common share
$3.36
$3.20
$3.00
Total dividends paid to common shareholders
$1,284
$1,219
$1,139
Liquidity
Cash, cash equivalents and marketable securities were $4,100
and $3,743, and our current assets exceeded current liabilities by
$6,961 and $7,231 on December 31, 2025 and 2024. 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 also
have a revolving credit agreement maturing in February 2030
with an aggregate principal amount of $3,000.
We raised funds in the capital 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 20% on
December 31, 2025 and 2024.
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.
CONTRACTUAL OBLIGATIONS AND FORWARD-LOOKING
CASH REQUIREMENTS
In 2025 we recorded charges for various legal matters as further
described in Note 7 to our Consolidated Financial Statements.
Recorded reserves represent the 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. The final outcome of
these matters is dependent on many variables that are difficult to
predict. The ultimate cost to entirely resolve these matters may
be materially different from the amount of the current estimates
and could have a material adverse effect on our financial
position, results of operations and cash flows. We are not able to
reasonably estimate the future periods in which payments will be
made.
As further described in Note 11 to our Consolidated Financial
Statements, on December 31, 2025 we had a reserve for
uncertain income tax positions of $403. Due to uncertainties
regarding the ultimate resolution of income tax audits, we are not
able to reasonably estimate the future periods in which any
income tax payments to settle these uncertain income tax
positions will be made.
As further described in Note 12 to our Consolidated Financial
Statements, on December 31, 2025 our defined benefit pension
plans were underfunded by $269, of which approximately $268
related to plans outside the United States. Due to the rules
affecting tax-deductible contributions in the jurisdictions in which
the plans are offered and the impact of future plan asset
performance, changes in interest rates and potential changes in
legislation in the United States and other foreign jurisdictions, we
are not able to reasonably estimate the amounts that may be
required to fund defined benefit pension plans.
Contractual Obligations
Total
2026
2027-
2028
2029-
2030
After
2030
Debt repayments
$15,973
$1,000
$3,988
$4,256
$6,729
Interest payments
4,287
536
957
670
2,124
Minimum lease payments
524
164
212
93
55
Other
85
6
28
27
24
Total
$20,869
$1,706
$5,185
$5,046
$8,932
CRITICAL ACCOUNTING POLICIES AND ESTIMATES
In preparing our financial statements in accordance with
generally accepted accounting principles, there are certain
accounting policies, which may require substantial judgment or
estimation in their application. We believe these accounting
policies and the others set forth in Note 1 to our Consolidated
Financial Statements are critical to understanding our results of
operations and financial condition. Actual results could differ from
our estimates and assumptions, and any such differences could
be material to our results of operations and financial condition.
Income Taxes
Our annual tax rate is determined based on our income, statutory
tax rates and the tax impacts of items treated differently for tax
purposes than for financial reporting purposes. Tax law requires
certain items be included in the tax return at different times than
the items are reflected in the financial statements. Some of these
differences are permanent, such as expenses that are not
deductible in our tax return, and some differences are temporary
and reverse over time, such as depreciation expense. These
temporary differences create deferred tax assets and liabilities.
Deferred tax assets generally represent the tax effect of items
that can be used as a tax deduction or credit in future years for
which we have already recorded the tax benefit in our income
statement. Deferred tax liabilities generally represent tax expense
recognized in our financial statements for which payment was
deferred, the tax effect of expenditures for which a deduction was
taken in our tax return but has not yet been recognized in our
financial statements or assets recorded at fair value in business
combinations for which there was no corresponding tax basis
adjustment.
Inherent in determining our annual tax rate are judgments
regarding business plans, tax planning opportunities and
expectations about future outcomes. Realization of certain
deferred tax assets is dependent upon generating sufficient
taxable income in the appropriate jurisdiction prior to the
expiration of the carryforward periods. Although realization is not
assured, management believes it is more likely than not that our
deferred tax assets, net of valuation allowances, will be realized.
We operate in multiple jurisdictions with complex tax policy and
regulatory environments. In certain of these jurisdictions, we may
take tax positions that management believes are supportable but
are potentially subject to successful challenge by the applicable
taxing authority. These differences of interpretation with the
respective governmental taxing authorities can be impacted by
the local economic and fiscal environment. We evaluate our tax
positions and establish liabilities in accordance with the
applicable accounting guidance on uncertainty in income taxes.
We review these tax uncertainties in light of changing facts and
circumstances, such as the progress of tax audits, and adjust
them accordingly. We have a number of audits in process in
various jurisdictions. Although the resolution of these tax
positions is uncertain, based on currently available information,
we believe that it is more likely than not that the ultimate
outcomes will not have a material adverse effect on our financial
position, results of operations or cash flows.
Dollar amounts in millions except per share amounts or as otherwise specified.
9
STRYKER CORPORATION
Due to the number of estimates and assumptions inherent in
calculating the various components of our tax provision, certain
changes or future events, such as changes in tax legislation,
geographic mix of earnings, completion of tax audits or earnings
repatriation plans, could have an impact on those estimates and
our effective tax rate.
We received a final audit report and assessments from the
German Federal Central Tax Office (FCTO) related to the years
2010 through 2017 of $754 and expect to receive additional
assessments of $11 based on the final audit report. We intend to
defend our filing positions through the FCTO independent
appeals process and/or litigation as necessary. If the resolution of
this matter results in additional German income taxes, we expect
to pursue a claim for associated foreign tax credits. Our
unrecognized tax benefits associated with this matter remain
unchanged from 2024. Refer to Note 11 to our Consolidated
Financial Statements for further discussion.
Acquisitions, Goodwill and Intangibles, and Long-Lived
Assets
Our financial statements include the operations of an acquired
business starting from the completion of the acquisition. In
addition, the assets acquired and liabilities assumed are recorded
on the date of acquisition at their respective estimated fair values,
with any excess of the purchase price over the estimated fair
values of the net assets acquired recorded as goodwill.
Significant judgment is required in estimating the fair value of
intangible assets and in assigning their respective useful lives.
Accordingly, we typically obtain the assistance of third-party
valuation specialists for significant items. The fair value estimates
are based on available historical information and on future
expectations and assumptions deemed reasonable by
management but are inherently uncertain. We typically use an
income method to estimate the fair value of intangible assets,
which is based on forecasts of the expected future cash flows
attributable to the respective assets. Significant estimates and
assumptions inherent in the valuations reflect a consideration of
other marketplace participants and include the amount and timing
of future cash flows (including expected growth rates and
profitability), the underlying product or technology life cycles, the
economic barriers to entry and the discount rate applied to the
cash flows. Unanticipated market or macroeconomic events and
circumstances may occur that could affect the accuracy or
validity of the estimates and assumptions.
Determining the useful life of an intangible asset also requires
judgment. With the exception of certain trade names, the majority
of our acquired intangible assets (e.g., certain trademarks or
brands, customer and distributor relationships, patents and
technologies) are expected to have determinable useful lives.
Our assessment as to the useful lives of these intangible assets
is based on a number of factors including competitive
environment, market share, trademark, brand history, underlying
product life cycles, operating plans and the macroeconomic
environment of the countries in which the trademarked or
branded products are sold. Our estimates of the useful lives of
determinable-lived intangibles are primarily based on these same
factors. Determinable-lived intangible assets are amortized to
expense over their estimated useful life.
In some of our acquisitions, we acquire in-process research and
development (IPRD) intangible assets. For acquisitions
accounted for as business combinations, IPRD is considered to
be an indefinite-lived intangible asset until the research is
completed (then it becomes a determinable-lived intangible
asset) or determined to have no future use (then it is impaired).
For asset acquisitions, IPRD is expensed immediately unless
there is an alternative future use.
Indefinite-lived intangible assets and goodwill are not amortized
but are tested annually for impairment or whenever events or
circumstances indicate such assets may be impaired. Our annual
impairment testing date is October 31. When it is unlikely that an
indefinite-lived intangible asset or goodwill of a reporting unit is
impaired, we perform a qualitative assessment. For goodwill, that
qualitative assessment may be periodically supplemented with a
corroborative quantitative analysis.
When necessary, we perform a quantitative impairment test and
determine the fair value of the indefinite-lived intangible asset or
reporting unit using an income approach. For the quantitative
impairment test of goodwill, when appropriate, we corroborate
our concluded value under the income approach using a market
approach that utilizes trading multiples derived from a peer set of
similar companies. The income approach calculates the present
value of estimated future cash flows and requires certain
assumptions and estimates be made regarding market conditions
and our future profitability. Considerable management judgment
is necessary to evaluate the impact of operating and
macroeconomic changes and to estimate future cash flows used
to measure fair value. Assumptions used in our impairment
evaluations, such as forecasted growth rates and cost of capital,
are consistent with internal business plans. We believe such
assumptions and estimates are also comparable to those that
would be used by other marketplace participants.
We review our other long-lived assets for indicators of impairment
whenever events or changes in circumstances indicate that the
carrying amount may not be recoverable. The evaluation is
performed at the lowest level of identifiable cash flows, which is
at the individual asset level or the asset group level. The
undiscounted cash flows expected to be generated by the related
assets are estimated over their useful life based on updated
projections. If the evaluation indicates that the carrying amount of
the assets may not be recoverable, any potential impairment is
measured based upon the fair value of the related assets or
asset group as determined by an appropriate market appraisal or
other valuation technique. Assets classified as held for sale, if
any, are recorded at the lower of carrying amount or fair value
less costs to sell.
In our annual impairment test of goodwill as of October 31, 2024
we performed a quantitative assessment of the Spine reporting
unit using a discounted cash flow analysis to estimate the fair
value. The carrying value of the Spine reporting unit exceeded its
fair value and a charge of $273 was recognized in goodwill and
other impairments in our Consolidated Statements of Earnings.
The impairment charge for the Spine reporting unit was driven by
a decrease in future product demand due to the competitive
environment and an increase in the Spine reporting unit’s
weighted average cost of capital.
During the fourth quarter 2024 management committed to a plan
to sell certain assets associated with the Spinal Implants
business (disposal group) and such assets were classified as
held for sale beginning November 2024. We tested the net
carrying amounts of other assets, such as working capital
accounts, and determined that there was no impairment as the
fair values of these assets approximated their carrying values.
Goodwill was allocated to the disposal group and the retained
portion of the Spine reporting unit based on the relative fair
values. Goodwill allocated to the disposal group was tested for
impairment which resulted in an impairment charge of $183. As of
Dollar amounts in millions except per share amounts or as otherwise specified.
10
STRYKER CORPORATION
December 31, 2024, there was no goodwill remaining attributable
to the Spinal Implants disposal group.
Finally we compared the carrying amount of the disposal group to
the fair value less cost to sell. As a result, we recognized an
estimated loss of $362 to record the disposal group at its fair
value less cost to sell in goodwill and other impairments in our
Consolidated Statements of Earnings.
In April 2025 we completed the sale of the disposal group to the
Viscogliosi Brothers, LLC as further discussed in Note 16. In the
first half of 2025 we recognized immaterial impairment charges to
record the disposal group at its fair value less cost to sell within
goodwill and other impairments in our Consolidated Statements
of Earnings. The fair value of the disposal group and
consideration received was measured using a discounted cash
flow analysis based upon the selling price and unobservable
inputs, such as market conditions and the rate used to discount
the estimated future cash flows to their present value based on
factors including the disposal group’s cost of equity and market
yield rates, which are Level 3 inputs. Consideration could
increase by up to $57 or decrease by up to $245 based on the
amount received.
With the acquisition of Inari in February 2025 discussed in Note 6
to our Consolidated Financial Statements, we established a new
Peripheral Vascular reporting unit consisting of the acquired Inari
business. Given the proximity of the impairment testing date to
the date of acquisition, the fair value of this new reporting unit
was not expected to exceed its carrying value by a significant
amount. We performed a quantitative impairment test for our
Peripheral Vascular reporting unit at October 31, 2025 and
determined that its fair value exceeded its carrying amount by
12%. At October 31, 2025, goodwill attributable to this reporting
unit was $3,203. The fair value of this reporting unit was
determined using a discounted cash flow analysis, which is a
form of the income approach. Significant inputs to the analysis
included assumptions for future revenue growth, operating
margin and the rate used to discount the estimated future cash
flows to their present value, based on the reporting unit’s
estimated weighted average cost of capital. We believe our
estimates are appropriate based upon current and future market
conditions and the best information available at the impairment
assessment date; however, future impairment charges could be
required if we do not achieve our cash flow, revenue and
profitability projections or if there is an increase in the weighted
average cost of capital.
The assumptions used in the discounted cash flow analysis are
subject to inherent uncertainties and subjectivity. The use of
different assumptions, estimates or judgments with respect to the
estimation of future cash flows and the determination of the
discount rate used to reduce such estimated future cash flows to
their net present value could materially affect the determination of
any impairment charges. Hypothetical changes in our estimates
of the discount rate, long-term revenue growth and long-term
operating margin would result in impairment charges as follows:
Change in selected assumption
Percentage
decline in fair
value
Impairment
charge
100 bps increase in discount rate
14%
$198
100 bps decrease in long-term revenue growth
8
—
100 bps decrease in long-term operating margin
2
—
We did not identify any factors in 2025 or 2024 that would lead us
to believe that our other reporting units were at risk of a goodwill
impairment. Accordingly, we performed qualitative assessments
and concluded it was more likely than not that the fair values of
those reporting units exceeded their respective carrying amounts.
In 2025 our qualitative assessment was supplemented with a
corroborative quantitative analysis which indicated that the
implied fair values of our other reporting units exceed their
respective carrying amounts by at least 100%. Future changes in
the judgments, assumptions and estimates that are used in our
impairment testing for goodwill and indefinite-lived intangible
assets, including discount rates and cash flow projections, could
result in different estimates of fair value. A significant reduction in
estimated fair values could result in impairment charges that
could materially affect our results of operations.
Legal and Other Contingencies
We are involved in various ongoing proceedings, legal actions
and claims arising in the normal course of business, including
proceedings related to product, labor, tax, intellectual property
and other matters that are more fully described in Notes 7 and 11
to our Consolidated Financial Statements. 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, for the resolution of these legal
matters 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 projected by management, additional expense may be
incurred, which could unfavorably affect future operating results.
We are currently 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.
NEW ACCOUNTING PRONOUNCEMENTS
Refer to Note 1 to our Consolidated Financial Statements for
further information.
11
STRYKER CORPORATION
ITEM 8.
FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
Report of Independent Registered Public Accounting Firm
To the Shareholders and the Board of Directors of Stryker Corporation
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Stryker Corporation and subsidiaries (the Company) as of
December 31, 2025 and 2024, the related consolidated statements of earnings, comprehensive income, shareholders’ equity and cash
flows for each of the three years in the period ended December 31, 2025, and the related notes and financial statement schedule listed
in the Index at Item 15(a) (collectively referred to as the "consolidated financial statements"). In our opinion, the consolidated financial
statements present fairly, in all material respects, the financial position of the Company at December 31, 2025 and 2024, and the results
of its operations and its cash flows for each of the three years in the period ended December 31, 2025, in conformity with U.S. generally
accepted accounting principles.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB),
the Company's internal control over financial reporting as of December 31, 2025, based on criteria established in Internal Control—
Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework), and our
report dated February 11, 2026 expressed an unqualified opinion thereon.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the
Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be
independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations
of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit
to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to
error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence
regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used
and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe
that our audits provide a reasonable basis for our opinion.
Critical Audit Matters
The critical audit matters communicated below are matters arising from the current period audit of the financial statements that were
communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to
the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical
audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by
communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or
disclosures to which they relate.
Uncertain Tax Positions
Description
of the Matter
As described in Note 11 to the consolidated financial statements, the Company is involved in various income tax matters
for which the ultimate outcomes are uncertain. As of December 31, 2025, the Company had unrecognized tax benefits
of $403. The Company received a final audit report and assessments from the German Federal Central Tax Office
(FCTO) related to the years 2010 through 2017 of $754 and expect to receive additional assessments of $11 based on
the final audit report.
Auditing management’s evaluation of the uncertain tax positions associated with the FCTO tax assessments was
especially challenging due to the level of subjectivity and significant judgment associated with the recognition and
measurement of the tax positions.
How We
Addressed
the Matter in
Our Audit
We obtained an understanding, evaluated the design and tested the operating effectiveness of controls over the
Company’s accounting process for uncertain tax positions. For example, we tested controls over management’s
identification of uncertain tax positions and its application of the recognition and measurement principles, including
management’s review of developments related to existing uncertain tax positions.
Our audit procedures included, among others, evaluating the assumptions the Company used to assess its uncertain tax
positions and related unrecognized tax benefits. We evaluated evidence of management’s assessment of the uncertain
tax positions related to certain German tax matters. Including inspection of technical memos, inspection of the FCTO tax
assessments, and written representations of management. We involved professionals with specialized skill and
knowledge to assist in our evaluation of the tax technical merits of the Company’s assessments, the amount of the
potential benefits to be realized, and the application of relevant tax law. We also assessed the Company’s disclosures of
uncertain tax positions included in Note 11 related to this tax matter.
12
STRYKER CORPORATION
Acquisitions
Description
of the Matter
As described in Note 6 to the consolidated financial statements, in 2025 the Company completed the acquisition of Inari
Medical, Inc. (Inari) for total consideration of $4,810, net of cash acquired. The acquisition was accounted for as a
business combination. Auditing the Company’s fair value measurement of certain acquired developed technologies was
complex and required significant auditor judgment due to the significant estimation uncertainty in determining the fair
value of these intangible assets. The Company used an income approach to measure the developed technology
intangible assets acquired. The significant assumptions used to estimate the fair value of the intangible assets included
discount rates and certain assumptions that form the basis of the forecasted results, including revenue growth rates and
profit margins.
How We
Addressed
the Matter in
Our Audit
We obtained an understanding, evaluated the design and tested the operating effectiveness of the controls over the
identification and measurement of developed technologies. For example, we tested controls over the valuation of
intangibles, including the valuation models and underlying assumptions used to develop such estimates.
To test the fair value measurement of developed technologies, we performed audit procedures that included, among
others, evaluating the Company's use of the income approach and testing the significant assumptions used in the
model, as described above. We involved our valuation specialists in assisting with the evaluation of methodologies used
by the Company and significant assumptions included in the fair value measurements. For example, to evaluate the
revenue growth rates and projected profit margins, we compared the amounts to historical results of the Company’s
business, as well as the acquired business’ historical results, and current industry and market trends for those in which
the Company operates and performed sensitivity analyses on key assumptions. We also evaluated the adequacy of the
Company’s disclosures included in Note 6 related to these acquisitions.
/s/ Ernst & Young LLP
We have served as the Company's auditor since 1974.
Grand Rapids, Michigan
February 11, 2026,
except for the effects of the change in the composition of reportable segments in Notes 1, 2, and 14, as to which the date is June 26,
2026
Dollar amounts in millions except per share amounts or as otherwise specified.
13
STRYKER CORPORATION
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF EARNINGS
2025
2024
2023
Net sales
$25,116
$22,595
$20,498
Cost of sales
9,051
8,155
7,440
Gross profit
$16,065
$14,440
$13,058
Research, development and engineering expenses
1,623
1,466
1,388
Selling, general and administrative expenses
8,651
7,685
7,111
Amortization of intangible assets
732
623
635
Goodwill and other impairments
170
977
36
Total operating expenses
$11,176
$10,751
$9,170
Operating income
$4,889
$3,689
$3,888
Interest expense
(607)
(409)
(363)
Other income
232
212
148
Earnings before income taxes
$4,514
$3,492
$3,673
Income taxes
1,268
499
508
Net earnings
$3,246
$2,993
$3,165
Net earnings per share of common stock:
Basic
$8.49
$7.86
$8.34
Diluted
$8.40
$7.76
$8.25
Weighted-average shares outstanding (in millions):
Basic
382.2
381.0
379.6
Effect of dilutive employee stock compensation
4.3
4.6
4.1
Diluted
386.5
385.6
383.7
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
2025
2024
2023
Net earnings
$3,246
$2,993
$3,165
Other comprehensive income (loss), net of tax
Marketable securities
—
—
1
Pension plans
66
32
(59)
Unrealized gains (losses) on designated hedges
11
(8)
(13)
Financial statement translation
(471)
99
(124)
Total other comprehensive income (loss), net of tax
$(394)
$123
$(195)
Comprehensive income
$2,852
$3,116
$2,970
See accompanying notes to Consolidated Financial Statements.
Dollar amounts in millions except per share amounts or as otherwise specified.
14
STRYKER CORPORATION
Stryker Corporation and Subsidiaries
CONSOLIDATED BALANCE SHEETS
2025
2024
Assets
Current assets
Cash and cash equivalents
$4,011
$3,652
Short-term investments
—
750
Marketable securities
89
91
Accounts receivable, less allowance of $216 ($213 in 2024)
4,039
3,987
Inventories:
Materials and supplies
1,349
1,147
Work in process
415
336
Finished goods
3,546
3,291
Total inventories
$5,310
$4,774
Prepaid expenses and other current assets
1,306
1,593
Total current assets
$14,755
$14,847
Property, plant and equipment:
Land, buildings and improvements
1,793
1,627
Machinery and equipment
5,744
5,056
Total property, plant and equipment
7,537
6,683
Less allowance for depreciation
3,661
3,235
Property, plant and equipment, net
$3,876
$3,448
Goodwill
19,291
15,855
Other intangibles, net
5,681
4,395
Noncurrent deferred income tax assets
1,098
1,742
Other noncurrent assets
3,143
2,684
Total assets
$47,844
$42,971
Liabilities and shareholders' equity
Current liabilities
Accounts payable
$1,799
$1,679
Accrued compensation
1,595
1,403
Income taxes
418
539
Dividend payable
337
320
Accrued expenses and other liabilities
2,645
2,266
Current maturities of debt
1,000
1,409
Total current liabilities
$7,794
$7,616
Long-term debt, excluding current maturities
14,859
12,188
Income taxes
402
349
Other noncurrent liabilities
2,369
2,184
Total liabilities
$25,424
$22,337
Shareholders' equity
Common stock, $0.10 par value
38
38
Additional paid-in capital
2,597
2,361
Retained earnings
20,472
18,528
Accumulated other comprehensive loss
(687)
(293)
Total shareholders' equity
$22,420
$20,634
Total liabilities & shareholders' equity
$47,844
$42,971
See accompanying notes to Consolidated Financial Statements.
Dollar amounts in millions except per share amounts or as otherwise specified.
15
STRYKER CORPORATION
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY
2025
2024
2023
Shares
Amount
Shares
Amount
Shares
Amount
Common stock
Beginning
381.4
$38
380.1
$38
378.7
$38
Issuance of common stock under stock compensation
and benefit plans
1.1
—
1.3
—
1.4
—
Ending
382.5
$38
381.4
$38
380.1
$38
Additional paid-in capital
Beginning
$2,361
$2,200
$2,034
Issuance of common stock under stock compensation
and benefit plans
(7)
(68)
(39)
Share-based compensation
243
229
205
Ending
$2,597
$2,361
$2,200
Retained earnings
Beginning
$18,528
$16,771
$14,765
Net earnings
3,246
2,993
3,165
Cash dividends declared
(1,302)
(1,236)
(1,159)
Ending
$20,472
$18,528
$16,771
Accumulated other comprehensive (loss) income
Beginning
$(293)
$(416)
$(221)
Other comprehensive income (loss)
(394)
123
(195)
Ending
$(687)
$(293)
$(416)
Total shareholders' equity
$22,420
$20,634
$18,593
See accompanying notes to Consolidated Financial Statements.
Dollar amounts in millions except per share amounts or as otherwise specified.
16
STRYKER CORPORATION
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF CASH FLOWS
2025
2024
2023
Operating activities
Net earnings
$3,246
$2,993
$3,165
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation
461
427
393
Amortization of intangible assets
732
623
635
Goodwill and other impairments
170
977
36
Share-based compensation
243
229
205
Sale of inventory stepped up to fair value at acquisition
173
46
—
Deferred income tax (benefit) expense
392
(370)
(206)
Changes in operating assets and liabilities:
Accounts receivable
127
(321)
(175)
Inventories
(297)
(206)
(797)
Accounts payable
94
192
77
Accrued expenses and other liabilities
318
74
516
Income taxes
(145)
(116)
(4)
Other, net
(470)
(306)
(134)
Net cash provided by operating activities
$5,044
$4,242
$3,711
Investing activities
Acquisitions, net of cash acquired
(4,960)
(1,628)
(390)
Proceeds/(Purchases) of short-term investments
750
(750)
—
Purchases of property, plant and equipment
(761)
(755)
(575)
Proceeds from the sale of the Spinal Implants business
165
—
—
Other investing, net
(60)
133
3
Net cash used in investing activities
$(4,866)
$(3,000)
$(962)
Financing activities
Proceeds (payments) on short-term borrowings, net
—
(32)
540
Proceeds from issuance of long-term debt
2,979
3,011
1,241
Payments on long-term debt
(1,400)
(2,039)
(2,058)
Payments of dividends
(1,284)
(1,219)
(1,139)
Cash paid for taxes from withheld shares
(149)
(195)
(155)
Other financing, net
(33)
(51)
(23)
Net cash provided by (used in) financing activities
$113
$(525)
$(1,594)
Effect of exchange rate changes on cash and cash equivalents
68
(36)
(28)
Change in cash and cash equivalents
$359
$681
$1,127
Cash and cash equivalents at beginning of year
3,652
2,971
1,844
Cash and cash equivalents at end of year
$4,011
$3,652
$2,971
Supplemental cash flow disclosure:
Cash paid for income taxes, net of refunds
$1,002
$989
$693
Cash paid for interest on debt
$582
$396
$356
See accompanying notes to Consolidated Financial Statements.
Dollar amounts in millions except per share amounts or as otherwise specified.
17
STRYKER CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 - SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations: Stryker (the "Company," "we," "us," or
"our") is a global leader in medical technologies and, together
with our customers, we are driven to make healthcare better. We
offer innovative products and services in MedSurg,
Neurotechnology and Orthopaedics that help improve patient and
healthcare outcomes. Our products include surgical equipment
and surgical navigation systems; endoscopic and
communications systems; patient handling, emergency medical
equipment and intensive care disposable products; clinical
communication and artificial intelligence-assisted virtual care
platform technology; products for traditional brain and open skull-
based surgical procedures; minimally invasive products for the
treatment of acute ischemic and hemorrhagic stroke and venous
thromboembolism; implants used in joint replacement and trauma
surgeries; Mako robotic-arm assisted technology; as well as other
products used in a variety of medical specialties.
Basis of Presentation and Consolidation: The Consolidated
Financial Statements include the Company and its subsidiaries.
All significant intercompany accounts and transactions are
eliminated in consolidation. We have no material interests in
variable interest entities. Certain prior year amounts have been
reclassified to conform with current year presentation in our
Consolidated Financial Statements.
Recast of Certain Prior Period Information: The segment
information in this Form 8-K has been recast to conform to the
way we internally manage and monitor our business during fiscal
year 2026. The recast of prior period information had no impact
on our consolidated balance sheets, consolidated statements of
earnings, or consolidated statements of cash flows.
In the first quarter 2026 we announced a change in our
organizational structure. Our new Ortho Tech business combines
the orthopaedic instruments portfolio from our Instruments
business with the Mako and enabling technologies portfolio from
our Other Orthopaedics business. By bringing Mako, power tools,
cutting accessories, enabling technologies and the teams behind
these products together under one business, we are simplifying
the customer experience and striving to increase our speed to
market through focused innovation.
Following this re-organization, we will continue to have two
business segments - (i) MedSurg and Neurotechnology and (ii)
Orthopaedics, each of which comprise a reportable segment. All
historical segment financial information has been recast to
conform to this new reporting structure in our financial statements
and accompanying notes. These changes primarily impacted
Note 2 – Revenue Recognition and Note 14 – Segment and
Geographic Data. The information in Note 8—Goodwill and Other
Intangible Assets has not been recast; however, recast amounts
are disclosed in our Quarterly Report on Form 10‑Q for the
quarterly period ended March 31, 2026.
Use of Estimates: The preparation of financial statements in
conformity with accounting principles generally accepted in the
United States (GAAP) requires management to make estimates
and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities on the
date of the financial statements and the reported amounts of net
sales and expenses in the reporting period. Actual results could
differ from those estimates.
Revenue Recognition: Sales are recognized as the
performance obligations to deliver products or services (including
services under extended warranty service contracts) are satisfied
and are recorded based on the amount of consideration we
expect to receive in exchange for satisfying the performance
obligations. Our sales are recognized primarily when we transfer
control to the customer, which can be on the date of shipment,
the date of receipt by the customer or, for most Orthopaedics
products, when we have received a purchase order and
appropriate notification the product has been used or implanted.
Products and services are primarily transferred to customers at a
point in time, with some transfers of services taking place over
time.
Sales represent the amount of consideration we expect to receive
from customers in exchange for transferring products and
services. Net sales exclude sales, value added and other taxes
we collect from customers. Other costs to obtain and fulfill
contracts are generally expensed as incurred due to the short-
term nature of most of our sales. We extend terms of payment to
our customers based on commercially reasonable terms for the
markets of our customers, while also considering their credit
quality.
A provision for estimated sales returns, discounts and rebates is
recognized as a reduction of sales in the same period that the
sales are recognized. Our estimate of the provision for sales
returns has been established based on contract terms with our
customers and historical business practices and current trends.
Shipping and handling costs charged to customers are included
in net sales.
Cost of Sales: Cost of sales include direct materials and
supplies consumed in the manufacture of product, as well as
manufacturing labor, depreciation expense and direct overhead
expense necessary to acquire and convert the purchased
materials and supplies into finished product. Cost of sales also
includes the cost to distribute products to customers, inbound
freight costs, warehousing costs and other shipping and handling
activity.
Research, Development and Engineering Expenses:
Research, development and engineering costs are charged to
expense as incurred and include research, development and
engineering activities relating to the development of new
products, improvement of existing products, technical support of
products and compliance with governmental regulations for the
protection of customers and patients. Costs primarily include
salaries, wages, consulting and depreciation and maintenance of
research facilities and equipment.
Selling, General and Administrative Expenses: Costs include
selling expenses, marketing expenses, administrative and other
indirect overhead costs, amortization of loaner instrumentation,
depreciation and amortization expense of non-manufacturing
assets and other miscellaneous operating items.
Currency Translation: Financial statements of subsidiaries
outside the United States generally are measured using the local
currency as the functional currency. Adjustments to translate
those statements into United States Dollars are recorded in other
comprehensive income (OCI). Transactional exchange gains and
losses are included in other income.
Cash Equivalents: Highly liquid investments with remaining
stated maturities of three months or less when purchased or
other money market instruments that are redeemable upon
demand are considered cash equivalents and recorded at cost.
Short-term Investments: Short-term investments that have a
maturity greater than three months and less than a year from the
date of purchase primarily include time deposits, certificates of
deposit, commercial paper, bonds and notes, substantially all of
Dollar amounts in millions except per share amounts or as otherwise specified.
18
STRYKER CORPORATION
which are denominated in United States Dollars and are stated at
cost plus accrued interest, which approximates fair value. We
expect to hold all of our short-term investments to maturity.
Marketable Securities: Marketable securities include marketable
debt securities and mutual funds. Mutual funds are acquired to
offset changes in certain liabilities related to deferred
compensation arrangements and are expected to be used to
settle these liabilities. Mutual funds are recognized in other
noncurrent assets. Pursuant to our investment policy, all
individual marketable security investments must have a minimum
credit quality of single A (Standard & Poor’s and Fitch) and A2
(Moody’s Corporation) at the time of acquisition, while the overall
portfolio of marketable securities must maintain a minimum
average credit quality of double A (Standard & Poor’s and Fitch)
or Aa (Moody’s Corporation). In the event of a rating downgrade
below the minimum credit quality subsequent to purchase, the
marketable security investment is evaluated to determine the
appropriate action to take to minimize the overall risk to our
marketable security investment portfolio. Our marketable
securities are classified as available-for-sale and trading
securities. Investments in trading securities represent participant-
directed investments of deferred employee compensation.
Accounts Receivable: Accounts receivable include trade and
other miscellaneous receivables. An allowance is maintained for
doubtful accounts for estimated losses in the collection of
accounts receivable. Estimates are made regarding the ability of
customers to make required payments based on historical credit
experience, current market conditions and expected credit
losses. Accounts receivable are written off when all reasonable
collection efforts are exhausted.
Inventories: Inventories are stated at the lower of cost or net
realizable value, with cost generally determined using the first-in,
first-out (FIFO) cost method. For excess and obsolete inventory
resulting from the potential inability to sell specific products at
prices in excess of current carrying costs, reserves are
maintained to reduce current carrying cost to net realizable value.
Financial Instruments: Our financial instruments include cash,
cash equivalents, marketable securities, accounts receivable,
other investments, accounts payable, debt and foreign currency
exchange contracts. The carrying value of our financial
instruments, with the exception of our senior unsecured notes,
approximates fair value on December 31, 2025 and 2024. Refer
to Notes 3 and 10 for further details.
All marketable securities are recognized at fair value.
Adjustments to the fair value of marketable securities that are
classified as available-for-sale are recognized as increases or
decreases, net of income taxes, within accumulated other
comprehensive income (AOCI) in shareholders’ equity and
adjustments to the fair value of marketable securities that are
classified as trading are recognized in earnings. The amortized
cost of marketable debt securities is adjusted for amortization of
premiums and discounts to maturity computed under the effective
interest method. Such amortization, interest and realized gains
and losses are included in other income. The cost of securities
sold is determined by the specific identification method.
We review declines in the fair value of our investments classified
as available-for-sale to determine whether the decline in fair
value is a result of credit loss or other factors. Impairments of
available-for-sale marketable debt securities related to credit loss
are included in earnings and impairments related to other factors
are recognized within AOCI.
Derivatives: All derivatives are recognized at fair value and
reported on a gross basis. We enter into forward currency
exchange contracts to mitigate the impact of currency fluctuations
on transactions denominated in nonfunctional currencies, thereby
limiting our risk that would otherwise result from changes in
exchange rates. The periods of the forward currency exchange
contracts correspond to the periods of the exposed transactions,
with realized gains and losses included in the measurement and
recording of transactions denominated in the nonfunctional
currencies. All forward currency exchange contracts are recorded
at their fair value each period.
Forward currency exchange contracts designated as cash flow
hedges are designed to hedge the variability of cash flows
associated with forecasted transactions denominated in a foreign
currency that will take place in the future. These nonfunctional
currency exposures principally relate to forecasted intercompany
sales and purchases of manufactured products and generally
have maturities up to eighteen months. Changes in value of
derivatives designated as cash flow hedges are recorded in AOCI
in shareholders’ equity until earnings are affected by the
variability of the underlying cash flows. At that time, the
applicable amount of gain or loss from the derivative instrument
that is deferred in shareholders’ equity is reclassified into
earnings and is included in cost of goods sold. Cash flows
associated with these hedges are included in cash provided by
operating activities in the same category as the cash flows from
the items being hedged.
Forward currency exchange contracts are used to offset our
exposure to the change in value of specific foreign currency
denominated assets and liabilities, primarily intercompany
payables and receivables. These derivatives are not designated
as hedges and, therefore, changes in the value of these forward
contracts are recognized in earnings, thereby offsetting the
current earnings effect of the related changes in value of foreign
currency denominated assets and liabilities. The estimated fair
value of our forward currency exchange contracts represents the
measurement of the contracts at month-end spot rates as
adjusted by current forward points.
From time to time, we designate derivative and non-derivative
financial instruments as net investment hedges of our
investments in certain international subsidiaries. For derivative
instruments that are designated and qualify as a net investment
hedge, the effective portion of the derivative's gain or loss is
recognized in OCI and reported as a component of AOCI. We
have elected to use the spot method to assess effectiveness for
our derivatives designated as net investment hedges.
Accordingly, the change in fair value attributable to changes in
the spot rate is recorded in AOCI. We exclude the spot-forward
difference from the assessment of hedge effectiveness and
amortize this amount separately on a straight-line basis over the
term of the forward contracts. This amortization is recognized in
other income.
From time to time, we designate forward starting interest rate
derivative instruments as cash flow hedges to manage the
exposure to interest rate volatility with regard to future issuance
and refinancing of debt. Changes in value of derivatives
designated as cash flow hedges are recorded in AOCI until
earnings are affected by the variability of the underlying cash
flows. At that time, the applicable amount of gain or loss from the
derivative instrument that is deferred in shareholders’ equity is
reclassified into earnings and is included in interest expense.
Interest rate derivative instruments designated as fair value
hedges have been used in the past to manage the exposure to
Dollar amounts in millions except per share amounts or as otherwise specified.
19
STRYKER CORPORATION
interest rate movements and to reduce borrowing costs by
converting fixed-rate debt into floating-rate debt. Under these
agreements, we agree to exchange, at specified intervals, the
difference between fixed and floating interest amounts calculated
by reference to an agreed-upon notional principal amount.
Property, Plant and Equipment: Property, plant and equipment
is stated at cost. Depreciation is generally computed by the
straight-line method over the estimated useful lives of three to 30
years for buildings and improvements and three to 15 years for
machinery and equipment.
Goodwill and Other Intangible Assets: Goodwill represents the
excess of purchase price over fair value of tangible net assets of
acquired businesses at the acquisition date, after amounts
allocated to other identifiable intangible assets. Factors that
contribute to the recognition of goodwill include synergies that are
specific to our business and not available to other market
participants and are expected to increase net sales and profits;
acquisition of a talented workforce; cost savings opportunities;
the strategic benefit of expanding our presence in core and
adjacent markets; and diversifying our product portfolio.
The fair values of other identifiable intangible assets acquired in a
business combination are primarily determined using the income
approach. Other intangible assets include, but are not limited to,
developed technologies, customer and distributor relationships
(which reflect expected continued customer or distributor
patronage) and trademarks and patents. Intangible assets with
determinable useful lives are amortized on a straight-line basis
over their estimated useful lives of four to 40 years. Certain
acquired trade names are considered to have indefinite lives and
are not amortized, but are assessed annually for potential
impairment as described below.
In some of our acquisitions, we acquire in-process research and
development (IPRD) intangible assets. For acquisitions
accounted for as business combinations IPRD is considered to
be an indefinite-lived intangible asset until the research is
completed (then it becomes a determinable-lived intangible
asset) or determined to have no future use (then it is impaired).
For asset acquisitions IPRD is expensed immediately unless
there is an alternative future use.
Goodwill, Intangibles and Long-Lived Asset Impairment
Tests: We perform our annual impairment test for goodwill as of
October 31 each year. We consider qualitative indicators of the
fair value of a reporting unit when it is unlikely that a reporting
unit has impaired goodwill and periodically corroborate that
assessment with quantitative information. In certain
circumstances, we may also utilize a discounted cash flow
analysis that requires certain assumptions and estimates be
made regarding market conditions and our future profitability.
Indefinite-lived intangible assets are also tested at least annually
for impairment by comparing the individual carrying values to the
fair value.
We review long-lived assets for indicators of impairment
whenever events or changes in circumstances indicate that the
carrying amount may not be recoverable. The evaluation is
performed at the lowest level of identifiable cash flows.
Undiscounted cash flows expected to be generated by the related
assets are estimated over the asset's useful life based on
updated projections. If the evaluation indicates that the carrying
amount of the asset may not be recoverable, any potential
impairment is measured based upon the fair value of the related
asset or asset group as determined by an appropriate market
appraisal or other valuation technique.
Assets and Liabilities Held for Sale: We classify assets and
liabilities or disposal groups to be sold as held for sale in the
period in which all of the following criteria are met: management,
having the authority to approve the action, commits to a plan to
sell the disposal group; the disposal group is available for
immediate sale in its present condition subject only to terms that
are usual and customary for sales of such disposal groups; an
active program to locate a buyer and other actions required to
complete the plan to sell the disposal group have been initiated;
the sale of the disposal group is probable, and transfer of the
disposal group is expected to qualify for recognition as a
completed sale within one year, except if events or circumstances
beyond our control extend the period of time required to sell the
disposal group beyond one year; the disposal group is being
actively marketed for sale at a price that is reasonable in relation
to its current fair value; and actions required to complete the plan
indicate that it is unlikely that significant changes to the plan will
be made or that the plan will be withdrawn.
We initially measure a disposal group that is classified as held for
sale at the lower of its carrying value or fair value less any costs
to sell. Any loss resulting from this measurement is recognized in
the period in which the held for sale criteria are met. Conversely,
gains are not recognized on the sale of a disposal group until the
sale is completed. We assess the fair value of a disposal group,
less any costs to sell, each reporting period it remains classified
as held for sale and report any subsequent changes as an
adjustment to the carrying value of the disposal group, as long as
the new carrying value does not exceed the carrying value of the
disposal group at the time it was initially classified as held for
sale.
Upon determining that a disposal group meets the criteria to be
classified as held for sale, we cease depreciation and
amortization of the assets and disclose the major classes of
assets and liabilities of the disposal group in the Notes to the
Consolidated Financial Statements. Refer to Note 16 for further
information.
Share-Based Compensation: Share-based compensation is in
the form of stock options, restricted stock units (RSUs) and
performance stock units (PSUs). Stock options are granted under
long-term incentive plans to certain key employees and non-
employee directors at an exercise price not less than the fair
market value of the underlying common stock, which is the
quoted closing price of our common stock on the day prior to the
date of grant. The options are granted for periods of up to 10
years and become exercisable in varying installments.
We grant RSUs to key employees and non-employee directors
and PSUs to certain key employees under our long-term
incentive plans. The fair value of RSUs is determined based on
the number of shares granted and the quoted closing price of our
common stock on the date of grant, adjusted for the fact that
RSUs do not include anticipated dividends. RSUs generally vest
in one-third increments over a three-year period and are settled
in stock. PSUs are earned over a three-year performance cycle
and vest in March of the year following the end of that
performance cycle. The number of PSUs that will ultimately be
earned is based on our performance relative to pre-established
goals in that three-year performance cycle. The fair value of
PSUs is determined based on the quoted closing price of our
common stock on the day of grant.
Compensation expense is recognized in the Consolidated
Statements of Earnings based on the estimated fair value of the
awards on the grant date. Compensation expense recognized
reflects an estimate of the number of awards expected to vest
Dollar amounts in millions except per share amounts or as otherwise specified.
20
STRYKER CORPORATION
after taking into consideration an estimate of award forfeitures
based on actual experience and is recognized on a straight-line
basis over the requisite service period, which is generally the
period required to obtain full vesting. Management expectations
related to the achievement of performance goals associated with
PSU grants is assessed regularly and that assessment is used to
determine whether PSU grants are expected to vest. If
performance-based milestones related to PSU grants are not met
or not expected to be met, any compensation expense
recognized associated with such grants will be reversed.
Income Taxes: Deferred income tax assets and liabilities are
determined based on differences between financial reporting and
income tax bases of assets and liabilities and are measured
using the enacted income tax rates in effect for the years in which
the differences are expected to reverse. Deferred income tax
benefits generally represent the change in net deferred income
tax assets and liabilities in the year. Other amounts result from
adjustments related to acquisitions and foreign currency as
appropriate.
We operate in multiple income tax jurisdictions both within the
United States and internationally. Accordingly, management must
determine the appropriate allocation of income to each of these
jurisdictions based on current interpretations of complex income
tax regulations. Income tax authorities in these jurisdictions
regularly perform audits of our income tax filings. Income tax
audits associated with the allocation of this income and other
complex issues, including inventory transfer pricing and cost
sharing, product royalty and foreign branch arrangements, may
require an extended period of time to resolve and may result in
significant income tax adjustments if changes to the income
allocation are required between jurisdictions with different income
tax rates.
The Tax Cuts and Jobs Act (the Act) was enacted in 2017 in the
United States. The Act also subjects a United States shareholder
to tax on Global Intangible Low-Taxed Income (GILTI) earned by
certain foreign subsidiaries. We have elected to account for GILTI
tax in the year the tax is incurred.
New Accounting Pronouncements Not Yet Adopted
In December 2025 the Financial Accounting Standards Board
(FASB) issued ASU 2025-10 (Topic 832): Accounting for
Government Grants Received by Business Entities. This update
establishes guidance on the recognition, measurement and
presentation of government grants received by business entities
including grants related to the purchase, construction or
acquisition of an asset and grants related to income. The update
is effective for fiscal years beginning after December 15, 2028
including interim periods within those fiscal years. Early adoption
is permitted. We do not expect this ASU to have a significant
impact on our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-07 (Topics 815
and 606): Derivatives and Hedging: Derivatives Scope
Refinements and Revenue from Contracts with Customers:
Scope Clarification for Share-Based Noncash Consideration from
a Customer in a Revenue Contract. This update expands the
scope exception in Topic 815 to certain nonexchange-traded
contracts for which settlement is based on operations or activities
specific to one of the parties to the contract. The update is
effective for fiscal years beginning after December 15, 2026
including interim periods within those fiscal years. Early adoption
is permitted. We are evaluating if the ASU will have an impact on
our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-06 (Subtopic
350-40): Intangibles - Goodwill and Other - Internal-Use
Software: Targeted Improvements to the Accounting for Internal-
Use Software. This update clarifies and modernizes the
accounting for costs related to internal-use software by removing
all references to project stages and clarifying that the probable-
to-complete threshold is not met if significant development
uncertainty exists. The update is effective for fiscal years
beginning after December 15, 2027 including interim periods
within those fiscal years. Early adoption is permitted. We do not
expect this ASU to have a significant impact on our Consolidated
Financial Statements.
In July 2025 the FASB issued ASU 2025-05 (Topic 326):
Financial Instruments - Credit Losses: Measurement of Credit
Losses for Accounts Receivable and Contract Assets. This
update provides a practical expedient allowing entities to assume
that current conditions as of the balance sheet date will remain
unchanged for the remaining life of the asset when estimating
expected credit losses for current accounts receivable and
current contract assets arising from transactions accounting for
under Accounting Standards Codification 606, Revenue from
Contracts with Customers. The update is effective for fiscal years
beginning after December 15, 2025 including interim periods
within those fiscal years. Early adoption is permitted. We are
evaluating if the ASU will have an impact on our Consolidated
Financial Statements.
In November 2024 the FASB issued ASU 2024-03 (Subtopic
220-40): Income Statement: Reporting Comprehensive Income -
Expense Disaggregation Disclosures which requires
disaggregation of certain expense captions into specified
categories in disclosures within the Notes to the Consolidated
Financial Statements. The new disclosure requirements are
effective for fiscal years beginning after December 15, 2026 and
interim periods within fiscal years beginning after December 15,
2027. Early adoption is permitted. We are evaluating these new
expanded disclosure requirements.
We evaluate all ASUs issued by the FASB for consideration of
their applicability. ASUs not included in our disclosures were
assessed and determined to be either not applicable or are not
expected to have a material impact on our Consolidated Financial
Statements.
Accounting Pronouncements Recently Adopted
We adopted ASU 2023-09 (Topic 740): Income Taxes:
Improvements to Income Tax Disclosures for the annual period
beginning on January 1, 2025. Refer to Note 11 for further
information.
NOTE 2 - REVENUE RECOGNITION
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.
Products and services are primarily transferred to customers at a
point in time, with some transfers of services taking place over
time. In 2025 less than 10% of our sales were recognized as
services transferred over time. Refer to Note 1 for further
discussion on our revenue recognition policies.
In the first quarter 2026 we announced a change in our
organizational structure. Our new Ortho Tech business combines
our orthopaedic instruments portfolio (Orthopaedic Instruments)
from Instruments with Other Orthopaedics. In addition, our spine
enabling technologies portfolio (Enabling Technologies) from
Other Orthopaedics was combined with the remaining
Instruments business to align with our internal reporting structure.
Ortho Tech includes sales related to Orthopaedic Instruments of
Dollar amounts in millions except per share amounts or as otherwise specified.
21
STRYKER CORPORATION
$2,110, $1,917 and $1,754 and Other Orthopaedics of $660,
$560 and $509 for 2025, 2024 and 2023. Instruments includes
sales related to Enabling Technologies of $155, $152 and $149
for 2025, 2024 and 2023. We have reflected these changes in all
historical periods presented.
Segment Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$1,228
$1,069
$929
Endoscopy
3,807
3,389
3,068
Medical
4,204
3,852
3,459
Vascular
1,968
1,307
1,226
Neuro Cranial
2,485
2,136
1,876
$13,692
$11,753
$10,558
Orthopaedics:
Knees
$2,656
$2,447
$2,273
Hips
1,865
1,704
1,544
Trauma and Extremities
3,948
3,507
3,147
Ortho Tech
2,770
2,477
2,263
Spinal Implants
185
707
713
$11,424
$10,842
$9,940
Total
$25,116
$22,595
$20,498
United States Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$1,072
$925
$800
Endoscopy
3,133
2,792
2,513
Medical
3,510
3,191
2,785
Vascular
1,048
506
483
Neuro Cranial
2,052
1,761
1,531
$10,815
$9,175
$8,112
Orthopaedics:
Knees
$1,924
$1,788
$1,676
Hips
1,137
1,059
988
Trauma and Extremities
2,926
2,586
2,297
Ortho Tech
2,086
1,846
1,684
Spinal Implants
118
489
500
$8,191
$7,768
$7,145
Total
$19,006
$16,943
$15,257
International Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$156
$144
$129
Endoscopy
674
597
555
Medical
694
661
674
Vascular
920
801
743
Neuro Cranial
$433
375
345
$2,877
$2,578
$2,446
Orthopaedics:
Knees
$732
$659
$597
Hips
728
645
556
Trauma and Extremities
1,022
921
850
Ortho Tech
684
631
579
Spinal Implants
67
218
213
$3,233
$3,074
$2,795
Total
$6,110
$5,652
$5,241
MedSurg and Neurotechnology
MedSurg and Neurotechnology products include surgical
equipment and navigation systems (Instruments), endoscopic
and communications systems (Endoscopy), patient handling,
emergency medical equipment, intensive care disposable
products, clinical communication and artificial intelligence-
assisted virtual care platform technology (Medical), and minimally
invasive products for the treatment of acute ischemic and
hemorrhagic stroke and venous thromboembolism (Vascular), 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). Substantially all
MedSurg and Neurotechnology sales are recognized when a
purchase order has been received and control has transferred.
For certain Endoscopy, Instruments and Medical services, we
may recognize sales over time as we satisfy performance
obligations that may include an obligation to complete installation,
provide training and perform ongoing services, generally
performed within one year.
Orthopaedics
Orthopaedics products include implants and surgical equipment
such as navigation systems and robotics used in total joint
replacements, such as hip, knee and shoulder, ankle and trauma
and extremities surgeries. Substantially all Orthopaedics sales
are recognized when we have a purchase order and appropriate
notification the product has been used or implanted. For certain
Orthopaedic products in the Ortho Tech business, we recognize
sales at a point in time, as well as over time for performance
obligations that may include an obligation to complete installation
and provide training and ongoing services. Performance
obligations are generally satisfied within one year.
Costs to Obtain or Fulfill a Contract
We typically do not incur costs to fulfill a contract before a
product or service is provided to a customer due to the nature of
our products and services. Our costs to obtain contracts are
typically in the form of sales commissions paid to employees or
third-party agents. Certain sales commissions paid to employees
prior to recognition of sales are recorded as deferred contract
costs. We expense sales commissions associated with obtaining
a contract at the time of the sale or as incurred as the
amortization period is generally less than one year. These costs
have been presented within selling, general and administrative
expenses. On December 31, 2025 and 2024 deferred contract
costs recorded in our Consolidated Balance Sheets were not
significant.
Contract Assets and Liabilities
Our contract assets primarily relate to conditional rights to
consideration for work completed but not billed at the reporting
date. On December 31, 2025 and 2024 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 warranty
service contracts. Our contract liabilities of $1,024 and $978 on
December 31, 2025 and 2024 are classified within accrued
expenses and other liabilities and other noncurrent liabilities in
our Consolidated Balance Sheets based on the timing of when
we expect to complete our performance obligations. Changes in
contract liabilities during the year were as follows:
2025
2024
Beginning contract liabilities
$978
$860
Revenue recognized from beginning of year contract
liabilities
(546)
(553)
Net advance consideration received during the period
592
671
Ending contract liabilities
$1,024
$978
Transfers and Servicing of Financial Assets
We sell certain customer lease agreements and the related
leased assets to third-party financial institutions to accelerate our
cash collection cycle. The lease receivables are sold without
recourse and are derecognized from our Consolidated Balance
Sheets at the time of sale. Under the terms of our arrangements,
we collect lease payments on behalf of the financial institutions
Dollar amounts in millions except per share amounts or as otherwise specified.
22
STRYKER CORPORATION
but maintain no other form of continuing involvement. Sales of
these lease agreements are classified as operating activities in
our Consolidated Statements of Cash Flows. Fees earned for our
servicing activities are immaterial. Revenue related to customer
lease agreements sold under these arrangements represented
less than 4% of our total revenue for 2025, 2024 and 2023.
NOTE 3 - FAIR VALUE MEASUREMENTS
Fair value is defined as the price that would be received to sell an
asset or paid to transfer a liability in an orderly transaction
between market participants at the measurement date. Financial
assets and liabilities carried at fair value are classified in their
entirety based on the lowest level of input and disclosed in one of
the following three categories:
Level 1
Quoted market prices in active markets for identical assets or
liabilities.
Level 2
Observable market-based inputs or unobservable inputs that
are corroborated by market data.
Level 3
Unobservable inputs reflecting our assumptions or external
inputs from active markets.
Use of observable market data, when available, is required in
making fair value measurements. When inputs used fall within
different levels of the hierarchy, the level within which the fair
value measurement is categorized is based on the lowest level
input that is significant to the fair value measurement. We
determine fair value for Level 1 instruments using exchange-
traded prices for identical instruments. We determine fair value of
Level 2 instruments using exchange-traded prices of similar
instruments, where available, or utilizing other observable inputs
that take into account our credit risk and that of our
counterparties. Foreign currency exchange contracts and interest
rate hedges, when outstanding, are included in Level 2 and are
primarily valued using standard calculations and models that use
readily observable market data as their basis. Our Level 3
liabilities comprise contingent consideration arising from recently
completed acquisitions. We determine fair value of these Level 3
liabilities using a discounted cash flow technique. Significant
unobservable inputs were used in our assessment of fair value,
including assumptions regarding future business results, discount
rates, discount periods and probability assessments based on the
likelihood of reaching various targets. We remeasure the fair
value of our assets and liabilities each reporting period. We
record the changes in fair value within selling, general and
administrative expense.
In 2025 we assumed contingent consideration liabilities with a fair
value of $90 related to previous acquisitions made by Inari
Medical Inc. (Inari). Refer to Note 6 for further information on the
acquisition of Inari.
In 2024 we recorded $208 of contingent consideration related to
various acquisitions described in Note 6.
There were no significant transfers into or out of any level of the
fair value hierarchy in 2025.
Assets Measured at Fair Value
2025
2024
Cash and cash equivalents
$4,011
$3,652
Short-term investments
—
750
Trading marketable securities
307
259
Level 1 - Assets
$4,318
$4,661
Available-for-sale marketable securities:
Corporate and asset-backed debt securities
$52
$53
United States agency debt securities
—
1
United States treasury debt securities
37
34
Certificates of deposit
—
3
Total available-for-sale marketable securities
$89
$91
Foreign currency exchange forward contracts
46
225
Level 2 - Assets
$135
$316
Total assets measured at fair value
$4,453
$4,977
Liabilities Measured at Fair Value
2025
2024
Deferred compensation arrangements
$307
$259
Level 1 - Liabilities
$307
$259
Foreign currency exchange forward contracts
$170
$77
Level 2 - Liabilities
$170
$77
Contingent consideration:
Beginning
$452
$289
Additions
123
208
Change in estimate and foreign exchange
24
8
Settlements
(81)
(53)
Ending
$518
$452
Level 3 - Liabilities
$518
$452
Total liabilities measured at fair value
$995
$788
Fair Value of Available for Sale Securities by Maturity
2025
2024
Due in one year or less
$41
$47
Due after one year through three years
$48
$44
On December 31, 2025 the aggregate difference between the
cost and fair value of available-for-sale marketable securities was
nominal. Interest income on cash and cash equivalents, short-
term investments and marketable securities income was $121,
$139 and $75 in 2025, 2024 and 2023, which was recorded in
other income.
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 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.
Dollar amounts in millions except per share amounts or as otherwise specified.
23
STRYKER CORPORATION
Foreign Currency Hedges
2025
Cash Flow
Net
Investment
Non-
Designated
Total
Gross notional amount
$1,738
$2,647
$4,391
$8,776
Maximum term in years
8.7
Fair value:
Other current assets
$33
$—
$11
$44
Other noncurrent assets
2
—
—
2
Other current liabilities
(10)
(71)
(21)
(102)
Other noncurrent
liabilities
(2)
(66)
—
(68)
Total fair value
$23
$(137)
$(10)
$(124)
2024
Cash Flow
Net
Investment
Non-
Designated
Total
Gross notional amount
$1,588
$2,338
$5,164
$9,090
Maximum term in years
9.7
Fair value:
Other current assets
$43
$24
$119
$186
Other noncurrent assets
4
35
—
39
Other current liabilities
(29)
—
(41)
(70)
Other noncurrent
liabilities
(3)
(4)
—
(7)
Total fair value
$15
$55
$78
$148
We had €2.3 billion at December 31, 2025 and 2024 in certain
forward currency contracts designated as net investment hedges,
for which the maximum term is 8.7 years, 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 €5.0 billion at December 31, 2025 and 2024 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 ($715) in 2025.
Currency Exchange Rate Gains (Losses) Recognized in Net
Earnings
Derivative Instrument
Recognized in:
2025
2024
2023
Cash Flow
Cost of sales
$25
$31
$39
Net Investment
Other income
44
35
34
Non-Designated
Other income
33
40
25
Total
$102
$106
$98
Pretax gains (losses) on derivatives designated as cash flow
hedges of $39 and net investment hedges of $38 recorded in
AOCI are expected to be reclassified to cost of sales and other
income in earnings within 12 months of December 31, 2025. This
cash flow hedge reclassification is primarily due to the sale of
inventory that includes previously hedged purchases. A
component of the AOCI amounts related to net investment
hedges is reclassified over the life of the hedge instruments as
we elected to exclude the initial value of the component related to
the spot-forward difference from the effectiveness assessment.
Interest Rate Hedges
Pretax gains of $5 recorded in AOCI related to interest rate
hedges closed in conjunction with debt issuances are expected to
be reclassified to interest expense in earnings within 12 months
of December 31, 2025. The cash flow effect of interest rate
hedges is recorded in cash flow from operations.
NOTE 5 - ACCUMULATED OTHER COMPREHENSIVE (LOSS)
INCOME (AOCI)
Pension
Plans
Hedges
Financial
Statement
Translation
Total
2023
$(28)
$39
$(427)
$(416)
OCI
43
26
236
305
Income taxes
(11)
(7)
(110)
(128)
Reclassifications to:
Cost of sales
—
(31)
—
(31)
Interest expense
—
(4)
—
(4)
Other income
—
—
(35)
(35)
Income taxes
—
8
8
16
Net OCI
$32
$(8)
$99
$123
2024
$4
$31
$(328)
$(293)
OCI
93
37
(562)
(432)
Income taxes
(27)
(4)
125
94
Reclassifications to:
Cost of sales
—
(25)
—
(25)
Interest expense
—
(3)
(3)
Other income
—
—
(44)
(44)
Income taxes
—
6
10
16
Net OCI
$66
$11
$(471)
$(394)
2025
$70
$42
$(799)
$(687)
NOTE 6 - ACQUISITIONS
We acquire stock in companies and various assets that continue
to support our capital deployment and product development
strategies. Cash paid for acquisitions, net of cash acquired was
$4,960 and $1,628 in 2025 and 2024.
In February 2025 we completed the acquisition of Inari for $80
per share, or an aggregate purchase price of $4,810, net of cash
acquired. Inari's product portfolio includes minimally invasive
products for the treatment of venous thromboembolism. Inari is
part of our Peripheral Vascular business within MedSurg and
Neurotechnology. The purchase price allocation for Inari is based
on preliminary valuations, primarily related to developed
technologies and customer relationships. Goodwill attributable to
the acquisition reflects the strategic benefits of expanding our
market presence, diversifying our product portfolio and advancing
innovations. This goodwill is not deductible for tax purposes.
Share-based awards for Inari employees vested upon our
acquisition and a charge of $139 was recorded in selling, general
and administrative expenses in 2025.
In 2024 we completed various acquisitions for total consideration
that includes $1,628 in upfront payments, net of cash acquired,
and $400 contingent upon the achievement of certain commercial
or clinical milestones. The combined acquisition-date fair values
of the contingent milestone payments totaled $208. The acquired
companies expand the product portfolios of our Instruments,
Endoscopy, Medical and Neuro Cranial businesses within
MedSurg and Neurotechnology and our Trauma and Extremities
and Joint Replacement businesses within Orthopaedics. Goodwill
attributable to the acquisitions reflects the strategic benefits of
expanding our market presence, diversifying our product portfolio
and advancing innovations. This goodwill is not deductible for tax
purposes.
Dollar amounts in millions except per share amounts or as otherwise specified.
24
STRYKER CORPORATION
2025 FORM 10-K
The purchase price allocations for Inari and the acquisitions
completed in the full year 2024 are:
Purchase Price Allocation of Acquired Net Assets
2025
2024
Inari
Total
Tangible assets acquired:
Accounts receivable
$78
$40
Inventory
215
99
Deferred income tax assets
59
49
Other assets
84
26
Debt
—
(32)
Deferred income tax liabilities
(486)
(204)
Other liabilities
(191)
(107)
Intangible assets:
Developed technologies
1,458
596
Customer relationships
330
215
Patents
—
6
Trademarks
—
2
Other intangibles
72
—
Goodwill
3,191
1,146
Purchase price, net of cash acquired of
$64 and $56
$4,810
$1,836
Weighted-average amortization period at
acquisition (years):
Developed technologies
13
12
Customer relationships
13
14
Patents
—
12
Trademarks
—
5
Other intangibles
9
—
NOTE 7 - 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, tax, 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.
Previously we were contacted by the United States Securities
and Exchange Commission (SEC), United States Department of
Justice (DOJ) and certain other regulatory authorities regarding
whether certain business activities in certain foreign countries
violated provisions of the FCPA and analogous local laws. We
have completed our investigation into these matters. During 2025
we were informed by the SEC and DOJ that each agency had
closed its inquiry. We are currently responding to inquiries by
certain foreign authorities arising in the normal course of
business. We do not expect these matters to have a material
effect, if any, on our financial statements.
We have conducted voluntary recalls of certain products,
including our Rejuvenate and ABG II Modular-Neck hip stems
and certain lot-specific sizes and offsets of LFIT Anatomic CoCr
V40 Femoral Heads. Additionally, we are responsible for certain
product liability claims, primarily related to certain hip products
sold by Wright prior to its 2014 divestiture of the OrthoRecon
business.
We have incurred, and expect to incur in the future, costs
associated with the defense and settlement of claims and
lawsuits. Based on the information that has been received related
to the matters discussed above, our accrual for these matters
was $144 at December 31, 2025, representing our best estimate
of probable loss. The final outcomes of these matters are
dependent on many factors that are difficult to predict.
Accordingly the ultimate cost related to these matters may be
materially different than the amount of our current estimate and
accruals and could have a material adverse effect on our results
of operations and cash flows.
Leases
We lease various manufacturing, warehousing and distribution
facilities, administrative and sales offices as well as equipment
under operating leases. We evaluate our contracts to identify
leases, which is generally if there is an identified asset and we
have the right to direct the use of and obtain substantially all of
the economic benefit from the use of the identified asset. Certain
of our lease agreements contain rent escalation clauses
(including index-based escalations), rent holidays, capital
improvement funding or other lease incentives. We recognize our
minimum rental expense on a straight-line basis over the term of
the lease beginning with the date of initial control of the asset.
Right-of-use assets are recorded in other noncurrent assets on
our Consolidated Balance Sheets. Current and noncurrent lease
liabilities are recorded in accrued expenses and other liabilities
and other noncurrent liabilities, respectively.
We have made certain significant assumptions and judgments
when recording leases. For all asset classes, we do not
recognize a right-of-use asset and lease liability for short-term
leases. We also do not separate non-lease components from
lease components to which they relate and account for the
combined lease and non-lease components as a single lease
component. The determination of the discount rate used in a
lease is our incremental borrowing rate which is based on what
we would normally pay to borrow on a collateralized basis over a
similar term an amount equal to the lease payments.
2025
2024
Right-of-use assets
$519
$516
Lease liabilities, current
$153
$144
Lease liabilities, noncurrent
$348
$379
Other information:
Weighted-average remaining lease term (years)
5.0
5.1
Weighted-average discount rate
3.77%
3.87%
Operating lease expense totaled $205, $190 and $172 in 2025,
2024 and 2023.
Future Obligations
We lease various manufacturing, warehousing and distribution
facilities, administrative and sales offices as well as equipment
under operating leases. Refer to Note 10 for more information on
the debt obligations.
2026
2027
2028
2029
2030
Thereafter
Debt repayments
$1,000
$1,382
$2,606
$1,691
$2,565
$6,729
Minimum lease payments
$164
$125
$87
$55
$38
$55
Dollar amounts in millions except per share amounts or as otherwise specified.
25
STRYKER CORPORATION
2025 FORM 10-K
Other Contractual Obligations and Commitments
We participate in a supplier financing program that enables our
suppliers, at their sole discretion, to sell their Stryker receivables
to a financial institution on a non-recourse basis in order to be
paid earlier than our payment terms provide. Under this program,
we agree to pay participating banks the stated amount of
confirmed invoices from its designated suppliers on the original
maturity dates of the invoices, generally within 90 days of the
invoice date. We or the banks may agree to terminate the
agreements with advance notice. Separately, the banks may
have arrangements with the suppliers that provide them the
option to request early payment from the bank for invoices
confirmed by us. Our outstanding balances of confirmed invoices
in the programs were $75 and $71 on December 31, 2025 and
2024 and are included within accounts payable on our
Consolidated Balance Sheets.
2025
2024
Beginning confirmed obligations
$71
$51
Additions
420
392
Settlements
(416)
(372)
Ending confirmed obligations
$75
$71
NOTE 8 - GOODWILL AND OTHER INTANGIBLE ASSETS
In our annual impairment test of goodwill as of October 31, 2024
we performed a quantitative assessment of the Spine reporting
unit using a discounted cash flow analysis to estimate the fair
value. The carrying value of the Spine reporting unit exceeded its
fair value and a charge of $273 was recognized in goodwill and
other impairments in the Consolidated Statements of Earnings.
The impairment charge for the Spine reporting unit was driven by
a decrease in future product demand due to the competitive
environment and an increase in the Spine reporting unit’s
weighted average cost of capital. Subsequent to the annual
goodwill impairment test management committed to a plan to sell
certain assets associated with the Spinal Implants business
(disposal group). Goodwill was allocated to the disposal group
based on the relative fair values of the disposal group and the
portion of the Spine reporting unit that will be retained. Goodwill
allocated to the disposal group was tested for impairment which
resulted in an impairment charge of $183 recognized in goodwill
and other impairments in the Consolidated Statements of
Earnings. Refer to Note 16 for additional information on the sale
of the Spinal Implants business.
In our annual impairment test as of October 31, 2025 we
performed a quantitative impairment test for our Peripheral
Vascular reporting unit and determined that its fair value
exceeded its carrying amount by 12%. At October 31, 2025,
goodwill attributable to the Peripheral Vascular reporting unit was
$3,203. The fair value of this reporting unit was determined using
a discounted cash flow analysis, which is a form of the income
approach. Significant inputs to the analysis included assumptions
for future revenue growth, operating margin and the rate used to
discount the estimated future cash flows to their present value,
based on the reporting unit’s estimated weighted average cost of
capital.
For our other reporting units, we considered qualitative indicators
of impairment as it was considered more likely than not that the
fair values of those reporting units exceeded their respective
carrying values. No impairment was identified for those reporting
units in 2025 or 2024.
Future changes in the judgments, assumptions and estimates
that are used in our impairment testing for goodwill, including
discount and tax rates and future cash flow projections, could
result in different estimates of the fair values. A significant
reduction in the estimated fair values could result in impairment
charges that could materially affect our results of operations.
In 2024 goodwill of $117 previously reported within Orthopaedics
was reclassified to MedSurg and Neurotechnology to reflect the
reclassification of the Interventional Spine reporting unit from
Orthopaedics to MedSurg and Neurotechnology to align with
certain updates in our internal reporting structure.
Changes in the Net Carrying Value of Goodwill by Segment
MedSurg and
Neurotechnology
Orthopaedics
Total
2023
$8,270
$6,973
$15,243
Goodwill impairment
—
(456)
(456)
Additions and adjustments
852
300
1,152
Foreign exchange and other
86
(170)
(84)
2024
$9,208
$6,647
$15,855
Additions and adjustments
3,275
(1)
3,274
Foreign exchange and other
73
89
162
2025
$12,556
$6,735
$19,291
Summary of Other Intangible Assets
Gross
Carrying
Amount
Less
Accumulated
Amortization
Net
Carrying
Amount
Developed technologies
2025
$7,273
$3,430
$3,843
2024
5,698
2,931
2,767
Customer relationships
2025
$3,425
$1,844
$1,581
2024
3,055
1,636
1,419
Patents
2025
$157
$144
$13
2024
153
136
17
Trademarks
2025
$420
$281
$139
2024
413
256
157
In-process research and development
2025
$34
$—
$34
2024
34
—
34
Other
2025
$132
$61
$71
2024
63
62
1
Total
2025
$11,441
$5,760
$5,681
2024
9,416
5,021
4,395
Estimated Amortization Expense
2026
2027
2028
2029
2030
$699
$711
$631
$616
$597
NOTE 9 - CAPITAL STOCK
The aggregate number of shares of all classes of stock which we
are authorized to issue is up to 1,000,500,000, divided into two
classes consisting of 500,000 shares of $1 par value preferred
stock and 1,000,000,000 shares of common stock with a par
value of $0.10. No shares of preferred stock were outstanding on
December 31, 2025.
We made no repurchases of shares in 2025. 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. On December 31,
2025 the total dollar value of shares of our common stock that
could be purchased under our authorized repurchase program
was $1,033.
Dollar amounts in millions except per share amounts or as otherwise specified.
26
STRYKER CORPORATION
2025 FORM 10-K
Shares reserved for future compensation grants of our common
stock were 31 million and 18 million on December 31, 2025 and
2024.
Stock Options
We measure the cost of employee stock options based on the
grant-date fair value and recognize that cost using the straight-
line method over the period in which a recipient is required to
provide services in exchange for the options, typically the vesting
period. The weighted-average fair value per share of options is
estimated on the date of grant using the Black-Scholes option
pricing model.
Option Value and Assumptions
2025
2024
2023
Weighted-average fair value per share
$141.40
$118.22
$83.59
Assumptions:
Risk-free interest rate
4.4%
4.3%
4.0%
Expected dividend yield
0.9%
1.1%
1.2%
Expected stock price volatility
29.1%
29.9%
29.0%
Expected option life (years)
6.4
6.3
6.2
The risk-free interest rate for periods within the expected life of
options granted is based on the United States Treasury yield
curve in effect at the time of grant. Expected stock price volatility
is based on the historical volatility of our stock. The expected
option life, representing the period of time that options granted
are expected to be outstanding, is based on historical option
exercise and employee termination data.
2025 Stock Option Activity
Shares
(in millions)
Weighted-
Average
Exercise
Price
Weighted-
Average
Remaining
Term (in years)
Aggregate
Intrinsic
Value
Outstanding
January 1
10.8
$214.87
Granted
1.0
392.36
Exercised
(1.2)
158.83
Canceled or
forfeited
(0.2)
313.05
Outstanding
December 31
10.4
$234.56
5.0
$1,246.1
Exercisable
December 31
6.9
$195.53
3.7
$1,073.4
Options expected
to vest
3.3
$309.91
7.5
$166.7
The aggregate intrinsic value of options, which represents the
cumulative difference between the fair market value of the
underlying common stock and the option exercise prices,
exercised was $260, $362 and $318 in 2025, 2024 and 2023.
Exercise prices for options outstanding ranged from $96.64 to
$392.39 on December 31, 2025. On December 31, 2025 there
was $160 of unrecognized compensation cost related to
nonvested stock options granted under the long-term incentive
plans. That cost is expected to be recognized as expense over
the weighted-average period of approximately 1.5 years.
Restricted Stock Units (RSUs) and Performance Stock Units
(PSUs) Activity
Shares
(in millions)
Weighted-Average
Grant Date Fair Value
RSUs
PSUs
RSUs
PSUs
Nonvested on January 1
0.7
0.2
$290.58
$287.51
Granted
0.3
0.1
385.68
334.24
Vested
(0.3)
(0.1)
277.40
254.47
Canceled or forfeited
(0.1)
—
337.17
—
Nonvested on December 31
0.6
0.2
$344.25
$333.06
On December 31, 2025 there was $100 of unrecognized
compensation cost related to nonvested RSUs. That cost is
expected to be recognized as expense over the weighted-
average period of approximately one year. The weighted-average
grant date fair value per share of RSUs granted was $385.68 and
$332.64 in 2025 and 2024. The fair value of RSUs and PSUs
vested in 2025 was $91 and $26. On December 31, 2025 there
was $26 of unrecognized compensation cost related to
nonvested PSUs. That cost is expected to be recognized as
expense over the weighted-average period of approximately one
year.
Employee Stock Purchase Plans (ESPP)
Employees may participate in our ESPP provided they meet
certain eligibility requirements. The purchase price for our
common stock under the terms of the ESPP is defined as 95% of
the closing stock price on the last trading day of a purchase
period. We issued 178,090 and 173,708 shares under the ESPP
in 2025 and 2024.
NOTE 10 - DEBT AND CREDIT FACILITIES
We have lines of credit issued by various financial institutions that
are available to fund our day-to-day operating needs. Certain of
our credit facilities require us to comply with financial and other
covenants. We were in compliance with all covenants on
December 31, 2025.
In February 2025 we entered into a new revolving credit
agreement that replaces our previous agreement dated October
2021. The primary changes included increasing the aggregate
principal amount of the facility by $750 to $3,000 and extending
the maturity date to February 25, 2030. On December 31, 2025
there were no borrowings outstanding under our revolving credit
facility or our commercial paper program which allows for
maturities up to 397 days from the date of issuance. The
maximum amount of our commercial paper that can be
outstanding at any time is $3,000.
In February 2025 we issued $500 of 4.550% senior unsecured
notes due February 10, 2027, $700 of 4.700% senior unsecured
notes due February 10, 2028, $800 of 4.850% senior unsecured
notes due February 10, 2030 and $1,000 of 5.200% senior
unsecured notes due February 10, 2035. In June 2025 we repaid
$650 of 1.150% senior unsecured notes. In November 2025 we
repaid $750 of 3.375% senior unsecured notes. The following
table summarizes our total debt at December 31:
Dollar amounts in millions except per share amounts or as otherwise specified.
27
STRYKER CORPORATION
2025 FORM 10-K
Summary of Total Debt
Rate
Due
2025
2024
Senior unsecured notes:
1.150%
June 15, 2025
$—
$649
3.375%
November 1, 2025
—
750
3.500%
March 15, 2026
1,000
998
4.550%
February 10, 2027
498
—
2.125%
November 30, 2027
881
777
4.700%
February 10, 2028
697
—
3.650%
March 7, 2028
599
598
4.850%
December 8, 2028
597
596
3.375%
December 11, 2028
704
621
0.750%
March 1, 2029
939
828
4.250%
September 11, 2029
744
743
4.850%
February 10, 2030
794
—
1.950%
June 15, 2030
995
993
2.625%
November 30, 2030
759
669
1.000%
December 3, 2031
876
772
3.375%
September 11, 2032
934
824
4.625%
September 11, 2034
741
740
5.200%
February 10, 2035
990
—
3.625%
September 11, 2036
695
613
4.100%
April 1, 2043
393
393
4.375%
May 15, 2044
396
396
4.625%
March 15, 2046
984
984
2.900%
June 15, 2050
643
643
Other
—
10
Total debt
$15,859
$13,597
Less current maturities
1,000
1,409
Total long-term debt
$14,859
$12,188
Unamortized debt issuance costs
$70
$63
Borrowing capacity on existing facilities
$2,911
$2,160
Fair value of senior unsecured notes
$15,344
$12,780
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.
Interest expense on outstanding debt and credit facilities,
including required fees incurred totaled $582, $396 and $356 in
2025, 2024 and 2023.
NOTE 11 - INCOME TAXES
On January 1, 2025 we prospectively adopted ASU 2023-09
(Topic 740): Income Taxes: Improvements to Income Tax
Disclosures which expands the existing rules on income tax
disclosures. This update requires entities to disclose specific
categories in the tax rate reconciliation, provide additional
information for reconciling items that meet a quantitative
threshold and disclose additional information about income taxes
paid on an annual basis. In determining the reconciling items we
considered the effect of tax rulings as part of the statutory tax
rate.
Our effective tax rate was 28.1%, 14.3% and 13.8% for 2025,
2024 and 2023. The effective income tax rate for 2025 increased
from 2024 due to the 2025 tax effect of transfers of intellectual
property between tax jurisdictions and the 2024 tax effect of the
sale of the Spinal Implants business. The effective income tax
rate for 2024 increased from 2023 due to the 2023 tax effect of
transfers of intellectual property between tax jurisdictions offset
by the 2024 tax effect of the sale of the Spinal Implants business.
Effective Income Tax Rate Reconciliation
2025
Amount
Percent
United States federal statutory rate
$948
21.0%
State and Local Income Taxes, Net of Federal Income Tax
Effect(1)
173
3.8
Foreign Tax Effects
Ireland
Statutory tax rate difference
(177)
(3.9)
Other
17
0.4
Puerto Rico
Statutory tax rate difference
(49)
(1.1)
Withholding Tax
60
1.3
Expiration of credits carryforward
78
1.7
Change in valuation allowance
(78)
(1.7)
Other
(4)
(0.1)
Other foreign jurisdictions
20
0.4
Effect of changes in tax laws or rates enacted in the current
period
—
—
Effect of Cross-Border Tax Laws
Direct foreign tax credits
(90)
(2.0)
Global intangible low-taxed income
70
1.6
Tax Credits
Research and development tax credits
(53)
(1.2)
Changes in Valuation Allowances
—
—
Nontaxable or Nondeductible Items
Spinal Implants divestiture
(51)
(1.1)
Transfers of intellectual property
405
9.0
Changes in unrecognized Tax Benefits
17
0.4
Other Adjustments
(18)
(0.4)
Effective Tax Rate
$1,268
28.1%
(1) State taxes in Pennsylvania, New York, Illinois, Florida, California, Michigan,
Indiana, and Tennessee accounted for the majority (greater than 50%) of the tax
effect in this category.
Effective Income Tax Rate Reconciliation
2024
2023
United States federal statutory rate
21.0%
21.0%
United States state and local income taxes, less federal
deduction
1.1
1.1
Foreign income tax at rates other than 21%
(4.1)
(6.8)
Tax related to repatriation of foreign earnings
0.3
1.2
United States research and development credits
(1.4)
(1.2)
Intellectual property transfers
—
(3.3)
Goodwill impairment
2.8
—
Outside basis difference related to the anticipated sale of
the Spinal Implants business
(4.9)
—
Other
(0.5)
1.8
Effective income tax rate
14.3%
13.8%
Cash paid for income taxes (net of refunds received)
2025
United States - Federal
533
United States - State
71
Foreign
Ireland
175
Other
223
Subtotal
398
Total
$1,002
Dollar amounts in millions except per share amounts or as otherwise specified.
28
STRYKER CORPORATION
2025 FORM 10-K
Earnings Before Income Taxes
2025
2024
2023
United States
$1,434
$523
$701
International
3,080
2,969
2,972
Total
$4,514
$3,492
$3,673
Components of Income Tax Expense (Benefit)
Current income tax expense (benefit):
2025
2024
2023
United States federal
$414
$490
$236
United States state and local
149
90
48
International
313
289
430
Total current income tax expense
$876
$869
$714
Deferred income tax expense (benefit):
United States federal
$186
$(462)
$(212)
United States state and local
78
(76)
(20)
International
128
168
26
Total deferred income tax expense (benefit)
$392
$(370)
$(206)
Total income tax expense
$1,268
$499
$508
Interest included in interest expense was $18, $13, and $1 in
2025, 2024 and 2023. The United States federal deferred income
tax expense (benefit) includes the utilization of net operating loss
carryforwards of $32, $9 and $189 in 2025, 2024 and 2023.
Deferred Income Tax Assets and Liabilities
Deferred income tax assets:
2025
2024
Inventories
$553
$551
Other accrued expenses
401
207
Depreciation and amortization
546
715
State income taxes
90
167
Share-based compensation
117
100
Research and development capitalization
40
408
International interest expense carryforwards
56
52
Net operating loss and credit carryforwards
315
410
Outside basis difference related to the anticipated sale of
the Spinal Implants business
—
170
Other
352
310
Total deferred income tax assets
$2,470
$3,090
Less valuation allowances
(148)
(228)
Net deferred income tax assets
$2,322
$2,862
Deferred income tax liabilities:
Depreciation and amortization
$(1,222)
$(1,141)
Undistributed earnings
(139)
(61)
Total deferred income tax liabilities
$(1,361)
$(1,202)
Net deferred income tax assets
$961
$1,660
Reported as:
Noncurrent deferred income tax assets
$1,098
$1,742
Noncurrent liabilities—Other liabilities
(137)
(82)
Total
$961
$1,660
Accrued interest was $96 and $71 on December 31, 2025 and
2024 which was reported in accrued expenses and other
liabilities and other noncurrent liabilities.
United States federal loss carryforwards of $271, with $57 of
associated deferred tax asset and with $2 being subject to a
valuation allowance, begin to expire in 2026. United States state
loss carryforwards of $1,606, with $64 associated deferred tax
asset and with $33 being subject to a valuation allowance, begin
to expire in 2026. International loss carryforwards of $309, with
$67 of associated deferred tax asset and with $61 being subject
to a valuation allowance, begin to expire in 2026; however, some
have no expiration. We also have tax credit carryforwards of
$141 with $4 being subject to a full valuation allowance. The
credits with a full valuation allowance begin to expire in 2026.
We recorded deferred income tax on undistributed earnings of
foreign subsidiaries not determined to be indefinitely reinvested.
The amount of undistributed earnings of foreign subsidiaries
determined to be indefinitely reinvested at December 31, 2025
was approximately $11.7 billion. Determination of the total
amount of unrecognized deferred income tax on undistributed
earnings of foreign subsidiaries is not practicable.
Uncertain Income Tax Positions
2025
2024
Beginning uncertain tax positions
$349
$371
Increases related to current year income tax positions
19
18
Increases related to prior year income tax positions
12
—
Decreases related to prior year income tax positions
—
(4)
Settlements of income tax audits
—
(21)
Statute of limitations expirations and other
(4)
(3)
Foreign currency translation
27
(12)
Ending uncertain tax positions
$403
$349
Reported as:
Noncurrent liabilities—Income taxes
$403
$349
Our income tax expense would have been reduced by $279 and
$224 in 2025 and 2024 had our uncertain income tax positions
been favorably resolved. It is reasonably possible that the
amount of unrecognized tax benefits will significantly change due
to one or more of the following events in the next 12 months:
expiring statutes, audit activity, tax payments, competent
authority proceedings related to transfer pricing or final decisions
in matters that are the subject of controversy in various taxing
jurisdictions in which we operate, including inventory transfer
pricing, cost sharing, product royalty and foreign branch
arrangements. We are not able to reasonably estimate the
amount or the future periods in which changes in unrecognized
tax benefits may be resolved. Interest incurred associated with
uncertain tax positions is included in interest expense.
Income tax authorities in various jurisdictions globally conduct
routine audits of our income tax returns to determine if they agree
with our interpretations of income tax regulations. Any audit
assessment, draft audit assessment, or final audit report received
is reviewed for new information and evaluated for proper financial
statement treatment. We received a final audit report and
assessments from the German Federal Central Tax Office
(FCTO) related to the years 2010 through 2017 of $754 and
expect to receive additional assessments of $11 based on the
final audit report. We intend to defend our filing positions through
the FCTO independent appeals process and/or litigation as
necessary. If the resolution of this matter results in additional
German income taxes, we expect to pursue a claim for
associated foreign tax credits. Our unrecognized tax benefits
associated with this matter remain unchanged from 2024.
Income tax years are open from 2019 through 2025 for the
United States federal jurisdiction and are open for other major
jurisdictions from 2010 through 2025.
NOTE 12 - RETIREMENT PLANS
Defined Contribution Plans
We provide certain employees with defined contribution plans
and other types of retirement plans. A portion of our retirement
plan expense under the defined contribution plans is funded with
Stryker common stock. The use of Stryker common stock
represents a non-cash operating activity that is not reflected in
our Consolidated Statements of Cash Flows.
2025
2024
2023
Plan expense
$399
$376
$327
Expense funded with Stryker common stock
72
62
57
Stryker common stock held by plan:
Dollar amount
$763
$781
$649
Shares (in millions)
2.2
2.2
2.2
Value as a percentage of total plan assets
8%
10%
10%
Dollar amounts in millions except per share amounts or as otherwise specified.
29
STRYKER CORPORATION
2025 FORM 10-K
Defined Benefit Plans
Certain of our subsidiaries have both funded and unfunded
defined benefit pension plans covering some or all of their
employees. The majority of our defined benefit pension plans
have projected benefit obligations in excess of plan assets.
Discount Rate
The discount rates were selected using a hypothetical portfolio of
high quality bonds on December 31 that would provide the
necessary cash flows to match our projected benefit payments.
Expected Return on Plan Assets
The expected return on plan assets is determined by applying the
target allocation in each asset category of plan investments to the
anticipated return for each asset category based on historical and
projected returns.
Components of Net Periodic Pension Cost
Net periodic benefit cost:
2025
2024
2023
Service cost
$(42)
$(39)
$(32)
Interest cost
(24)
(21)
(23)
Expected return on plan assets
22
19
18
Amortization of prior service credit
2
1
1
Recognized actuarial gain (loss)
(2)
(1)
4
Net periodic benefit cost
$(44)
$(41)
$(32)
Changes in assets and benefit obligations
recognized in OCI:
Net actuarial gain (loss)
$93
$43
$(67)
Recognized net actuarial (gain) loss
2
1
(4)
Prior service credit and transition amount
(2)
(1)
(1)
Total recognized in other comprehensive
income (loss)
$93
$43
$(72)
Total recognized in net periodic benefit cost
and OCI
$49
$2
$(104)
Weighted-average rates used to determine net
periodic benefit cost:
Discount rate
2.9%
2.8%
3.3%
Expected return on plan assets
4.1%
4.3%
4.2%
Rate of compensation increase
2.9%
3.0%
3.0%
Weighted-average discount rate used to
determine projected benefit obligations
3.6%
2.9%
2.8%
The actuarial gain (loss) for all pension plans was primarily
related to a change in the discount rate used to measure the
benefit obligations of those plans.
Investment Strategy
The investment strategy for our defined benefit pension plans is
to meet the liabilities of the plans as they fall due and to
maximize the return on invested assets within appropriate risk
tolerances.
2025
2024
Fair value of plan assets
$560
$492
Benefit obligations
(829)
(782)
Funded status
$(269)
$(290)
Reported as:
Noncurrent assets—other assets
$72
$48
Current liabilities—accrued compensation
(5)
(3)
Noncurrent liabilities—other liabilities
(336)
(335)
Pre-tax amounts recognized in AOCI:
Unrecognized net actuarial gain (loss)
101
6
Unrecognized prior service credit
8
8
Total
$109
$14
Change in Benefit Obligations
2025
2024
Beginning projected benefit obligations
$782
$826
Service cost
42
39
Interest cost
24
21
Foreign exchange impact and other
114
(52)
Employee contributions
9
7
Actuarial (gains) losses
(116)
(40)
Benefits paid
(26)
(19)
Ending projected benefit obligations
$829
$782
Ending accumulated benefit obligations
$786
$748
Change in Plan Assets
2025
2024
Beginning fair value of plan assets
$492
$485
Actual return
(3)
22
Employer contributions
23
23
Employee contributions
9
7
Foreign exchange impact
60
(31)
Benefits paid
(21)
(14)
Ending fair value of plan assets
$560
$492
Allocation of Plan Assets
2026 Target
2025 Actual
2024 Actual
Equity securities
26%
32%
28%
Debt securities
41
39
40
Other
33
29
32
Total
100%
100%
100%
Valuation of Plan Assets
2025
Level 1
Level 2
Level 3
Total
Cash and cash equivalents
$16
$—
$—
$16
Equity securities
9
162
—
171
Debt securities
2
230
—
232
Other
4
83
54
141
Total
$31
$475
$54
$560
2024
Level 1
Level 2
Level 3
Total
Cash and cash equivalents
$17
$—
$—
$17
Equity securities
8
125
—
133
Debt securities
2
203
—
205
Other
4
76
57
137
Total
$31
$404
$57
$492
Our Level 3 pension plan assets primarily include guaranteed
investment contracts with insurance companies. The insurance
contracts guarantee us principal repayment and a fixed rate of
return. The $3 decrease in Level 3 pension plan assets is
primarily driven by the change in the corresponding pension
liability. We expect to contribute $24 to our defined benefit
pension plans in 2026.
Estimated Future Benefit Payments
2026
2027
2028
2029
2030
2031-2035
$29
$32
$33
$34
$38
$223
Dollar amounts in millions except per share amounts or as otherwise specified.
30
STRYKER CORPORATION
2025 FORM 10-K
NOTE 13 - SUMMARY OF QUARTERLY DATA (UNAUDITED)
2025 Quarters
Mar 31
Jun 30
Sep 30
Dec 31
Net sales
$5,866
$6,022
$6,057
$7,171
Gross profit
3,744
3,841
3,852
4,628
Earnings before income taxes
764
1,016
1,029
1,705
Net earnings
654
884
859
849
Net earnings per share of common stock:
Basic
$1.71
$2.32
$2.25
$2.21
Diluted
$1.69
$2.29
$2.22
$2.20
Dividends declared per share of
common stock
$0.84
$0.84
$0.84
$0.88
2024 Quarters
Mar 31
Jun 30
Sep 30
Dec 31
Net sales
$5,243
$5,422
$5,494
$6,436
Gross profit
3,333
3,416
3,517
4,174
Earnings before income taxes
923
998
1,043
528
Net earnings
788
825
834
546
Net earnings per share of common stock:
Basic
$2.07
$2.17
$2.18
$1.43
Diluted
$2.05
$2.14
$2.16
$1.41
Dividends declared per share of
common stock
$0.80
$0.80
$0.80
$0.84
NOTE 14 - SEGMENT AND GEOGRAPHIC DATA
We segregate our operations into two reportable business
segments: (i) MedSurg and Neurotechnology and (ii)
Orthopaedics which aligns to our internal reporting structure and
how our Chief Operating Decision Maker (CODM) assesses
performance and allocates resources. The CODM is the Chief
Executive Officer. The CODM makes decisions on resource
allocation, assesses performance of the business, and monitors
budget versus actual results using segment operating income.
Information about total assets by segment is not disclosed
because such information is not regularly provided to, or used by,
our CODM.
The Corporate and Other category shown in the table below
includes corporate and administration, corporate initiatives and
share-based compensation, which includes compensation related
to employee stock options, restricted stock units and
performance stock unit grants and director stock options and
restricted stock unit grants.
Segment Results
2025
2024
2023
MedSurg and Neurotechnology
$13,692
$11,753
$10,558
Orthopaedics
$11,424
10,842
9,940
Net sales
$25,116
$22,595
$20,498
MedSurg and Neurotechnology
$5,253
$4,748
$4,338
Orthopaedics
$3,248
3,030
2,834
Cost of sales
$8,501
$7,778
$7,172
MedSurg and Neurotechnology
$890
$739
$663
Orthopaedics
$615
621
578
Segment research, development and
engineering expenses
$1,505
$1,360
$1,241
MedSurg and Neurotechnology
$3,618
$2,912
$2,667
Orthopaedics
$3,291
3,250
3,066
Segment selling, general and administrative
expenses
$6,909
$6,162
$5,733
MedSurg and Neurotechnology
$231
$211
$195
Orthopaedics
478
489
422
Segment depreciation and amortization
$709
$700
$617
Corporate and Other
125
109
98
Amortization of intangible assets
732
623
635
Total depreciation and amortization
$1,566
$1,432
$1,350
MedSurg and Neurotechnology
$3,700
$3,143
$2,695
Orthopaedics
3,792
3,452
3,040
Segment operating income
$7,492
$6,595
$5,735
Items not allocated to segments:
Corporate and Other
$(889)
$(880)
$(780)
Inventory stepped up to fair value
(173)
(46)
—
Acquisition and integration-related charges
(335)
(108)
(20)
Amortization of intangible assets
(732)
(623)
(635)
Structural optimization and other special
charges
(191)
(138)
(170)
Goodwill and other impairments
(170)
(977)
(36)
Medical device regulation
(38)
(58)
(96)
Recall-related matters
(58)
(40)
(18)
Regulatory and legal matters
(17)
(36)
(92)
Consolidated operating income
$4,889
$3,689
$3,888
Segment Capital Spending
Purchases of property, plant and
equipment:
2025
2024
2023
Orthopaedics
$351
$340
$225
MedSurg and Neurotechnology
165
166
137
Total segment purchases of property,
plant and equipment
$516
$506
$362
Corporate and Other
245
249
213
Total purchases of property, plant and
equipment
$761
$755
$575
We measure the financial results of our reportable segments
using an internal performance measure that excludes acquisition
and integration-related charges, structural optimization and other
special charges, goodwill and other impairments, reserves for
certain product recall matters and reserves for certain legal and
regulatory matters. Identifiable assets are those assets used
exclusively in the operations of each business segment or
allocated when used jointly. Corporate assets are principally
property, plant and equipment and noncurrent assets.
The countries in which we have local revenue generating
operations have been combined into the following geographic
areas: the United States; Europe, Middle East, Africa; Asia
Pacific; and other foreign countries, which include Canada and
countries in the Latin American region. Net sales are reported
based on the geographic area of the Stryker location where the
sales to the customer originated.
Dollar amounts in millions except per share amounts or as otherwise specified.
31
STRYKER CORPORATION
2025 FORM 10-K
Geographic Information
Net Sales
Net Property, Plant
and Equipment
2025
2024
2023
2025
2024
United States
$19,006
$16,943
$15,257
$2,084
$1,997
Europe, Middle
East, Africa
3,181
2,897
2,618
1,562
1,260
Asia Pacific
2,164
2,020
1,946
97
75
Other countries
765
735
677
133
116
Total
$25,116
$22,595
$20,498
$3,876
$3,448
NOTE 15 - ASSET IMPAIRMENTS
During 2025, 2024 and 2023 we recorded impairment charges of
$109, $159 and $36 to write off long-lived and intangible assets
excluding long-lived assets held for sale which included charges
related to certain product line exits.
NOTE 16 - SALE OF SPINAL IMPLANTS BUSINESS
During the fourth quarter 2024 management committed to a plan
to sell certain assets associated with the Spinal Implants
business (disposal group) and such assets were classified as
held for sale beginning November 2024. As a result we recorded
a valuation allowance of $362 to record the disposal group at its
fair value less cost to sell within goodwill and other impairments
in our Consolidated Statements of Earnings.
In April 2025 we completed the sale of the disposal group to the
Viscogliosi Brothers, LLC. In the first half of 2025 we recognized
immaterial impairment charges to record the disposal group at its
fair value less cost to sell within goodwill and other impairments
in our Consolidated Statements of Earnings. The fair value of the
disposal group and consideration received was measured using a
discounted cash flow analysis based upon the selling price and
unobservable inputs, such as market conditions and the rate
used to discount the estimated future cash flows to their present
value based on factors including the disposal group’s cost of
equity and market yield rates, which are Level 3 inputs.
Consideration could increase by up to $57 or decrease by up to
$245 based on the amount received.
The assets associated with the disposal group are reported in our
Orthopaedics segment at December 31, 2024. The assets and
liabilities held for sale at December 31, 2024 are classified within
prepaid expenses and other current assets and accrued
expenses and other liabilities in our Consolidated Balance
Sheets. The assets and liabilities of the disposal group at the
date of sale and at December 31, 2024 were as follows:
Held for Sale
Date of Sale
December 31
2025
2024
Accounts receivable, net
$56
$62
Total inventories
195
183
Prepaid expenses and other current assets
27
10
Property, plant and equipment, net
53
51
Other intangibles, net
323
326
Noncurrent deferred income tax assets
9
9
Other noncurrent assets
179
171
Valuation allowance
(395)
(362)
Total assets
$447
$450
Accounts payable
$41
$28
Accrued compensation
20
26
Accrued expenses and other liabilities
24
29
Other noncurrent liabilities
27
21
Total liabilities
$112
$104
32
STRYKER CORPORATION
2025 FORM 10-K
ITEM 15.
FINANCIAL STATEMENT SCHEDULES.
(a) 2.
Financial Statement Schedules
The Consolidated Financial Statement schedule of Stryker Corporation and its subsidiaries is:
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS
Additions
Deductions
Description
Balance at
Beginning
of Period
Charged to
Costs &
Expenses
Uncollectible
Amounts
Written Off,
Net of
Recoveries
Effect of
Changes in
Foreign
Currency
Exchange
Rates
Balance
at End
of Period
DEDUCTED FROM ASSET ACCOUNTS
Allowance for Doubtful Accounts:
Year ended December 31, 2025
$213
$95
$91
$1
$216
Year ended December 31, 2024
$182
$69
$36
$2
$213
Year ended December 31, 2023
$154
$69
$40
$1
$182
All other schedules for which provision is made in the applicable accounting regulation of the United States Securities and
Exchange Commission are not required under the related instructions or are inapplicable and, therefore, have been omitted.
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COVER PAGE
Jun. 26, 2026
Entity Information [Line Items]
Document Type
8-K
Document Period End Date
Jun. 26, 2026
Entity Registrant Name
STRYKER CORP
Entity Incorporation, State or Country Code
MI
Entity File Number
001-13149
Entity Tax Identification Number
38-1239739
Entity Address, Address Line One
1941 Stryker Way
Entity Address, City or Town
Portage,
Entity Address, State or Province
MI
Entity Address, Postal Zip Code
49002
City Area Code
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Local Phone Number
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Common Stock, $.10 Par Value
Entity Information [Line Items]
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Common Stock, $.10 Par Value
Trading Symbol
SYK
Security Exchange Name
NYSE
2.125% Notes due 2027
Entity Information [Line Items]
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2.125% Notes due 2027
Trading Symbol
SYK27
Security Exchange Name
NYSE
3.375% Notes due 2028
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Entity Information [Line Items]
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Security Exchange Name
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3.625% Notes due 2036
Trading Symbol
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Security Exchange Name
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Filename: R2.htm · Sequence: 12
v3.26.1
Consolidated Statements Of Earnings - USD ($)
shares in Millions, $ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Statement [Abstract]
Net sales
$ 25,116
$ 22,595
$ 20,498
Cost of sales
9,051
8,155
7,440
Gross profit
16,065
14,440
13,058
Research, development and engineering expenses
1,623
1,466
1,388
Selling, general and administrative expenses
8,651
7,685
7,111
Amortization of intangible assets
732
623
635
Goodwill and other impairments
170
977
36
Total operating expenses
11,176
10,751
9,170
Operating income
4,889
3,689
3,888
Interest expense
(607)
(409)
(363)
Other income
232
212
148
Earnings before income taxes
4,514
3,492
3,673
Income taxes
1,268
499
508
Net earnings
$ 3,246
$ 2,993
$ 3,165
Net earnings per share of common stock:
Basic net earnings per share of common stock (in dollars per share)
$ 8.49
$ 7.86
$ 8.34
Diluted net earnings per share of common stock (in dollars per share)
$ 8.40
$ 7.76
$ 8.25
Weighted-average shares outstanding (in millions):
Basic (in shares)
382.2
381.0
379.6
Effect of dilutive employee stock compensation (in shares)
4.3
4.6
4.1
Diluted (in shares)
386.5
385.6
383.7
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Filename: R3.htm · Sequence: 13
v3.26.1
Consolidated Statements of Comprehensive Income - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Statement of Comprehensive Income [Abstract]
Net earnings
$ 3,246
$ 2,993
$ 3,165
Other comprehensive income (loss), net of tax
Marketable securities
0
0
1
Pension plans
66
32
(59)
Unrealized gains (losses) on designated hedges
11
(8)
(13)
Financial statement translation
(471)
99
(124)
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(394)
123
(195)
Comprehensive income
$ 2,852
$ 3,116
$ 2,970
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v3.26.1
Consolidated Balance Sheets - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Current assets
Cash and cash equivalents
$ 4,011
$ 3,652
Short-term investments
0
750
Marketable securities
89
91
Accounts receivable, less allowance of $216 ($213 in 2024)
4,039
3,987
Inventories:
Materials and supplies
1,349
1,147
Work in process
415
336
Finished goods
3,546
3,291
Total inventories
5,310
4,774
Prepaid expenses and other current assets
1,306
1,593
Total current assets
14,755
14,847
Property, plant and equipment:
Land, buildings and improvements
1,793
1,627
Machinery and equipment
5,744
5,056
Total property, plant and equipment
7,537
6,683
Less allowance for depreciation
3,661
3,235
Property, plant and equipment, net
3,876
3,448
Goodwill
19,291
15,855
Other intangibles, net
5,681
4,395
Noncurrent deferred income tax assets
1,098
1,742
Other noncurrent assets
3,143
2,684
Total assets
47,844
42,971
Current liabilities
Accounts payable
1,799
1,679
Accrued compensation
1,595
1,403
Income taxes
418
539
Dividend payable
337
320
Accrued expenses and other liabilities
2,645
2,266
Current maturities of debt
1,000
1,409
Total current liabilities
7,794
7,616
Long-term debt, excluding current maturities
14,859
12,188
Income taxes
402
349
Other noncurrent liabilities
2,369
2,184
Total liabilities
25,424
22,337
Shareholders' equity
Common stock, $0.10 par value
38
38
Additional paid-in capital
2,597
2,361
Retained earnings
20,472
18,528
Accumulated other comprehensive loss
(687)
(293)
Total shareholders' equity
22,420
20,634
Total liabilities & shareholders' equity
$ 47,844
$ 42,971
Common stock, par value (in dollars per share)
$ 0.10
$ 0.10
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Consolidated Balance Sheets (Parentheticals) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
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$ 213
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shares in Millions, $ in Millions
Total
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Additional Paid-In Capital
Retained Earnings
Accumulated Other Comprehensive Income (Loss)
Beginning balance at Dec. 31, 2022
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$ 2,034
$ 14,765
$ (221)
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378.7
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Share-based compensation
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3,165
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(195)
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380.1
Ending balance at Dec. 31, 2023
18,593
$ 38
2,200
16,771
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2,993
Cash dividends declared
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123
Ending balance, shares at Dec. 31, 2024
381.4
Ending balance at Dec. 31, 2024
20,634
$ 38
2,361
18,528
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Issuance of common stock under stock compensation and benefit plans
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Share-based compensation
243
Net earnings
3,246
3,246
Cash dividends declared
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Other comprehensive income (loss)
(394)
Ending balance, shares at Dec. 31, 2025
382.5
Ending balance at Dec. 31, 2025
$ 22,420
$ 38
$ 2,597
$ 20,472
$ (687)
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v3.26.1
Consolidated Statements Of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Operating activities
Net earnings
$ 3,246
$ 2,993
$ 3,165
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation
461
427
393
Amortization of intangible assets
732
623
635
Goodwill and other impairments
170
977
36
Share-based compensation
243
229
205
Sale of inventory stepped up to fair value at acquisition
173
46
0
Deferred income tax (benefit) expense
392
(370)
(206)
Changes in operating assets and liabilities:
Accounts receivable
127
(321)
(175)
Inventories
(297)
(206)
(797)
Accounts payable
94
192
77
Accrued expenses and other liabilities
318
74
516
Income taxes
(145)
(116)
(4)
Other, net
(470)
(306)
(134)
Net cash provided by operating activities
5,044
4,242
3,711
Investing activities
Acquisitions, net of cash acquired
(4,960)
(1,628)
(390)
Proceeds/(Purchases) of short-term investments
750
(750)
0
Purchases of property, plant and equipment
(761)
(755)
(575)
Proceeds from the sale of the Spinal Implants business
165
0
0
Other investing, net
(60)
133
3
Net cash used in investing activities
(4,866)
(3,000)
(962)
Financing activities
Proceeds (payments) on short-term borrowings, net
0
(32)
540
Proceeds from issuance of long-term debt
2,979
3,011
1,241
Payments on long-term debt
(1,400)
(2,039)
(2,058)
Payments of dividends
(1,284)
(1,219)
(1,139)
Cash paid for taxes from withheld shares
(149)
(195)
(155)
Other financing, net
(33)
(51)
(23)
Net cash provided by (used in) financing activities
113
(525)
(1,594)
Effect of exchange rate changes on cash and cash equivalents
68
(36)
(28)
Change in cash and cash equivalents
359
681
1,127
Cash and cash equivalents at beginning of year
3,652
2,971
1,844
Cash and cash equivalents at end of year
4,011
3,652
2,971
Supplemental cash flow disclosure:
Cash paid for income taxes, net of refunds
1,002
989
693
Cash paid for interest on debt
$ 582
$ 396
$ 356
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Filename: R8.htm · Sequence: 18
v3.26.1
Significant Accounting Policies
12 Months Ended
Dec. 31, 2025
Accounting Policies [Abstract]
Significant Accounting Policies
SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations: Stryker (the "Company," "we," "us," or
"our") is a global leader in medical technologies and, together
with our customers, we are driven to make healthcare better. We
offer innovative products and services in MedSurg,
Neurotechnology and Orthopaedics that help improve patient and
healthcare outcomes. Our products include surgical equipment
and surgical navigation systems; endoscopic and
communications systems; patient handling, emergency medical
equipment and intensive care disposable products; clinical
communication and artificial intelligence-assisted virtual care
platform technology; products for traditional brain and open skull-
based surgical procedures; minimally invasive products for the
treatment of acute ischemic and hemorrhagic stroke and venous
thromboembolism; implants used in joint replacement and trauma
surgeries; Mako robotic-arm assisted technology; as well as other
products used in a variety of medical specialties.
Basis of Presentation and Consolidation: The Consolidated
Financial Statements include the Company and its subsidiaries.
All significant intercompany accounts and transactions are
eliminated in consolidation. We have no material interests in
variable interest entities. Certain prior year amounts have been
reclassified to conform with current year presentation in our
Consolidated Financial Statements.
Recast of Certain Prior Period Information: The segment
information in this Form 8-K has been recast to conform to the
way we internally manage and monitor our business during fiscal
year 2026. The recast of prior period information had no impact
on our consolidated balance sheets, consolidated statements of
earnings, or consolidated statements of cash flows.
In the first quarter 2026 we announced a change in our
organizational structure. Our new Ortho Tech business combines
the orthopaedic instruments portfolio from our Instruments
business with the Mako and enabling technologies portfolio from
our Other Orthopaedics business. By bringing Mako, power tools,
cutting accessories, enabling technologies and the teams behind
these products together under one business, we are simplifying
the customer experience and striving to increase our speed to
market through focused innovation.
Following this re-organization, we will continue to have two
business segments - (i) MedSurg and Neurotechnology and (ii)
Orthopaedics, each of which comprise a reportable segment. All
historical segment financial information has been recast to
conform to this new reporting structure in our financial statements
and accompanying notes. These changes primarily impacted
Note 2 – Revenue Recognition and Note 14 – Segment and
Geographic Data. The information in Note 8—Goodwill and Other
Intangible Assets has not been recast; however, recast amounts
are disclosed in our Quarterly Report on Form 10‑Q for the
quarterly period ended March 31, 2026.
Use of Estimates: The preparation of financial statements in
conformity with accounting principles generally accepted in the
United States (GAAP) requires management to make estimates
and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities on the
date of the financial statements and the reported amounts of net
sales and expenses in the reporting period. Actual results could
differ from those estimates.
Revenue Recognition: Sales are recognized as the
performance obligations to deliver products or services (including
services under extended warranty service contracts) are satisfied
and are recorded based on the amount of consideration we
expect to receive in exchange for satisfying the performance
obligations. Our sales are recognized primarily when we transfer
control to the customer, which can be on the date of shipment,
the date of receipt by the customer or, for most Orthopaedics
products, when we have received a purchase order and
appropriate notification the product has been used or implanted.
Products and services are primarily transferred to customers at a
point in time, with some transfers of services taking place over
time.
Sales represent the amount of consideration we expect to receive
from customers in exchange for transferring products and
services. Net sales exclude sales, value added and other taxes
we collect from customers. Other costs to obtain and fulfill
contracts are generally expensed as incurred due to the short-
term nature of most of our sales. We extend terms of payment to
our customers based on commercially reasonable terms for the
markets of our customers, while also considering their credit
quality.
A provision for estimated sales returns, discounts and rebates is
recognized as a reduction of sales in the same period that the
sales are recognized. Our estimate of the provision for sales
returns has been established based on contract terms with our
customers and historical business practices and current trends.
Shipping and handling costs charged to customers are included
in net sales.
Cost of Sales: Cost of sales include direct materials and
supplies consumed in the manufacture of product, as well as
manufacturing labor, depreciation expense and direct overhead
expense necessary to acquire and convert the purchased
materials and supplies into finished product. Cost of sales also
includes the cost to distribute products to customers, inbound
freight costs, warehousing costs and other shipping and handling
activity.
Research, Development and Engineering Expenses:
Research, development and engineering costs are charged to
expense as incurred and include research, development and
engineering activities relating to the development of new
products, improvement of existing products, technical support of
products and compliance with governmental regulations for the
protection of customers and patients. Costs primarily include
salaries, wages, consulting and depreciation and maintenance of
research facilities and equipment.
Selling, General and Administrative Expenses: Costs include
selling expenses, marketing expenses, administrative and other
indirect overhead costs, amortization of loaner instrumentation,
depreciation and amortization expense of non-manufacturing
assets and other miscellaneous operating items.
Currency Translation: Financial statements of subsidiaries
outside the United States generally are measured using the local
currency as the functional currency. Adjustments to translate
those statements into United States Dollars are recorded in other
comprehensive income (OCI). Transactional exchange gains and
losses are included in other income.
Cash Equivalents: Highly liquid investments with remaining
stated maturities of three months or less when purchased or
other money market instruments that are redeemable upon
demand are considered cash equivalents and recorded at cost.
Short-term Investments: Short-term investments that have a
maturity greater than three months and less than a year from the
date of purchase primarily include time deposits, certificates of
deposit, commercial paper, bonds and notes, substantially all of
which are denominated in United States Dollars and are stated at
cost plus accrued interest, which approximates fair value. We
expect to hold all of our short-term investments to maturity.
Marketable Securities: Marketable securities include marketable
debt securities and mutual funds. Mutual funds are acquired to
offset changes in certain liabilities related to deferred
compensation arrangements and are expected to be used to
settle these liabilities. Mutual funds are recognized in other
noncurrent assets. Pursuant to our investment policy, all
individual marketable security investments must have a minimum
credit quality of single A (Standard & Poor’s and Fitch) and A2
(Moody’s Corporation) at the time of acquisition, while the overall
portfolio of marketable securities must maintain a minimum
average credit quality of double A (Standard & Poor’s and Fitch)
or Aa (Moody’s Corporation). In the event of a rating downgrade
below the minimum credit quality subsequent to purchase, the
marketable security investment is evaluated to determine the
appropriate action to take to minimize the overall risk to our
marketable security investment portfolio. Our marketable
securities are classified as available-for-sale and trading
securities. Investments in trading securities represent participant-
directed investments of deferred employee compensation.
Accounts Receivable: Accounts receivable include trade and
other miscellaneous receivables. An allowance is maintained for
doubtful accounts for estimated losses in the collection of
accounts receivable. Estimates are made regarding the ability of
customers to make required payments based on historical credit
experience, current market conditions and expected credit
losses. Accounts receivable are written off when all reasonable
collection efforts are exhausted.
Inventories: Inventories are stated at the lower of cost or net
realizable value, with cost generally determined using the first-in,
first-out (FIFO) cost method. For excess and obsolete inventory
resulting from the potential inability to sell specific products at
prices in excess of current carrying costs, reserves are
maintained to reduce current carrying cost to net realizable value.
Financial Instruments: Our financial instruments include cash,
cash equivalents, marketable securities, accounts receivable,
other investments, accounts payable, debt and foreign currency
exchange contracts. The carrying value of our financial
instruments, with the exception of our senior unsecured notes,
approximates fair value on December 31, 2025 and 2024. Refer
to Notes 3 and 10 for further details.
All marketable securities are recognized at fair value.
Adjustments to the fair value of marketable securities that are
classified as available-for-sale are recognized as increases or
decreases, net of income taxes, within accumulated other
comprehensive income (AOCI) in shareholders’ equity and
adjustments to the fair value of marketable securities that are
classified as trading are recognized in earnings. The amortized
cost of marketable debt securities is adjusted for amortization of
premiums and discounts to maturity computed under the effective
interest method. Such amortization, interest and realized gains
and losses are included in other income. The cost of securities
sold is determined by the specific identification method.
We review declines in the fair value of our investments classified
as available-for-sale to determine whether the decline in fair
value is a result of credit loss or other factors. Impairments of
available-for-sale marketable debt securities related to credit loss
are included in earnings and impairments related to other factors
are recognized within AOCI.
Derivatives: All derivatives are recognized at fair value and
reported on a gross basis. We enter into forward currency
exchange contracts to mitigate the impact of currency fluctuations
on transactions denominated in nonfunctional currencies, thereby
limiting our risk that would otherwise result from changes in
exchange rates. The periods of the forward currency exchange
contracts correspond to the periods of the exposed transactions,
with realized gains and losses included in the measurement and
recording of transactions denominated in the nonfunctional
currencies. All forward currency exchange contracts are recorded
at their fair value each period.
Forward currency exchange contracts designated as cash flow
hedges are designed to hedge the variability of cash flows
associated with forecasted transactions denominated in a foreign
currency that will take place in the future. These nonfunctional
currency exposures principally relate to forecasted intercompany
sales and purchases of manufactured products and generally
have maturities up to eighteen months. Changes in value of
derivatives designated as cash flow hedges are recorded in AOCI
in shareholders’ equity until earnings are affected by the
variability of the underlying cash flows. At that time, the
applicable amount of gain or loss from the derivative instrument
that is deferred in shareholders’ equity is reclassified into
earnings and is included in cost of goods sold. Cash flows
associated with these hedges are included in cash provided by
operating activities in the same category as the cash flows from
the items being hedged.
Forward currency exchange contracts are used to offset our
exposure to the change in value of specific foreign currency
denominated assets and liabilities, primarily intercompany
payables and receivables. These derivatives are not designated
as hedges and, therefore, changes in the value of these forward
contracts are recognized in earnings, thereby offsetting the
current earnings effect of the related changes in value of foreign
currency denominated assets and liabilities. The estimated fair
value of our forward currency exchange contracts represents the
measurement of the contracts at month-end spot rates as
adjusted by current forward points.
From time to time, we designate derivative and non-derivative
financial instruments as net investment hedges of our
investments in certain international subsidiaries. For derivative
instruments that are designated and qualify as a net investment
hedge, the effective portion of the derivative's gain or loss is
recognized in OCI and reported as a component of AOCI. We
have elected to use the spot method to assess effectiveness for
our derivatives designated as net investment hedges.
Accordingly, the change in fair value attributable to changes in
the spot rate is recorded in AOCI. We exclude the spot-forward
difference from the assessment of hedge effectiveness and
amortize this amount separately on a straight-line basis over the
term of the forward contracts. This amortization is recognized in
other income.
From time to time, we designate forward starting interest rate
derivative instruments as cash flow hedges to manage the
exposure to interest rate volatility with regard to future issuance
and refinancing of debt. Changes in value of derivatives
designated as cash flow hedges are recorded in AOCI until
earnings are affected by the variability of the underlying cash
flows. At that time, the applicable amount of gain or loss from the
derivative instrument that is deferred in shareholders’ equity is
reclassified into earnings and is included in interest expense.
Interest rate derivative instruments designated as fair value
hedges have been used in the past to manage the exposure to
interest rate movements and to reduce borrowing costs by
converting fixed-rate debt into floating-rate debt. Under these
agreements, we agree to exchange, at specified intervals, the
difference between fixed and floating interest amounts calculated
by reference to an agreed-upon notional principal amount.
Property, Plant and Equipment: Property, plant and equipment
is stated at cost. Depreciation is generally computed by the
straight-line method over the estimated useful lives of three to 30
years for buildings and improvements and three to 15 years for
machinery and equipment.
Goodwill and Other Intangible Assets: Goodwill represents the
excess of purchase price over fair value of tangible net assets of
acquired businesses at the acquisition date, after amounts
allocated to other identifiable intangible assets. Factors that
contribute to the recognition of goodwill include synergies that are
specific to our business and not available to other market
participants and are expected to increase net sales and profits;
acquisition of a talented workforce; cost savings opportunities;
the strategic benefit of expanding our presence in core and
adjacent markets; and diversifying our product portfolio.
The fair values of other identifiable intangible assets acquired in a
business combination are primarily determined using the income
approach. Other intangible assets include, but are not limited to,
developed technologies, customer and distributor relationships
(which reflect expected continued customer or distributor
patronage) and trademarks and patents. Intangible assets with
determinable useful lives are amortized on a straight-line basis
over their estimated useful lives of four to 40 years. Certain
acquired trade names are considered to have indefinite lives and
are not amortized, but are assessed annually for potential
impairment as described below.
In some of our acquisitions, we acquire in-process research and
development (IPRD) intangible assets. For acquisitions
accounted for as business combinations IPRD is considered to
be an indefinite-lived intangible asset until the research is
completed (then it becomes a determinable-lived intangible
asset) or determined to have no future use (then it is impaired).
For asset acquisitions IPRD is expensed immediately unless
there is an alternative future use.
Goodwill, Intangibles and Long-Lived Asset Impairment
Tests: We perform our annual impairment test for goodwill as of
October 31 each year. We consider qualitative indicators of the
fair value of a reporting unit when it is unlikely that a reporting
unit has impaired goodwill and periodically corroborate that
assessment with quantitative information. In certain
circumstances, we may also utilize a discounted cash flow
analysis that requires certain assumptions and estimates be
made regarding market conditions and our future profitability.
Indefinite-lived intangible assets are also tested at least annually
for impairment by comparing the individual carrying values to the
fair value.
We review long-lived assets for indicators of impairment
whenever events or changes in circumstances indicate that the
carrying amount may not be recoverable. The evaluation is
performed at the lowest level of identifiable cash flows.
Undiscounted cash flows expected to be generated by the related
assets are estimated over the asset's useful life based on
updated projections. If the evaluation indicates that the carrying
amount of the asset may not be recoverable, any potential
impairment is measured based upon the fair value of the related
asset or asset group as determined by an appropriate market
appraisal or other valuation technique.
Assets and Liabilities Held for Sale: We classify assets and
liabilities or disposal groups to be sold as held for sale in the
period in which all of the following criteria are met: management,
having the authority to approve the action, commits to a plan to
sell the disposal group; the disposal group is available for
immediate sale in its present condition subject only to terms that
are usual and customary for sales of such disposal groups; an
active program to locate a buyer and other actions required to
complete the plan to sell the disposal group have been initiated;
the sale of the disposal group is probable, and transfer of the
disposal group is expected to qualify for recognition as a
completed sale within one year, except if events or circumstances
beyond our control extend the period of time required to sell the
disposal group beyond one year; the disposal group is being
actively marketed for sale at a price that is reasonable in relation
to its current fair value; and actions required to complete the plan
indicate that it is unlikely that significant changes to the plan will
be made or that the plan will be withdrawn.
We initially measure a disposal group that is classified as held for
sale at the lower of its carrying value or fair value less any costs
to sell. Any loss resulting from this measurement is recognized in
the period in which the held for sale criteria are met. Conversely,
gains are not recognized on the sale of a disposal group until the
sale is completed. We assess the fair value of a disposal group,
less any costs to sell, each reporting period it remains classified
as held for sale and report any subsequent changes as an
adjustment to the carrying value of the disposal group, as long as
the new carrying value does not exceed the carrying value of the
disposal group at the time it was initially classified as held for
sale.
Upon determining that a disposal group meets the criteria to be
classified as held for sale, we cease depreciation and
amortization of the assets and disclose the major classes of
assets and liabilities of the disposal group in the Notes to the
Consolidated Financial Statements. Refer to Note 16 for further
information.
Share-Based Compensation: Share-based compensation is in
the form of stock options, restricted stock units (RSUs) and
performance stock units (PSUs). Stock options are granted under
long-term incentive plans to certain key employees and non-
employee directors at an exercise price not less than the fair
market value of the underlying common stock, which is the
quoted closing price of our common stock on the day prior to the
date of grant. The options are granted for periods of up to 10
years and become exercisable in varying installments.
We grant RSUs to key employees and non-employee directors
and PSUs to certain key employees under our long-term
incentive plans. The fair value of RSUs is determined based on
the number of shares granted and the quoted closing price of our
common stock on the date of grant, adjusted for the fact that
RSUs do not include anticipated dividends. RSUs generally vest
in one-third increments over a three-year period and are settled
in stock. PSUs are earned over a three-year performance cycle
and vest in March of the year following the end of that
performance cycle. The number of PSUs that will ultimately be
earned is based on our performance relative to pre-established
goals in that three-year performance cycle. The fair value of
PSUs is determined based on the quoted closing price of our
common stock on the day of grant.
Compensation expense is recognized in the Consolidated
Statements of Earnings based on the estimated fair value of the
awards on the grant date. Compensation expense recognized
reflects an estimate of the number of awards expected to vest
after taking into consideration an estimate of award forfeitures
based on actual experience and is recognized on a straight-line
basis over the requisite service period, which is generally the
period required to obtain full vesting. Management expectations
related to the achievement of performance goals associated with
PSU grants is assessed regularly and that assessment is used to
determine whether PSU grants are expected to vest. If
performance-based milestones related to PSU grants are not met
or not expected to be met, any compensation expense
recognized associated with such grants will be reversed.
Income Taxes: Deferred income tax assets and liabilities are
determined based on differences between financial reporting and
income tax bases of assets and liabilities and are measured
using the enacted income tax rates in effect for the years in which
the differences are expected to reverse. Deferred income tax
benefits generally represent the change in net deferred income
tax assets and liabilities in the year. Other amounts result from
adjustments related to acquisitions and foreign currency as
appropriate.
We operate in multiple income tax jurisdictions both within the
United States and internationally. Accordingly, management must
determine the appropriate allocation of income to each of these
jurisdictions based on current interpretations of complex income
tax regulations. Income tax authorities in these jurisdictions
regularly perform audits of our income tax filings. Income tax
audits associated with the allocation of this income and other
complex issues, including inventory transfer pricing and cost
sharing, product royalty and foreign branch arrangements, may
require an extended period of time to resolve and may result in
significant income tax adjustments if changes to the income
allocation are required between jurisdictions with different income
tax rates.
The Tax Cuts and Jobs Act (the Act) was enacted in 2017 in the
United States. The Act also subjects a United States shareholder
to tax on Global Intangible Low-Taxed Income (GILTI) earned by
certain foreign subsidiaries. We have elected to account for GILTI
tax in the year the tax is incurred.
New Accounting Pronouncements Not Yet Adopted
In December 2025 the Financial Accounting Standards Board
(FASB) issued ASU 2025-10 (Topic 832): Accounting for
Government Grants Received by Business Entities. This update
establishes guidance on the recognition, measurement and
presentation of government grants received by business entities
including grants related to the purchase, construction or
acquisition of an asset and grants related to income. The update
is effective for fiscal years beginning after December 15, 2028
including interim periods within those fiscal years. Early adoption
is permitted. We do not expect this ASU to have a significant
impact on our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-07 (Topics 815
and 606): Derivatives and Hedging: Derivatives Scope
Refinements and Revenue from Contracts with Customers:
Scope Clarification for Share-Based Noncash Consideration from
a Customer in a Revenue Contract. This update expands the
scope exception in Topic 815 to certain nonexchange-traded
contracts for which settlement is based on operations or activities
specific to one of the parties to the contract. The update is
effective for fiscal years beginning after December 15, 2026
including interim periods within those fiscal years. Early adoption
is permitted. We are evaluating if the ASU will have an impact on
our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-06 (Subtopic
350-40): Intangibles - Goodwill and Other - Internal-Use
Software: Targeted Improvements to the Accounting for Internal-
Use Software. This update clarifies and modernizes the
accounting for costs related to internal-use software by removing
all references to project stages and clarifying that the probable-
to-complete threshold is not met if significant development
uncertainty exists. The update is effective for fiscal years
beginning after December 15, 2027 including interim periods
within those fiscal years. Early adoption is permitted. We do not
expect this ASU to have a significant impact on our Consolidated
Financial Statements.
In July 2025 the FASB issued ASU 2025-05 (Topic 326):
Financial Instruments - Credit Losses: Measurement of Credit
Losses for Accounts Receivable and Contract Assets. This
update provides a practical expedient allowing entities to assume
that current conditions as of the balance sheet date will remain
unchanged for the remaining life of the asset when estimating
expected credit losses for current accounts receivable and
current contract assets arising from transactions accounting for
under Accounting Standards Codification 606, Revenue from
Contracts with Customers. The update is effective for fiscal years
beginning after December 15, 2025 including interim periods
within those fiscal years. Early adoption is permitted. We are
evaluating if the ASU will have an impact on our Consolidated
Financial Statements.
In November 2024 the FASB issued ASU 2024-03 (Subtopic
220-40): Income Statement: Reporting Comprehensive Income -
Expense Disaggregation Disclosures which requires
disaggregation of certain expense captions into specified
categories in disclosures within the Notes to the Consolidated
Financial Statements. The new disclosure requirements are
effective for fiscal years beginning after December 15, 2026 and
interim periods within fiscal years beginning after December 15,
2027. Early adoption is permitted. We are evaluating these new
expanded disclosure requirements.
We evaluate all ASUs issued by the FASB for consideration of
their applicability. ASUs not included in our disclosures were
assessed and determined to be either not applicable or are not
expected to have a material impact on our Consolidated Financial
Statements.
Accounting Pronouncements Recently Adopted
We adopted ASU 2023-09 (Topic 740): Income Taxes:
Improvements to Income Tax Disclosures for the annual period
beginning on January 1, 2025. Refer to Note 11 for further
information.
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v3.26.1
Revenue Recognition
12 Months Ended
Dec. 31, 2025
Revenue Recognition [Abstract]
Revenue Recognition
REVENUE RECOGNITION
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.
Products and services are primarily transferred to customers at a
point in time, with some transfers of services taking place over
time. In 2025 less than 10% of our sales were recognized as
services transferred over time. Refer to Note 1 for further
discussion on our revenue recognition policies.
In the first quarter 2026 we announced a change in our
organizational structure. Our new Ortho Tech business combines
our orthopaedic instruments portfolio (Orthopaedic Instruments)
from Instruments with Other Orthopaedics. In addition, our spine
enabling technologies portfolio (Enabling Technologies) from
Other Orthopaedics was combined with the remaining
Instruments business to align with our internal reporting structure.
Ortho Tech includes sales related to Orthopaedic Instruments of
$2,110, $1,917 and $1,754 and Other Orthopaedics of $660,
$560 and $509 for 2025, 2024 and 2023. Instruments includes
sales related to Enabling Technologies of $155, $152 and $149
for 2025, 2024 and 2023. We have reflected these changes in all
historical periods presented.
Segment Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$1,228
$1,069
$929
Endoscopy
3,807
3,389
3,068
Medical
4,204
3,852
3,459
Vascular
1,968
1,307
1,226
Neuro Cranial
2,485
2,136
1,876
$13,692
$11,753
$10,558
Orthopaedics:
Knees
$2,656
$2,447
$2,273
Hips
1,865
1,704
1,544
Trauma and Extremities
3,948
3,507
3,147
Ortho Tech
2,770
2,477
2,263
Spinal Implants
185
707
713
$11,424
$10,842
$9,940
Total
$25,116
$22,595
$20,498
United States Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$1,072
$925
$800
Endoscopy
3,133
2,792
2,513
Medical
3,510
3,191
2,785
Vascular
1,048
506
483
Neuro Cranial
2,052
1,761
1,531
$10,815
$9,175
$8,112
Orthopaedics:
Knees
$1,924
$1,788
$1,676
Hips
1,137
1,059
988
Trauma and Extremities
2,926
2,586
2,297
Ortho Tech
2,086
1,846
1,684
Spinal Implants
118
489
500
$8,191
$7,768
$7,145
Total
$19,006
$16,943
$15,257
International Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$156
$144
$129
Endoscopy
674
597
555
Medical
694
661
674
Vascular
920
801
743
Neuro Cranial
$433
375
345
$2,877
$2,578
$2,446
Orthopaedics:
Knees
$732
$659
$597
Hips
728
645
556
Trauma and Extremities
1,022
921
850
Ortho Tech
684
631
579
Spinal Implants
67
218
213
$3,233
$3,074
$2,795
Total
$6,110
$5,652
$5,241
MedSurg and Neurotechnology
MedSurg and Neurotechnology products include surgical
equipment and navigation systems (Instruments), endoscopic
and communications systems (Endoscopy), patient handling,
emergency medical equipment, intensive care disposable
products, clinical communication and artificial intelligence-
assisted virtual care platform technology (Medical), and minimally
invasive products for the treatment of acute ischemic and
hemorrhagic stroke and venous thromboembolism (Vascular), 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). Substantially all
MedSurg and Neurotechnology sales are recognized when a
purchase order has been received and control has transferred.
For certain Endoscopy, Instruments and Medical services, we
may recognize sales over time as we satisfy performance
obligations that may include an obligation to complete installation,
provide training and perform ongoing services, generally
performed within one year.
Orthopaedics
Orthopaedics products include implants and surgical equipment
such as navigation systems and robotics used in total joint
replacements, such as hip, knee and shoulder, ankle and trauma
and extremities surgeries. Substantially all Orthopaedics sales
are recognized when we have a purchase order and appropriate
notification the product has been used or implanted. For certain
Orthopaedic products in the Ortho Tech business, we recognize
sales at a point in time, as well as over time for performance
obligations that may include an obligation to complete installation
and provide training and ongoing services. Performance
obligations are generally satisfied within one year.
Costs to Obtain or Fulfill a Contract
We typically do not incur costs to fulfill a contract before a
product or service is provided to a customer due to the nature of
our products and services. Our costs to obtain contracts are
typically in the form of sales commissions paid to employees or
third-party agents. Certain sales commissions paid to employees
prior to recognition of sales are recorded as deferred contract
costs. We expense sales commissions associated with obtaining
a contract at the time of the sale or as incurred as the
amortization period is generally less than one year. These costs
have been presented within selling, general and administrative
expenses. On December 31, 2025 and 2024 deferred contract
costs recorded in our Consolidated Balance Sheets were not
significant.
Contract Assets and Liabilities
Our contract assets primarily relate to conditional rights to
consideration for work completed but not billed at the reporting
date. On December 31, 2025 and 2024 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 warranty
service contracts. Our contract liabilities of $1,024 and $978 on
December 31, 2025 and 2024 are classified within accrued
expenses and other liabilities and other noncurrent liabilities in
our Consolidated Balance Sheets based on the timing of when
we expect to complete our performance obligations. Changes in
contract liabilities during the year were as follows:
2025
2024
Beginning contract liabilities
$978
$860
Revenue recognized from beginning of year contract
liabilities
(546)
(553)
Net advance consideration received during the period
592
671
Ending contract liabilities
$1,024
$978
Transfers and Servicing of Financial Assets
We sell certain customer lease agreements and the related
leased assets to third-party financial institutions to accelerate our
cash collection cycle. The lease receivables are sold without
recourse and are derecognized from our Consolidated Balance
Sheets at the time of sale. Under the terms of our arrangements,
we collect lease payments on behalf of the financial institutions
but maintain no other form of continuing involvement. Sales of
these lease agreements are classified as operating activities in
our Consolidated Statements of Cash Flows. Fees earned for our
servicing activities are immaterial. Revenue related to customer
lease agreements sold under these arrangements represented
less than 4% of our total revenue for 2025, 2024 and 2023.
X
- Definition
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v3.26.1
Fair Value Measurements
12 Months Ended
Dec. 31, 2025
Fair Value Disclosures [Abstract]
Fair Value Measurements
FAIR VALUE MEASUREMENTS
Fair value is defined as the price that would be received to sell an
asset or paid to transfer a liability in an orderly transaction
between market participants at the measurement date. Financial
assets and liabilities carried at fair value are classified in their
entirety based on the lowest level of input and disclosed in one of
the following three categories:
Level 1
Quoted market prices in active markets for identical assets or
liabilities.
Level 2
Observable market-based inputs or unobservable inputs that
are corroborated by market data.
Level 3
Unobservable inputs reflecting our assumptions or external
inputs from active markets.
Use of observable market data, when available, is required in
making fair value measurements. When inputs used fall within
different levels of the hierarchy, the level within which the fair
value measurement is categorized is based on the lowest level
input that is significant to the fair value measurement. We
determine fair value for Level 1 instruments using exchange-
traded prices for identical instruments. We determine fair value of
Level 2 instruments using exchange-traded prices of similar
instruments, where available, or utilizing other observable inputs
that take into account our credit risk and that of our
counterparties. Foreign currency exchange contracts and interest
rate hedges, when outstanding, are included in Level 2 and are
primarily valued using standard calculations and models that use
readily observable market data as their basis. Our Level 3
liabilities comprise contingent consideration arising from recently
completed acquisitions. We determine fair value of these Level 3
liabilities using a discounted cash flow technique. Significant
unobservable inputs were used in our assessment of fair value,
including assumptions regarding future business results, discount
rates, discount periods and probability assessments based on the
likelihood of reaching various targets. We remeasure the fair
value of our assets and liabilities each reporting period. We
record the changes in fair value within selling, general and
administrative expense.
In 2025 we assumed contingent consideration liabilities with a fair
value of $90 related to previous acquisitions made by Inari
Medical Inc. (Inari). Refer to Note 6 for further information on the
acquisition of Inari.
In 2024 we recorded $208 of contingent consideration related to
various acquisitions described in Note 6.
There were no significant transfers into or out of any level of the
fair value hierarchy in 2025.
Assets Measured at Fair Value
2025
2024
Cash and cash equivalents
$4,011
$3,652
Short-term investments
—
750
Trading marketable securities
307
259
Level 1 - Assets
$4,318
$4,661
Available-for-sale marketable securities:
Corporate and asset-backed debt securities
$52
$53
United States agency debt securities
—
1
United States treasury debt securities
37
34
Certificates of deposit
—
3
Total available-for-sale marketable securities
$89
$91
Foreign currency exchange forward contracts
46
225
Level 2 - Assets
$135
$316
Total assets measured at fair value
$4,453
$4,977
Liabilities Measured at Fair Value
2025
2024
Deferred compensation arrangements
$307
$259
Level 1 - Liabilities
$307
$259
Foreign currency exchange forward contracts
$170
$77
Level 2 - Liabilities
$170
$77
Contingent consideration:
Beginning
$452
$289
Additions
123
208
Change in estimate and foreign exchange
24
8
Settlements
(81)
(53)
Ending
$518
$452
Level 3 - Liabilities
$518
$452
Total liabilities measured at fair value
$995
$788
Fair Value of Available for Sale Securities by Maturity
2025
2024
Due in one year or less
$41
$47
Due after one year through three years
$48
$44
On December 31, 2025 the aggregate difference between the
cost and fair value of available-for-sale marketable securities was
nominal. Interest income on cash and cash equivalents, short-
term investments and marketable securities income was $121,
$139 and $75 in 2025, 2024 and 2023, which was recorded in
other income.
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.
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The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.
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v3.26.1
Derivative Instruments
12 Months Ended
Dec. 31, 2025
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments
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.
Foreign Currency Hedges
2025
Cash Flow
Net
Investment
Non-
Designated
Total
Gross notional amount
$1,738
$2,647
$4,391
$8,776
Maximum term in years
8.7
Fair value:
Other current assets
$33
$—
$11
$44
Other noncurrent assets
2
—
—
2
Other current liabilities
(10)
(71)
(21)
(102)
Other noncurrent
liabilities
(2)
(66)
—
(68)
Total fair value
$23
$(137)
$(10)
$(124)
2024
Cash Flow
Net
Investment
Non-
Designated
Total
Gross notional amount
$1,588
$2,338
$5,164
$9,090
Maximum term in years
9.7
Fair value:
Other current assets
$43
$24
$119
$186
Other noncurrent assets
4
35
—
39
Other current liabilities
(29)
—
(41)
(70)
Other noncurrent
liabilities
(3)
(4)
—
(7)
Total fair value
$15
$55
$78
$148
We had €2.3 billion at December 31, 2025 and 2024 in certain
forward currency contracts designated as net investment hedges,
for which the maximum term is 8.7 years, 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 €5.0 billion at December 31, 2025 and 2024 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 ($715) in 2025.
Currency Exchange Rate Gains (Losses) Recognized in Net
Earnings
Derivative Instrument
Recognized in:
2025
2024
2023
Cash Flow
Cost of sales
$25
$31
$39
Net Investment
Other income
44
35
34
Non-Designated
Other income
33
40
25
Total
$102
$106
$98
Pretax gains (losses) on derivatives designated as cash flow
hedges of $39 and net investment hedges of $38 recorded in
AOCI are expected to be reclassified to cost of sales and other
income in earnings within 12 months of December 31, 2025. This
cash flow hedge reclassification is primarily due to the sale of
inventory that includes previously hedged purchases. A
component of the AOCI amounts related to net investment
hedges is reclassified over the life of the hedge instruments as
we elected to exclude the initial value of the component related to
the spot-forward difference from the effectiveness assessment.
Interest Rate Hedges
Pretax gains of $5 recorded in AOCI related to interest rate
hedges closed in conjunction with debt issuances are expected to
be reclassified to interest expense in earnings within 12 months
of December 31, 2025. The cash flow effect of interest rate
hedges is recorded in cash flow from operations.
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v3.26.1
Accumulated Other Comprehensive (Loss) Income (AOCI)
12 Months Ended
Dec. 31, 2025
Reclassification Adjustments Out of Accumulated Other Comprehensive Income (AOCI) [Abstract]
Accumulated Other Comprehensive (Loss) Income (AOCI)
ACCUMULATED OTHER COMPREHENSIVE (LOSS)
INCOME (AOCI)
Pension
Plans
Hedges
Financial
Statement
Translation
Total
2023
$(28)
$39
$(427)
$(416)
OCI
43
26
236
305
Income taxes
(11)
(7)
(110)
(128)
Reclassifications to:
Cost of sales
—
(31)
—
(31)
Interest expense
—
(4)
—
(4)
Other income
—
—
(35)
(35)
Income taxes
—
8
8
16
Net OCI
$32
$(8)
$99
$123
2024
$4
$31
$(328)
$(293)
OCI
93
37
(562)
(432)
Income taxes
(27)
(4)
125
94
Reclassifications to:
Cost of sales
—
(25)
—
(25)
Interest expense
—
(3)
(3)
Other income
—
—
(44)
(44)
Income taxes
—
6
10
16
Net OCI
$66
$11
$(471)
$(394)
2025
$70
$42
$(799)
$(687)
X
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-Paragraph 1
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v3.26.1
Acquisitions
12 Months Ended
Dec. 31, 2025
Business Combination [Abstract]
Acquisitions
ACQUISITIONS
We acquire stock in companies and various assets that continue
to support our capital deployment and product development
strategies. Cash paid for acquisitions, net of cash acquired was
$4,960 and $1,628 in 2025 and 2024.
In February 2025 we completed the acquisition of Inari for $80
per share, or an aggregate purchase price of $4,810, net of cash
acquired. Inari's product portfolio includes minimally invasive
products for the treatment of venous thromboembolism. Inari is
part of our Peripheral Vascular business within MedSurg and
Neurotechnology. The purchase price allocation for Inari is based
on preliminary valuations, primarily related to developed
technologies and customer relationships. Goodwill attributable to
the acquisition reflects the strategic benefits of expanding our
market presence, diversifying our product portfolio and advancing
innovations. This goodwill is not deductible for tax purposes.
Share-based awards for Inari employees vested upon our
acquisition and a charge of $139 was recorded in selling, general
and administrative expenses in 2025.
In 2024 we completed various acquisitions for total consideration
that includes $1,628 in upfront payments, net of cash acquired,
and $400 contingent upon the achievement of certain commercial
or clinical milestones. The combined acquisition-date fair values
of the contingent milestone payments totaled $208. The acquired
companies expand the product portfolios of our Instruments,
Endoscopy, Medical and Neuro Cranial businesses within
MedSurg and Neurotechnology and our Trauma and Extremities
and Joint Replacement businesses within Orthopaedics. Goodwill
attributable to the acquisitions reflects the strategic benefits of
expanding our market presence, diversifying our product portfolio
and advancing innovations. This goodwill is not deductible for tax
purposes.
The purchase price allocations for Inari and the acquisitions
completed in the full year 2024 are:
Purchase Price Allocation of Acquired Net Assets
2025
2024
Inari
Total
Tangible assets acquired:
Accounts receivable
$78
$40
Inventory
215
99
Deferred income tax assets
59
49
Other assets
84
26
Debt
—
(32)
Deferred income tax liabilities
(486)
(204)
Other liabilities
(191)
(107)
Intangible assets:
Developed technologies
1,458
596
Customer relationships
330
215
Patents
—
6
Trademarks
—
2
Other intangibles
72
—
Goodwill
3,191
1,146
Purchase price, net of cash acquired of
$64 and $56
$4,810
$1,836
Weighted-average amortization period at
acquisition (years):
Developed technologies
13
12
Customer relationships
13
14
Patents
—
12
Trademarks
—
5
Other intangibles
9
—
X
- Definition
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v3.26.1
Contingencies and Commitments
12 Months Ended
Dec. 31, 2025
Commitments and Contingencies Disclosure [Abstract]
Contingencies and Commitments
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, tax, 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.
Previously we were contacted by the United States Securities
and Exchange Commission (SEC), United States Department of
Justice (DOJ) and certain other regulatory authorities regarding
whether certain business activities in certain foreign countries
violated provisions of the FCPA and analogous local laws. We
have completed our investigation into these matters. During 2025
we were informed by the SEC and DOJ that each agency had
closed its inquiry. We are currently responding to inquiries by
certain foreign authorities arising in the normal course of
business. We do not expect these matters to have a material
effect, if any, on our financial statements.
We have conducted voluntary recalls of certain products,
including our Rejuvenate and ABG II Modular-Neck hip stems
and certain lot-specific sizes and offsets of LFIT Anatomic CoCr
V40 Femoral Heads. Additionally, we are responsible for certain
product liability claims, primarily related to certain hip products
sold by Wright prior to its 2014 divestiture of the OrthoRecon
business.
We have incurred, and expect to incur in the future, costs
associated with the defense and settlement of claims and
lawsuits. Based on the information that has been received related
to the matters discussed above, our accrual for these matters
was $144 at December 31, 2025, representing our best estimate
of probable loss. The final outcomes of these matters are
dependent on many factors that are difficult to predict.
Accordingly the ultimate cost related to these matters may be
materially different than the amount of our current estimate and
accruals and could have a material adverse effect on our results
of operations and cash flows.
Leases
We lease various manufacturing, warehousing and distribution
facilities, administrative and sales offices as well as equipment
under operating leases. We evaluate our contracts to identify
leases, which is generally if there is an identified asset and we
have the right to direct the use of and obtain substantially all of
the economic benefit from the use of the identified asset. Certain
of our lease agreements contain rent escalation clauses
(including index-based escalations), rent holidays, capital
improvement funding or other lease incentives. We recognize our
minimum rental expense on a straight-line basis over the term of
the lease beginning with the date of initial control of the asset.
Right-of-use assets are recorded in other noncurrent assets on
our Consolidated Balance Sheets. Current and noncurrent lease
liabilities are recorded in accrued expenses and other liabilities
and other noncurrent liabilities, respectively.
We have made certain significant assumptions and judgments
when recording leases. For all asset classes, we do not
recognize a right-of-use asset and lease liability for short-term
leases. We also do not separate non-lease components from
lease components to which they relate and account for the
combined lease and non-lease components as a single lease
component. The determination of the discount rate used in a
lease is our incremental borrowing rate which is based on what
we would normally pay to borrow on a collateralized basis over a
similar term an amount equal to the lease payments.
2025
2024
Right-of-use assets
$519
$516
Lease liabilities, current
$153
$144
Lease liabilities, noncurrent
$348
$379
Other information:
Weighted-average remaining lease term (years)
5.0
5.1
Weighted-average discount rate
3.77%
3.87%
Operating lease expense totaled $205, $190 and $172 in 2025,
2024 and 2023.
Future Obligations
We lease various manufacturing, warehousing and distribution
facilities, administrative and sales offices as well as equipment
under operating leases. Refer to Note 10 for more information on
the debt obligations.
2026
2027
2028
2029
2030
Thereafter
Debt repayments
$1,000
$1,382
$2,606
$1,691
$2,565
$6,729
Minimum lease payments
$164
$125
$87
$55
$38
$55
Other Contractual Obligations and Commitments
We participate in a supplier financing program that enables our
suppliers, at their sole discretion, to sell their Stryker receivables
to a financial institution on a non-recourse basis in order to be
paid earlier than our payment terms provide. Under this program,
we agree to pay participating banks the stated amount of
confirmed invoices from its designated suppliers on the original
maturity dates of the invoices, generally within 90 days of the
invoice date. We or the banks may agree to terminate the
agreements with advance notice. Separately, the banks may
have arrangements with the suppliers that provide them the
option to request early payment from the bank for invoices
confirmed by us. Our outstanding balances of confirmed invoices
in the programs were $75 and $71 on December 31, 2025 and
2024 and are included within accounts payable on our
Consolidated Balance Sheets.
2025
2024
Beginning confirmed obligations
$71
$51
Additions
420
392
Settlements
(416)
(372)
Ending confirmed obligations
$75
$71
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v3.26.1
Goodwill and Other Intangible Assets
12 Months Ended
Dec. 31, 2025
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Other Intangible Assets
GOODWILL AND OTHER INTANGIBLE ASSETS
In our annual impairment test of goodwill as of October 31, 2024
we performed a quantitative assessment of the Spine reporting
unit using a discounted cash flow analysis to estimate the fair
value. The carrying value of the Spine reporting unit exceeded its
fair value and a charge of $273 was recognized in goodwill and
other impairments in the Consolidated Statements of Earnings.
The impairment charge for the Spine reporting unit was driven by
a decrease in future product demand due to the competitive
environment and an increase in the Spine reporting unit’s
weighted average cost of capital. Subsequent to the annual
goodwill impairment test management committed to a plan to sell
certain assets associated with the Spinal Implants business
(disposal group). Goodwill was allocated to the disposal group
based on the relative fair values of the disposal group and the
portion of the Spine reporting unit that will be retained. Goodwill
allocated to the disposal group was tested for impairment which
resulted in an impairment charge of $183 recognized in goodwill
and other impairments in the Consolidated Statements of
Earnings. Refer to Note 16 for additional information on the sale
of the Spinal Implants business.
In our annual impairment test as of October 31, 2025 we
performed a quantitative impairment test for our Peripheral
Vascular reporting unit and determined that its fair value
exceeded its carrying amount by 12%. At October 31, 2025,
goodwill attributable to the Peripheral Vascular reporting unit was
$3,203. The fair value of this reporting unit was determined using
a discounted cash flow analysis, which is a form of the income
approach. Significant inputs to the analysis included assumptions
for future revenue growth, operating margin and the rate used to
discount the estimated future cash flows to their present value,
based on the reporting unit’s estimated weighted average cost of
capital.
For our other reporting units, we considered qualitative indicators
of impairment as it was considered more likely than not that the
fair values of those reporting units exceeded their respective
carrying values. No impairment was identified for those reporting
units in 2025 or 2024.
Future changes in the judgments, assumptions and estimates
that are used in our impairment testing for goodwill, including
discount and tax rates and future cash flow projections, could
result in different estimates of the fair values. A significant
reduction in the estimated fair values could result in impairment
charges that could materially affect our results of operations.
In 2024 goodwill of $117 previously reported within Orthopaedics
was reclassified to MedSurg and Neurotechnology to reflect the
reclassification of the Interventional Spine reporting unit from
Orthopaedics to MedSurg and Neurotechnology to align with
certain updates in our internal reporting structure.
Changes in the Net Carrying Value of Goodwill by Segment
MedSurg and
Neurotechnology
Orthopaedics
Total
2023
$8,270
$6,973
$15,243
Goodwill impairment
—
(456)
(456)
Additions and adjustments
852
300
1,152
Foreign exchange and other
86
(170)
(84)
2024
$9,208
$6,647
$15,855
Additions and adjustments
3,275
(1)
3,274
Foreign exchange and other
73
89
162
2025
$12,556
$6,735
$19,291
Summary of Other Intangible Assets
Gross
Carrying
Amount
Less
Accumulated
Amortization
Net
Carrying
Amount
Developed technologies
2025
$7,273
$3,430
$3,843
2024
5,698
2,931
2,767
Customer relationships
2025
$3,425
$1,844
$1,581
2024
3,055
1,636
1,419
Patents
2025
$157
$144
$13
2024
153
136
17
Trademarks
2025
$420
$281
$139
2024
413
256
157
In-process research and development
2025
$34
$—
$34
2024
34
—
34
Other
2025
$132
$61
$71
2024
63
62
1
Total
2025
$11,441
$5,760
$5,681
2024
9,416
5,021
4,395
Estimated Amortization Expense
2026
2027
2028
2029
2030
$699
$711
$631
$616
$597
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v3.26.1
Capital Stock
12 Months Ended
Dec. 31, 2025
Capital Stock [Abstract]
Capital Stock
CAPITAL STOCK
The aggregate number of shares of all classes of stock which we
are authorized to issue is up to 1,000,500,000, divided into two
classes consisting of 500,000 shares of $1 par value preferred
stock and 1,000,000,000 shares of common stock with a par
value of $0.10. No shares of preferred stock were outstanding on
December 31, 2025.
We made no repurchases of shares in 2025. 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. On December 31,
2025 the total dollar value of shares of our common stock that
could be purchased under our authorized repurchase program
was $1,033.
Shares reserved for future compensation grants of our common
stock were 31 million and 18 million on December 31, 2025 and
2024.
Stock Options
We measure the cost of employee stock options based on the
grant-date fair value and recognize that cost using the straight-
line method over the period in which a recipient is required to
provide services in exchange for the options, typically the vesting
period. The weighted-average fair value per share of options is
estimated on the date of grant using the Black-Scholes option
pricing model.
Option Value and Assumptions
2025
2024
2023
Weighted-average fair value per share
$141.40
$118.22
$83.59
Assumptions:
Risk-free interest rate
4.4%
4.3%
4.0%
Expected dividend yield
0.9%
1.1%
1.2%
Expected stock price volatility
29.1%
29.9%
29.0%
Expected option life (years)
6.4
6.3
6.2
The risk-free interest rate for periods within the expected life of
options granted is based on the United States Treasury yield
curve in effect at the time of grant. Expected stock price volatility
is based on the historical volatility of our stock. The expected
option life, representing the period of time that options granted
are expected to be outstanding, is based on historical option
exercise and employee termination data.
2025 Stock Option Activity
Shares
(in millions)
Weighted-
Average
Exercise
Price
Weighted-
Average
Remaining
Term (in years)
Aggregate
Intrinsic
Value
Outstanding
January 1
10.8
$214.87
Granted
1.0
392.36
Exercised
(1.2)
158.83
Canceled or
forfeited
(0.2)
313.05
Outstanding
December 31
10.4
$234.56
5.0
$1,246.1
Exercisable
December 31
6.9
$195.53
3.7
$1,073.4
Options expected
to vest
3.3
$309.91
7.5
$166.7
The aggregate intrinsic value of options, which represents the
cumulative difference between the fair market value of the
underlying common stock and the option exercise prices,
exercised was $260, $362 and $318 in 2025, 2024 and 2023.
Exercise prices for options outstanding ranged from $96.64 to
$392.39 on December 31, 2025. On December 31, 2025 there
was $160 of unrecognized compensation cost related to
nonvested stock options granted under the long-term incentive
plans. That cost is expected to be recognized as expense over
the weighted-average period of approximately 1.5 years.
Restricted Stock Units (RSUs) and Performance Stock Units
(PSUs) Activity
Shares
(in millions)
Weighted-Average
Grant Date Fair Value
RSUs
PSUs
RSUs
PSUs
Nonvested on January 1
0.7
0.2
$290.58
$287.51
Granted
0.3
0.1
385.68
334.24
Vested
(0.3)
(0.1)
277.40
254.47
Canceled or forfeited
(0.1)
—
337.17
—
Nonvested on December 31
0.6
0.2
$344.25
$333.06
On December 31, 2025 there was $100 of unrecognized
compensation cost related to nonvested RSUs. That cost is
expected to be recognized as expense over the weighted-
average period of approximately one year. The weighted-average
grant date fair value per share of RSUs granted was $385.68 and
$332.64 in 2025 and 2024. The fair value of RSUs and PSUs
vested in 2025 was $91 and $26. On December 31, 2025 there
was $26 of unrecognized compensation cost related to
nonvested PSUs. That cost is expected to be recognized as
expense over the weighted-average period of approximately one
year.
Employee Stock Purchase Plans (ESPP)
Employees may participate in our ESPP provided they meet
certain eligibility requirements. The purchase price for our
common stock under the terms of the ESPP is defined as 95% of
the closing stock price on the last trading day of a purchase
period. We issued 178,090 and 173,708 shares under the ESPP
in 2025 and 2024.
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v3.26.1
Debt and Credit Facilities
12 Months Ended
Dec. 31, 2025
Long-Term Debt, Unclassified [Abstract]
Debt And Credit Facilities
DEBT AND CREDIT FACILITIES
We have lines of credit issued by various financial institutions that
are available to fund our day-to-day operating needs. Certain of
our credit facilities require us to comply with financial and other
covenants. We were in compliance with all covenants on
December 31, 2025.
In February 2025 we entered into a new revolving credit
agreement that replaces our previous agreement dated October
2021. The primary changes included increasing the aggregate
principal amount of the facility by $750 to $3,000 and extending
the maturity date to February 25, 2030. On December 31, 2025
there were no borrowings outstanding under our revolving credit
facility or our commercial paper program which allows for
maturities up to 397 days from the date of issuance. The
maximum amount of our commercial paper that can be
outstanding at any time is $3,000.
In February 2025 we issued $500 of 4.550% senior unsecured
notes due February 10, 2027, $700 of 4.700% senior unsecured
notes due February 10, 2028, $800 of 4.850% senior unsecured
notes due February 10, 2030 and $1,000 of 5.200% senior
unsecured notes due February 10, 2035. In June 2025 we repaid
$650 of 1.150% senior unsecured notes. In November 2025 we
repaid $750 of 3.375% senior unsecured notes. The following
table summarizes our total debt at December 31:
Summary of Total Debt
Rate
Due
2025
2024
Senior unsecured notes:
1.150%
June 15, 2025
$—
$649
3.375%
November 1, 2025
—
750
3.500%
March 15, 2026
1,000
998
4.550%
February 10, 2027
498
—
2.125%
November 30, 2027
881
777
4.700%
February 10, 2028
697
—
3.650%
March 7, 2028
599
598
4.850%
December 8, 2028
597
596
3.375%
December 11, 2028
704
621
0.750%
March 1, 2029
939
828
4.250%
September 11, 2029
744
743
4.850%
February 10, 2030
794
—
1.950%
June 15, 2030
995
993
2.625%
November 30, 2030
759
669
1.000%
December 3, 2031
876
772
3.375%
September 11, 2032
934
824
4.625%
September 11, 2034
741
740
5.200%
February 10, 2035
990
—
3.625%
September 11, 2036
695
613
4.100%
April 1, 2043
393
393
4.375%
May 15, 2044
396
396
4.625%
March 15, 2046
984
984
2.900%
June 15, 2050
643
643
Other
—
10
Total debt
$15,859
$13,597
Less current maturities
1,000
1,409
Total long-term debt
$14,859
$12,188
Unamortized debt issuance costs
$70
$63
Borrowing capacity on existing facilities
$2,911
$2,160
Fair value of senior unsecured notes
$15,344
$12,780
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.
Interest expense on outstanding debt and credit facilities,
including required fees incurred totaled $582, $396 and $356 in
2025, 2024 and 2023.
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v3.26.1
Income Taxes
12 Months Ended
Dec. 31, 2025
Income Tax Disclosure [Abstract]
Income Taxes
INCOME TAXES
On January 1, 2025 we prospectively adopted ASU 2023-09
(Topic 740): Income Taxes: Improvements to Income Tax
Disclosures which expands the existing rules on income tax
disclosures. This update requires entities to disclose specific
categories in the tax rate reconciliation, provide additional
information for reconciling items that meet a quantitative
threshold and disclose additional information about income taxes
paid on an annual basis. In determining the reconciling items we
considered the effect of tax rulings as part of the statutory tax
rate.
Our effective tax rate was 28.1%, 14.3% and 13.8% for 2025,
2024 and 2023. The effective income tax rate for 2025 increased
from 2024 due to the 2025 tax effect of transfers of intellectual
property between tax jurisdictions and the 2024 tax effect of the
sale of the Spinal Implants business. The effective income tax
rate for 2024 increased from 2023 due to the 2023 tax effect of
transfers of intellectual property between tax jurisdictions offset
by the 2024 tax effect of the sale of the Spinal Implants business.
Effective Income Tax Rate Reconciliation
2025
Amount
Percent
United States federal statutory rate
$948
21.0%
State and Local Income Taxes, Net of Federal Income Tax
Effect(1)
173
3.8
Foreign Tax Effects
Ireland
Statutory tax rate difference
(177)
(3.9)
Other
17
0.4
Puerto Rico
Statutory tax rate difference
(49)
(1.1)
Withholding Tax
60
1.3
Expiration of credits carryforward
78
1.7
Change in valuation allowance
(78)
(1.7)
Other
(4)
(0.1)
Other foreign jurisdictions
20
0.4
Effect of changes in tax laws or rates enacted in the current
period
—
—
Effect of Cross-Border Tax Laws
Direct foreign tax credits
(90)
(2.0)
Global intangible low-taxed income
70
1.6
Tax Credits
Research and development tax credits
(53)
(1.2)
Changes in Valuation Allowances
—
—
Nontaxable or Nondeductible Items
Spinal Implants divestiture
(51)
(1.1)
Transfers of intellectual property
405
9.0
Changes in unrecognized Tax Benefits
17
0.4
Other Adjustments
(18)
(0.4)
Effective Tax Rate
$1,268
28.1%
(1) State taxes in Pennsylvania, New York, Illinois, Florida, California, Michigan,
Indiana, and Tennessee accounted for the majority (greater than 50%) of the tax
effect in this category.
Effective Income Tax Rate Reconciliation
2024
2023
United States federal statutory rate
21.0%
21.0%
United States state and local income taxes, less federal
deduction
1.1
1.1
Foreign income tax at rates other than 21%
(4.1)
(6.8)
Tax related to repatriation of foreign earnings
0.3
1.2
United States research and development credits
(1.4)
(1.2)
Intellectual property transfers
—
(3.3)
Goodwill impairment
2.8
—
Outside basis difference related to the anticipated sale of
the Spinal Implants business
(4.9)
—
Other
(0.5)
1.8
Effective income tax rate
14.3%
13.8%
Cash paid for income taxes (net of refunds received)
2025
United States - Federal
533
United States - State
71
Foreign
Ireland
175
Other
223
Subtotal
398
Total
$1,002
Earnings Before Income Taxes
2025
2024
2023
United States
$1,434
$523
$701
International
3,080
2,969
2,972
Total
$4,514
$3,492
$3,673
Components of Income Tax Expense (Benefit)
Current income tax expense (benefit):
2025
2024
2023
United States federal
$414
$490
$236
United States state and local
149
90
48
International
313
289
430
Total current income tax expense
$876
$869
$714
Deferred income tax expense (benefit):
United States federal
$186
$(462)
$(212)
United States state and local
78
(76)
(20)
International
128
168
26
Total deferred income tax expense (benefit)
$392
$(370)
$(206)
Total income tax expense
$1,268
$499
$508
Interest included in interest expense was $18, $13, and $1 in
2025, 2024 and 2023. The United States federal deferred income
tax expense (benefit) includes the utilization of net operating loss
carryforwards of $32, $9 and $189 in 2025, 2024 and 2023.
Deferred Income Tax Assets and Liabilities
Deferred income tax assets:
2025
2024
Inventories
$553
$551
Other accrued expenses
401
207
Depreciation and amortization
546
715
State income taxes
90
167
Share-based compensation
117
100
Research and development capitalization
40
408
International interest expense carryforwards
56
52
Net operating loss and credit carryforwards
315
410
Outside basis difference related to the anticipated sale of
the Spinal Implants business
—
170
Other
352
310
Total deferred income tax assets
$2,470
$3,090
Less valuation allowances
(148)
(228)
Net deferred income tax assets
$2,322
$2,862
Deferred income tax liabilities:
Depreciation and amortization
$(1,222)
$(1,141)
Undistributed earnings
(139)
(61)
Total deferred income tax liabilities
$(1,361)
$(1,202)
Net deferred income tax assets
$961
$1,660
Reported as:
Noncurrent deferred income tax assets
$1,098
$1,742
Noncurrent liabilities—Other liabilities
(137)
(82)
Total
$961
$1,660
Accrued interest was $96 and $71 on December 31, 2025 and
2024 which was reported in accrued expenses and other
liabilities and other noncurrent liabilities.
United States federal loss carryforwards of $271, with $57 of
associated deferred tax asset and with $2 being subject to a
valuation allowance, begin to expire in 2026. United States state
loss carryforwards of $1,606, with $64 associated deferred tax
asset and with $33 being subject to a valuation allowance, begin
to expire in 2026. International loss carryforwards of $309, with
$67 of associated deferred tax asset and with $61 being subject
to a valuation allowance, begin to expire in 2026; however, some
have no expiration. We also have tax credit carryforwards of
$141 with $4 being subject to a full valuation allowance. The
credits with a full valuation allowance begin to expire in 2026.
We recorded deferred income tax on undistributed earnings of
foreign subsidiaries not determined to be indefinitely reinvested.
The amount of undistributed earnings of foreign subsidiaries
determined to be indefinitely reinvested at December 31, 2025
was approximately $11.7 billion. Determination of the total
amount of unrecognized deferred income tax on undistributed
earnings of foreign subsidiaries is not practicable.
Uncertain Income Tax Positions
2025
2024
Beginning uncertain tax positions
$349
$371
Increases related to current year income tax positions
19
18
Increases related to prior year income tax positions
12
—
Decreases related to prior year income tax positions
—
(4)
Settlements of income tax audits
—
(21)
Statute of limitations expirations and other
(4)
(3)
Foreign currency translation
27
(12)
Ending uncertain tax positions
$403
$349
Reported as:
Noncurrent liabilities—Income taxes
$403
$349
Our income tax expense would have been reduced by $279 and
$224 in 2025 and 2024 had our uncertain income tax positions
been favorably resolved. It is reasonably possible that the
amount of unrecognized tax benefits will significantly change due
to one or more of the following events in the next 12 months:
expiring statutes, audit activity, tax payments, competent
authority proceedings related to transfer pricing or final decisions
in matters that are the subject of controversy in various taxing
jurisdictions in which we operate, including inventory transfer
pricing, cost sharing, product royalty and foreign branch
arrangements. We are not able to reasonably estimate the
amount or the future periods in which changes in unrecognized
tax benefits may be resolved. Interest incurred associated with
uncertain tax positions is included in interest expense.
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v3.26.1
Retirement Plans
12 Months Ended
Dec. 31, 2025
Retirement Benefits [Abstract]
Retirement Plans
RETIREMENT PLANS
Defined Contribution Plans
We provide certain employees with defined contribution plans
and other types of retirement plans. A portion of our retirement
plan expense under the defined contribution plans is funded with
Stryker common stock. The use of Stryker common stock
represents a non-cash operating activity that is not reflected in
our Consolidated Statements of Cash Flows.
2025
2024
2023
Plan expense
$399
$376
$327
Expense funded with Stryker common stock
72
62
57
Stryker common stock held by plan:
Dollar amount
$763
$781
$649
Shares (in millions)
2.2
2.2
2.2
Value as a percentage of total plan assets
8%
10%
10%
Defined Benefit Plans
Certain of our subsidiaries have both funded and unfunded
defined benefit pension plans covering some or all of their
employees. The majority of our defined benefit pension plans
have projected benefit obligations in excess of plan assets.
Discount Rate
The discount rates were selected using a hypothetical portfolio of
high quality bonds on December 31 that would provide the
necessary cash flows to match our projected benefit payments.
Expected Return on Plan Assets
The expected return on plan assets is determined by applying the
target allocation in each asset category of plan investments to the
anticipated return for each asset category based on historical and
projected returns.
Components of Net Periodic Pension Cost
Net periodic benefit cost:
2025
2024
2023
Service cost
$(42)
$(39)
$(32)
Interest cost
(24)
(21)
(23)
Expected return on plan assets
22
19
18
Amortization of prior service credit
2
1
1
Recognized actuarial gain (loss)
(2)
(1)
4
Net periodic benefit cost
$(44)
$(41)
$(32)
Changes in assets and benefit obligations
recognized in OCI:
Net actuarial gain (loss)
$93
$43
$(67)
Recognized net actuarial (gain) loss
2
1
(4)
Prior service credit and transition amount
(2)
(1)
(1)
Total recognized in other comprehensive
income (loss)
$93
$43
$(72)
Total recognized in net periodic benefit cost
and OCI
$49
$2
$(104)
Weighted-average rates used to determine net
periodic benefit cost:
Discount rate
2.9%
2.8%
3.3%
Expected return on plan assets
4.1%
4.3%
4.2%
Rate of compensation increase
2.9%
3.0%
3.0%
Weighted-average discount rate used to
determine projected benefit obligations
3.6%
2.9%
2.8%
The actuarial gain (loss) for all pension plans was primarily
related to a change in the discount rate used to measure the
benefit obligations of those plans.
Investment Strategy
The investment strategy for our defined benefit pension plans is
to meet the liabilities of the plans as they fall due and to
maximize the return on invested assets within appropriate risk
tolerances.
2025
2024
Fair value of plan assets
$560
$492
Benefit obligations
(829)
(782)
Funded status
$(269)
$(290)
Reported as:
Noncurrent assets—other assets
$72
$48
Current liabilities—accrued compensation
(5)
(3)
Noncurrent liabilities—other liabilities
(336)
(335)
Pre-tax amounts recognized in AOCI:
Unrecognized net actuarial gain (loss)
101
6
Unrecognized prior service credit
8
8
Total
$109
$14
Change in Benefit Obligations
2025
2024
Beginning projected benefit obligations
$782
$826
Service cost
42
39
Interest cost
24
21
Foreign exchange impact and other
114
(52)
Employee contributions
9
7
Actuarial (gains) losses
(116)
(40)
Benefits paid
(26)
(19)
Ending projected benefit obligations
$829
$782
Ending accumulated benefit obligations
$786
$748
Change in Plan Assets
2025
2024
Beginning fair value of plan assets
$492
$485
Actual return
(3)
22
Employer contributions
23
23
Employee contributions
9
7
Foreign exchange impact
60
(31)
Benefits paid
(21)
(14)
Ending fair value of plan assets
$560
$492
Allocation of Plan Assets
2026 Target
2025 Actual
2024 Actual
Equity securities
26%
32%
28%
Debt securities
41
39
40
Other
33
29
32
Total
100%
100%
100%
Valuation of Plan Assets
2025
Level 1
Level 2
Level 3
Total
Cash and cash equivalents
$16
$—
$—
$16
Equity securities
9
162
—
171
Debt securities
2
230
—
232
Other
4
83
54
141
Total
$31
$475
$54
$560
2024
Level 1
Level 2
Level 3
Total
Cash and cash equivalents
$17
$—
$—
$17
Equity securities
8
125
—
133
Debt securities
2
203
—
205
Other
4
76
57
137
Total
$31
$404
$57
$492
Our Level 3 pension plan assets primarily include guaranteed
investment contracts with insurance companies. The insurance
contracts guarantee us principal repayment and a fixed rate of
return. The $3 decrease in Level 3 pension plan assets is
primarily driven by the change in the corresponding pension
liability. We expect to contribute $24 to our defined benefit
pension plans in 2026.
Estimated Future Benefit Payments
2026
2027
2028
2029
2030
2031-2035
$29
$32
$33
$34
$38
$223
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v3.26.1
Summary of Quarterly Data (Unaudited)
12 Months Ended
Dec. 31, 2025
Quarterly Financial Data [Abstract]
Summary of Quarterly Data (Unaudited)
SUMMARY OF QUARTERLY DATA (UNAUDITED)
2025 Quarters
Mar 31
Jun 30
Sep 30
Dec 31
Net sales
$5,866
$6,022
$6,057
$7,171
Gross profit
3,744
3,841
3,852
4,628
Earnings before income taxes
764
1,016
1,029
1,705
Net earnings
654
884
859
849
Net earnings per share of common stock:
Basic
$1.71
$2.32
$2.25
$2.21
Diluted
$1.69
$2.29
$2.22
$2.20
Dividends declared per share of
common stock
$0.84
$0.84
$0.84
$0.88
2024 Quarters
Mar 31
Jun 30
Sep 30
Dec 31
Net sales
$5,243
$5,422
$5,494
$6,436
Gross profit
3,333
3,416
3,517
4,174
Earnings before income taxes
923
998
1,043
528
Net earnings
788
825
834
546
Net earnings per share of common stock:
Basic
$2.07
$2.17
$2.18
$1.43
Diluted
$2.05
$2.14
$2.16
$1.41
Dividends declared per share of
common stock
$0.80
$0.80
$0.80
$0.84
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v3.26.1
Segment and Geographic Data
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]
Segment and Geographic Data
SEGMENT AND GEOGRAPHIC DATA
We segregate our operations into two reportable business
segments: (i) MedSurg and Neurotechnology and (ii)
Orthopaedics which aligns to our internal reporting structure and
how our Chief Operating Decision Maker (CODM) assesses
performance and allocates resources. The CODM is the Chief
Executive Officer. The CODM makes decisions on resource
allocation, assesses performance of the business, and monitors
budget versus actual results using segment operating income.
Information about total assets by segment is not disclosed
because such information is not regularly provided to, or used by,
our CODM.
The Corporate and Other category shown in the table below
includes corporate and administration, corporate initiatives and
share-based compensation, which includes compensation related
to employee stock options, restricted stock units and
performance stock unit grants and director stock options and
restricted stock unit grants.
Segment Results
2025
2024
2023
MedSurg and Neurotechnology
$13,692
$11,753
$10,558
Orthopaedics
$11,424
10,842
9,940
Net sales
$25,116
$22,595
$20,498
MedSurg and Neurotechnology
$5,253
$4,748
$4,338
Orthopaedics
$3,248
3,030
2,834
Cost of sales
$8,501
$7,778
$7,172
MedSurg and Neurotechnology
$890
$739
$663
Orthopaedics
$615
621
578
Segment research, development and
engineering expenses
$1,505
$1,360
$1,241
MedSurg and Neurotechnology
$3,618
$2,912
$2,667
Orthopaedics
$3,291
3,250
3,066
Segment selling, general and administrative
expenses
$6,909
$6,162
$5,733
MedSurg and Neurotechnology
$231
$211
$195
Orthopaedics
478
489
422
Segment depreciation and amortization
$709
$700
$617
Corporate and Other
125
109
98
Amortization of intangible assets
732
623
635
Total depreciation and amortization
$1,566
$1,432
$1,350
MedSurg and Neurotechnology
$3,700
$3,143
$2,695
Orthopaedics
3,792
3,452
3,040
Segment operating income
$7,492
$6,595
$5,735
Items not allocated to segments:
Corporate and Other
$(889)
$(880)
$(780)
Inventory stepped up to fair value
(173)
(46)
—
Acquisition and integration-related charges
(335)
(108)
(20)
Amortization of intangible assets
(732)
(623)
(635)
Structural optimization and other special
charges
(191)
(138)
(170)
Goodwill and other impairments
(170)
(977)
(36)
Medical device regulation
(38)
(58)
(96)
Recall-related matters
(58)
(40)
(18)
Regulatory and legal matters
(17)
(36)
(92)
Consolidated operating income
$4,889
$3,689
$3,888
Segment Capital Spending
Purchases of property, plant and
equipment:
2025
2024
2023
Orthopaedics
$351
$340
$225
MedSurg and Neurotechnology
165
166
137
Total segment purchases of property,
plant and equipment
$516
$506
$362
Corporate and Other
245
249
213
Total purchases of property, plant and
equipment
$761
$755
$575
We measure the financial results of our reportable segments
using an internal performance measure that excludes acquisition
and integration-related charges, structural optimization and other
special charges, goodwill and other impairments, reserves for
certain product recall matters and reserves for certain legal and
regulatory matters. Identifiable assets are those assets used
exclusively in the operations of each business segment or
allocated when used jointly. Corporate assets are principally
property, plant and equipment and noncurrent assets.
The countries in which we have local revenue generating
operations have been combined into the following geographic
areas: the United States; Europe, Middle East, Africa; Asia
Pacific; and other foreign countries, which include Canada and
countries in the Latin American region. Net sales are reported
based on the geographic area of the Stryker location where the
sales to the customer originated.
Geographic Information
Net Sales
Net Property, Plant
and Equipment
2025
2024
2023
2025
2024
United States
$19,006
$16,943
$15,257
$2,084
$1,997
Europe, Middle
East, Africa
3,181
2,897
2,618
1,562
1,260
Asia Pacific
2,164
2,020
1,946
97
75
Other countries
765
735
677
133
116
Total
$25,116
$22,595
$20,498
$3,876
$3,448
X
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v3.26.1
Asset Impairments
12 Months Ended
Dec. 31, 2025
Property, Plant and Equipment [Abstract]
Asset Impairments
ASSET IMPAIRMENTS
During 2025, 2024 and 2023 we recorded impairment charges of
$109, $159 and $36 to write off long-lived and intangible assets
excluding long-lived assets held for sale which included charges
related to certain product line exits
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v3.26.1
Assets Held for Sale
12 Months Ended
Dec. 31, 2025
Discontinued Operations and Disposal Groups [Abstract]
Assets Held for Sale
SALE OF SPINAL IMPLANTS BUSINESS
During the fourth quarter 2024 management committed to a plan
to sell certain assets associated with the Spinal Implants
business (disposal group) and such assets were classified as
held for sale beginning November 2024. As a result we recorded
a valuation allowance of $362 to record the disposal group at its
fair value less cost to sell within goodwill and other impairments
in our Consolidated Statements of Earnings.
In April 2025 we completed the sale of the disposal group to the
Viscogliosi Brothers, LLC. In the first half of 2025 we recognized
immaterial impairment charges to record the disposal group at its
fair value less cost to sell within goodwill and other impairments
in our Consolidated Statements of Earnings. The fair value of the
disposal group and consideration received was measured using a
discounted cash flow analysis based upon the selling price and
unobservable inputs, such as market conditions and the rate
used to discount the estimated future cash flows to their present
value based on factors including the disposal group’s cost of
equity and market yield rates, which are Level 3 inputs.
Consideration could increase by up to $57 or decrease by up to
$245 based on the amount received.
The assets associated with the disposal group are reported in our
Orthopaedics segment at December 31, 2024. The assets and
liabilities held for sale at December 31, 2024 are classified within
prepaid expenses and other current assets and accrued
expenses and other liabilities in our Consolidated Balance
Sheets. The assets and liabilities of the disposal group at the
date of sale and at December 31, 2024 were as follows:
Held for Sale
Date of Sale
December 31
2025
2024
Accounts receivable, net
$56
$62
Total inventories
195
183
Prepaid expenses and other current assets
27
10
Property, plant and equipment, net
53
51
Other intangibles, net
323
326
Noncurrent deferred income tax assets
9
9
Other noncurrent assets
179
171
Valuation allowance
(395)
(362)
Total assets
$447
$450
Accounts payable
$41
$28
Accrued compensation
20
26
Accrued expenses and other liabilities
24
29
Other noncurrent liabilities
27
21
Total liabilities
$112
$104
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v3.26.1
Significant Accounting Policies (Policies)
12 Months Ended
Dec. 31, 2025
Accounting Policies [Abstract]
Nature of Operations
Stryker (the "Company," "we," "us," or
"our") is a global leader in medical technologies and, together
with our customers, we are driven to make healthcare better. We
offer innovative products and services in MedSurg,
Neurotechnology and Orthopaedics that help improve patient and
healthcare outcomes. Our products include surgical equipment
and surgical navigation systems; endoscopic and
communications systems; patient handling, emergency medical
equipment and intensive care disposable products; clinical
communication and artificial intelligence-assisted virtual care
platform technology; products for traditional brain and open skull-
based surgical procedures; minimally invasive products for the
treatment of acute ischemic and hemorrhagic stroke and venous
thromboembolism; implants used in joint replacement and trauma
surgeries; Mako robotic-arm assisted technology; as well as other
products used in a variety of medical specialties.
Basis of Presentation and Consolidation
The Consolidated
Financial Statements include the Company and its subsidiaries.
All significant intercompany accounts and transactions are
eliminated in consolidation. We have no material interests in
variable interest entities. Certain prior year amounts have been
reclassified to conform with current year presentation in our
Consolidated Financial Statements.
Recast of Certain Prior Period Information: The segment
information in this Form 8-K has been recast to conform to the
way we internally manage and monitor our business during fiscal
year 2026. The recast of prior period information had no impact
on our consolidated balance sheets, consolidated statements of
earnings, or consolidated statements of cash flows.
In the first quarter 2026 we announced a change in our
organizational structure. Our new Ortho Tech business combines
the orthopaedic instruments portfolio from our Instruments
business with the Mako and enabling technologies portfolio from
our Other Orthopaedics business. By bringing Mako, power tools,
cutting accessories, enabling technologies and the teams behind
these products together under one business, we are simplifying
the customer experience and striving to increase our speed to
market through focused innovation.
Following this re-organization, we will continue to have two
business segments - (i) MedSurg and Neurotechnology and (ii)
Orthopaedics, each of which comprise a reportable segment. All
historical segment financial information has been recast to
conform to this new reporting structure in our financial statements
and accompanying notes. These changes primarily impacted
Note 2 – Revenue Recognition and Note 14 – Segment and
Geographic Data. The information in Note 8—Goodwill and Other
Intangible Assets has not been recast; however, recast amounts
are disclosed in our Quarterly Report on Form 10‑Q for the
quarterly period ended March 31, 2026.
Use of Estimates
The preparation of financial statements in
conformity with accounting principles generally accepted in the
United States (GAAP) requires management to make estimates
and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities on the
date of the financial statements and the reported amounts of net
sales and expenses in the reporting period. Actual results could
differ from those estimates.
Revenue Recognition
Sales are recognized as the
performance obligations to deliver products or services (including
services under extended warranty service contracts) are satisfied
and are recorded based on the amount of consideration we
expect to receive in exchange for satisfying the performance
obligations. Our sales are recognized primarily when we transfer
control to the customer, which can be on the date of shipment,
the date of receipt by the customer or, for most Orthopaedics
products, when we have received a purchase order and
appropriate notification the product has been used or implanted.
Products and services are primarily transferred to customers at a
point in time, with some transfers of services taking place over
time.
Sales represent the amount of consideration we expect to receive
from customers in exchange for transferring products and
services. Net sales exclude sales, value added and other taxes
we collect from customers. Other costs to obtain and fulfill
contracts are generally expensed as incurred due to the short-
term nature of most of our sales. We extend terms of payment to
our customers based on commercially reasonable terms for the
markets of our customers, while also considering their credit
quality.
A provision for estimated sales returns, discounts and rebates is
recognized as a reduction of sales in the same period that the
sales are recognized. Our estimate of the provision for sales
returns has been established based on contract terms with our
customers and historical business practices and current trends.
Shipping and handling costs charged to customers are included
in net sales.
Cost of Sales
Cost of sales include direct materials and
supplies consumed in the manufacture of product, as well as
manufacturing labor, depreciation expense and direct overhead
expense necessary to acquire and convert the purchased
materials and supplies into finished product. Cost of sales also
includes the cost to distribute products to customers, inbound
freight costs, warehousing costs and other shipping and handling
activity.
Research, Development and Engineering Expenses
Research, development and engineering costs are charged to
expense as incurred and include research, development and
engineering activities relating to the development of new
products, improvement of existing products, technical support of
products and compliance with governmental regulations for the
protection of customers and patients. Costs primarily include
salaries, wages, consulting and depreciation and maintenance of
research facilities and equipment.
Selling, General and Administrative Expenses
include
selling expenses, marketing expenses, administrative and other
indirect overhead costs, amortization of loaner instrumentation,
depreciation and amortization expense of non-manufacturing
assets and other miscellaneous operating items.
Currency Translation
Financial statements of subsidiaries
outside the United States generally are measured using the local
currency as the functional currency. Adjustments to translate
those statements into United States Dollars are recorded in other
comprehensive income (OCI). Transactional exchange gains and
losses are included in other income.
Cash Equivalents
Highly liquid investments with remaining
stated maturities of three months or less when purchased or
other money market instruments that are redeemable upon
demand are considered cash equivalents and recorded at cost.
Short-term Investments
Short-term investments that have a
maturity greater than three months and less than a year from the
date of purchase primarily include time deposits, certificates of
deposit, commercial paper, bonds and notes, substantially all of
which are denominated in United States Dollars and are stated at
cost plus accrued interest, which approximates fair value. We
expect to hold all of our short-term investments to maturity.
Marketable Securities
Marketable securities include marketable
debt securities and mutual funds. Mutual funds are acquired to
offset changes in certain liabilities related to deferred
compensation arrangements and are expected to be used to
settle these liabilities. Mutual funds are recognized in other
noncurrent assets. Pursuant to our investment policy, all
individual marketable security investments must have a minimum
credit quality of single A (Standard & Poor’s and Fitch) and A2
(Moody’s Corporation) at the time of acquisition, while the overall
portfolio of marketable securities must maintain a minimum
average credit quality of double A (Standard & Poor’s and Fitch)
or Aa (Moody’s Corporation). In the event of a rating downgrade
below the minimum credit quality subsequent to purchase, the
marketable security investment is evaluated to determine the
appropriate action to take to minimize the overall risk to our
marketable security investment portfolio. Our marketable
securities are classified as available-for-sale and trading
securities. Investments in trading securities represent participant-
directed investments of deferred employee compensation.
Accounts Receivable
Accounts receivable include trade and
other miscellaneous receivables. An allowance is maintained for
doubtful accounts for estimated losses in the collection of
accounts receivable. Estimates are made regarding the ability of
customers to make required payments based on historical credit
experience, current market conditions and expected credit
losses. Accounts receivable are written off when all reasonable
collection efforts are exhausted.
Inventories
Inventories are stated at the lower of cost or net
realizable value, with cost generally determined using the first-in,
first-out (FIFO) cost method. For excess and obsolete inventory
resulting from the potential inability to sell specific products at
prices in excess of current carrying costs, reserves are
maintained to reduce current carrying cost to net realizable value.
Financial Instruments
Our financial instruments include cash,
cash equivalents, marketable securities, accounts receivable,
other investments, accounts payable, debt and foreign currency
exchange contracts. The carrying value of our financial
instruments, with the exception of our senior unsecured notes,
approximates fair value on December 31, 2025 and 2024. Refer
to Notes 3 and 10 for further details.
All marketable securities are recognized at fair value.
Adjustments to the fair value of marketable securities that are
classified as available-for-sale are recognized as increases or
decreases, net of income taxes, within accumulated other
comprehensive income (AOCI) in shareholders’ equity and
adjustments to the fair value of marketable securities that are
classified as trading are recognized in earnings. The amortized
cost of marketable debt securities is adjusted for amortization of
premiums and discounts to maturity computed under the effective
interest method. Such amortization, interest and realized gains
and losses are included in other income. The cost of securities
sold is determined by the specific identification method.
We review declines in the fair value of our investments classified
as available-for-sale to determine whether the decline in fair
value is a result of credit loss or other factors. Impairments of
available-for-sale marketable debt securities related to credit loss
are included in earnings and impairments related to other factors
are recognized within AOCI.
Derivatives
All derivatives are recognized at fair value and
reported on a gross basis. We enter into forward currency
exchange contracts to mitigate the impact of currency fluctuations
on transactions denominated in nonfunctional currencies, thereby
limiting our risk that would otherwise result from changes in
exchange rates. The periods of the forward currency exchange
contracts correspond to the periods of the exposed transactions,
with realized gains and losses included in the measurement and
recording of transactions denominated in the nonfunctional
currencies. All forward currency exchange contracts are recorded
at their fair value each period.
Forward currency exchange contracts designated as cash flow
hedges are designed to hedge the variability of cash flows
associated with forecasted transactions denominated in a foreign
currency that will take place in the future. These nonfunctional
currency exposures principally relate to forecasted intercompany
sales and purchases of manufactured products and generally
have maturities up to eighteen months. Changes in value of
derivatives designated as cash flow hedges are recorded in AOCI
in shareholders’ equity until earnings are affected by the
variability of the underlying cash flows. At that time, the
applicable amount of gain or loss from the derivative instrument
that is deferred in shareholders’ equity is reclassified into
earnings and is included in cost of goods sold. Cash flows
associated with these hedges are included in cash provided by
operating activities in the same category as the cash flows from
the items being hedged.
Forward currency exchange contracts are used to offset our
exposure to the change in value of specific foreign currency
denominated assets and liabilities, primarily intercompany
payables and receivables. These derivatives are not designated
as hedges and, therefore, changes in the value of these forward
contracts are recognized in earnings, thereby offsetting the
current earnings effect of the related changes in value of foreign
currency denominated assets and liabilities. The estimated fair
value of our forward currency exchange contracts represents the
measurement of the contracts at month-end spot rates as
adjusted by current forward points.
From time to time, we designate derivative and non-derivative
financial instruments as net investment hedges of our
investments in certain international subsidiaries. For derivative
instruments that are designated and qualify as a net investment
hedge, the effective portion of the derivative's gain or loss is
recognized in OCI and reported as a component of AOCI. We
have elected to use the spot method to assess effectiveness for
our derivatives designated as net investment hedges.
Accordingly, the change in fair value attributable to changes in
the spot rate is recorded in AOCI. We exclude the spot-forward
difference from the assessment of hedge effectiveness and
amortize this amount separately on a straight-line basis over the
term of the forward contracts. This amortization is recognized in
other income.
From time to time, we designate forward starting interest rate
derivative instruments as cash flow hedges to manage the
exposure to interest rate volatility with regard to future issuance
and refinancing of debt. Changes in value of derivatives
designated as cash flow hedges are recorded in AOCI until
earnings are affected by the variability of the underlying cash
flows. At that time, the applicable amount of gain or loss from the
derivative instrument that is deferred in shareholders’ equity is
reclassified into earnings and is included in interest expense.
Interest rate derivative instruments designated as fair value
hedges have been used in the past to manage the exposure to
interest rate movements and to reduce borrowing costs by
converting fixed-rate debt into floating-rate debt. Under these
agreements, we agree to exchange, at specified intervals, the
difference between fixed and floating interest amounts calculated
by reference to an agreed-upon notional principal amount.
Property, Plant and Equipment
Property, plant and equipment
is stated at cost. Depreciation is generally computed by the
straight-line method over the estimated useful lives of three to 30
years for buildings and improvements and three to 15 years for
machinery and equipment.
Goodwill and Other Intangible Assets
Goodwill represents the
excess of purchase price over fair value of tangible net assets of
acquired businesses at the acquisition date, after amounts
allocated to other identifiable intangible assets. Factors that
contribute to the recognition of goodwill include synergies that are
specific to our business and not available to other market
participants and are expected to increase net sales and profits;
acquisition of a talented workforce; cost savings opportunities;
the strategic benefit of expanding our presence in core and
adjacent markets; and diversifying our product portfolio.
The fair values of other identifiable intangible assets acquired in a
business combination are primarily determined using the income
approach. Other intangible assets include, but are not limited to,
developed technologies, customer and distributor relationships
(which reflect expected continued customer or distributor
patronage) and trademarks and patents. Intangible assets with
determinable useful lives are amortized on a straight-line basis
over their estimated useful lives of four to 40 years. Certain
acquired trade names are considered to have indefinite lives and
are not amortized, but are assessed annually for potential
impairment as described below.
In some of our acquisitions, we acquire in-process research and
development (IPRD) intangible assets. For acquisitions
accounted for as business combinations IPRD is considered to
be an indefinite-lived intangible asset until the research is
completed (then it becomes a determinable-lived intangible
asset) or determined to have no future use (then it is impaired).
For asset acquisitions IPRD is expensed immediately unless
there is an alternative future use.
Goodwill, Intangibles and Long-Lived Asset Impairment Tests
We perform our annual impairment test for goodwill as of
October 31 each year. We consider qualitative indicators of the
fair value of a reporting unit when it is unlikely that a reporting
unit has impaired goodwill and periodically corroborate that
assessment with quantitative information. In certain
circumstances, we may also utilize a discounted cash flow
analysis that requires certain assumptions and estimates be
made regarding market conditions and our future profitability.
Indefinite-lived intangible assets are also tested at least annually
for impairment by comparing the individual carrying values to the
fair value.
We review long-lived assets for indicators of impairment
whenever events or changes in circumstances indicate that the
carrying amount may not be recoverable. The evaluation is
performed at the lowest level of identifiable cash flows.
Undiscounted cash flows expected to be generated by the related
assets are estimated over the asset's useful life based on
updated projections. If the evaluation indicates that the carrying
amount of the asset may not be recoverable, any potential
impairment is measured based upon the fair value of the related
asset or asset group as determined by an appropriate market
appraisal or other valuation technique.
Assets And Liabilities Held For Sale
We classify assets and
liabilities or disposal groups to be sold as held for sale in the
period in which all of the following criteria are met: management,
having the authority to approve the action, commits to a plan to
sell the disposal group; the disposal group is available for
immediate sale in its present condition subject only to terms that
are usual and customary for sales of such disposal groups; an
active program to locate a buyer and other actions required to
complete the plan to sell the disposal group have been initiated;
the sale of the disposal group is probable, and transfer of the
disposal group is expected to qualify for recognition as a
completed sale within one year, except if events or circumstances
beyond our control extend the period of time required to sell the
disposal group beyond one year; the disposal group is being
actively marketed for sale at a price that is reasonable in relation
to its current fair value; and actions required to complete the plan
indicate that it is unlikely that significant changes to the plan will
be made or that the plan will be withdrawn.
We initially measure a disposal group that is classified as held for
sale at the lower of its carrying value or fair value less any costs
to sell. Any loss resulting from this measurement is recognized in
the period in which the held for sale criteria are met. Conversely,
gains are not recognized on the sale of a disposal group until the
sale is completed. We assess the fair value of a disposal group,
less any costs to sell, each reporting period it remains classified
as held for sale and report any subsequent changes as an
adjustment to the carrying value of the disposal group, as long as
the new carrying value does not exceed the carrying value of the
disposal group at the time it was initially classified as held for
sale.
Upon determining that a disposal group meets the criteria to be
classified as held for sale, we cease depreciation and
amortization of the assets and disclose the major classes of
assets and liabilities of the disposal group in the Notes to the
Consolidated Financial Statements. Refer to Note 16 for further
information.
Share-Based Compensation
hare-based compensation is in
the form of stock options, restricted stock units (RSUs) and
performance stock units (PSUs). Stock options are granted under
long-term incentive plans to certain key employees and non-
employee directors at an exercise price not less than the fair
market value of the underlying common stock, which is the
quoted closing price of our common stock on the day prior to the
date of grant. The options are granted for periods of up to 10
years and become exercisable in varying installments.
We grant RSUs to key employees and non-employee directors
and PSUs to certain key employees under our long-term
incentive plans. The fair value of RSUs is determined based on
the number of shares granted and the quoted closing price of our
common stock on the date of grant, adjusted for the fact that
RSUs do not include anticipated dividends. RSUs generally vest
in one-third increments over a three-year period and are settled
in stock. PSUs are earned over a three-year performance cycle
and vest in March of the year following the end of that
performance cycle. The number of PSUs that will ultimately be
earned is based on our performance relative to pre-established
goals in that three-year performance cycle. The fair value of
PSUs is determined based on the quoted closing price of our
common stock on the day of grant.
Compensation expense is recognized in the Consolidated
Statements of Earnings based on the estimated fair value of the
awards on the grant date. Compensation expense recognized
reflects an estimate of the number of awards expected to vest
after taking into consideration an estimate of award forfeitures
based on actual experience and is recognized on a straight-line
basis over the requisite service period, which is generally the
period required to obtain full vesting. Management expectations
related to the achievement of performance goals associated with
PSU grants is assessed regularly and that assessment is used to
determine whether PSU grants are expected to vest. If
performance-based milestones related to PSU grants are not met
or not expected to be met, any compensation expense
recognized associated with such grants will be reversed.
Income Taxes
Deferred income tax assets and liabilities are
determined based on differences between financial reporting and
income tax bases of assets and liabilities and are measured
using the enacted income tax rates in effect for the years in which
the differences are expected to reverse. Deferred income tax
benefits generally represent the change in net deferred income
tax assets and liabilities in the year. Other amounts result from
adjustments related to acquisitions and foreign currency as
appropriate.
We operate in multiple income tax jurisdictions both within the
United States and internationally. Accordingly, management must
determine the appropriate allocation of income to each of these
jurisdictions based on current interpretations of complex income
tax regulations. Income tax authorities in these jurisdictions
regularly perform audits of our income tax filings. Income tax
audits associated with the allocation of this income and other
complex issues, including inventory transfer pricing and cost
sharing, product royalty and foreign branch arrangements, may
require an extended period of time to resolve and may result in
significant income tax adjustments if changes to the income
allocation are required between jurisdictions with different income
tax rates.
The Tax Cuts and Jobs Act (the Act) was enacted in 2017 in the
United States. The Act also subjects a United States shareholder
to tax on Global Intangible Low-Taxed Income (GILTI) earned by
certain foreign subsidiaries. We have elected to account for GILTI
tax in the year the tax is incurred.
New Accounting Pronouncements Not Yet Adopted and Accounting Pronouncements Recently Adopted
New Accounting Pronouncements Not Yet Adopted
In December 2025 the Financial Accounting Standards Board
(FASB) issued ASU 2025-10 (Topic 832): Accounting for
Government Grants Received by Business Entities. This update
establishes guidance on the recognition, measurement and
presentation of government grants received by business entities
including grants related to the purchase, construction or
acquisition of an asset and grants related to income. The update
is effective for fiscal years beginning after December 15, 2028
including interim periods within those fiscal years. Early adoption
is permitted. We do not expect this ASU to have a significant
impact on our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-07 (Topics 815
and 606): Derivatives and Hedging: Derivatives Scope
Refinements and Revenue from Contracts with Customers:
Scope Clarification for Share-Based Noncash Consideration from
a Customer in a Revenue Contract. This update expands the
scope exception in Topic 815 to certain nonexchange-traded
contracts for which settlement is based on operations or activities
specific to one of the parties to the contract. The update is
effective for fiscal years beginning after December 15, 2026
including interim periods within those fiscal years. Early adoption
is permitted. We are evaluating if the ASU will have an impact on
our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-06 (Subtopic
350-40): Intangibles - Goodwill and Other - Internal-Use
Software: Targeted Improvements to the Accounting for Internal-
Use Software. This update clarifies and modernizes the
accounting for costs related to internal-use software by removing
all references to project stages and clarifying that the probable-
to-complete threshold is not met if significant development
uncertainty exists. The update is effective for fiscal years
beginning after December 15, 2027 including interim periods
within those fiscal years. Early adoption is permitted. We do not
expect this ASU to have a significant impact on our Consolidated
Financial Statements.
In July 2025 the FASB issued ASU 2025-05 (Topic 326):
Financial Instruments - Credit Losses: Measurement of Credit
Losses for Accounts Receivable and Contract Assets. This
update provides a practical expedient allowing entities to assume
that current conditions as of the balance sheet date will remain
unchanged for the remaining life of the asset when estimating
expected credit losses for current accounts receivable and
current contract assets arising from transactions accounting for
under Accounting Standards Codification 606, Revenue from
Contracts with Customers. The update is effective for fiscal years
beginning after December 15, 2025 including interim periods
within those fiscal years. Early adoption is permitted. We are
evaluating if the ASU will have an impact on our Consolidated
Financial Statements.
In November 2024 the FASB issued ASU 2024-03 (Subtopic
220-40): Income Statement: Reporting Comprehensive Income -
Expense Disaggregation Disclosures which requires
disaggregation of certain expense captions into specified
categories in disclosures within the Notes to the Consolidated
Financial Statements. The new disclosure requirements are
effective for fiscal years beginning after December 15, 2026 and
interim periods within fiscal years beginning after December 15,
2027. Early adoption is permitted. We are evaluating these new
expanded disclosure requirements.
We evaluate all ASUs issued by the FASB for consideration of
their applicability. ASUs not included in our disclosures were
assessed and determined to be either not applicable or are not
expected to have a material impact on our Consolidated Financial
Statements.
Accounting Pronouncements Recently Adopted
We adopted ASU 2023-09 (Topic 740): Income Taxes:
Improvements to Income Tax Disclosures for the annual period
beginning on January 1, 2025. Refer to Note 11 for further
information.
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XML
Filename: R25.htm · Sequence: 35
v3.26.1
Revenue Recognition (Tables)
12 Months Ended
Dec. 31, 2025
Revenue Recognition [Abstract]
Schedule of Disaggregated Revenue
Segment Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$1,228
$1,069
$929
Endoscopy
3,807
3,389
3,068
Medical
4,204
3,852
3,459
Vascular
1,968
1,307
1,226
Neuro Cranial
2,485
2,136
1,876
$13,692
$11,753
$10,558
Orthopaedics:
Knees
$2,656
$2,447
$2,273
Hips
1,865
1,704
1,544
Trauma and Extremities
3,948
3,507
3,147
Ortho Tech
2,770
2,477
2,263
Spinal Implants
185
707
713
$11,424
$10,842
$9,940
Total
$25,116
$22,595
$20,498
United States Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$1,072
$925
$800
Endoscopy
3,133
2,792
2,513
Medical
3,510
3,191
2,785
Vascular
1,048
506
483
Neuro Cranial
2,052
1,761
1,531
$10,815
$9,175
$8,112
Orthopaedics:
Knees
$1,924
$1,788
$1,676
Hips
1,137
1,059
988
Trauma and Extremities
2,926
2,586
2,297
Ortho Tech
2,086
1,846
1,684
Spinal Implants
118
489
500
$8,191
$7,768
$7,145
Total
$19,006
$16,943
$15,257
International Net Sales
MedSurg and Neurotechnology:
2025
2024
2023
Instruments
$156
$144
$129
Endoscopy
674
597
555
Medical
694
661
674
Vascular
920
801
743
Neuro Cranial
$433
375
345
$2,877
$2,578
$2,446
Orthopaedics:
Knees
$732
$659
$597
Hips
728
645
556
Trauma and Extremities
1,022
921
850
Ortho Tech
684
631
579
Spinal Implants
67
218
213
$3,233
$3,074
$2,795
Total
$6,110
$5,652
$5,241
Changes in Contract Liabilities
Changes in
contract liabilities during the year were as follows:
2025
2024
Beginning contract liabilities
$978
$860
Revenue recognized from beginning of year contract
liabilities
(546)
(553)
Net advance consideration received during the period
592
671
Ending contract liabilities
$1,024
$978
X
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v3.26.1
Fair Value Measurements (Tables)
12 Months Ended
Dec. 31, 2025
Fair Value Disclosures [Abstract]
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis
Assets Measured at Fair Value
2025
2024
Cash and cash equivalents
$4,011
$3,652
Short-term investments
—
750
Trading marketable securities
307
259
Level 1 - Assets
$4,318
$4,661
Available-for-sale marketable securities:
Corporate and asset-backed debt securities
$52
$53
United States agency debt securities
—
1
United States treasury debt securities
37
34
Certificates of deposit
—
3
Total available-for-sale marketable securities
$89
$91
Foreign currency exchange forward contracts
46
225
Level 2 - Assets
$135
$316
Total assets measured at fair value
$4,453
$4,977
Liabilities Measured at Fair Value
2025
2024
Deferred compensation arrangements
$307
$259
Level 1 - Liabilities
$307
$259
Foreign currency exchange forward contracts
$170
$77
Level 2 - Liabilities
$170
$77
Contingent consideration:
Beginning
$452
$289
Additions
123
208
Change in estimate and foreign exchange
24
8
Settlements
(81)
(53)
Ending
$518
$452
Level 3 - Liabilities
$518
$452
Total liabilities measured at fair value
$995
$788
Available-for-sale Securities
Fair Value of Available for Sale Securities by Maturity
2025
2024
Due in one year or less
$41
$47
Due after one year through three years
$48
$44
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v3.26.1
Derivative Instruments (Tables)
12 Months Ended
Dec. 31, 2025
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value
2025
Cash Flow
Net
Investment
Non-
Designated
Total
Gross notional amount
$1,738
$2,647
$4,391
$8,776
Maximum term in years
8.7
Fair value:
Other current assets
$33
$—
$11
$44
Other noncurrent assets
2
—
—
2
Other current liabilities
(10)
(71)
(21)
(102)
Other noncurrent
liabilities
(2)
(66)
—
(68)
Total fair value
$23
$(137)
$(10)
$(124)
2024
Cash Flow
Net
Investment
Non-
Designated
Total
Gross notional amount
$1,588
$2,338
$5,164
$9,090
Maximum term in years
9.7
Fair value:
Other current assets
$43
$24
$119
$186
Other noncurrent assets
4
35
—
39
Other current liabilities
(29)
—
(41)
(70)
Other noncurrent
liabilities
(3)
(4)
—
(7)
Total fair value
$15
$55
$78
$148
Schedule of Derivatives Instruments Statements of Financial Performance and Financial Position, Location
Currency Exchange Rate Gains (Losses) Recognized in Net
Earnings
Derivative Instrument
Recognized in:
2025
2024
2023
Cash Flow
Cost of sales
$25
$31
$39
Net Investment
Other income
44
35
34
Non-Designated
Other income
33
40
25
Total
$102
$106
$98
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v3.26.1
Accumulated Other Comprehensive (Loss) Income (AOCI) (Tables)
12 Months Ended
Dec. 31, 2025
Reclassification Adjustments Out of Accumulated Other Comprehensive Income (AOCI) [Abstract]
Schedule of Accumulated Other Comprehensive Income (Loss)
Pension
Plans
Hedges
Financial
Statement
Translation
Total
2023
$(28)
$39
$(427)
$(416)
OCI
43
26
236
305
Income taxes
(11)
(7)
(110)
(128)
Reclassifications to:
Cost of sales
—
(31)
—
(31)
Interest expense
—
(4)
—
(4)
Other income
—
—
(35)
(35)
Income taxes
—
8
8
16
Net OCI
$32
$(8)
$99
$123
2024
$4
$31
$(328)
$(293)
OCI
93
37
(562)
(432)
Income taxes
(27)
(4)
125
94
Reclassifications to:
Cost of sales
—
(25)
—
(25)
Interest expense
—
(3)
(3)
Other income
—
—
(44)
(44)
Income taxes
—
6
10
16
Net OCI
$66
$11
$(471)
$(394)
2025
$70
$42
$(799)
$(687)
X
- Definition
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v3.26.1
Acquisitions (Tables)
12 Months Ended
Dec. 31, 2025
Business Combination [Abstract]
Allocation Of The Preliminary Purchase Price To The Acquired Net Assets Of Acquisitions
The purchase price allocations for Inari and the acquisitions
completed in the full year 2024 are:
Purchase Price Allocation of Acquired Net Assets
2025
2024
Inari
Total
Tangible assets acquired:
Accounts receivable
$78
$40
Inventory
215
99
Deferred income tax assets
59
49
Other assets
84
26
Debt
—
(32)
Deferred income tax liabilities
(486)
(204)
Other liabilities
(191)
(107)
Intangible assets:
Developed technologies
1,458
596
Customer relationships
330
215
Patents
—
6
Trademarks
—
2
Other intangibles
72
—
Goodwill
3,191
1,146
Purchase price, net of cash acquired of
$64 and $56
$4,810
$1,836
Weighted-average amortization period at
acquisition (years):
Developed technologies
13
12
Customer relationships
13
14
Patents
—
12
Trademarks
—
5
Other intangibles
9
—
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v3.26.1
Contingencies and Commitments (Tables)
12 Months Ended
Dec. 31, 2025
Commitments and Contingencies Disclosure [Abstract]
Lease, Cost
2025
2024
Right-of-use assets
$519
$516
Lease liabilities, current
$153
$144
Lease liabilities, noncurrent
$348
$379
Other information:
Weighted-average remaining lease term (years)
5.0
5.1
Weighted-average discount rate
3.77%
3.87%
Future Purchase Obligations and Minimum Lease Payments
2026
2027
2028
2029
2030
Thereafter
Debt repayments
$1,000
$1,382
$2,606
$1,691
$2,565
$6,729
Minimum lease payments
$164
$125
$87
$55
$38
$55
Supplier Finance Program
2025
2024
Beginning confirmed obligations
$71
$51
Additions
420
392
Settlements
(416)
(372)
Ending confirmed obligations
$75
$71
X
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-Subparagraph (a)
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v3.26.1
Goodwill and Other Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2025
Goodwill and Intangible Assets Disclosure [Abstract]
Changes in the Net Carrying Amount of Goodwill by Segment
Changes in the Net Carrying Value of Goodwill by Segment
MedSurg and
Neurotechnology
Orthopaedics
Total
2023
$8,270
$6,973
$15,243
Goodwill impairment
—
(456)
(456)
Additions and adjustments
852
300
1,152
Foreign exchange and other
86
(170)
(84)
2024
$9,208
$6,647
$15,855
Additions and adjustments
3,275
(1)
3,274
Foreign exchange and other
73
89
162
2025
$12,556
$6,735
$19,291
Summary of the Company's Other Intangible Assets
Summary of Other Intangible Assets
Gross
Carrying
Amount
Less
Accumulated
Amortization
Net
Carrying
Amount
Developed technologies
2025
$7,273
$3,430
$3,843
2024
5,698
2,931
2,767
Customer relationships
2025
$3,425
$1,844
$1,581
2024
3,055
1,636
1,419
Patents
2025
$157
$144
$13
2024
153
136
17
Trademarks
2025
$420
$281
$139
2024
413
256
157
In-process research and development
2025
$34
$—
$34
2024
34
—
34
Other
2025
$132
$61
$71
2024
63
62
1
Total
2025
$11,441
$5,760
$5,681
2024
9,416
5,021
4,395
Estimated Amortization Expense
Estimated Amortization Expense
2026
2027
2028
2029
2030
$699
$711
$631
$616
$597
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v3.26.1
Capital Stock (Tables)
12 Months Ended
Dec. 31, 2025
Capital Stock [Abstract]
Schedule of Fair Value Assumptions
Option Value and Assumptions
2025
2024
2023
Weighted-average fair value per share
$141.40
$118.22
$83.59
Assumptions:
Risk-free interest rate
4.4%
4.3%
4.0%
Expected dividend yield
0.9%
1.1%
1.2%
Expected stock price volatility
29.1%
29.9%
29.0%
Expected option life (years)
6.4
6.3
6.2
Summary of Stock Option Activity
2025 Stock Option Activity
Shares
(in millions)
Weighted-
Average
Exercise
Price
Weighted-
Average
Remaining
Term (in years)
Aggregate
Intrinsic
Value
Outstanding
January 1
10.8
$214.87
Granted
1.0
392.36
Exercised
(1.2)
158.83
Canceled or
forfeited
(0.2)
313.05
Outstanding
December 31
10.4
$234.56
5.0
$1,246.1
Exercisable
December 31
6.9
$195.53
3.7
$1,073.4
Options expected
to vest
3.3
$309.91
7.5
$166.7
Summary of RSU and PSU Activity
Restricted Stock Units (RSUs) and Performance Stock Units
(PSUs) Activity
Shares
(in millions)
Weighted-Average
Grant Date Fair Value
RSUs
PSUs
RSUs
PSUs
Nonvested on January 1
0.7
0.2
$290.58
$287.51
Granted
0.3
0.1
385.68
334.24
Vested
(0.3)
(0.1)
277.40
254.47
Canceled or forfeited
(0.1)
—
337.17
—
Nonvested on December 31
0.6
0.2
$344.25
$333.06
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v3.26.1
Debt and Credit Facilities (Tables)
12 Months Ended
Dec. 31, 2025
Long-Term Debt, Unclassified [Abstract]
Maturities Of Long-Term Debt Disclosures
Summary of Total Debt
Rate
Due
2025
2024
Senior unsecured notes:
1.150%
June 15, 2025
$—
$649
3.375%
November 1, 2025
—
750
3.500%
March 15, 2026
1,000
998
4.550%
February 10, 2027
498
—
2.125%
November 30, 2027
881
777
4.700%
February 10, 2028
697
—
3.650%
March 7, 2028
599
598
4.850%
December 8, 2028
597
596
3.375%
December 11, 2028
704
621
0.750%
March 1, 2029
939
828
4.250%
September 11, 2029
744
743
4.850%
February 10, 2030
794
—
1.950%
June 15, 2030
995
993
2.625%
November 30, 2030
759
669
1.000%
December 3, 2031
876
772
3.375%
September 11, 2032
934
824
4.625%
September 11, 2034
741
740
5.200%
February 10, 2035
990
—
3.625%
September 11, 2036
695
613
4.100%
April 1, 2043
393
393
4.375%
May 15, 2044
396
396
4.625%
March 15, 2046
984
984
2.900%
June 15, 2050
643
643
Other
—
10
Total debt
$15,859
$13,597
Less current maturities
1,000
1,409
Total long-term debt
$14,859
$12,188
Unamortized debt issuance costs
$70
$63
Borrowing capacity on existing facilities
$2,911
$2,160
Fair value of senior unsecured notes
$15,344
$12,780
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v3.26.1
Income Taxes (Tables)
12 Months Ended
Dec. 31, 2025
Income Tax Disclosure [Abstract]
Schedule of Reconciliation of U.S. Statutory Income Tax Rate to Company's Effective Income Tax Rate from Continuing Operations
Effective Income Tax Rate Reconciliation
2025
Amount
Percent
United States federal statutory rate
$948
21.0%
State and Local Income Taxes, Net of Federal Income Tax
Effect(1)
173
3.8
Foreign Tax Effects
Ireland
Statutory tax rate difference
(177)
(3.9)
Other
17
0.4
Puerto Rico
Statutory tax rate difference
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(1.1)
Withholding Tax
60
1.3
Expiration of credits carryforward
78
1.7
Change in valuation allowance
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(1.7)
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(0.1)
Other foreign jurisdictions
20
0.4
Effect of changes in tax laws or rates enacted in the current
period
—
—
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Direct foreign tax credits
(90)
(2.0)
Global intangible low-taxed income
70
1.6
Tax Credits
Research and development tax credits
(53)
(1.2)
Changes in Valuation Allowances
—
—
Nontaxable or Nondeductible Items
Spinal Implants divestiture
(51)
(1.1)
Transfers of intellectual property
405
9.0
Changes in unrecognized Tax Benefits
17
0.4
Other Adjustments
(18)
(0.4)
Effective Tax Rate
$1,268
28.1%
(1) State taxes in Pennsylvania, New York, Illinois, Florida, California, Michigan,
Indiana, and Tennessee accounted for the majority (greater than 50%) of the tax
effect in this category.
Effective Income Tax Rate Reconciliation
2024
2023
United States federal statutory rate
21.0%
21.0%
United States state and local income taxes, less federal
deduction
1.1
1.1
Foreign income tax at rates other than 21%
(4.1)
(6.8)
Tax related to repatriation of foreign earnings
0.3
1.2
United States research and development credits
(1.4)
(1.2)
Intellectual property transfers
—
(3.3)
Goodwill impairment
2.8
—
Outside basis difference related to the anticipated sale of
the Spinal Implants business
(4.9)
—
Other
(0.5)
1.8
Effective income tax rate
14.3%
13.8%
Cash Paid for Income Taxes (Net of Refunds)
Cash paid for income taxes (net of refunds received)
2025
United States - Federal
533
United States - State
71
Foreign
Ireland
175
Other
223
Subtotal
398
Total
$1,002
Schedule of Provision for Income Taxes
Earnings Before Income Taxes
2025
2024
2023
United States
$1,434
$523
$701
International
3,080
2,969
2,972
Total
$4,514
$3,492
$3,673
Components of Income Tax Expense (Benefit)
Current income tax expense (benefit):
2025
2024
2023
United States federal
$414
$490
$236
United States state and local
149
90
48
International
313
289
430
Total current income tax expense
$876
$869
$714
Deferred income tax expense (benefit):
United States federal
$186
$(462)
$(212)
United States state and local
78
(76)
(20)
International
128
168
26
Total deferred income tax expense (benefit)
$392
$(370)
$(206)
Total income tax expense
$1,268
$499
$508
Schedule of Difference in Income Tax Effects Comprising Company's Deferred Income Tax Assets and Liabilities
Deferred Income Tax Assets and Liabilities
Deferred income tax assets:
2025
2024
Inventories
$553
$551
Other accrued expenses
401
207
Depreciation and amortization
546
715
State income taxes
90
167
Share-based compensation
117
100
Research and development capitalization
40
408
International interest expense carryforwards
56
52
Net operating loss and credit carryforwards
315
410
Outside basis difference related to the anticipated sale of
the Spinal Implants business
—
170
Other
352
310
Total deferred income tax assets
$2,470
$3,090
Less valuation allowances
(148)
(228)
Net deferred income tax assets
$2,322
$2,862
Deferred income tax liabilities:
Depreciation and amortization
$(1,222)
$(1,141)
Undistributed earnings
(139)
(61)
Total deferred income tax liabilities
$(1,361)
$(1,202)
Net deferred income tax assets
$961
$1,660
Reported as:
Noncurrent deferred income tax assets
$1,098
$1,742
Noncurrent liabilities—Other liabilities
(137)
(82)
Total
$961
$1,660
Schedule of Unrecognized Tax Benefits Roll Forward
Uncertain Income Tax Positions
2025
2024
Beginning uncertain tax positions
$349
$371
Increases related to current year income tax positions
19
18
Increases related to prior year income tax positions
12
—
Decreases related to prior year income tax positions
—
(4)
Settlements of income tax audits
—
(21)
Statute of limitations expirations and other
(4)
(3)
Foreign currency translation
27
(12)
Ending uncertain tax positions
$403
$349
Reported as:
Noncurrent liabilities—Income taxes
$403
$349
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v3.26.1
Retirement Plans (Tables)
12 Months Ended
Dec. 31, 2025
Retirement Benefits [Abstract]
Defined Contribution Plan Disclosures
2025
2024
2023
Plan expense
$399
$376
$327
Expense funded with Stryker common stock
72
62
57
Stryker common stock held by plan:
Dollar amount
$763
$781
$649
Shares (in millions)
2.2
2.2
2.2
Value as a percentage of total plan assets
8%
10%
10%
Schedule of Costs of Retirement Plans
Components of Net Periodic Pension Cost
Net periodic benefit cost:
2025
2024
2023
Service cost
$(42)
$(39)
$(32)
Interest cost
(24)
(21)
(23)
Expected return on plan assets
22
19
18
Amortization of prior service credit
2
1
1
Recognized actuarial gain (loss)
(2)
(1)
4
Net periodic benefit cost
$(44)
$(41)
$(32)
Changes in assets and benefit obligations
recognized in OCI:
Net actuarial gain (loss)
$93
$43
$(67)
Recognized net actuarial (gain) loss
2
1
(4)
Prior service credit and transition amount
(2)
(1)
(1)
Total recognized in other comprehensive
income (loss)
$93
$43
$(72)
Total recognized in net periodic benefit cost
and OCI
$49
$2
$(104)
Weighted-average rates used to determine net
periodic benefit cost:
Discount rate
2.9%
2.8%
3.3%
Expected return on plan assets
4.1%
4.3%
4.2%
Rate of compensation increase
2.9%
3.0%
3.0%
Weighted-average discount rate used to
determine projected benefit obligations
3.6%
2.9%
2.8%
Schedule of Defined Benefit Plans Disclosures
2025
2024
Fair value of plan assets
$560
$492
Benefit obligations
(829)
(782)
Funded status
$(269)
$(290)
Reported as:
Noncurrent assets—other assets
$72
$48
Current liabilities—accrued compensation
(5)
(3)
Noncurrent liabilities—other liabilities
(336)
(335)
Pre-tax amounts recognized in AOCI:
Unrecognized net actuarial gain (loss)
101
6
Unrecognized prior service credit
8
8
Total
$109
$14
Schedule of Changes in Accumulated Postemployment Benefit Obligations
Change in Benefit Obligations
2025
2024
Beginning projected benefit obligations
$782
$826
Service cost
42
39
Interest cost
24
21
Foreign exchange impact and other
114
(52)
Employee contributions
9
7
Actuarial (gains) losses
(116)
(40)
Benefits paid
(26)
(19)
Ending projected benefit obligations
$829
$782
Ending accumulated benefit obligations
$786
$748
Schedule of Changes in Fair Value of Plan Assets
Change in Plan Assets
2025
2024
Beginning fair value of plan assets
$492
$485
Actual return
(3)
22
Employer contributions
23
23
Employee contributions
9
7
Foreign exchange impact
60
(31)
Benefits paid
(21)
(14)
Ending fair value of plan assets
$560
$492
Valuation of Plan Assets
2025
Level 1
Level 2
Level 3
Total
Cash and cash equivalents
$16
$—
$—
$16
Equity securities
9
162
—
171
Debt securities
2
230
—
232
Other
4
83
54
141
Total
$31
$475
$54
$560
2024
Level 1
Level 2
Level 3
Total
Cash and cash equivalents
$17
$—
$—
$17
Equity securities
8
125
—
133
Debt securities
2
203
—
205
Other
4
76
57
137
Total
$31
$404
$57
$492
Schedule of Allocation of Plan Assets
Allocation of Plan Assets
2026 Target
2025 Actual
2024 Actual
Equity securities
26%
32%
28%
Debt securities
41
39
40
Other
33
29
32
Total
100%
100%
100%
Schedule of Expected Benefit Payments
Estimated Future Benefit Payments
2026
2027
2028
2029
2030
2031-2035
$29
$32
$33
$34
$38
$223
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v3.26.1
Summary of Quarterly Data (Unaudited) (Tables)
12 Months Ended
Dec. 31, 2025
Quarterly Financial Data [Abstract]
Summary of Quarterly Data
2025 Quarters
Mar 31
Jun 30
Sep 30
Dec 31
Net sales
$5,866
$6,022
$6,057
$7,171
Gross profit
3,744
3,841
3,852
4,628
Earnings before income taxes
764
1,016
1,029
1,705
Net earnings
654
884
859
849
Net earnings per share of common stock:
Basic
$1.71
$2.32
$2.25
$2.21
Diluted
$1.69
$2.29
$2.22
$2.20
Dividends declared per share of
common stock
$0.84
$0.84
$0.84
$0.88
2024 Quarters
Mar 31
Jun 30
Sep 30
Dec 31
Net sales
$5,243
$5,422
$5,494
$6,436
Gross profit
3,333
3,416
3,517
4,174
Earnings before income taxes
923
998
1,043
528
Net earnings
788
825
834
546
Net earnings per share of common stock:
Basic
$2.07
$2.17
$2.18
$1.43
Diluted
$2.05
$2.14
$2.16
$1.41
Dividends declared per share of
common stock
$0.80
$0.80
$0.80
$0.84
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v3.26.1
Segment and Geographic Data (Tables)
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated
Segment Results
2025
2024
2023
MedSurg and Neurotechnology
$13,692
$11,753
$10,558
Orthopaedics
$11,424
10,842
9,940
Net sales
$25,116
$22,595
$20,498
MedSurg and Neurotechnology
$5,253
$4,748
$4,338
Orthopaedics
$3,248
3,030
2,834
Cost of sales
$8,501
$7,778
$7,172
MedSurg and Neurotechnology
$890
$739
$663
Orthopaedics
$615
621
578
Segment research, development and
engineering expenses
$1,505
$1,360
$1,241
MedSurg and Neurotechnology
$3,618
$2,912
$2,667
Orthopaedics
$3,291
3,250
3,066
Segment selling, general and administrative
expenses
$6,909
$6,162
$5,733
MedSurg and Neurotechnology
$231
$211
$195
Orthopaedics
478
489
422
Segment depreciation and amortization
$709
$700
$617
Corporate and Other
125
109
98
Amortization of intangible assets
732
623
635
Total depreciation and amortization
$1,566
$1,432
$1,350
MedSurg and Neurotechnology
$3,700
$3,143
$2,695
Orthopaedics
3,792
3,452
3,040
Segment operating income
$7,492
$6,595
$5,735
Items not allocated to segments:
Corporate and Other
$(889)
$(880)
$(780)
Inventory stepped up to fair value
(173)
(46)
—
Acquisition and integration-related charges
(335)
(108)
(20)
Amortization of intangible assets
(732)
(623)
(635)
Structural optimization and other special
charges
(191)
(138)
(170)
Goodwill and other impairments
(170)
(977)
(36)
Medical device regulation
(38)
(58)
(96)
Recall-related matters
(58)
(40)
(18)
Regulatory and legal matters
(17)
(36)
(92)
Consolidated operating income
$4,889
$3,689
$3,888
Sales and Other Financial Information by Business Segment
Segment Capital Spending
Purchases of property, plant and
equipment:
2025
2024
2023
Orthopaedics
$351
$340
$225
MedSurg and Neurotechnology
165
166
137
Total segment purchases of property,
plant and equipment
$516
$506
$362
Corporate and Other
245
249
213
Total purchases of property, plant and
equipment
$761
$755
$575
Geographic Information on Net Sales and Long-Lived Assets
Geographic Information
Net Sales
Net Property, Plant
and Equipment
2025
2024
2023
2025
2024
United States
$19,006
$16,943
$15,257
$2,084
$1,997
Europe, Middle
East, Africa
3,181
2,897
2,618
1,562
1,260
Asia Pacific
2,164
2,020
1,946
97
75
Other countries
765
735
677
133
116
Total
$25,116
$22,595
$20,498
$3,876
$3,448
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v3.26.1
Assets Held for Sale (Tables)
12 Months Ended
Dec. 31, 2025
Discontinued Operations and Disposal Groups [Abstract]
Disposal Groups, Including Discontinued Operations
The assets and
liabilities held for sale at December 31, 2024 are classified within
prepaid expenses and other current assets and accrued
expenses and other liabilities in our Consolidated Balance
Sheets. The assets and liabilities of the disposal group at the
date of sale and at December 31, 2024 were as follows:
Held for Sale
Date of Sale
December 31
2025
2024
Accounts receivable, net
$56
$62
Total inventories
195
183
Prepaid expenses and other current assets
27
10
Property, plant and equipment, net
53
51
Other intangibles, net
323
326
Noncurrent deferred income tax assets
9
9
Other noncurrent assets
179
171
Valuation allowance
(395)
(362)
Total assets
$447
$450
Accounts payable
$41
$28
Accrued compensation
20
26
Accrued expenses and other liabilities
24
29
Other noncurrent liabilities
27
21
Total liabilities
$112
$104
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Sep. 30, 2025
Jun. 30, 2025
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Dec. 31, 2024
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Jun. 30, 2024
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Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
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$ 6,057
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$ 5,494
$ 5,422
$ 5,243
$ 25,116
$ 22,595
$ 20,498
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$ 1,024
$ 978
$ 1,024
$ 978
$ 860
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Disaggregation of Revenue [Line Items]
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Disaggregation of Revenue [Line Items]
Net sales
$ 2,110
$ 1,917
$ 1,754
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Disaggregation of Revenue [Line Items]
Net sales
660
560
509
Enabling Technologies
Disaggregation of Revenue [Line Items]
Net sales
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$ 152
$ 149
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v3.26.1
Revenue Recognition - Disaggregated Sales Analysis (Details) - USD ($)
$ in Millions
3 Months Ended
12 Months Ended
Dec. 31, 2025
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Disaggregation of Revenue [Line Items]
Net sales
$ 7,171
$ 6,057
$ 6,022
$ 5,866
$ 6,436
$ 5,494
$ 5,422
$ 5,243
$ 25,116
$ 22,595
$ 20,498
United States
Disaggregation of Revenue [Line Items]
Net sales
19,006
16,943
15,257
International
Disaggregation of Revenue [Line Items]
Net sales
6,110
5,652
5,241
MedSurg and Neurotechnology
Disaggregation of Revenue [Line Items]
Net sales
13,692
11,753
10,558
MedSurg and Neurotechnology | United States
Disaggregation of Revenue [Line Items]
Net sales
10,815
9,175
8,112
MedSurg and Neurotechnology | International
Disaggregation of Revenue [Line Items]
Net sales
2,877
2,578
2,446
MedSurg and Neurotechnology | Instruments
Disaggregation of Revenue [Line Items]
Net sales
1,228
1,069
929
MedSurg and Neurotechnology | Instruments | United States
Disaggregation of Revenue [Line Items]
Net sales
1,072
925
800
MedSurg and Neurotechnology | Instruments | International
Disaggregation of Revenue [Line Items]
Net sales
156
144
129
MedSurg and Neurotechnology | Endoscopy
Disaggregation of Revenue [Line Items]
Net sales
3,807
3,389
3,068
MedSurg and Neurotechnology | Endoscopy | United States
Disaggregation of Revenue [Line Items]
Net sales
3,133
2,792
2,513
MedSurg and Neurotechnology | Endoscopy | International
Disaggregation of Revenue [Line Items]
Net sales
674
597
555
MedSurg and Neurotechnology | Medical
Disaggregation of Revenue [Line Items]
Net sales
4,204
3,852
3,459
MedSurg and Neurotechnology | Medical | United States
Disaggregation of Revenue [Line Items]
Net sales
3,510
3,191
2,785
MedSurg and Neurotechnology | Medical | International
Disaggregation of Revenue [Line Items]
Net sales
694
661
674
MedSurg and Neurotechnology | Neurovascular
Disaggregation of Revenue [Line Items]
Net sales
1,968
1,307
1,226
MedSurg and Neurotechnology | Neurovascular | United States
Disaggregation of Revenue [Line Items]
Net sales
1,048
506
483
MedSurg and Neurotechnology | Neurovascular | International
Disaggregation of Revenue [Line Items]
Net sales
920
801
743
MedSurg and Neurotechnology | Neuro Cranial
Disaggregation of Revenue [Line Items]
Net sales
2,485
2,136
1,876
MedSurg and Neurotechnology | Neuro Cranial | United States
Disaggregation of Revenue [Line Items]
Net sales
2,052
1,761
1,531
MedSurg and Neurotechnology | Neuro Cranial | International
Disaggregation of Revenue [Line Items]
Net sales
433
375
345
Orthopaedics
Disaggregation of Revenue [Line Items]
Net sales
11,424
10,842
9,940
Orthopaedics | United States
Disaggregation of Revenue [Line Items]
Net sales
8,191
7,768
7,145
Orthopaedics | International
Disaggregation of Revenue [Line Items]
Net sales
3,233
3,074
2,795
Orthopaedics | Knees
Disaggregation of Revenue [Line Items]
Net sales
2,656
2,447
2,273
Orthopaedics | Knees | United States
Disaggregation of Revenue [Line Items]
Net sales
1,924
1,788
1,676
Orthopaedics | Knees | International
Disaggregation of Revenue [Line Items]
Net sales
732
659
597
Orthopaedics | Hips
Disaggregation of Revenue [Line Items]
Net sales
1,865
1,704
1,544
Orthopaedics | Hips | United States
Disaggregation of Revenue [Line Items]
Net sales
1,137
1,059
988
Orthopaedics | Hips | International
Disaggregation of Revenue [Line Items]
Net sales
728
645
556
Orthopaedics | Trauma and Extremities
Disaggregation of Revenue [Line Items]
Net sales
3,948
3,507
3,147
Orthopaedics | Trauma and Extremities | United States
Disaggregation of Revenue [Line Items]
Net sales
2,926
2,586
2,297
Orthopaedics | Trauma and Extremities | International
Disaggregation of Revenue [Line Items]
Net sales
1,022
921
850
Orthopaedics | Ortho Tech
Disaggregation of Revenue [Line Items]
Net sales
2,770
2,477
2,263
Orthopaedics | Ortho Tech | United States
Disaggregation of Revenue [Line Items]
Net sales
2,086
1,846
1,684
Orthopaedics | Ortho Tech | International
Disaggregation of Revenue [Line Items]
Net sales
684
631
579
Orthopaedics | Spinal Implants
Disaggregation of Revenue [Line Items]
Net sales
185
707
713
Orthopaedics | Spinal Implants | United States
Disaggregation of Revenue [Line Items]
Net sales
118
489
500
Orthopaedics | Spinal Implants | International
Disaggregation of Revenue [Line Items]
Net sales
$ 67
$ 218
$ 213
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$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Movement In Contract Liabilities [Roll Forward]
Beginning contract liabilities
$ 978
$ 860
Revenue recognized from beginning of year contract liabilities
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(553)
Net advance consideration received during the period
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671
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$ 978
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v3.26.1
Fair Value Measurements (Valuation Of Financial Instruments By Pricing Categories) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Assets
Available-for-sale marketable securities:
$ 89
$ 91
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4,453
4,977
Contingent Consideration Arrangements, Change in Amount of Contingent Consideration [Abstract]
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995
788
(Level 1)
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Available-for-sale marketable securities
4,011
3,652
Short-term investments
0
750
Trading marketable securities
307
259
Total assets measured at fair value
4,318
4,661
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Deferred compensation arrangements
307
259
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307
259
(Level 2)
Assets
Available-for-sale marketable securities:
89
91
Total assets measured at fair value
135
316
Contingent Consideration Arrangements, Change in Amount of Contingent Consideration [Abstract]
Total liabilities measured at fair value
170
77
(Level 2) | Corporate and asset-backed debt securities
Assets
Available-for-sale marketable securities:
52
53
(Level 2) | United States agency debt securities
Assets
Available-for-sale marketable securities:
0
1
(Level 2) | United States treasury debt securities
Assets
Available-for-sale marketable securities:
37
34
(Level 2) | Certificates of deposit
Assets
Available-for-sale marketable securities:
0
3
(Level 2) | Foreign currency exchange forward contracts
Assets
Foreign currency exchange forward contracts
46
225
Interest rate swap asset
46
225
Liabilities:
Foreign currency exchange forward contracts
170
77
(Level 3)
Contingent Consideration Arrangements, Change in Amount of Contingent Consideration [Abstract]
Beginning
452
289
Additions
123
208
Change in estimate and foreign exchange
24
8
Settlements
(81)
(53)
Ending
518
452
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$ 518
$ 452
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v3.26.1
Derivative Instruments (Forward Currency Exchange Contracts) (Details) - Foreign currency exchange forward contracts
$ in Millions, € in Billions
12 Months Ended
Dec. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2025
EUR (€)
Derivative [Line Items]
Notional amount
$ 8,776
$ 9,090
Maximum term
8 years 8 months 12 days
9 years 8 months 12 days
Derivative, fair value, net
$ (124)
$ 148
Other current assets
Derivative [Line Items]
Derivative asset
44
186
Other noncurrent assets
Derivative [Line Items]
Derivative asset
2
39
Other current liabilities
Derivative [Line Items]
Derivative liability
(102)
(70)
Other noncurrent liabilities
Derivative [Line Items]
Derivative liability
(68)
(7)
Designated as Hedging Instrument | Other noncurrent liabilities
Derivative [Line Items]
Derivative liability
(4)
Not Designated as Hedging Instrument
Derivative [Line Items]
Notional amount
4,391
5,164
Derivative, fair value, net
(10)
78
Not Designated as Hedging Instrument | Other current assets
Derivative [Line Items]
Derivative asset
11
119
Not Designated as Hedging Instrument | Other noncurrent assets
Derivative [Line Items]
Derivative asset
0
0
Not Designated as Hedging Instrument | Other current liabilities
Derivative [Line Items]
Derivative liability
(21)
(41)
Not Designated as Hedging Instrument | Other noncurrent liabilities
Derivative [Line Items]
Derivative liability
0
0
Cash Flow Hedging | Designated as Hedging Instrument
Derivative [Line Items]
Notional amount
1,738
1,588
Derivative, fair value, net
23
15
Cash Flow Hedging | Designated as Hedging Instrument | Other current assets
Derivative [Line Items]
Derivative asset
33
43
Cash Flow Hedging | Designated as Hedging Instrument | Other noncurrent assets
Derivative [Line Items]
Derivative asset
2
4
Cash Flow Hedging | Designated as Hedging Instrument | Other current liabilities
Derivative [Line Items]
Derivative liability
(10)
(29)
Cash Flow Hedging | Designated as Hedging Instrument | Other noncurrent liabilities
Derivative [Line Items]
Derivative liability
(2)
(3)
Net Investment Hedging | Designated as Hedging Instrument
Derivative [Line Items]
Notional amount
2,647
2,338
€ 2.3
Derivative, fair value, net
(137)
55
Net Investment Hedging | Designated as Hedging Instrument | Other current assets
Derivative [Line Items]
Derivative asset
0
24
Net Investment Hedging | Designated as Hedging Instrument | Other noncurrent assets
Derivative [Line Items]
Derivative asset
0
35
Net Investment Hedging | Designated as Hedging Instrument | Other current liabilities
Derivative [Line Items]
Derivative liability
(71)
$ 0
Net Investment Hedging | Designated as Hedging Instrument | Other noncurrent liabilities
Derivative [Line Items]
Derivative liability
$ (66)
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Derivative Instruments (Narrative) (Details)
$ in Millions, € in Billions
12 Months Ended
Dec. 31, 2025
USD ($)
Dec. 31, 2025
EUR (€)
Dec. 31, 2024
USD ($)
Derivative Instruments, Gain (Loss) [Line Items]
Derivative term (up to)
18 months
Foreign currency exchange forward contracts
Derivative Instruments, Gain (Loss) [Line Items]
Derivative, notional amount
$ 8,776
$ 9,090
Derivative term (up to)
8 years 8 months 12 days
Designated as Hedging Instrument | Foreign currency exchange forward contracts
Derivative Instruments, Gain (Loss) [Line Items]
After-tax gain (loss) recognized in AOCI related to designated net investment hedges
$ (715)
Cash flow hedge gain (loss) to be reclassified within twelve months
39
Net investment hedges expected to be reclassified to cost of sales and other income (expense)
38
Designated as Hedging Instrument | Foreign currency exchange forward contracts | Net Investment Hedging
Derivative Instruments, Gain (Loss) [Line Items]
Derivative, notional amount
2,647
€ 2.3
$ 2,338
Designated as Hedging Instrument | Interest rate swap
Derivative Instruments, Gain (Loss) [Line Items]
Cash flow hedge gain (loss) to be reclassified within twelve months
$ 5
Designated as Hedging Instrument | Embedded Derivative Financial Instruments | Net Investment Hedging
Derivative Instruments, Gain (Loss) [Line Items]
Derivative, notional amount | €
€ 5.0
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Derivative Instruments (Movements out of OCI) (Details) - Foreign currency exchange forward contracts - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Derivative [Line Items]
Foreign currency transaction gains (losses)
$ 102
$ 106
$ 98
Cost of sales
Derivative [Line Items]
Foreign currency transaction gains (losses)
25
31
39
Designated as Hedging Instrument
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38
Designated as Hedging Instrument | Other Income (expense) [Member]
Derivative [Line Items]
Foreign currency transaction gains (losses)
44
35
34
Not Designated as Hedging Instrument | Other Income (expense) [Member]
Derivative [Line Items]
Foreign currency transaction gains (losses)
$ 33
$ 40
$ 25
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Accumulated Other Comprehensive (Loss) Income (AOCI) (Schedule of Amounts Recognized in Other Comprehensive Income (Loss)) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance
$ 20,634
$ 18,593
OCI
(432)
305
Income taxes
94
(128)
Cost of sales
9,051
8,155
$ 7,440
Interest expense
607
409
363
Other income
232
212
148
Income taxes
1,268
499
508
Other comprehensive income (loss)
(394)
123
(195)
Ending balance
22,420
20,634
18,593
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Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
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(25)
(31)
Interest expense
(3)
(4)
Other income
(44)
(35)
Income taxes
16
16
Other comprehensive income (loss)
(394)
123
Pension Plans
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance
4
(28)
OCI
93
43
Income taxes
(27)
(11)
Ending balance
70
4
(28)
Pension Plans | Reclassification out of Accumulated Other Comprehensive Income
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Cost of sales
0
0
Interest expense
0
0
Other income
0
0
Income taxes
0
0
Other comprehensive income (loss)
66
32
Hedges
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31
39
OCI
37
26
Income taxes
(4)
(7)
Ending balance
42
31
39
Hedges | Reclassification out of Accumulated Other Comprehensive Income
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(25)
(31)
Interest expense
(3)
(4)
Other income
0
0
Income taxes
6
8
Other comprehensive income (loss)
11
(8)
Financial Statement Translation
Accumulated Other Comprehensive Income (Loss), Net of Tax [Roll Forward]
Beginning balance
(328)
(427)
OCI
(562)
236
Income taxes
125
(110)
Ending balance
(799)
(328)
(427)
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0
0
Interest expense
0
Other income
(44)
(35)
Income taxes
10
8
Other comprehensive income (loss)
(471)
99
AOCI Including Portion Attributable to Noncontrolling Interest
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Beginning balance
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(416)
Ending balance
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$ (293)
$ (416)
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v3.26.1
Acquisitions (Narrative) (Details) - USD ($)
$ / shares in Units, $ in Millions
1 Months Ended
12 Months Ended
Feb. 28, 2025
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Business Combination [Line Items]
Cash paid for acquisitions, net of cash acquired
$ 4,960
$ 1,628
$ 390
Inari
Business Combination [Line Items]
Business acquisition, share price (in dollars per share)
$ 80
Aggregate purchase price of acquisitions
$ 4,810
Share-based awards, expense
$ 139
Various
Business Combination [Line Items]
Cash paid for acquisitions, net of cash acquired
1,628
Fair value of contingent consideration
400
Fair value of contingent milestone payments
$ 208
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v3.26.1
Acquisitions (Allocation Of The Preliminary Purchase Price To The Acquired Net Assets Of Acquisitions) (Details) - USD ($)
$ in Millions
12 Months Ended
May 02, 2023
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Business Combination [Line Items]
Goodwill
$ 19,291
$ 15,855
$ 15,243
Inari
Business Combination [Line Items]
Accounts receivable
78
Inventory
215
Deferred income tax assets
59
Other assets
84
Debt
0
Deferred income tax liabilities
(486)
Other liabilities
(191)
Goodwill
3,191
Purchase price, net of cash acquired of $64 and $56
4,810
Cash acquired from acquisition
64
Inari | Developed technologies
Business Combination [Line Items]
Intangible assets:
$ 1,458
Weighted-average amortization period at acquisition (years):
13 years
Inari | Customer relationships
Business Combination [Line Items]
Intangible assets:
$ 330
Weighted-average amortization period at acquisition (years):
13 years
Inari | Patents
Business Combination [Line Items]
Intangible assets:
$ 0
Inari | Trademarks
Business Combination [Line Items]
Intangible assets:
0
Inari | Other
Business Combination [Line Items]
Intangible assets:
$ 72
Weighted-average amortization period at acquisition (years):
9 years
Various
Business Combination [Line Items]
Accounts receivable
40
Inventory
99
Deferred income tax assets
49
Other assets
26
Debt
(32)
Deferred income tax liabilities
(204)
Other liabilities
(107)
Goodwill
1,146
Purchase price, net of cash acquired of $64 and $56
1,836
Cash acquired from acquisition
$ 56
Various | Developed technologies
Business Combination [Line Items]
Intangible assets:
$ 596
Weighted-average amortization period at acquisition (years):
12 years
Various | Customer relationships
Business Combination [Line Items]
Intangible assets:
$ 215
Weighted-average amortization period at acquisition (years):
14 years
Various | Patents
Business Combination [Line Items]
Intangible assets:
$ 6
Weighted-average amortization period at acquisition (years):
12 years
Various | Trademarks
Business Combination [Line Items]
Intangible assets:
$ 2
Weighted-average amortization period at acquisition (years):
5 years
Various | Other
Business Combination [Line Items]
Intangible assets:
$ 0
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v3.26.1
Contingencies and Commitments (Narrative) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Loss Contingencies [Line Items]
Lease expense
$ 205
$ 190
$ 172
Recall Matters
Loss Contingencies [Line Items]
Estimate of possible loss
$ 144
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v3.26.1
Commitments and Contingencies (Lease Cost) (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Commitments and Contingencies Disclosure [Abstract]
Right-of-use assets
$ 519
$ 516
Lease liabilities, current
153
144
Lease liabilities, noncurrent
$ 348
$ 379
Weighted-average remaining lease term (years)
5 years
5 years 1 month 6 days
Weighted-average discount rate
3.77%
3.87%
Operating Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration]
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Other Assets, Noncurrent
Operating Lease, Liability, Current, Statement of Financial Position [Extensible List]
Other Liabilities, Current
Other Liabilities, Current
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v3.26.1
Contingencies and Commitments (Future Purchase Obligations and Minimum Lease Payments) (Details)
$ in Millions
Dec. 31, 2025
USD ($)
Commitments and Contingencies Disclosure [Abstract]
2026
$ 1,000
2027
1,382
2028
2,606
2029
1,691
2030
2,565
Thereafter
6,729
Minimum lease payments
2026
164
2027
125
2028
87
2029
55
2030
38
Thereafter
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v3.26.1
Contingencies and Commitments (Supplier Finance Program) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Supplier Finance Program, Obligation [Roll Forward]
Beginning confirmed obligations
$ 71
$ 51
Additions
420
392
Settlements
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(372)
Ending confirmed obligations
$ 75
$ 71
Supplier Finance Program, Obligation, Statement of Financial Position [Extensible Enumeration]
Accounts Payable, Trade, Current
X
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v3.26.1
Goodwill and Other Intangible Assets (Goodwill) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Oct. 31, 2025
Goodwill [Line Items]
Goodwill, impairment loss
$ 456
Percentage of fair value in excess of carrying amount
12.00%
Goodwill [Roll Forward]
Goodwill, Beginning balance
$ 15,855
15,243
Additions and adjustments
3,274
1,152
Foreign exchange and other
162
(84)
Goodwill impairment
(456)
Goodwill, Ending balance
19,291
$ 15,855
Goodwill, Impairment Loss, Statement of Income or Comprehensive Income [Extensible Enumeration]
Goodwill and other impairments
MedSurg and Neurotechnology
Goodwill [Line Items]
Goodwill, impairment loss
$ 0
Goodwill [Roll Forward]
Goodwill, Beginning balance
9,208
8,270
Additions and adjustments
3,275
852
Foreign exchange and other
73
86
Goodwill impairment
0
Goodwill, Ending balance
12,556
$ 9,208
Goodwill, Impairment Loss, Statement of Income or Comprehensive Income [Extensible Enumeration]
Goodwill and other impairments
Orthopaedics
Goodwill [Line Items]
Goodwill, impairment loss
$ 456
Goodwill [Roll Forward]
Goodwill, Beginning balance
6,647
6,973
Additions and adjustments
(1)
300
Foreign exchange and other
89
(170)
Goodwill impairment
(456)
Goodwill, Ending balance
6,735
$ 6,647
Goodwill, Impairment Loss, Statement of Income or Comprehensive Income [Extensible Enumeration]
Goodwill and other impairments
Spinal Implants | Disposal Group, Held-for-Sale, Not Discontinued Operations
Goodwill [Line Items]
Goodwill, impairment loss
183
Goodwill [Roll Forward]
Goodwill impairment
$ (183)
Goodwill, Impairment Loss, Statement of Income or Comprehensive Income [Extensible Enumeration]
Goodwill and other impairments
Spine Reporting Unit
Goodwill [Line Items]
Goodwill, impairment loss
$ 273
Goodwill [Roll Forward]
Goodwill impairment
(273)
MedSurg and Neurotechnology
Goodwill [Line Items]
Goodwill transfer
$ 117
Orthopaedics
Goodwill [Line Items]
Goodwill transfer
$ (117)
Peripheral Vascular Reporting Unit
Goodwill [Roll Forward]
Goodwill, Ending balance
$ 3,203
X
- Definition
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Goodwill and Other Intangible Assets (Summary of the Company's Other Intangible Assets) (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Intangible Asset, Acquired, Finite-Lived [Line Items]
Gross Carrying Amount
$ 11,441
$ 9,416
Less Accumulated Amortization
5,760
5,021
Net Carrying Amount
5,681
4,395
Developed technologies
Intangible Asset, Acquired, Finite-Lived [Line Items]
Gross Carrying Amount
7,273
5,698
Less Accumulated Amortization
3,430
2,931
Net Carrying Amount
3,843
2,767
Customer relationships
Intangible Asset, Acquired, Finite-Lived [Line Items]
Gross Carrying Amount
3,425
3,055
Less Accumulated Amortization
1,844
1,636
Net Carrying Amount
1,581
1,419
Patents
Intangible Asset, Acquired, Finite-Lived [Line Items]
Gross Carrying Amount
157
153
Less Accumulated Amortization
144
136
Net Carrying Amount
13
17
Trademarks
Intangible Asset, Acquired, Finite-Lived [Line Items]
Gross Carrying Amount
420
413
Less Accumulated Amortization
281
256
Net Carrying Amount
139
157
In-process research and development
Intangible Asset, Acquired, Finite-Lived [Line Items]
Gross Carrying Amount
34
34
Less Accumulated Amortization
0
0
Net Carrying Amount
34
34
Other
Intangible Asset, Acquired, Finite-Lived [Line Items]
Gross Carrying Amount
132
63
Less Accumulated Amortization
61
62
Net Carrying Amount
$ 71
$ 1
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$ in Millions
Dec. 31, 2025
USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
2026
$ 699
2027
711
2028
631
2029
616
2030
$ 597
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v3.26.1
Capital Stock (Narrative) (Details)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 31, 2025
USD ($)
class_of_stock
$ / shares
shares
Dec. 31, 2024
USD ($)
$ / shares
shares
Dec. 31, 2023
USD ($)
Capital Stock [Line Items]
Common and Preferred Stock, shares authorized (in shares) | shares
1,000,500,000
Classes of common stock | class_of_stock
2
Preferred stock, shares authorized | shares
500,000
Preferred stock, par per share | $ / shares
$ 1
Common stock, authorized (in shares) | shares
1,000,000,000
Common stock, par value (in dollars per share) | $ / shares
$ 0.10
$ 0.10
Preferred stock, outstanding (in shares) | shares
0
Remaining shares authorized to be repurchased
$ 1,033
Capital shares reserved for future issuance | shares
31,000,000
18,000,000
Aggregate intrinsic value of options exercised
$ 260
$ 362
$ 318
Options exercised during period, exercise price range, lower range limit | $ / shares
$ 96.64
Options exercised during period, exercise price range, upper range limit | $ / shares
$ 392.39
Compensation cost not yet recognized
$ 160
Compensation cost not yet recognized, period for recognized
1 year 6 months
Restricted Stock Units (RSUs)
Capital Stock [Line Items]
Compensation cost not yet recognized
$ 100
Compensation cost not yet recognized, period for recognized
1 year
Weighted average grant date fair value, Granted (in dollars per share) | $ / shares
$ 385.68
$ 332.64
Shares vested during the period
$ 91
Performance Stock Units (PSUs)
Capital Stock [Line Items]
Compensation cost not yet recognized
$ 26
Compensation cost not yet recognized, period for recognized
1 year
Weighted average grant date fair value, Granted (in dollars per share) | $ / shares
$ 334.24
Shares vested during the period
$ 26
Employee Stock Purchase Plans
Capital Stock [Line Items]
Percentage of closing stock price under ESPP
95.00%
Shares issued under the ESPP | shares
178,090
173,708
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v3.26.1
Capital Stock (Option Grant Assumptions) (Details) - $ / shares
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Capital Stock [Abstract]
Weighted-average fair value per share
$ 141.40
$ 118.22
$ 83.59
Risk-free interest rate
4.40%
4.30%
4.00%
Expected dividend yield
0.90%
1.10%
1.20%
Expected stock price volatility
29.10%
29.90%
29.00%
Expected option life (years)
6 years 4 months 24 days
6 years 3 months 18 days
6 years 2 months 12 days
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v3.26.1
Capital Stock (Summary of Stock Option Activity) (Details)
$ / shares in Units, shares in Millions, $ in Millions
12 Months Ended
Dec. 31, 2025
USD ($)
$ / shares
shares
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Shares, Options outstanding at January 1 (in shares) | shares
10.8
Shares, Granted (in shares) | shares
1.0
Shares, Exercised (in shares) | shares
(1.2)
Shares, Cancelled or forfeited (in shares) | shares
(0.2)
Shares, Options outstanding at December 31 (in shares) | shares
10.4
Shares, Exercisable at December 31 (in shares) | shares
6.9
Shares, Options expected to vest (in shares) | shares
3.3
Weighted-Average Exercise Price
Weighted average exercise price, Options outstanding at January 1 (in dollars per share) | $ / shares
$ 214.87
Weighted average exercise price, Granted (in dollars per share) | $ / shares
392.36
Weighted average exercise price, Exercised (in dollars per share) | $ / shares
158.83
Weighted average exercise price, Cancelled or forfeited (in dollars per share) | $ / shares
313.05
Weighted average exercise price, Options outstanding at December 31 (in dollars per share) | $ / shares
234.56
Weighted average exercise price, Exercisable at December 31 (in dollars per share) | $ / shares
195.53
Weighted average exercise price, Options expected to vest (in dollars per share) | $ / shares
$ 309.91
Share-based Compensation Arrangement by Share-based Payment Award, Options, Additional Disclosures [Abstract]
Weighted-average remaining contractual term, Options outstanding (in years)
5 years
Weighted-average remaining contractual term, Exercisable (in years)
3 years 8 months 12 days
Weighted-average remaining contractual term, Options expected to vest (in years)
7 years 6 months
Aggregate intrinsic value, Options outstanding | $
$ 1,246.1
Aggregate intrinsic value, Exercisable | $
1,073.4
Aggregate intrinsic value, Options expected to vest | $
$ 166.7
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v3.26.1
Capital Stock (Summary of RSU and PSU Activity) (Details) - $ / shares
shares in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Restricted Stock Units (RSUs)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Shares, Nonvested at January 1 (in shares)
0.7
Shares, Granted (in shares)
0.3
Shares, Vested (in shares)
(0.3)
Shares, Cancelled (in shares)
(0.1)
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0.6
0.7
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
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$ 290.58
Weighted average grant date fair value, Granted (in dollars per share)
385.68
$ 332.64
Weighted average grant date fair value, Vested (in dollars per share)
277.40
Weighted average grant date fair value, Cancelled (in dollars per share)
337.17
Weighted average grant date fair value, Outstanding at December 31 (in dollars per share)
$ 344.25
$ 290.58
Performance Stock Units (PSUs)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Shares, Nonvested at January 1 (in shares)
0.2
Shares, Granted (in shares)
0.1
Shares, Vested (in shares)
(0.1)
Shares, Cancelled (in shares)
0.0
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0.2
0.2
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
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$ 287.51
Weighted average grant date fair value, Granted (in dollars per share)
334.24
Weighted average grant date fair value, Vested (in dollars per share)
254.47
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0
Weighted average grant date fair value, Outstanding at December 31 (in dollars per share)
$ 333.06
$ 287.51
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v3.26.1
Debt and Credit Facilities (Narrative) (Details) - USD ($)
1 Months Ended
12 Months Ended
Nov. 30, 2025
Jun. 30, 2025
Feb. 28, 2025
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Line of Credit Facility [Line Items]
Commercial paper
$ 0
Interest expense, debt
582,000,000
$ 396,000,000
$ 356,000,000
Repayments of long-term debt
1,400,000,000
$ 2,039,000,000
$ 2,058,000,000
Revolving Credit Facility
Line of Credit Facility [Line Items]
Line of Credit Facility, Increase In Maximum Borrowing Capacity
$ 750,000,000
Line of Credit Facility, Maximum Borrowing Capacity
3,000,000,000
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$ 0
Senior Unsecured Notes 4.850% Due 2028
Line of Credit Facility [Line Items]
Stated interest rate
4.85%
Senior Unsecured Notes 4.850% Due 2028 | Senior Notes
Line of Credit Facility [Line Items]
Debt face amount
$ 800,000,000
Stated interest rate
4.85%
3.375% Notes due 2028
Line of Credit Facility [Line Items]
Stated interest rate
3.375%
Senior Unsecured Notes, 4.250% Due 2029
Line of Credit Facility [Line Items]
Stated interest rate
4.25%
Senior Unsecured Notes 3.375% due 2025
Line of Credit Facility [Line Items]
Stated interest rate
3.375%
3.375%
Repayments of long-term debt
$ 750,000,000
Senior Unsecured Notes 4.625% due 2046
Line of Credit Facility [Line Items]
Stated interest rate
4.625%
3.625% Notes due 2036
Line of Credit Facility [Line Items]
Stated interest rate
3.625%
Commercial Paper
Line of Credit Facility [Line Items]
Line of Credit Facility, Maximum Borrowing Capacity
$ 3,000,000,000
Debt term
397 days
Senior Unsecured Notes, 4.550% Due 2027
Line of Credit Facility [Line Items]
Stated interest rate
4.55%
Senior Unsecured Notes, 4.550% Due 2027 | Senior Notes
Line of Credit Facility [Line Items]
Debt face amount
$ 500,000,000
Stated interest rate
4.55%
Senior Unsecured Notes, 4.700% Due 2027
Line of Credit Facility [Line Items]
Stated interest rate
4.70%
Senior Unsecured Notes, 4.700% Due 2027 | Senior Notes
Line of Credit Facility [Line Items]
Debt face amount
$ 700,000,000
Stated interest rate
4.70%
Senior Unsecured Notes, 5.200% Due 2035
Line of Credit Facility [Line Items]
Stated interest rate
5.20%
Senior Unsecured Notes, 5.200% Due 2035 | Senior Notes
Line of Credit Facility [Line Items]
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$ 1,000,000,000
Stated interest rate
5.20%
Senior Unsecured Notes, 1.150% Due 2025
Line of Credit Facility [Line Items]
Stated interest rate
1.15%
Senior Unsecured Notes, 1.150% Due 2025 | Senior Notes
Line of Credit Facility [Line Items]
Stated interest rate
1.15%
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$ 650,000,000
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v3.26.1
Debt and Credit Facilities (Maturities Of Long-Term Debt Disclosures) (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Nov. 30, 2025
Dec. 31, 2024
Other long-term debt
$ 0
$ 10
Total debt
15,859
13,597
Current maturities of debt
1,000
1,409
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14,859
12,188
Unamortized debt issuance costs
70
63
Borrowing capacity on existing facilities
2,911
2,160
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15,344
$ 12,780
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$ 649
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3.375%
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$ 750
Senior Unsecured Notes 3.500% due 2026
Stated interest rate
3.50%
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$ 1,000
998
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Stated interest rate
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$ 881
777
Senior Unsecured Notes 3.650% due 2028
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598
Senior Unsecured Notes 4.850% Due 2028
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596
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621
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$ 939
828
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$ 744
743
Senior Unsecured Notes, 1.950% Due 2030
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Unsecured debt
$ 995
993
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$ 759
669
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$ 876
772
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$ 934
824
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Unsecured debt
$ 741
740
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Unsecured debt
$ 695
613
Senior Unsecured Notes 4.100% due 2043
Stated interest rate
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Unsecured debt
$ 393
393
Senior Unsecured Notes 4.375% due 2044
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Unsecured debt
$ 396
396
Senior Unsecured Notes 4.625% due 2046
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984
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Unsecured debt
$ 643
643
Senior Unsecured Notes, 4.550% Due 2027
Stated interest rate
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Unsecured debt
$ 498
0
Senior Unsecured Notes, 4.700% Due 2027
Stated interest rate
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Unsecured debt
$ 697
0
Senior Unsecured Notes, 4.850% Due 2030
Stated interest rate
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Unsecured debt
$ 794
0
Senior Unsecured Notes, 5.200% Due 2035
Stated interest rate
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Unsecured debt
$ 990
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Filename: R65.htm · Sequence: 75
v3.26.1
Income Taxes (Narrative) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2026
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Tax Contingency [Line Items]
Effective income tax, percent
28.10%
14.30%
13.80%
Unrecognized tax benefits, income tax penalties and interest expense
$ 18
$ 13
$ 1
Net operating loss carryforward recognized
32
9
$ 189
Accrued interest and penalties
96
71
Tax credit carryforward, amount
141
Tax credit carryforward, valuation allowance
4
Undistributed earnings of foreign subsidiaries
11,700
Unrecognized tax benefits, interest on income tax expense
279
$ 224
Domestic Tax Jurisdiction [Member]
Income Tax Contingency [Line Items]
Operating loss carryforwards
271
Deferred tax assets, operating loss carryforwards
57
Operating loss carryforwards, subject to full valuation allowance
2
State
Income Tax Contingency [Line Items]
Operating loss carryforwards
1,606
Deferred tax assets, operating loss carryforwards
64
Operating loss carryforwards, subject to full valuation allowance
33
Foreign Tax Jurisdiction [Member]
Income Tax Contingency [Line Items]
Operating loss carryforwards
309
Deferred tax assets, operating loss carryforwards
67
Operating loss carryforwards, subject to full valuation allowance
61
GERMANY
Income Tax Contingency [Line Items]
Tax settlements
$ 754
GERMANY | Forecast
Income Tax Contingency [Line Items]
Tax settlements
$ 11
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v3.26.1
Income Taxes (Schedule of Reconciliation of U.S. Statutory Income Tax Rate to Company's Effective Income Tax Rate from Continuing Operations 2025) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Amount
United States federal statutory rate
$ 948
State and Local Income Taxes, Net of Federal Income Tax Effect
173
Effect of Cross-Border Tax Laws
Direct foreign tax credits
(90)
Global intangible low-taxed income
70
Tax Credits
Research and development tax credits
(53)
Nontaxable or Nondeductible Items
Spinal Implants divestiture
(51)
Transfers of intellectual property
405
Changes in unrecognized Tax Benefits
17
Total income tax expense
$ 1,268
$ 499
$ 508
Percent
United States federal statutory rate
21.00%
21.00%
21.00%
State and Local Income Taxes, Net of Federal Income Tax Effect
3.80%
1.10%
1.10%
Statutory tax rate difference
(4.10%)
(6.80%)
Other
(0.50%)
1.80%
Effect of Cross-Border Tax Laws
Direct foreign tax credits
(2.00%)
Global intangible low-taxed income
1.60%
Tax Credits
United States research and development credits
(1.20%)
(1.40%)
(1.20%)
Nontaxable or Nondeductible Items
Spinal Implants divestiture
(1.10%)
Transfers of intellectual property
9.00%
Changes in unrecognized Tax Benefits
0.40%
Effective income tax rate
28.10%
14.30%
13.80%
Ireland
Amount
Statutory tax rate difference
$ (177)
Other
$ 17
Percent
Statutory tax rate difference
(3.90%)
Other
0.40%
Puerto Rico
Amount
Statutory tax rate difference
$ (49)
Other
(4)
Withholding Tax
60
Expiration of credits carryforward
78
Change in valuation allowance
$ (78)
Percent
Statutory tax rate difference
(1.10%)
Other
(0.10%)
Withholding Tax
1.30%
Expiration of credits carryforward
1.70%
Change in valuation allowance
(1.70%)
Other foreign jurisdictions
Amount
Other
$ 20
Percent
Other
0.40%
United States
Amount
Other
$ (18)
Change in valuation allowance
0
Effect of changes in tax laws or rates enacted in the current period
$ 0
Percent
Other
(0.40%)
Change in valuation allowance
0.00%
Effect of changes in tax laws or rates enacted in the current period
0.00%
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v3.26.1
Income Taxes (Schedule of Reconciliation of U.S. Statutory Income Tax Rate to Company's Effective Income Tax Rate from Continuing Operations 2024 and 2023) (Details)
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Tax Disclosure [Abstract]
United States federal statutory rate
21.00%
21.00%
21.00%
United States state and local income taxes, less federal deduction
3.80%
1.10%
1.10%
Foreign income tax at rates other than 21%
(4.10%)
(6.80%)
Tax related to repatriation of foreign earnings
0.30%
1.20%
United States research and development credits
(1.20%)
(1.40%)
(1.20%)
Intellectual property transfers
0.00%
(3.30%)
Goodwill impairment
2.80%
0.00%
Outside basis difference related to the anticipated sale of the Spinal Implants business
(4.90%)
0.00%
Other
(0.50%)
1.80%
Effective income tax rate
28.10%
14.30%
13.80%
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v3.26.1
Income Taxes (Cash Paid for Income Taxes (Net of Refunds Received) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Tax Paid, by Individual Jurisdiction [Line Items]
United States - Federal
$ 533
United States - State
71
Foreign
398
Total
1,002
$ 989
$ 693
Ireland
Income Tax Paid, by Individual Jurisdiction [Line Items]
Foreign
175
Other foreign jurisdictions
Income Tax Paid, by Individual Jurisdiction [Line Items]
Foreign
$ 223
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$ in Millions
3 Months Ended
12 Months Ended
Dec. 31, 2025
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Tax Disclosure [Abstract]
United States
$ 1,434
$ 523
$ 701
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3,080
2,969
2,972
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$ 1,029
$ 1,016
$ 764
$ 528
$ 1,043
$ 998
$ 923
$ 4,514
$ 3,492
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$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
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$ 490
$ 236
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90
48
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289
430
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869
714
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168
26
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$ 508
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v3.26.1
Income Taxes (Schedule of Difference in Income Tax Effects Comprising Company's Deferred Income Tax Assets and Liabilities) (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Deferred income tax assets:
Inventories
$ 553
$ 551
Other accrued expenses
401
207
Depreciation and amortization
546
715
State income taxes
90
167
Share-based compensation
117
100
Research and development capitalization
40
408
International interest expense carryforwards
56
52
Net operating loss and credit carryforwards
315
410
Outside basis difference related to the anticipated sale of the Spinal Implants business
0
170
Other
352
310
Total deferred income tax assets
2,470
3,090
Less valuation allowances
(148)
(228)
Net deferred income tax assets
2,322
2,862
Deferred income tax liabilities:
Depreciation and amortization
(1,222)
(1,141)
Undistributed earnings
(139)
(61)
Total deferred income tax liabilities
(1,361)
(1,202)
Net deferred income tax assets
961
1,660
Noncurrent deferred income tax assets
1,098
1,742
Noncurrent liabilities—Other liabilities
$ (137)
$ (82)
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$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Unrecognized Tax Benefits [Roll Forward]
Beginning uncertain tax positions
$ 349
$ 371
Increases related to current year income tax positions
19
18
Increases related to prior year income tax positions
12
0
Decreases related to prior year income tax positions
0
(4)
Settlements of income tax audits
0
(21)
Statute of limitations expirations and other
(4)
(3)
Foreign currency translation
27
Foreign currency translation
(12)
Ending uncertain tax positions
$ 403
$ 349
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v3.26.1
Retirement Plans (Schedule of Defined Contribution Plan Disclosures) (Details) - USD ($)
shares in Millions, $ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Retirement Benefits [Abstract]
Plan expense
$ 399
$ 376
$ 327
Expense funded with Stryker common stock
72
62
57
Stryker common stock held by plan, amount
$ 763
$ 781
$ 649
Stryker common stock held by plan, shares
2.2
2.2
2.2
Stryker common stock held by plan, value as a percentage of total plan assets
8.00%
10.00%
10.00%
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v3.26.1
Retirement Plans (Schedule of Funded Status and Components of the Amounts Recognized in the Consolidated Balance Sheets and in Accumulated Other Comprehensive Gain (Loss), Before the Effect of Income Taxes) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Components of Net Periodic Pension Cost
Service cost
$ (42)
$ (39)
$ (32)
Defined Benefit Plan, Net Periodic Benefit Cost (Credit), Interest Cost, Statement Of Income Or Comprehensive Income, Extensible List, Not Disclosed Flag
Interest cost
Interest cost
Interest cost
Interest cost
$ (24)
$ (21)
$ (23)
Defined Benefit Plan, Net Periodic Benefit Cost Credit Expected Return Loss Statement Of Income Or Comprehensive Income Extensible List Not Disclosed Flag
Expected return on plan assets
Expected return on plan assets
Expected return on plan assets
Expected return on plan assets
$ 22
$ 19
$ 18
Amortization of prior service cost and transition amount
2
1
1
Recognized actuarial loss
(2)
(1)
4
Net periodic benefit cost
(44)
(41)
(32)
Net actuarial gain (loss)
93
43
(67)
Recognized net actuarial loss
2
1
(4)
Prior service cost and transition amount
(2)
(1)
(1)
Total recognized in OCI
93
43
(72)
Total recognized in net periodic benefit cost and OCI
$ 49
$ 2
$ (104)
Defined Benefit Plan, Assumptions Used in Calculations [Abstract]
Discount rate
2.90%
2.80%
3.30%
Expected return on plan assets
4.10%
4.30%
4.20%
Expected return on plan assets
2.90%
3.00%
3.00%
Weighted-average discount rate used to determine projected benefit obligations
3.60%
2.90%
2.80%
Defined Benefit Plan, Information about Plan Assets [Abstract]
Fair value of plan assets
$ 560
$ 492
Benefit obligations
(829)
(782)
$ (826)
Funded status
(269)
(290)
Unrecognized net actuarial gain (loss)
101
6
Unrecognized prior service credit
8
8
Total
109
14
Accrued Compensation
Defined Benefit Plan, Information about Plan Assets [Abstract]
Funded status
(5)
(3)
Other noncurrent assets
Defined Benefit Plan, Information about Plan Assets [Abstract]
Funded status
72
48
Other noncurrent liabilities
Defined Benefit Plan, Information about Plan Assets [Abstract]
Funded status
$ (336)
$ (335)
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Filename: R75.htm · Sequence: 85
v3.26.1
Retirement Plans (Schedule of Change in Benefit Obligations (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Beginning projected benefit obligations
$ 782
$ 826
Service cost
42
39
$ 32
Interest cost
24
21
23
Foreign exchange impact and other
114
(52)
Employee contributions
9
7
Actuarial (gains) losses
(116)
(40)
Benefits paid
(26)
(19)
Ending projected benefit obligations
829
782
$ 826
Ending accumulated benefit obligations
$ 786
$ 748
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- Definition
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v3.26.1
Retirement Plans (Change in Plan Assets) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Defined Benefit Plan, Change in Fair Value of Plan Assets [Roll Forward]
Beginning fair value of plan assets
$ 492
$ 485
Actual return
(3)
22
Employer contributions
23
23
Employee contributions
9
7
Foreign exchange impact
60
(31)
Benefits paid
(21)
(14)
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$ 560
$ 492
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Dec. 31, 2025
Dec. 31, 2024
Defined Benefit Plan Disclosure [Line Items]
Target plan asset allocations
100.00%
Actual plan asset allocations
100.00%
100.00%
Equity securities
Defined Benefit Plan Disclosure [Line Items]
Target plan asset allocations
26.00%
Actual plan asset allocations
32.00%
28.00%
Debt securities
Defined Benefit Plan Disclosure [Line Items]
Target plan asset allocations
41.00%
Actual plan asset allocations
39.00%
40.00%
Other
Defined Benefit Plan Disclosure [Line Items]
Target plan asset allocations
33.00%
Actual plan asset allocations
29.00%
32.00%
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v3.26.1
Retirement Plans (Schedule of Valuation of the Company's Pension Plan Assets by Pricing Categories) (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
$ 560
$ 492
(Level 1)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
31
31
(Level 2)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
475
404
(Level 3)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
54
57
Cash and cash equivalents
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
16
17
Cash and cash equivalents | (Level 1)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
16
17
Cash and cash equivalents | (Level 2)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
0
0
Cash and cash equivalents | (Level 3)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
0
0
Equity securities
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
171
133
Equity securities | (Level 1)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
9
8
Equity securities | (Level 2)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
162
125
Equity securities | (Level 3)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
0
0
Debt securities
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
232
205
Debt securities | (Level 1)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
2
2
Debt securities | (Level 2)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
230
203
Debt securities | (Level 3)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
0
0
Other
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
141
137
Other | (Level 1)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
4
4
Other | (Level 2)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
83
76
Other | (Level 3)
Defined Benefit Plan Disclosure [Line Items]
Fair value of plan assets
$ 54
$ 57
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Retirement Plans (Narrative) (Details) - USD ($)
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12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
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Actual return
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Dec. 31, 2025
USD ($)
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Filename: R81.htm · Sequence: 91
v3.26.1
Summary of Quarterly Data (Unaudited) (Details) - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended
12 Months Ended
Dec. 31, 2025
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Quarterly Financial Data [Abstract]
Net sales
$ 7,171
$ 6,057
$ 6,022
$ 5,866
$ 6,436
$ 5,494
$ 5,422
$ 5,243
$ 25,116
$ 22,595
$ 20,498
Gross profit
4,628
3,852
3,841
3,744
4,174
3,517
3,416
3,333
16,065
14,440
13,058
Earnings before income taxes
1,705
1,029
1,016
764
528
1,043
998
923
4,514
3,492
3,673
Net earnings
$ 849
$ 859
$ 884
$ 654
$ 546
$ 834
$ 825
$ 788
$ 3,246
$ 2,993
$ 3,165
Basic net earnings per share of common stock (in dollars per share)
$ 2.21
$ 2.25
$ 2.32
$ 1.71
$ 1.43
$ 2.18
$ 2.17
$ 2.07
$ 8.49
$ 7.86
$ 8.34
Diluted net earnings per share of common stock (in dollars per share)
2.20
2.22
2.29
1.69
1.41
2.16
2.14
2.05
$ 8.40
$ 7.76
$ 8.25
Dividends declared per share of common stock (in dollars per share)
$ 0.88
$ 0.84
$ 0.84
$ 0.84
$ 0.84
$ 0.80
$ 0.80
$ 0.80
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v3.26.1
Segment and Geographic Data (Sales And Other Financial Information By Business Segment) (Details)
$ in Thousands
3 Months Ended
12 Months Ended
Mar. 31, 2026
segment
Dec. 31, 2025
USD ($)
Sep. 30, 2025
USD ($)
Jun. 30, 2025
USD ($)
Mar. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Sep. 30, 2024
USD ($)
Jun. 30, 2024
USD ($)
Mar. 31, 2024
USD ($)
Dec. 31, 2025
USD ($)
segment
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Segment Reporting [Abstract]
Number of reportable segments | segment
2
2
Segment Reporting Information [Line Items]
Number of reportable segments | segment
2
2
Net sales
$ 7,171,000
$ 6,057,000
$ 6,022,000
$ 5,866,000
$ 6,436,000
$ 5,494,000
$ 5,422,000
$ 5,243,000
$ 25,116,000
$ 22,595,000
$ 20,498,000
Cost of sales
9,051,000
8,155,000
7,440,000
Research, development and engineering expenses
1,623,000
1,466,000
1,388,000
Selling, general and administrative expenses
8,651,000
7,685,000
7,111,000
Depreciation and amortization
1,566,000
1,432,000
1,350,000
Amortization of intangible assets
(732,000)
(623,000)
(635,000)
Segment net earnings (loss)
4,889,000
3,689,000
3,888,000
Sale of inventory stepped up to fair value at acquisition
(173,000)
(46,000)
0
Goodwill and other impairments
(170,000)
(977,000)
(36,000)
Net earnings
$ 849,000
$ 859,000
$ 884,000
$ 654,000
$ 546,000
$ 834,000
$ 825,000
$ 788,000
3,246,000
2,993,000
3,165,000
MedSurg and Neurotechnology
Segment Reporting Information [Line Items]
Net sales
13,692,000
11,753,000
10,558,000
Orthopaedics
Segment Reporting Information [Line Items]
Net sales
11,424,000
10,842,000
9,940,000
Operating Segments
Segment Reporting Information [Line Items]
Net sales
25,116,000
22,595,000
20,498,000
Cost of sales
8,501,000
7,778,000
7,172,000
Research, development and engineering expenses
1,505,000
1,360,000
1,241,000
Selling, general and administrative expenses
6,909,000
6,162,000
5,733,000
Depreciation and amortization
709,000
700,000
617,000
Amortization of intangible assets
(732,000)
(623,000)
(635,000)
Segment net earnings (loss)
7,492,000
6,595,000
5,735,000
Operating Segments | MedSurg and Neurotechnology
Segment Reporting Information [Line Items]
Net sales
13,692,000
11,753,000
10,558,000
Cost of sales
5,253,000
4,748,000
4,338,000
Research, development and engineering expenses
890,000
739,000
663,000
Selling, general and administrative expenses
3,618,000
2,912,000
2,667,000
Depreciation and amortization
231,000
211,000
195,000
Segment net earnings (loss)
3,700,000
3,143,000
2,695,000
Operating Segments | Orthopaedics
Segment Reporting Information [Line Items]
Net sales
11,424,000
10,842,000
9,940,000
Cost of sales
3,248,000
3,030,000
2,834,000
Research, development and engineering expenses
615,000
621,000
578,000
Selling, general and administrative expenses
3,291,000
3,250,000
3,066,000
Depreciation and amortization
478,000
489,000
422,000
Segment net earnings (loss)
3,792,000
3,452,000
3,040,000
Corporate and Other
Segment Reporting Information [Line Items]
Depreciation and amortization
125,000
109,000
98,000
Segment operating income
(889,000)
(880,000)
(780,000)
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment
Segment Reporting Information [Line Items]
Sale of inventory stepped up to fair value at acquisition
(173,000)
(46,000)
0
Acquisition and integration-related charges
(335,000)
(108,000)
(20,000)
Structural optimization and other special charges
(191,000)
(138,000)
(170,000)
Medical device regulation
(38,000)
(58,000)
(96,000)
Recall-related matters
(58,000)
(40,000)
(18,000)
Regulatory and legal matters
(17,000)
(36,000)
(92,000)
Net earnings
$ 4,889,000
$ 3,689,000
$ 3,888,000
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Segment and Geographic Data (Geographic Information on Net Sales and Long-Lived Assets) (Details) - USD ($)
$ in Millions
3 Months Ended
12 Months Ended
Dec. 31, 2025
Sep. 30, 2025
Jun. 30, 2025
Mar. 31, 2025
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Segment Reporting Information [Line Items]
Net sales
$ 7,171
$ 6,057
$ 6,022
$ 5,866
$ 6,436
$ 5,494
$ 5,422
$ 5,243
$ 25,116
$ 22,595
$ 20,498
Net Property, Plant & Equipment
3,876
3,448
3,876
3,448
United States
Segment Reporting Information [Line Items]
Net sales
19,006
16,943
15,257
Net Property, Plant & Equipment
2,084
1,997
2,084
1,997
Europe, Middle East, Africa
Segment Reporting Information [Line Items]
Net sales
3,181
2,897
2,618
Net Property, Plant & Equipment
1,562
1,260
1,562
1,260
Asia Pacific
Segment Reporting Information [Line Items]
Net sales
2,164
2,020
1,946
Net Property, Plant & Equipment
97
75
97
75
Other foreign countries
Segment Reporting Information [Line Items]
Net sales
765
735
$ 677
Net Property, Plant & Equipment
$ 133
$ 116
$ 133
$ 116
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$ in Millions
12 Months Ended
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Dec. 31, 2024
Dec. 31, 2023
Property, Plant and Equipment [Line Items]
Goodwill and other impairments
$ 170
$ 977
$ 36
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$ 159
$ 36
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Assets Held for Sale (Details) - Disposal Group, Held-for-Sale, Not Discontinued Operations - Spinal Implants - USD ($)
$ in Millions
3 Months Ended
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Dec. 31, 2025
Apr. 30, 2025
Dec. 31, 2024
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
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Increase to fair value
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Decrease to fair value
$ 245
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$ 56
$ 62
Total inventories
195
183
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27
10
Property, plant and equipment, net
53
51
Other intangibles, net
323
326
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9
9
Other noncurrent assets
179
171
Valuation allowance
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(362)
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447
450
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41
28
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20
26
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29
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$ 104
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