UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q


☒			QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 2024


☐			TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission file number: 001-13149

STRYKER CORPORATION
(Exact name of registrant as specified in its charter)

Michigan

38-1239739

(State of incorporation)

(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)


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
0.250% Notes due 2024	SYK24A	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

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ☒ No ☐

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes ☒ No ☐

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act.

Large accelerated filer

☒

Accelerated filer

☐

Emerging growth company

☐

Non-accelerated filer

☐

Small reporting company

☐

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No ☒

There were 380,949,778 shares of Common Stock, $0.10 par value, on March 31, 2024.


STRYKER CORPORATION						2024 First Quarter Form 10-Q

PART I – FINANCIAL INFORMATION


ITEM 1.			FINANCIAL STATEMENTS

Stryker Corporation and Subsidiaries

CONSOLIDATED STATEMENTS OF EARNINGS (Unaudited)


	Three Months
	2024		2023
Net sales	$	5,243	$	4,778
Cost of sales	1,910		1,762
Gross profit	$	3,333	$	3,016
Research, development and engineering expenses	368		339
Selling, general and administrative expenses	1,840		1,781

Amortization of intangible assets	153		161

Total operating expenses	$	2,361	$	2,281
Operating income	$	972	$	735
Other income (expense), net	(49)		(56)
Earnings before income taxes	$	923	$	679
Income taxes	135		87
Net earnings	$	788	$	592

Net earnings per share of common stock:
Basic	$	2.07	$	1.56
Diluted	$	2.05	$	1.54

Weighted-average shares outstanding (in millions):
Basic	380.4		379.0
Effect of dilutive employee stock compensation	4.7		4.2
Diluted	385.1		383.2

Cash dividends declared per share of common stock	$	0.80	$	0.75

Anti-dilutive shares excluded from the calculation of dilutive employee stock options were de minimis in all periods.

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (Unaudited)


	Three Months
	2024		2023
Net earnings	$	788	$	592
Other comprehensive income (loss), net of tax:
Marketable securities	—		—
Pension plans	2		(2)
Unrealized gains (losses) on designated hedges	2		(9)
Financial statement translation	35		(73)
Total other comprehensive income (loss), net of tax	$	39	$	(84)
Comprehensive income	$	827	$	508

See accompanying notes to Consolidated Financial Statements.


Dollar amounts are in millions except per share amounts or as otherwise specified.			1


STRYKER CORPORATION						2024 First Quarter Form 10-Q

CONSOLIDATED BALANCE SHEETS


	March 31		December 31
	2024		2023
	(Unaudited)
Assets
Current assets
Cash and cash equivalents	$	2,330	$	2,971
Marketable securities	77		82
Accounts receivable, less allowance of $175 ($182 in 2023)	3,473		3,765
Inventories:
Materials and supplies	1,232		1,242
Work in process	372		330
Finished goods	3,422		3,271
Total inventories	$	5,026	$	4,843
Prepaid expenses and other current assets	986		857
Total current assets	$	11,892	$	12,518
Property, plant and equipment:
Land, buildings and improvements	1,686		1,692
Machinery and equipment	4,772		4,652
Total property, plant and equipment	$	6,458	$	6,344
Less allowance for depreciation	3,198		3,129
Property, plant and equipment, net	$	3,260	$	3,215
Goodwill	15,351		15,243
Other intangibles, net	4,509		4,593
Noncurrent deferred income tax assets	1,641		1,670
Other noncurrent assets	2,749		2,673
Total assets	$	39,402	$	39,912

Liabilities and shareholders' equity
Current liabilities
Accounts payable	$	1,246	$	1,517
Accrued compensation	778		1,478
Income taxes	444		391
Dividends payable	305		304
Accrued expenses and other liabilities	2,124		2,137
Current maturities of debt	2,058		2,094
Total current liabilities	$	6,955	$	7,921
Long-term debt, excluding current maturities	10,807		10,901
Income taxes	565		567
Other noncurrent liabilities	1,903		1,930
Total liabilities	$	20,230	$	21,319
Shareholders' equity
Common stock, $0.10 par value	38		38
Additional paid-in capital	2,257		2,200
Retained earnings	17,254		16,771
Accumulated other comprehensive loss	(377)		(416)
Total shareholders' equity	$	19,172	$	18,593
Total liabilities and shareholders' equity	$	39,402	$	39,912

See accompanying notes to Consolidated Financial Statements.


Dollar amounts are in millions except per share amounts or as otherwise specified.			2


STRYKER CORPORATION						2024 First Quarter Form 10-Q

CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY (Unaudited)


	Three Months
	2024		2023
Common stock shares outstanding (in millions)
Beginning	380.1		378.7
Issuance of common stock under stock compensation and benefit plans	0.8		0.9

Ending	380.9		379.6

Common stock
Beginning	$	38	$	38
Issuance of common stock under stock compensation and benefit plans	—		—

Ending	$	38	$	38
Additional paid-in capital
Beginning	$	2,200	$	2,034
Issuance of common stock under stock compensation and benefit plans	(30)		(18)

Share-based compensation	87		74
Ending	$	2,257	$	2,090
Retained earnings
Beginning	$	16,771	$	14,765

Net earnings	788		592

Cash dividends declared	(305)		(285)
Ending	$	17,254	$	15,072
Accumulated other comprehensive income (loss)
Beginning	$	(416)	$	(221)
Other comprehensive income (loss)	39		(84)
Ending	$	(377)	$	(305)








Total shareholders' equity	$	19,172	$	16,895

See accompanying notes to Consolidated Financial Statements.


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


STRYKER CORPORATION						2024 First Quarter Form 10-Q

CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)


	Three Months
	2024		2023
Operating activities
Net earnings	$	788	$	592
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation	107		96
Amortization of intangible assets	153		161
Asset impairments	3		2
Share-based compensation	87		74
Deferred income tax (benefit) expense	(39)		(3)



Changes in operating assets and liabilities:
Accounts receivable	258		365
Inventories	(184)		(314)
Accounts payable	(257)		(56)
Accrued expenses and other liabilities	(635)		(419)

Income taxes	76		26
Other, net	(153)		(79)
Net cash provided by operating activities	$	204	$	445
Investing activities
Acquisitions, net of cash acquired	(246)		—
Purchases of marketable securities	(18)		(28)
Proceeds from sales of marketable securities	23		25
Purchases of property, plant and equipment	(167)		(130)

Other investing, net	—		1
Net cash used in investing activities	$	(408)	$	(132)
Financing activities
Proceeds (payments) on short-term borrowings, net	(1)		(2)

Payments on long-term debt	—		(100)
Payments of dividends	(304)		(284)

Cash paid for taxes from withheld shares	(113)		(94)

Other financing, net	—		(1)
Net cash provided by (used in) financing activities	$	(418)	$	(481)
Effect of exchange rate changes on cash and cash equivalents	(19)		(5)
Change in cash and cash equivalents	$	(641)	$	(173)
Cash and cash equivalents at beginning of period	2,971		1,844
Cash and cash equivalents at end of period	$	2,330	$	1,671

See accompanying notes to Consolidated Financial Statements.


Dollar amounts are in millions except per share amounts or as otherwise specified.			4


STRYKER CORPORATION						2024 First Quarter Form 10-Q

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (Unaudited)

NOTE 1 - BASIS OF PRESENTATION

General Information

Management believes the accompanying unaudited Consolidated Financial Statements contain all adjustments, including normal recurring items, considered necessary to fairly present the financial position of Stryker Corporation and its consolidated subsidiaries ("Stryker," the "Company," "we," "us" or "our") on March 31, 2024 and the results of operations for the three months 2024. The results of operations included in these Consolidated Financial Statements may not necessarily be indicative of our annual results. These statements should be read in conjunction with our Annual Report on Form 10-K for 2023.

New Accounting Pronouncements Not Yet Adopted

In December 2023 the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2023-09 (Topic 740): Income Taxes: Improvements to Income Tax Disclosures which expands the existing rules on income tax disclosures. This update requires entities to disclose specific categories in the tax rate reconciliation, provide additional information for reconciling items that meet a quantitative threshold and disclose additional information about income taxes paid on an annual basis. The new disclosure requirements are effective for fiscal years beginning after December 15, 2024 and we will adopt this ASU in 2025.

In November 2023 the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures which expands disclosure requirements to require entities to disclose significant segment expenses that are regularly provided to or easily computed from information regularly provided to the chief operating decision maker. This update also requires all annual disclosures currently required by Topic 280 to be disclosed in interim periods. The new disclosure requirements are effective for fiscal years beginning after December 15, 2023, and interim periods within fiscal years beginning after December 15, 2024. We will adopt this ASU in the fourth quarter 2024.

We evaluate all ASUs issued by the FASB for consideration of their applicability. ASUs not included in our disclosures were assessed and determined to be either not applicable or are not expected to have a material impact on our Consolidated Financial Statements.

NOTE 2 - REVENUE RECOGNITION

Our policies for recognizing sales have not changed from those described in our Annual Report on Form 10-K for 2023.

We disaggregate our net sales by business and geographic location for each of our segments as we believe it best depicts how the nature, amount, timing and certainty of our net sales and cash flows are affected by economic factors.

Beginning in the first quarter 2024, a product line previously included in Instruments has been reclassified to Endoscopy to align with a change in our internal reporting structure. We have reflected this change in all historical periods presented.


Net Sales by Business
	Three Months
	2024		2023
MedSurg and Neurotechnology:
Instruments	$	667	$	566
Endoscopy	778		707
Medical	864		778
Neurovascular	310		284
Neuro Cranial	380		355

	$	2,999	$	2,690
Orthopaedics and Spine:
Knees	$	588	$	566
Hips	393		375
Trauma and Extremities	830		769
Spine	300		284
Other	133		94
	$	2,244	$	2,088
Total	$	5,243	$	4,778


Net Sales by Geography
	Three Months 2024				Three Months 2023
	United States		International		United States		International
MedSurg and Neurotechnology:
Instruments	$	532	$	135	$	441	$	125
Endoscopy	636		142		573		134
Medical	715		149		612		166
Neurovascular	121		189		118		166
Neuro Cranial	309		71		289		66
	$	2,313	$	686	$	2,033	$	657
Orthopaedics and Spine:
Knees	$	429	$	159	$	416	$	150
Hips	251		142		236		139
Trauma and Extremities	611		219		554		215
Spine	221		79		212		72
Other	89		44		61		33
	$	1,601	$	643	$	1,479	$	609
Total	$	3,914	$	1,329	$	3,512	$	1,266

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 approximately 3% of our total revenue for the three months 2024 and 2023.

Contract Assets and Liabilities

On March 31, 2024 and December 31, 2023 contract assets recorded in our Consolidated Balance Sheets were not significant.

Our contract liabilities arise as a result of consideration received from customers at inception of contracts for certain businesses or where the timing of billing for services precedes satisfaction of our performance obligations. This occurs primarily when payment is received upfront for certain multi-period extended service contracts. Our contract liabilities of $866 and $860 on March 31, 2024 and December 31, 2023 are classified within accrued


Dollar amounts are in millions except per share amounts or as otherwise specified.			5


STRYKER CORPORATION						2024 First Quarter Form 10-Q

expenses and other liabilities and other noncurrent liabilities within our Consolidated Balance Sheets based on the timing of when we expect to complete our performance obligations.

Changes in contract liabilities during the three months 2024 were as follows:


	March 31
	2024
Beginning contract liabilities	$	860
Revenue recognized from beginning of year contract liabilities	(153)

Net advance consideration received during the period	159
Ending contract liabilities	$	866

NOTE 3 - ACCUMULATED OTHER COMPREHENSIVE (LOSS) INCOME (AOCI)


Three Months 2024	Marketable Securities		Pension Plans		Hedges		Financial Statement Translation		Total
Beginning	$	—	$	(28)	$	39	$	(427)	$	(416)
OCI	—		2		16		81		99
Income taxes	—		—		(4)		(40)		(44)
Reclassifications to:
Cost of sales	—		—		(10)		—		(10)
Other (income) expense, net	—		—		(2)		(8)		(10)
Income taxes	—		—		2		2		4
Net OCI	$	—	$	2	$	2	$	35	$	39
Ending	$	—	$	(26)	$	41	$	(392)	$	(377)


Three Months 2023	Marketable Securities		Pension Plans		Hedges		Financial Statement Translation		Total
Beginning	$	(1)	$	31	$	52	$	(303)	$	(221)
OCI	—		2		3		(99)		(94)
Income taxes	—		(3)		(1)		32		28
Reclassifications to:
Cost of sales	—		—		(13)		—		(13)
Other (income) expense, net	—		(1)		(1)		(8)		(10)
Income taxes	—		—		3		2		5
Net OCI	$	—	$	(2)	$	(9)	$	(73)	$	(84)
Ending	$	(1)	$	29	$	43	$	(376)	$	(305)

NOTE 4 - DERIVATIVE INSTRUMENTS

We use operational and economic hedges, foreign currency exchange forward contracts, net investment hedges (both derivative and non-derivative financial instruments) and interest rate derivative instruments to manage the impact of currency exchange and interest rate fluctuations on earnings, cash flow and equity. We do not enter into derivative instruments for speculative purposes. We are exposed to potential credit loss in the event of nonperformance by counterparties on our outstanding derivative instruments but do not anticipate nonperformance by any of our counterparties. Should a counterparty default, our maximum loss exposure is the asset balance of the instrument. We have not changed our hedging strategies, accounting practices or objectives from those disclosed in our Annual Report on Form 10-K for 2023.

Foreign Currency Hedges


March 2024	Cash Flow		Net Investment		Non-Designated		Total
Gross notional amount	$	1,659	$	1,621	$	4,283	$	7,563
Maximum term in years							2.6
Fair value:
Other current assets	$	29	$	90	$	27	$	146
Other noncurrent assets	3		6		—		9
Other current liabilities	(19)		—		(8)		(27)
Other noncurrent liabilities	(2)		(27)		—		(29)
Total fair value	$	11	$	69	$	19	$	99


December 2023	Cash Flow		Net Investment		Non-Designated		Total
Gross notional amount	$	1,650	$	1,662	$	4,315	$	7,627
Maximum term in years							2.9
Fair value:
Other current assets	$	24	$	74	$	16	$	114
Other noncurrent assets	2		—		—		2
Other current liabilities	(16)		—		(36)		(52)
Other noncurrent liabilities	(2)		(43)		—		(45)
Total fair value	$	8	$	31	$	(20)	$	19

We had €1.5 billion at March 31, 2024 and December 31, 2023 in certain forward currency contracts designated as net investment hedges to hedge a portion of our investments in certain of our entities with functional currencies denominated in Euros. In addition to these derivative financial instruments designated as net investment hedges, we had €4.9 billion at March 31, 2024 and December 31, 2023 of senior unsecured notes designated as net investment hedges to selectively hedge portions of our investment in certain international subsidiaries. The currency effects of our Euro-denominated senior unsecured notes are reflected in AOCI within shareholders' equity where they offset gains and losses recorded on our net investment in international subsidiaries.

The total after-tax gain (loss) recognized in OCI related to designated net investment hedges was $122 in the three months 2024.

Currency Exchange Rate Gains (Losses) Recognized in Net Earnings


		Three Months
Derivative Instrument	Recognized in:	2024		2023
Cash Flow	Cost of sales	$	10	$	13
Net Investment	Other income (expense), net	8		8
Non-Designated	Other income (expense), net	3		(4)
	Total	$	21	$	17

Pretax gains (losses) on derivatives designated as cash flow hedges of $26 and net investment hedges of $24 recorded in AOCI are expected to be reclassified to cost of sales and other income (expense), net in earnings within 12 months of March 31, 2024. This cash flow hedge reclassification is primarily due to the sale of inventory that includes previously hedged purchases. A component of the AOCI amounts related to net investment hedges is reclassified over the life of the hedge instruments as we elected to exclude the initial value of the component related to the spot-forward difference from the effectiveness assessment.

Interest Rate Hedges

Pretax gains of $4 recorded in AOCI related to interest rate hedges closed in conjunction with debt issuances are expected to be reclassified to other income (expense), net in earnings within 12 months of March 31, 2024. The cash flow effect of interest rate hedges is recorded in cash flow from operations.


Dollar amounts are in millions except per share amounts or as otherwise specified.			6


STRYKER CORPORATION						2024 First Quarter Form 10-Q

NOTE 5 - FAIR VALUE MEASUREMENTS

Our policies for managing risk related to foreign currency, interest rates, credit and markets and our process for determining fair value have not changed from those described in our Annual Report on Form 10-K for 2023.

In 2023 we recorded $192 of contingent consideration related to the acquisition of Cerus Endovascular Limited (Cerus) described in Note 7.

There were no significant transfers into or out of any level of the fair value hierarchy in 2024.


Assets Measured at Fair Value	March 31		December 31
	2024		2023
Cash and cash equivalents	$	2,330	$	2,971
Trading marketable securities	234		209
Level 1 - Assets	$	2,564	$	3,180
Available-for-sale marketable securities:
Corporate and asset-backed debt securities	$	42	$	43

United States agency debt securities	1		4
United States treasury debt securities	30		31

Certificates of deposit	4		4
Total available-for-sale marketable securities	$	77	$	82
Foreign currency exchange forward contracts	155		116

Level 2 - Assets	$	232	$	198
Total assets measured at fair value	$	2,796	$	3,378


Liabilities Measured at Fair Value	March 31		December 31
	2024		2023
Deferred compensation arrangements	$	234	$	209
Level 1 - Liabilities	$	234	$	209
Foreign currency exchange forward contracts	$	56	$	97

Level 2 - Liabilities	$	56	$	97
Contingent consideration:
Beginning	$	289	$	121
Additions	—		192
Change in estimate and foreign exchange	(17)		(2)
Settlements	(1)		(22)
Ending	$	271	$	289
Level 3 - Liabilities	$	271	$	289
Total liabilities measured at fair value	$	561	$	595


Fair Value of Available for Sale Securities by Maturity
	March 31		December 31
	2024		2023
Due in one year or less	$	36	$	46
Due after one year through three years	$	41	$	36

On March 31, 2024 and December 31, 2023 the aggregate difference between the cost and fair value of available-for-sale marketable securities was nominal. Interest income on cash and cash equivalents, short-term investments and marketable securities income was $36 and $13 in the three months 2024 and 2023, which was recorded in other income (expense), net.

Our investments in available-for-sale marketable securities had a minimum credit quality rating of A2 (Moody's), A (Standard & Poor's) and A (Fitch). We do not plan to sell the investments, and it is not more likely than not that we will be required to sell the investments before recovery of their amortized cost basis, which may be maturity.

NOTE 6 - CONTINGENCIES AND COMMITMENTS

We are involved in various ongoing proceedings, legal actions and claims arising in the normal course of business, including proceedings related to product, labor, intellectual property and other matters, the most significant of which are more fully described below. The outcomes of these matters will generally not be known for prolonged periods of time. In certain of the legal proceedings the claimants seek damages as well as other

compensatory and equitable relief that could result in the payment of significant claims and settlements and/or the imposition of injunctions or other equitable relief. For legal matters for which management had sufficient information to reasonably estimate our future obligations, a liability representing management's best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within the range is not known, is recorded. The estimates are based on consultation with legal counsel, previous settlement experience and settlement strategies. If actual outcomes are less favorable than those estimated by management, additional expense may be incurred, which could unfavorably affect future operating results. We are self-insured for certain claims and expenses. The ultimate cost to us with respect to product liability claims could be materially different than the amount of the current estimates and accruals and could have a material adverse effect on our financial position, results of operations and cash flows.

In February 2024 we reached an agreement with PureWick Corporation and its affiliates to settle patent infringement claims related to our PrimaFit and PrimoFit products. The terms of the settlement agreement are confidential and did not have a significant impact to our previously recorded reserves, financial position, results of operations or cash flows.

We are currently investigating whether certain business activities in certain foreign countries violated provisions of the Foreign Corrupt Practices Act (FCPA) and have engaged outside counsel to conduct these investigations. We have been contacted by the United States Securities and Exchange Commission, United States Department of Justice and certain other regulatory authorities and are cooperating with these agencies. At this time we are unable to predict the outcome of the investigations or the potential impact, if any, on our financial statements.

We have conducted voluntary recalls of certain products, including our Rejuvenate and ABG II Modular-Neck hip stems and certain lot-specific sizes and offsets of LFIT Anatomic CoCr V40 Femoral Heads. Additionally, we are responsible for certain product liability claims, primarily related to certain hip products sold by Wright Medical Group N.V. (Wright) prior to its 2014 divestiture of the OrthoRecon business.

We have incurred, and expect to incur in the future, costs associated with the defense and settlement of claims and lawsuits. Based on the information that has been received related to the matters discussed above, our accrual for these matters was $277 at March 31, 2024, representing our best estimate of probable loss. The final outcomes of these matters are dependent on many factors that are difficult to predict. Accordingly the ultimate cost related to these matters may be materially different than the amount of our current estimate and accruals and could have a material adverse effect on our results of operations and cash flows.


Leases	March 31			December 31
	2024			2023
Right-of-use assets	$	525		$	494
Lease liabilities, current	$	157		$	143
Lease liabilities, non-current	$	378		$	356

Other information:
Weighted-average remaining lease term (years)	5.2			5.5
Weighted-average discount rate	3.92		%	3.87		%


	Three Months
	2024		2023
Operating lease cost	$	47	$	38


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


STRYKER CORPORATION						2024 First Quarter Form 10-Q

NOTE 7 - ACQUISITIONS

We acquire stock in companies and various assets that continue to support our capital deployment and product development strategies. In the three months 2024 and 2023 cash paid for acquisitions, net of cash acquired was $246 and $0.

On March 20, 2024 we acquired SERF SAS (SERF) for a purchase price of $246. SERF's implants strengthen the global portfolio of our Joint Replacement business within Orthopaedics and Spine. The purchase price allocation for SERF is based on preliminary valuations, primarily related to developed technology and customer relationships. Goodwill attributable to the acquisition is not deductible for tax purposes.

In May 2023 we acquired Cerus for net cash consideration of $289 and up to $225 in future milestone payments that had a fair value of $192 at the acquisition date. Cerus designs, develops and manufactures neurovascular products used for the treatment of hemorrhagic stroke. Cerus is part of our Neurovascular business within MedSurg and Neurotechnology. Goodwill attributable to the acquisition is not deductible for tax purposes.

The purchase price allocation for Cerus is:


Purchase Price Allocation of Acquired Net Assets

2023	Cerus
Tangible assets acquired:
Accounts receivable	$	1
Inventory	2
Deferred income tax assets	4
Other assets	1

Deferred income tax liabilities	(60)
Other liabilities	(22)
Intangible assets:

Developed technology	240

Goodwill	315
Purchase price, net of cash acquired of $7	$	481
Weighted average amortization period at acquisition (years):
Developed technologies	13

The purchase price allocation for Cerus is based on preliminary valuations, primarily related to developed technology and deferred income taxes. Our estimates and assumptions are subject to change within the measurement period.


Consolidated Estimated Amortization Expense
Remainder of 2024		2025		2026		2027		2028
$	468	$	593	$	537	$	514	$	468

NOTE 8 - DEBT AND CREDIT FACILITIES

We have lines of credit issued by various financial institutions that are available to fund our day-to-day operating needs. Certain of our credit facilities require us to comply with financial and other covenants. We were in compliance with all covenants on March 31, 2024.

On March 31, 2024 there were no borrowings outstanding under our revolving credit facility or our commercial paper program which allows for maturities up to 397 days from the date of issuance. The maximum amount of our commercial paper that can be outstanding at any time is $2,250.


Summary of Total Debt			March 31		December 31
			2024		2023
	Rate	Due
Senior unsecured notes:
	3.375%	May 15, 2024	$	600	$	600
	Floating	November 16, 2024	540		554
	0.250%	December 3, 2024	918		940
	1.150%	June 15, 2025	649		648
	3.375%	November 1, 2025	749		749
	3.500%	March 15, 2026	997		997
	2.125%	November 30, 2027	808		828
	3.650%	March 7, 2028	598		598
	4.850%	December 8, 2028	596		596
	3.375%	December 11, 2028	645		661
	0.750%	March 1, 2029	861		883
	1.950%	June 15, 2030	991		991
	2.625%	November 30, 2030	696		713
	1.000%	December 3, 2031	803		823
	4.100%	April 1, 2043	393		393
	4.375%	May 15, 2044	396		396
	4.625%	March 15, 2046	983		983
	2.900%	June 15, 2050	642		642



Total debt			$	12,865	$	12,995
Less current maturities			2,058		2,094
Total long-term debt			$	10,807	$	10,901

			March 31		December 31
			2024		2023
Unamortized debt issuance costs			$	34	$	50
Borrowing capacity on existing facilities			$	2,159	$	2,160
Fair value of senior unsecured notes			$	12,008	$	12,252

The fair value of the senior unsecured notes was estimated using quoted interest rates, maturities and amounts of borrowings based on quoted active market prices and yields that took into account the underlying terms of the debt instruments. Substantially all of our debt is classified within Level 2 of the fair value hierarchy.

NOTE 9 - INCOME TAXES

NOTE 10 - SEGMENT INFORMATION


	Three Months
	2024		2023
MedSurg and Neurotechnology	$	2,999	$	2,690
Orthopaedics and Spine	2,244		2,088
Net sales	$	5,243	$	4,778
MedSurg and Neurotechnology	$	804	$	627
Orthopaedics and Spine	605		601
Segment operating income	$	1,409	$	1,228
Items not allocated to segments:
Corporate and other	$	(263)	$	(222)
Acquisition and integration-related costs	13		(6)
Amortization of intangible assets	(153)		(161)
Structural optimization and other special charges	(14)		(42)
Medical device regulations	(13)		(28)
Recall-related matters	(5)		—
Regulatory and legal matters	(2)		(34)

Consolidated operating income	$	972	$	735

There were no significant changes to total assets by segment from the information provided in our Annual Report on Form 10-K for 2023.


Dollar amounts are in millions except per share amounts or as otherwise specified.			8


STRYKER CORPORATION						2024 First Quarter Form 10-Q


ITEM 2.			MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

ABOUT STRYKER

Stryker is a global leader in medical technologies and, together with our customers, we are driven to make healthcare better. We offer innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside our customers around the world, we impact more than 150 million patients annually.

We segregate our operations into two reportable business segments: (i) MedSurg and Neurotechnology and (ii) Orthopaedics and Spine. MedSurg and Neurotechnology products include surgical equipment and navigation systems (Instruments), endoscopic and communications systems (Endoscopy), patient handling, emergency medical equipment and intensive care disposable products (Medical), minimally invasive products for the treatment of acute ischemic and hemorrhagic stroke (Neurovascular), a comprehensive line of products for traditional brain and open skull based surgical procedures; orthobiologic and biosurgery products, including synthetic bone grafts and vertebral augmentation products (Neuro Cranial). Orthopaedics and Spine products consist primarily of implants used in hip and knee joint replacements and trauma and extremity surgeries, and cervical, thoracolumbar and interbody systems used in spinal injury, deformity and degenerative therapies.

Macroeconomic Environment

The global economy continues to experience increased inflationary pressures in part due to global supply chain disruptions, labor shortages and other impacts of the macroeconomic environment which we anticipate will continue. Higher interest rates and capital costs, higher shipping costs, increased costs of labor, fluctuating foreign currency exchange rates and the military conflicts in Russia and Ukraine and the Middle East result in additional economic challenges and uncertainties. These conditions may cause our customers to decrease or delay orders for our products and services, and the higher interest rates may impact deal mix for our capital products.

Overview of the Three Months

In the three months 2024 we achieved sales growth of 9.7% from 2023. Excluding the impact of acquisitions and divestitures sales grew 10.0% in constant currency. We reported operating income margin of 18.5%, net earnings of $788 and net earnings per diluted share of $2.05. Excluding the impact of certain items, adjusted operating income margin(1) increased by 80 basis points to 21.9%, with adjusted net earnings(1) of $962 and adjusted net earnings per diluted share(1) of $2.50, an increase of 16.8% from 2023.

Recent Developments

On March 20, 2024 we acquired SERF for a purchase price of $246. SERF's implants strengthen the global portfolio of our Joint Replacement business within Orthopaedics and Spine. Refer to Note 7 to our Consolidated Financial Statements for further information.

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


CONSOLIDATED RESULTS OF OPERATIONS
	Three Months
					Percent Net Sales				Percentage
	2024		2023		2024		2023		Change
Net sales	$	5,243	$	4,778	100.0	%	100.0	%	9.7	%
Gross profit	3,333		3,016		63.6		63.1		10.5
Research, development and engineering expenses	368		339		7.0		7.1		8.6
Selling, general and administrative expenses	1,840		1,781		35.1		37.3		3.3

Amortization of intangible assets	153		161		2.9		3.4		(5.0)

Other income (expense), net	(49)		(56)		(0.9)		(1.2)		(12.5)
Income taxes	135		87		nm		nm		55.2
Net earnings	$	788	$	592	15.0	%	12.4	%	33.1	%

Net earnings per diluted share	$	2.05	$	1.54					33.1	%
Adjusted net earnings per diluted share(1)	$	2.50	$	2.14					16.8	%

nm - not meaningful


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


STRYKER CORPORATION						2024 First Quarter Form 10-Q


Geographic and Segment Net Sales	Three Months
					Percentage Change
	2024		2023		As Reported		Constant Currency
Geographic:
United States	$	3,914	$	3,512	11.4	%	11.4	%
International	1,329		1,266		4.9		6.8
Total	$	5,243	$	4,778	9.7	%	10.2	%
Segment:
MedSurg and Neurotechnology	$	2,999	$	2,690	11.5	%	12.0	%
Orthopaedics and Spine	2,244		2,088		7.5		8.0
Total	$	5,243	$	4,778	9.7	%	10.2	%


Supplemental Net Sales Growth Information
	Three Months
					Percentage Change
									United States		International
	2024		2023		As Reported		Constant Currency		As Reported		As Reported		Constant Currency
MedSurg and Neurotechnology:
Instruments	$	667	$	566	17.7	%	17.9	%	20.3	%	8.6	%	9.8	%
Endoscopy	778		707		10.1		10.5		11.1		5.9		8.1
Medical	864		778		11.0		11.1		16.8		(10.3)		(9.5)
Neurovascular	310		284		9.1		11.4		2.9		13.4		17.5
Neuro Cranial	380		355		7.0		7.5		7.0		6.7		9.5

	$	2,999	$	2,690	11.5	%	12.0	%	13.8	%	4.3	%	6.4	%
Orthopaedics and Spine:
Knees	$	588	$	566	4.0	%	4.5	%	3.1	%	6.3	%	8.2	%
Hips	393		375		5.1		6.1		6.8		2.1		5.0
Trauma and Extremities	830		769		7.9		8.0		10.3		1.7		2.1
Spine	300		284		5.5		5.7		3.9		10.2		11.1
Other	133		94		41.2		44.2		45.6		33.1		41.4
	$	2,244	$	2,088	7.5	%	8.0	%	8.3	%	5.6	%	7.4	%
Total	$	5,243	$	4,778	9.7	%	10.2	%	11.4	%	4.9	%	6.8	%

Note: Beginning in the first quarter 2024, a product line previously included in Instruments has been reclassified to Endoscopy to align with a change in our internal reporting structure. We have reflected this change in all historical periods presented.

Consolidated Net Sales

Consolidated net sales increased 9.7% in the three months 2024 as reported and 10.2% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.5%. Excluding the 0.2% impact of acquisitions and divestitures, net sales in constant currency increased by 9.3% from increased unit volume and 0.7% due to higher prices. The unit volume increase was due to higher product shipments across all MedSurg and Neurotechnology and Orthopaedics and Spine businesses.

MedSurg and Neurotechnology Net Sales

MedSurg and Neurotechnology net sales increased 11.5% in the three months 2024 as reported and 12.0% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.5%. Excluding the 0.4% impact of acquisitions and divestitures, net sales in constant currency increased by 10.2% from increased unit volume and 1.4% from higher prices. The unit volume increase was due to higher shipments across all MedSurg and Neurotechnology businesses.

Orthopaedics and Spine Net Sales

Orthopaedics and Spine net sales increased 7.5% in the three months 2024 as reported and 8.0% in constant currency, as foreign currency exchange rates negatively impacted net sales by 0.5%. Net sales in constant currency increased 8.2% from increased unit volume partially offset by 0.2% from lower prices. The unit volume increase was due to higher shipments across all Orthopaedics and Spine businesses.

Gross Profit

Gross profit was $3,333 and $3,016 in the three months 2024 and 2023. The key components of the change were:


	Gross Profit Percent Net Sales
Three Months 2023	63.1	%
Sales pricing	30 bps
Volume and mix	60 bps
Manufacturing and supply chain costs	(40) bps



Three Months 2024	63.6	%

Gross profit as a percentage of net sales in the three months 2024 increased to 63.6% from 63.1% in 2023 primarily due to favorable volumes.

While segment mix was not a significant driver of the change in gross profit as a percent of net sales between the three months 2024 and 2023, we generally expect segment mix to have an unfavorable impact for the foreseeable future as we anticipate more rapid sales growth in our lower gross margin MedSurg and Neurotechnology segment than our Orthopaedics and Spine segment.

Research, Development and Engineering Expenses

Research, development and engineering expenses increased $29 or 8.6% in the three months 2024. As a percentage of net sales, expenses in the three months 2024 of 7.0% was relatively consistent with the three months 2023 of 7.1%.


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


STRYKER CORPORATION						2024 First Quarter Form 10-Q

Selling, General and Administrative Expenses

Selling, general and administrative expenses increased $59 or 3.3% in the three months 2024 and decreased as a percentage of net sales to 35.1% from 37.3% in 2023, primarily due to charges in the three months 2023 for structural optimization and legal matters, in addition to continued spend discipline in the three months 2024.

Amortization of Intangible Assets

Amortization of intangible assets was $153 and $161 in the three months and 2024 and 2023. Refer to Note 7 to our Consolidated Financial Statements for further information.

Operating Income

Operating income was $972 and $735 in the three months 2024 and 2023. Operating income as a percentage of net sales in the three months 2024 increased to 18.5% from 15.4% in 2023. Refer to the discussion above for the primary drivers of the change.

MedSurg and Neurotechnology operating income as a percentage of net sales increased to 26.8% in the three months 2024 from 23.3% in 2023. Orthopaedics and Spine operating income as a percentage of net sales decreased to 27.0% in the three months 2024 from 28.8% in 2023. The key components of the change were:


	Operating Income Percent Net Sales
	MedSurg and Neurotechnology		Orthopaedics and Spine
Three Months 2023	23.3	%	28.8	%
Sales pricing	100 bps		(10) bps
Volume	370 bps		160 bps
Manufacturing and supply chain costs	190 bps		(50) bps
Research, development and engineering expenses	(100) bps		(90) bps
Selling, general and administrative expenses	(210) bps		(190) bps
Three Months 2024	26.8	%	27.0	%

The increase in MedSurg and Neurotechnology operating income as a percentage of net sales for the three months was primarily driven by higher prices, higher unit volumes and lower manufacturing and supply chain costs due to easing of inflationary pressures impacting the cost of raw materials in our MedSurg businesses partially offset by higher selling, general and administrative expenses and higher research, development and engineering expenses due to disciplined increases in spend and investments to support our growth.

The decrease in Orthopaedics and Spine operating income as a percentage of net sales for the three months was primarily driven by higher selling, general and administrative expenses and higher research, development and engineering expenses due to disciplined increases in spend and investments to support our growth partially offset by higher unit volumes.

Other Income (Expense), Net

Other income (expense), net was ($49) and ($56) in the three months 2024 and 2023.

Income Taxes

Our effective tax rates were 14.6% and 12.8% in the three months 2024 and 2023. The effective tax rates for the three months 2024 and 2023 reflect the continued lower effective income tax rates as a result of our European operations and certain discrete tax items. The Organisation for Economic Cooperation and Development (OECD), which represents a coalition of member countries, has put forth two proposed base erosion and profit shifting frameworks that revise the existing profit allocation and nexus rules (Pillar One) and ensure a minimal level of taxation (Pillar Two). On December 12, 2022 the European Union member states agreed to implement the Inclusive Framework’s global corporate minimum tax rate of 15%, and various countries within and outside the European Union have either enacted or proposed new tax laws implementing Pillar Two in 2024. The OECD continues to release additional guidance and we anticipate more countries will enact similar tax laws. Some of the new tax laws are effective in 2024 while others will be effective in future years. These tax law changes and any additional contemplated tax law changes could increase tax expense in future periods.

Net Earnings

Net earnings increased to $788 or $2.05 per diluted share in the three months 2024 from $592 or $1.54 per diluted share in 2023. Refer to the discussion above for the primary drivers of the change.


Dollar amounts are in millions except per share amounts or as otherwise specified.			11


STRYKER CORPORATION						2024 First Quarter Form 10-Q

Non-GAAP Financial Measures

We supplement the reporting of our financial information determined under accounting principles generally accepted in the United States (GAAP) with certain non-GAAP financial measures, including percentage sales growth in constant currency; percentage organic sales growth; adjusted gross profit; adjusted selling, general and administrative expenses; adjusted research, development and engineering expenses; adjusted operating income; adjusted other income (expense), net; adjusted income taxes; adjusted effective income tax rate; adjusted net earnings; and adjusted net earnings per diluted share (Diluted EPS). We believe these non-GAAP financial measures provide meaningful information to assist investors and shareholders in understanding our financial results and assessing our prospects for future performance. Management believes percentage sales growth in constant currency and the other adjusted measures described above are important indicators of our operations because they exclude items that may not be indicative of or are unrelated to our core operating results and provide a baseline for analyzing trends in our underlying businesses. Management uses these non-GAAP financial measures for reviewing the operating results of reportable business segments and analyzing potential future business trends in connection with our budget process and bases certain management incentive compensation on these non-GAAP financial measures. To measure percentage sales growth in constant currency, we remove the impact of changes in foreign currency exchange rates that affect the comparability and trend of sales. Percentage sales growth in constant currency is calculated by translating current and prior year results at the same foreign currency exchange rate. To measure percentage organic sales growth, we remove the impact of changes in foreign currency exchange rates, acquisitions and divestitures, which affect the comparability and trend of sales. Percentage organic sales growth is calculated by translating current year and prior year results at the same foreign currency exchange rates excluding the impact of acquisitions and divestitures. To measure earnings performance on a consistent and comparable basis, we exclude certain items that affect the comparability of operating results and the trend of earnings. The income tax effect of each adjustment was determined based on the tax effect of the jurisdiction in which the related pre-tax adjustment was recorded. These adjustments are irregular in timing and may not be indicative of our past and future performance. The following are examples of the types of adjustments that may be included in a period:

1.Acquisition and integration-related costs. Costs related to integrating recently acquired businesses (e.g., costs associated with the termination of sales relationships, employee retention and workforce reductions, manufacturing integration costs and other integration-related activities), changes in the fair value of contingent consideration, amortization of inventory stepped-up to fair value, specific costs (e.g., deal costs and costs associated with legal entity rationalization) related to the consummation of the acquisition process and legal entity rationalization and acquisition-related tax items.

2.Amortization of purchased intangible assets. Periodic amortization expense related to purchased intangible assets.

3.Structural optimization and other special charges. Costs associated with employee retention and workforce reductions, the closure or transfer of manufacturing and other facilities (e.g., site closure costs, contract termination costs and redundant employee costs during the work transfers), product line exits (primarily inventory, long-lived

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 are in millions except per share amounts or as otherwise specified.			12


STRYKER CORPORATION						2024 First Quarter Form 10-Q


Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures
Three Months 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	$	3,333		$	1,840		$	368		$	972		$	(49)		$	135	$	788		14.6	%	$	2.05
Reported percent net sales	63.6		%	35.1		%	7.0		%	18.5		%	(0.9)		%	nm		15.0		%
Acquisition and integration-related costs:
Inventory stepped-up to fair value	—			—			—			—			—			—		—			—		—
Other acquisition and integration-related (a)	—			13			—			(13)			—			1		(14)			0.3		(0.04)
Amortization of purchased intangible assets	—			—			—			153			—			32		121			1.4		0.31
Structural optimization and other special charges (b)	3			(11)			—			14			—			3		11			0.2		0.03
Medical device regulations (c)	1			—			(12)			13			—			3		10			0.1		0.03
Recall-related matters (d)	—			(5)			—			5			—			1		4			0.1		0.01
Regulatory and legal matters (e)	—			(2)			—			2			—			1		1			—		—
Tax matters (f)	—			—			—			—			—			(41)		41			(4.4)		0.11
Adjusted	$	3,337		$	1,835		$	356		$	1,146		$	(49)		$	135	$	962		12.3	%	$	2.50
Adjusted percent net sales	63.6		%	35.0		%	6.8		%	21.9		%	(0.9)		%	nm		18.3		%


Three Months 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	$	3,016		$	1,781		$	339		$	735		$	(56)		$	87	$	592		12.8	%	$	1.54
Reported percent net sales	63.1		%	37.3		%	7.1		%	15.4		%	(1.2)		%	nm		12.4		%
Acquisition and integration-related costs:
Inventory stepped-up to fair value	—			—			—			—			—			—		—			—		—
Other acquisition and integration-related (a)	—			(6)			—			6			—			1		5			0.1		0.01
Amortization of purchased intangible assets	—			—			—			161			—			34		127			2.0		0.33
Structural optimization and other special charges (b)	2			(40)			—			42			—			8		34			0.3		0.09
Medical device regulations (c)	—			—			(28)			28			—			5		23			0.2		0.06
Recall-related matters (d)	—			—			—			—			—			—		—			—		—
Regulatory and legal matters (e)	—			(34)			—			34			—			6		28			0.3		0.07
Tax matters (f)	—			—			—			—			(9)			(20)		11			(2.9)		0.04
Adjusted	$	3,018		$	1,701		$	311		$	1,006		$	(65)		$	121	$	820		12.8	%	$	2.14
Adjusted percent net sales	63.2		%	35.6		%	6.5		%	21.1		%	(1.4)		%	nm		17.2		%

(a) Charges represent certain acquisition and integration-related costs associated with acquisitions, including:


	Three Months
	2024		2023
Termination of sales relationships	$	1	$	—

Changes in the fair value of contingent consideration	(16)		(1)
Manufacturing integration costs	—		2

Other integration-related activities	2		5
Adjustments to Operating Income	$	(13)	$	6


Adjustments to Income Taxes	$	1	$	1
Adjustments to Net Earnings	$	(14)	$	5

(b) Structural optimization and other special charges represent the costs associated with:


	Three Months
	2024		2023
Employee retention and workforce reductions	$	(1)	$	21
Closure/transfer of manufacturing and other facilities	6		12
Product line exits	—		3
Certain long-lived and intangible asset write-offs and impairments	3		1
Other charges	6		5
Adjustments to Operating Income	$	14	$	42

Adjustments to Income Taxes	$	3	$	8
Adjustments to Net Earnings	$	11	$	34

(c) Charges represent the costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the medical device reporting regulations and other requirements of the new medical device regulations in the European Union.

(d) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve certain recall-related matters.

(e) Charges represent changes in our best estimate of the probable loss, or the minimum of the range of probable losses when a best estimate within a range is not known, to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.

(f) Benefits / (charges) represent the accounting impact of certain significant and discrete tax items, including:


Dollar amounts are in millions except per share amounts or as otherwise specified.			13


STRYKER CORPORATION						2024 First Quarter Form 10-Q


	Three Months
	2024		2023
Adjustments related to the transfer of certain intellectual properties between tax jurisdictions	$	(47)	$	(47)
Certain tax audit settlements	—		28

Other tax matters	6		(1)
Adjustments to Income Taxes	$	(41)	$	(20)
Benefits for certain tax audit settlements	—		(9)

Adjustments to Other Income (Expense), Net	$	—	$	(9)
Adjustments to Net Earnings	$	41	$	11

FINANCIAL CONDITION AND LIQUIDITY


	Three Months
Net cash provided by (used in):	2024		2023
Operating activities	$	204	$	445
Investing activities	(408)		(132)
Financing activities	(418)		(481)
Effect of exchange rate changes	(19)		(5)
Change in cash and cash equivalents	$	(641)	$	(173)

Operating Activities

Cash provided by operating activities was $204 and $445 in the three months 2024 and 2023. The decrease was primarily due to the timing of payments and collections in working capital accounts.

Investing Activities

Cash used in investing activities was $408 and $132 in the three months 2024 and 2023. The three months 2024 included cash paid for the SERF acquisition. Refer to Note 7 to our Consolidated Financial Statements for further information on the SERF acquisition.

Financing Activities

Cash used in financing activities was $418 and $481 in the three months 2024 and 2023. Cash used in 2024 was primarily driven by dividend payments of $304 and cash paid for taxes on withheld shares of $113. Cash used in 2023 was primarily driven by dividend payments of $284 and cash paid for taxes on withheld shares of $94, offset by a repayment of $100 on the term loan used to fund the acquisition of Vocera.

We did not repurchase any shares in the three months 2024 and 2023.

Liquidity

Cash, cash equivalents and marketable securities were $2,407 and $3,053 on March 31, 2024 and December 31, 2023. Current assets exceeded current liabilities by $4,937 and $4,597 on March 31, 2024 and December 31, 2023. We anticipate being able to support our short-term liquidity and operating needs from a variety of sources including cash from operations, commercial paper and existing credit lines.

We have raised funds in the capital markets and have accessed the credit markets in the past and may continue to do so from time-to-time. We continue to have strong investment-grade short-term and long-term debt ratings that we believe should enable us to refinance our debt as needed.

Our cash, cash equivalents and marketable securities held in locations outside the United States was approximately 26% on March 31, 2024 compared to 25% on December 31, 2023.

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

There were no changes to our critical accounting policies and estimates from those disclosed in our Annual Report on Form 10-K for 2023.

New Accounting Pronouncements Not Yet Adopted

Refer to Note 1 to our Consolidated Financial Statements for information.

Guarantees and Other Off-Balance Sheet Arrangements

We do not have guarantees or other off-balance sheet financing arrangements, including variable interest entities, of a magnitude that we believe could have a material impact on our financial condition or liquidity.

OTHER MATTERS

Legal and Regulatory Matters

We are involved in various ongoing proceedings, legal actions and claims arising in the normal course of our business, including proceedings related to product, labor, intellectual property and other matters. Refer to Note 6 to our Consolidated Financial Statements for further information.

FORWARD-LOOKING STATEMENTS

This report contains statements that are not historical facts and are considered "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995. These statements are based on current projections about operations, industry conditions, financial condition and liquidity. Words that identify forward-looking statements include, without limitation, words such as "may," "could," "will," "should," "possible," "plan," "predict," "forecast," "potential," "anticipate," "estimate," "expect," "project," "intend," "believe," "may impact," "on track," "goal," "strategy" and words and terms of similar substance used in connection with any discussion of future operating or financial performance, an acquisition or our businesses. In addition, any statements that refer to expectations, projections or other characterizations of future events or circumstances, including any underlying assumptions, are forward-looking statements. Those statements are not guarantees and are subject to risks, uncertainties and assumptions that are difficult to predict. Therefore, actual results could differ materially and adversely from these forward-looking statements, historical experience or our present expectations. Some important factors that could cause our actual results to differ from our expectations in any forward-looking statements include the risks discussed in Item 1A. "Risk Factors" of our Annual Report on Form 10-K for 2023. This Form 10-Q should be read in conjunction with our Consolidated Financial Statements and accompanying notes to our Consolidated Financial Statements in our Annual Report on Form 10-K for 2023. While we believe that the assumptions underlying such forward-looking statements are reasonable, there can be no assurance that future events or developments will not cause such statements to be inaccurate. All forward-looking statements contained in this report are qualified in their entirety by this cautionary statement. We expressly disclaim any intention or obligation to publicly update or revise any forward-looking statement to reflect any change in our expectations or in events, conditions or circumstances on which those expectations may be based, or that affect the likelihood that actual results will differ from those contained in the forward-looking statements.


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


STRYKER CORPORATION						2024 First Quarter Form 10-Q


ITEM 3.			QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We consider our greatest potential area of market risk exposure to be exchange rate risk on our operating results. Quantitative and qualitative disclosures about exchange rate risk are included in Item 7A "Quantitative and Qualitative Disclosures About Market Risk" of our Annual Report on Form 10-K for 2023. There were no material changes from the information provided therein.


ITEM 4.			CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of the Chief Executive Officer and Chief Financial Officer (the Certifying Officers), evaluated the effectiveness of the Company's disclosure controls and procedures (as defined in Rules 13a-15(e) or 15d-15(e) promulgated under the Securities Exchange Act of 1934, as amended) on March 31, 2024. Based on that evaluation, the Certifying Officers concluded the Company's disclosure controls and procedures were effective as of March 31, 2024.

Changes in Internal Control Over Financial Reporting

There was no change to our internal control over financial reporting during the three months 2024 that materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

PART II – OTHER INFORMATION


ITEM 1A.			RISK FACTORS

We are not aware of any material changes to the risk factors included in Item 1A. "Risk Factors" in our Annual Report on Form 10-K for 2023.


ITEM 2.			UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

We issued 9,162 shares of our common stock in the three months 2024 as performance incentive awards to employees. These shares are not registered under the Securities Act of 1933 based on the conclusion that the awards would not be events of sale within the meaning of Section 2(a)(3) of the Act.

In March 2015 we announced that our Board of Directors had authorized us to purchase up to $2,000 of our common stock. The manner, timing and amount of repurchases are determined by management based on an evaluation of market conditions, stock price, and other factors and are subject to regulatory considerations. Purchases are made from time-to-time in the open market, in privately negotiated transactions or otherwise.

In the three months 2024 we did not repurchase any shares of our common stock under our authorized repurchase program. The total dollar value of shares of our common stock that could be acquired under our authorized repurchase program was $1,033 as of March 31, 2024.


ITEM 5.			OTHER INFORMATION

Certain of our officers or directors have made elections to participate in, and are participating in, our employee stock purchase plan and 401(k) plan and have made, and may from time to time make, elections to have shares withheld to cover withholding taxes due or pay the exercise price of stock options, restricted stock units and performance stock units, which may constitute non-Rule 10b5–1 trading arrangements (as defined in Item 408(c) of Regulation S-K).


ITEM 6.			EXHIBITS


31(i)			Certification of Principal Executive Officer of Stryker Corporation pursuant to Rule 13a-14(a).
31(ii)			Certification of Principal Financial Officer of Stryker Corporation pursuant to Rule 13a-14(a).
32(i)*			Certification by Principal Executive Officer of Stryker Corporation pursuant to 18 U.S.C. Section 1350.
32(ii)*			Certification by Principal Financial Officer of Stryker Corporation pursuant to 18 U.S.C. Section 1350.
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
101.PRE			iXBRL Presentation Linkbase Document
104			Cover Page Interactive Data File (the cover page XBRL tags are embedded within the Inline XBRL document)

			* Furnished with this Form 10-Q


		STRYKER CORPORATION
		(Registrant)


Date:	May 1, 2024	/s/ KEVIN A. LOBO
		Kevin A. Lobo
		Chair, Chief Executive Officer and President


Date:	May 1, 2024	/s/ GLENN S. BOEHNLEIN
		Glenn S. Boehnlein
		Vice President, Chief Financial Officer