Stryker reports third quarter 2023 operating results

Kalamazoo, Michigan, Nov. 02, 2023 (GLOBE NEWSWIRE) -- Stryker (NYSE:SYK) reported operating results for the third quarter of 2023:

Third Quarter Results

• Reported net sales increased 9.6% to $4.9 billion
• Organic net sales increased 9.2%
• Reported operating income margin of 19.0%
• Adjusted operating income margin⁽¹⁾ increased 110 bps to 23.4%
• Reported EPS decreased 15.9% to $1.80
• Adjusted EPS⁽¹⁾ increased 16.0% to $2.46

	Third Quarter Net Sales Growth Overview
	Reported			Foreign Currency Exchange			Constant Currency			Acquisitions / Divestitures			Organic
MedSurg and Neurotechnology	10.5	%		0.2	%		10.3	%		0.2	%		10.1	%
Orthopaedics and Spine	8.4			0.4			8.0			—			8.0
Total	9.6	%		0.3	%		9.3	%		0.1	%		9.2	%

"We delivered another quarter of strong organic sales growth and continued margin expansion," said Kevin A. Lobo, Chair and CEO. "The positive momentum in our business remains intact, including a strong procedural environment and our supercycle of innovation."

Sales Analysis

Consolidated net sales of $4.9 billion increased 9.6% in the quarter and 9.3% in constant currency. Organic net sales increased 9.2% in the quarter including 8.9% from increased unit volume and 0.3% from higher prices.

MedSurg and Neurotechnology net sales of $2.9 billion increased 10.5% in the quarter and 10.3% in constant currency. Organic net sales increased 10.1% in the quarter including 8.7% from increased unit volume and 1.4% from higher prices.

Orthopaedics and Spine net sales of $2.1 billion increased 8.4% in the quarter and 8.0% in constant currency. Organic net sales increased 8.0% in the quarter including 9.1% from increased unit volume partially offset by 1.1% from lower prices.

Earnings Analysis

Reported net earnings of $692 million decreased 15.2% in the quarter. Reported net earnings per diluted share of $1.80 decreased 15.9% in the quarter. Reported gross profit margin and reported operating income margin were 64.3% and 19.0% in the quarter. Reported net earnings include certain items, such as charges for acquisition and integration-related activities, the amortization of purchased intangible assets, structural optimization and other special charges (including asset write-offs and impairments), costs to comply with certain medical device regulations, recall-related matters, regulatory and legal matters and tax matters. Excluding the aforementioned items, adjusted gross profit margin⁽¹⁾ was 64.7% in the quarter, and adjusted operating income margin⁽¹⁾ was 23.4% in the quarter. Adjusted net earnings⁽¹⁾ of $944 million increased 16.5% in the quarter. Adjusted net earnings per diluted share⁽¹⁾ of $2.46 increased 16.0% in the quarter.

2023 Outlook

Considering our year-to-date results, our robust backlog for capital equipment and continued positive procedural trends, we now expect full year 2023 organic net sales growth⁽²⁾ to be in the range of 10.0% to 10.5% including slightly positive pricing for the year. If foreign exchange rates hold near their current levels, we anticipate net sales will be unfavorably impacted by approximately 0.6% and adjusted net earnings per diluted share⁽²⁾ will be unfavorably impacted by $0.10 to $0.15 for the full year, both of which are included in our guidance. Based on our performance in the first nine months of the year, together with our strong sales momentum, we now expect adjusted net earnings per diluted share⁽²⁾ to be in the range of $10.35 to $10.45.

(1) A reconciliation of the non-GAAP financial measures: adjusted gross profit margin, adjusted operating income and adjusted operating income margin, adjusted net earnings and adjusted net earnings per diluted share, to the most directly comparable GAAP measures: gross profit margin, operating income and operating income margin, net earnings and net earnings per diluted share, and other important information accompanies this press release.

(2) We are unable to present a quantitative reconciliation of our expected net sales growth to expected organic net sales growth as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of acquisitions and divestitures and the impact of foreign currency exchange rates. We are unable to present a quantitative reconciliation of our expected net earnings per diluted share to expected adjusted net earnings per diluted share as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of structural optimization and other special charges, acquisition-related expenses and fair value adjustments to inventory and the outcome of certain regulatory, legal and tax matters. The financial impact of these items is uncertain and is dependent on various factors, including timing, and could be material to our Consolidated Statements of Earnings.

Conference Call on Thursday, November 2, 2023

As previously announced, we will host a conference call on Thursday, November 2, 2023 at 4:30 p.m., Eastern Time, to discuss our operating results for the quarter ended September 30, 2023 and provide an operational update.

Please register for this conference call at: https://www.veracast.com/webcasts/stryker/events/SYK3Q23.cfm. After registering, a confirmation will be sent via email, including dial-in details and unique conference call access codes required for call entry. Registration is open throughout the live call. To ensure you are connected prior to the beginning of the call, we suggest registering a minimum of 15 minutes before the start of the call.

A simultaneous webcast of the call will be accessible via the Investor Relations page of our website at www.stryker.com. For those not planning to ask a question of management, we recommend listening via the webcast. Please allow 15 minutes to register, download and install any necessary software.

Following the conference call, a replay will be available on our website up to one year from the time of the earnings call.

Caution Concerning Forward-Looking Statements

This press release contains information that includes or is based on forward-looking statements within the meaning of the federal securities law that are subject to various risks and uncertainties that could cause our actual results to differ materially from those expressed or implied in such statements. Such factors include, but are not limited to: weakening of economic conditions, or the anticipation thereof, that could adversely affect the level of demand for our products; pricing pressures generally, including cost-containment measures that could adversely affect the price of or demand for our products; changes in foreign currency exchange markets; legislative and regulatory actions; unanticipated issues arising in connection with clinical studies and otherwise that affect United States Food and Drug Administration approval of new products; inflationary pressures; increased interest rates; supply chain disruptions; changes in reimbursement levels from third-party payors; a significant increase in product liability claims; the ultimate total cost with respect to recall-related matters; the impact of investigative and legal proceedings and compliance risks; resolution of tax audits; changes in tax laws and regulations; the impact of federal legislation to reform the United States healthcare system; costs to comply with medical device regulations; changes in financial markets; changes in our credit ratings; changes in the competitive environment; our ability to integrate and realize the anticipated benefits of acquisitions in full or at all or within the expected timeframes; our ability to realize anticipated cost savings; potential negative impacts resulting from environmental, social and governance (ESG) and sustainability related matters; the impact on our operations and financial results of any public health emergency and any related policies and actions by governments or other third parties; and breaches or failures of our or our vendors' information technology systems or products, including by cyber-attack, data leakage, unauthorized access or theft. Additional information concerning these and other factors is contained in our filings with the United States Securities and Exchange Commission, including our Annual Report on Form 10-K and Quarterly Reports on Form 10-Q. We disclaim any intention or obligation to publicly update or revise any forward-looking statement to reflect any change in our expectations or in events, conditions or circumstances on which those expectations may be based, or that affect the likelihood that actual results will differ from those contained in the forward-looking statements.

Stryker is one of the world's leading medical technology companies and, together with our customers, we are driven to make healthcare better. We offer innovative products and services in Medical and Surgical, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside our customers around the world, Stryker impacts more than 130 million patients annually. More information is available at www.stryker.com.

For investor inquiries please contact:

Jason Beach, Vice President, Investor Relations at 269-385-2600 or jason.beach@stryker.com

For media inquiries please contact:

Yin Becker, Vice President, Chief Corporate Affairs Officer at 269-385-2600 or yin.becker@stryker.com

STRYKER CORPORATION
For the Three and Nine Months September 30
(Unaudited - Millions of Dollars, Except Per Share Amounts)
CONSOLIDATED STATEMENTS OF EARNINGS
	Three Months											Nine Months
		2023				2022			% Change				2023				2022			% Change
Net sales	$	4,909			$	4,479			9.6%			$	14,683			$	13,247			10.8%
Cost of sales		1,751				1,697			3.2%				5,328				4,905			8.6
Gross profit	$	3,158			$	2,782			13.5%			$	9,355			$	8,342			12.1 %
% of sales		64.3%				62.1%							63.7%				63.0%
Research, development and engineering expenses		353				364			(3.0)				1,038				1,128			(8.0)
Selling, general and administrative expenses		1,701				1,455			16.9				5,188				4,704			10.3
Recall charges, net		9				(4)			(325.0)				12				14			(14.3)
Amortization of intangible assets		164				159			3.1				486				469			3.6
Total operating expenses	$	2,227			$	1,974			12.8%			$	6,724			$	6,315			6.5%
Operating income	$	931			$	808			15.2%			$	2,631			$	2,027			29.8%
% of sales		19.0%				18.0%							17.9%				15.3%
Other income (expense), net		(62)				8			nm				(184)				(105)			75.2
Earnings before income taxes	$	869			$	816			6.5%			$	2,447			$	1,922			27.3%
Income taxes		177				—			nm				425				127			234.6%
Net earnings	$	692			$	816			(15.2)%			$	2,022			$	1,795			12.6%
Net earnings per share of common stock:
Basic	$	1.82			$	2.16			(15.7)%			$	5.33			$	4.75			12.2%
Diluted	$	1.80			$	2.14			(15.9)%			$	5.27			$	4.70			12.1%
Weighted-average shares outstanding (in millions):
Basic		379.8				378.4							379.5				378.1
Diluted		384.0				381.8							383.7				382.2

CONDENSED CONSOLIDATED BALANCE SHEETS
	September 30			December 31
		2023			2022
Assets
Cash and cash equivalents	$	1,860		$	1,844
Marketable securities		76			84
Accounts receivable, net		3,276			3,565
Inventories		4,883			3,995
Prepaid expenses and other current assets		950			787
Total current assets	$	11,045		$	10,275
Property, plant and equipment, net		3,106			2,970
Goodwill and other intangibles, net		19,869			19,765
Noncurrent deferred income tax assets		1,406			1,410
Other noncurrent assets		2,616			2,464
Total assets	$	38,042		$	36,884
Liabilities and shareholders' equity
Current liabilities	$	7,458		$	6,303
Long-term debt, excluding current maturities		10,382			11,857
Income taxes		465			641
Other noncurrent liabilities		1,832			1,467
Shareholders' equity		17,905			16,616
Total liabilities and shareholders' equity	$	38,042		$	36,884

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
	Nine Months
		2023				2022
Operating activities
Net earnings	$	2,022			$	1,795
Depreciation		292				276
Amortization of intangible assets		486				469
Changes in operating assets, liabilities, income taxes payable and other, net		(617)				(919)
Net cash provided by operating activities	$	2,183			$	1,621
Investing activities
Acquisitions, net of cash acquired	$	(390)			$	(2,563)
Purchases of property, plant and equipment		(430)				(400)
Other investing, net		10				201
Net cash used in investing activities	$	(810)			$	(2,762)
Financing activities
Borrowings (payments) of debt, net	$	(312)			$	622
Payments of dividends		(854)				(788)
Other financing, net		(142)				(137)
Net cash provided by (used in) financing activities	$	(1,308)			$	(303)
Effect of exchange rate changes on cash and cash equivalents		(49)				(80)
Change in cash and cash equivalents	$	16			$	(1,524)

nm - not meaningful

STRYKER CORPORATION

For the Three and Nine Months September 30

(Unaudited - Millions of Dollars)

SALES GROWTH ANALYSIS
	Three Months										Nine Months
						Percentage Change										Percentage Change
		2023		2022		As Reported		Constant Currency				2023		2022		As Reported		Constant Currency
Geographic:
United States	$	3,678	$	3,360		9.5%		9.5%			$	10,901	$	9,776		11.5%		11.5%
International		1,231		1,119		10.0		8.9				3,782		3,471		9.0		12.2
Total	$	4,909	$	4,479		9.6%		9.3%			$	14,683	$	13,247		10.8%		11.7%
Segment:
MedSurg and Neurotechnology	$	2,859	$	2,588		10.5%		10.3%			$	8,409	$	7,560		11.2%		12.1%
Orthopaedics and Spine		2,050		1,891		8.4		8.0				6,274		5,687		10.3		11.1
Total	$	4,909	$	4,479		9.6%		9.3%			$	14,683	$	13,247		10.8 %		11.7%

SUPPLEMENTAL SALES GROWTH ANALYSIS
	Three Months
											United States			International
						Percentage Change
		2023		2022		As Reported		Constant Currency			As Reported			As Reported		Constant Currency
MedSurg and Neurotechnology:
Instruments	$	628	$	535		17.6%		17.1%			18.7%			13.3%		11.1%
Endoscopy		738		662		11.3		11.3			10.6			14.7		14.5
Medical		798		765		4.3		4.0			5.7			(2.0)		(3.4)
Neurovascular		311		294		5.9		6.5			8.7			4.2		5.3
Neuro Cranial		384		332		15.5		15.5			14.5			20.4		19.8
	$	2,859	$	2,588		10.5%		10.3%			11.2%			7.9%		7.4%
Orthopaedics and Spine:
Knees	$	515	$	481		7.1%		6.9%			5.3%			12.8%		12.0%
Hips		362		347		4.5		4.4			3.0			7.1		6.8
Trauma and Extremities		752		672		11.9		10.9			11.5			13.0		9.3
Spine		291		280		4.1		3.3			5.4			0.5		(2.7)
Other		130		111		16.4		17.8			1.8			65.2		70.7
	$	2,050	$	1,891		8.4%		8.0%			6.9%			12.4%		10.6%
Total	$	4,909	$	4,479		9.6%		9.3%			9.5%			10.0%		8.9%

	Nine Months
											United States			International
						Percentage Change
		2023		2022		As Reported		Constant Currency			As Reported			As Reported		Constant Currency
MedSurg and Neurotechnology:
Instruments	$	1,833	$	1,626		12.8%		13.4%			13.6%			9.6%		12.5%
Endoscopy		2,141		1,946		10.0		10.6			9.9			10.4		14.0
Medical		2,417		2,095		15.4		15.9			15.9			13.1		16.1
Neurovascular		906		901		0.6		3.1			8.3			(4.0)		(0.1)
Neuro Cranial		1,112		992		12.1		12.7			11.1			16.8		20.8
	$	8,409	$	7,560		11.2%		12.1%			12.6%			7.0%		10.5%
Orthopaedics and Spine:
Knees	$	1,643	$	1,445		13.7%		14.5%			11.9%			19.1%		22.5%
Hips		1,130		1,038		8.9		10.4			9.1			8.4		12.6
Trauma and Extremities		2,287		2,033		12.5		13.0			13.2			10.8		12.5
Spine		871		849		2.6		3.1			5.6			(5.3)		(3.9)
Other		343		322		6.1		8.1			(4.3)			38.2		47.6
	$	6,274	$	5,687		10.3%		11.1%			10.0%			11.1%		14.1%
Total	$	14,683	$	13,247		10.8%		11.7%			11.5%			9.0%		12.2%

Notes: The three months 2023 had one less selling day than 2022. The nine months 2023 had the same number of selling days as 2022. Beginning in the first quarter 2023 we consolidated Other MedSurg and Neurotechnology into Endoscopy as Other MedSurg and Neurotechnology (primarily Sustainability Solutions) has been fully integrated into our Endoscopy business. Endoscopy includes sales related to Other of $84 and $72 for the three months 2023 and 2022 and $252 and $218 for the nine months 2023 and 2022. We have reflected these changes in all historical periods presented.

SUPPLEMENTAL INFORMATION - RECONCILIATION OF GAAP TO 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 rate 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.

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 that, when viewed with our GAAP results and the reconciliations to corresponding GAAP financial measures below, provide a more complete understanding of our business. 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 following reconciles the non-GAAP financial measures discussed above with the most directly comparable GAAP financial measures. The weighted-average diluted shares outstanding used in the calculation of non-GAAP net earnings per diluted share are the same as those used in the calculation of reported net earnings per diluted share for the respective period.

STRYKER CORPORATION
For the Three and Nine Months September 30
(Unaudited - Millions of Dollars, Except Per Share Amounts)
Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures
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	$	3,158		$	1,701		$	353		$	931		$	(62)		$	177		$	692		20.4%		$	1.80
Reported percent net sales		64.3%			34.7%			7.2%			19.0%		(1.3)%			nm				14.1%
Acquisition and integration-related costs:
Inventory stepped-up to fair value		—			—			—			—			—			—			—		—			—
Other acquisition and integration-related (a)		—			1			—			(1)			—			(28)			27		(3.1)			0.07
Amortization of purchased intangible assets		—			—			—			164			—			36			128		1.6			0.34
Structural optimization and other special charges (b)		19			(9)			—			28			—			7			21		0.3			0.06
Medical device regulations (c)		1			—			(18)			19			—			4			15		0.2			0.04
Recall-related matters (d)		—			—			—			9			—			2			7		0.1			0.01
Regulatory and legal matters (e)		—			1			—			(1)			—			1			(2)		0.1			—
Tax matters (f)		—			—			—			—			1			(55)			56		(6.4)			0.14
Adjusted	$	3,178		$	1,694		$	335		$	1,149		$	(61)		$	144		$	944		13.2%		$	2.46
Adjusted percent net sales		64.7%			34.5%			6.8%			23.4%		(1.2)%			nm				19.2%

Three Months 2022	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	$	2,782		$	1,455		$	364		$	808		$	8		$	—	$	816		— %		$	2.14
Reported percent net sales		62.1%			32.5%			8.1%			18.0%			0.2%		nm			18.2%
Acquisition and integration-related costs:
Inventory stepped-up to fair value		—			—			—			—			—			—		—		—			—
Other acquisition and integration-related (a)		—			78			—			(78)			—			4		(82)		2.0			(0.21)
Amortization of purchased intangible assets		—			—			—			159			—			27		132		0.5			0.34
Structural optimization and other special charges (b)		19			(31)			(8)			58			—			8		50		—			0.13
Medical device regulations (c)		1			2			(39)			38			—			6		32		0.1			0.08
Recall-related matters (d)		—			—			—			(4)			—			—		(4)		—			(0.01)
Regulatory and legal matters (e)		—			(20)			—			20			—			5		15		0.2			0.04
Tax matters (f)		—			—			—			—			(62)			87		(149)		11.7			(0.39)
Adjusted	$	2,802		$	1,484		$	317		$	1,001		$	(54)		$	137	$	810		14.5%		$	2.12
Adjusted percent net sales		62.6%			33.1%			7.1%			22.3%		(1.2)%			nm			18.1%

(a)	Charges represent certain acquisition and integration-related costs associated with acquisitions, including charges for termination of sales relationships ($2 in 2023, $2 in 2022), employee retention and workforce reductions ($3 in 2023, $11 in 2022), changes in the fair value of contingent consideration (($4) in 2023, ($107) in 2022), manufacturing integration costs ($0 in 2023, $6 in 2022), adjustments to acquisition-related tax provisions (charges of $28 included in Income Taxes for 2023, $0 for 2022) and other integration-related activities such as deal costs and costs associated with legal entity rationalization (($2) in 2023, $10 in 2022).
(b)	Charges represent the costs associated with employee retention and workforce reductions (($5) in 2023, $7 in 2022), the closure/transfer of manufacturing and other facilities, including site closure costs, contract termination costs and redundant employee costs during the work transfers ($12 in 2023, $16 in 2022), product line exits (primarily inventory, long-lived asset and specifically-identified intangible asset write-offs) ($7 in 2023, $15 in 2022), certain long-lived and intangible asset write-offs and impairments ($9 in 2023, $12 in 2022) and other charges ($5 in 2023, $8 in 2022).
(c)	Charges represent the costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the medical device reporting regulations and other requirements of the new medical device regulations in the European Union.
(d)	Charges represent changes in our best estimate of the minimum of the range of probable loss to resolve certain recall-related matters.
(e)	Charges represent changes in our best estimate of the minimum of the range of probable loss to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
(f)	Benefits and charges represent the accounting impact of certain significant and discrete tax items, including adjustments related to the transfer of certain intellectual properties between tax jurisdictions (charges of $44 in 2023 and $46 in 2022) and certain tax audit settlements ($0 for 2023, benefit of $45 included in Other Income (Expense) and benefit of $162 included in Income Taxes for 2022).

Nine 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	$	9,355		$	5,188		$	1,038		$	2,631		$	(184)		$	425		$	2,022		17.4%		$	5.27
Reported percent net sales		63.7%			35.3%			7.1%			17.9%		(1.3)%			nm				13.8%
Acquisition and integration-related costs:
Inventory stepped-up to fair value		—			—			—			—			—			—			—		—			—
Other acquisition and integration-related (a)		—			(7)			—			7			—			(25)			32		(1.0)			0.08
Amortization of purchased intangible assets		—			—			—			486			—			104			382		1.5			1.00
Structural optimization and other special charges (b)		30			(112)			—			142			—			32			110		0.5			0.29
Medical device regulations (c)		1			—			(73)			74			—			17			57		0.3			0.15
Recall-related matters (d)		—			—			—			12			—			3			9		—			0.02
Regulatory and legal matters (e)		—			(19)			—			19			—			4			15		—			0.04
Tax matters (f)		—			—			—			—			(8)			(121)			113		(4.9)			0.29
Adjusted	$	9,386		$	5,050		$	965		$	3,371		$	(192)		$	439		$	2,740		13.8%		$	7.14
Adjusted percent net sales		63.9%			34.4%			6.6%			23.0%		(1.3)%			nm				18.7%

Nine Months 2022	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	$	8,342		$	4,704		$	1,128		$	2,027		$	(105)		$	127	$	1,795		6.6%		$	4.70
Reported percent net sales		63.0%			35.5%			8.5%			15.3	%	(0.8)%			nm			13.6%
Acquisition and integration-related costs:
Inventory stepped-up to fair value		12			—			—			12			—			3		9		—			0.02
Other acquisition and integration-related (a)		—			(96)			—			96			—			50		46		1.9			0.12
Amortization of purchased intangible assets		—			—			—			469			—			98		371		1.7			0.97
Structural optimization and other special charges (b)		29			(113)			(87)			229			—			39		190		0.4			0.50
Medical device regulations (c)		3			—			(95)			98			—			16		82		0.1			0.21
Recall-related matters (d)		—			—			—			14			—			4		10		0.1			0.03
Regulatory and legal matters (e)		—			(53)			—			53			—			14		39		0.3			0.10
Tax matters (f)		—			—			—			—			(74)			46		(120)		3.0			(0.31)
Adjusted	$	8,386		$	4,442		$	946		$	2,998		$	(179)		$	397	$	2,422		14.1%		$	6.34
Adjusted percent net sales		63.3%			33.5%			7.1%			22.6%		(1.4)%			nm			18.3%

(a)	Charges represent certain acquisition and integration-related costs associated with acquisitions, including charges for termination of sales relationships ($2 in 2023, $16 in 2022), employee retention and workforce reductions ($3 in 2023, $29 in 2022), changes in the fair value of contingent consideration (($7) in 2023, ($132) in 2022), manufacturing integration costs ($2 in 2023, $23 in 2022), stock compensation payments upon a change in control ($0 in 2023, $132 in 2022), adjustments to acquisition-related tax provisions (charges of $28 included in Income Taxes for 2023, $0 for 2022) and other integration-related activities such as deal costs and costs associated with legal entity rationalization ($7 in 2023, $28 in 2022).
(b)	Charges represent the costs associated with employee retention and workforce reductions ($63 in 2023, $36 in 2022), the closure/transfer of manufacturing and other facilities, including site closure costs, contract termination costs and redundant employee costs during the work transfers ($36 in 2023, $62 in 2022), product line exits (primarily inventory, long-lived asset and specifically-identified intangible asset write-offs) ($16 in 2023, $7 in 2022), certain long-lived and intangible asset write-offs and impairments ($12 in 2023, $104 in 2022) and other charges ($15 in 2023, $20 in 2022).
(c)	Charges represent the costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the medical device reporting regulations and other requirements of the new medical device regulations in the European Union.
(d)	Charges represent changes in our best estimate of the minimum of the range of probable loss to resolve certain recall-related matters.
(e)	Charges represent changes in our best estimate of the minimum of the range of probable loss to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
(f)	Benefits and charges represent the accounting impact of certain significant and discrete tax items, including adjustments related to the transfer of certain intellectual properties between tax jurisdictions (charges of $138 in 2023 and $138 in 2022), certain tax audit settlements (benefit of $9 included in Other Income (Expense), Net for 2023 and benefit of $24 included in Income Taxes for 2023, benefit of $45 included in Other Income (Expense) and benefit of $162 included in Income Taxes for 2022) and the reversal of deferred income tax on undistributed earnings of foreign subsidiaries ($0 for 2023, benefit of $71 for 2022).