Item 1. Financial Statements

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Item 1. Financial Statements

Medtronic plc

Consolidated Statements of Income

(Unaudited)

Three months endedSix months ended
(in millions, except per share data)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Net sales$8,403$7,984$16,318$15,686
Costs and expenses:
Cost of products sold, excluding amortization of intangible assets2,9462,7615,7075,390
Research and development expense6976981,3731,365
Selling, general, and administrative expense2,7572,6865,4125,299
Amortization of intangible assets413425827855
Restructuring charges, net30407794
Certain litigation charges, net—6581105
Other operating income, net(34)(31)(33)(30)
Operating profit1,5951,3402,8732,608
Other non-operating income, net(173)(154)(330)(230)
Interest expense, net209180376329
Income before income taxes1,5591,3132,8272,510
Income tax provision281402500802
Net income1,2789112,3271,708
Net income attributable to noncontrolling interests(9)(2)(15)(8)
Net income attributable to Medtronic$1,270$909$2,312$1,700
Basic earnings per share$0.99$0.68$1.79$1.28
Diluted earnings per share$0.99$0.68$1.79$1.28
Basic weighted average shares outstanding1,282.41,330.21,288.61,330.3
Diluted weighted average shares outstanding1,286.91,331.91,292.51,332.8

The accompanying notes are an integral part of these consolidated financial statements.

Medtronic plc

Consolidated Statements of Comprehensive Income

(Unaudited)

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Net income$1,278$911$2,327$1,708
Other comprehensive income (loss), net of tax:
Unrealized gain (loss) on investment securities35(19)111(38)
Translation adjustment116(926)218(911)
Net investment hedge35915(170)771
Net change in retirement obligations—114
Unrealized (loss) gain on cash flow hedges(27)324(93)294
Other comprehensive income16129569120
Comprehensive income including noncontrolling interests1,4391,2062,3961,828
Comprehensive income attributable to noncontrolling interests(9)—(15)(6)
Comprehensive income attributable to Medtronic$1,431$1,206$2,381$1,822

The accompanying notes are an integral part of these consolidated financial statements.

Medtronic plc

Consolidated Balance Sheets

(Unaudited)

(in millions)October 25, 2024April 26, 2024
ASSETS
Current assets:
Cash and cash equivalents$1,394$1,284
Investments6,5956,721
Accounts receivable, less allowances and credit losses of $195 and $173, respectively6,2606,128
Inventories5,4795,217
Other current assets2,7102,584
Total current assets22,43821,935
Property, plant, and equipment, net6,4386,131
Goodwill41,16140,986
Other intangible assets, net12,42313,225
Tax assets3,5723,657
Other assets4,0094,047
Total assets$90,042$89,981
LIABILITIES AND EQUITY
Current liabilities:
Current debt obligations$3,719$1,092
Accounts payable2,3762,410
Accrued compensation1,8932,375
Accrued income taxes9471,330
Other accrued expenses3,2603,582
Total current liabilities12,19510,789
Long-term debt24,60723,932
Accrued compensation and retirement benefits1,0841,101
Accrued income taxes1,4321,859
Deferred tax liabilities473515
Other liabilities1,5341,365
Total liabilities41,32639,561
Commitments and contingencies (Note 16)
Shareholders’ equity:
Ordinary shares— par value $0.0001, 2.6 billion shares authorized, 1,282,553,150 and 1,311,337,531 shares issued and outstanding, respectively——
Additional paid-in capital20,82423,129
Retained earnings30,91930,403
Accumulated other comprehensive loss(3,250)(3,318)
Total shareholders’ equity48,49450,214
Noncontrolling interests222206
Total equity48,71650,420
Total liabilities and equity$90,042$89,981

The accompanying notes are an integral part of these consolidated financial statements.

Medtronic plc

Consolidated Statements of Equity

(Unaudited)

Ordinary SharesAdditional Paid-in CapitalRetained EarningsAccumulated Other Comprehensive LossTotal Shareholders’ EquityNoncontrolling InterestsTotal Equity
(in millions)NumberPar Value
April 26, 20241,311$—$23,129$30,403$(3,318)$50,214$206$50,420
Net income———1,042—1,04261,049
Other comprehensive loss————(92)(92)—(92)
Dividends to shareholders ($0.70 per ordinary share)———(898)—(898)—(898)
Issuance of shares under stock purchase and award plans1—87——87—87
Repurchase of ordinary shares(30)—(2,489)——(2,489)—(2,489)
Stock-based compensation——83——83—83
July 26, 20241,282$—$20,810$30,547$(3,410)$47,947$213$48,160
Net income———1,270—1,27091,278
Other comprehensive income————161161—161
Dividends to shareholders ($0.70 per ordinary share)———(897)—(897)—(897)
Issuance of shares under stock purchase and award plans3—103——103—103
Repurchase of ordinary shares(3)—(248)——(248)—(248)
Stock-based compensation——159——159—159
October 25, 20241,283$—$20,824$30,919$(3,250)$48,494$222$48,716
Ordinary SharesAdditional Paid-in CapitalRetained EarningsAccumulated Other Comprehensive LossTotal Shareholders’ EquityNoncontrolling InterestsTotal Equity
(in millions)NumberPar Value
April 28, 20231,331$—$24,590$30,392$(3,499)$51,483$182$51,665
Net income———791—7916797
Other comprehensive loss————(175)(175)—(175)
Dividends to shareholders ($0.69 per ordinary share)———(918)—(918)—(918)
Issuance of shares under stock purchase and award plans1—73——73—73
Repurchase of ordinary shares(2)—(148)——(148)—(148)
Stock-based compensation——73——73—73
July 28, 20231,330$—$24,587$30,265$(3,674)$51,178$188$51,366
Net income———909—9092911
Other comprehensive income (loss)————297297(2)295
Dividends to shareholders ($0.69 per ordinary share)———(918)—(918)—(918)
Issuance of shares under stock purchase and award plans2—35——35—35
Repurchase of ordinary shares(2)—(189)——(189)—(189)
Stock-based compensation——146——146—146
October 27, 20231,330$—$24,580$30,256$(3,377)$51,460$187$51,647

The accompanying notes are an integral part of these consolidated financial statements.

Medtronic plc

Consolidated Statements of Cash Flows

(Unaudited)

Six months ended
(in millions)October 25, 2024October 27, 2023
Operating Activities:
Net income$2,327$1,708
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization1,3371,344
Provision for credit losses4537
Deferred income taxes57(36)
Stock-based compensation242219
Other, net(98)182
Change in operating assets and liabilities, net of acquisitions and divestitures:
Accounts receivable, net(181)(117)
Inventories(278)(616)
Accounts payable and accrued liabilities(707)(699)
Other operating assets and liabilities(800)(486)
Net cash provided by operating activities1,9441,536
Investing Activities:
Acquisitions, net of cash acquired—(22)
Additions to property, plant, and equipment(924)(815)
Purchases of investments(4,019)(3,403)
Sales and maturities of investments4,3383,336
Other investing activities, net1(59)
Net cash used in investing activities(604)(963)
Financing Activities:
Change in current debt obligations, net(67)1,321
Issuance of long-term debt3,209—
Dividends to shareholders(1,795)(1,836)
Issuance of ordinary shares232149
Repurchase of ordinary shares(2,780)(378)
Other financing activities, net(64)153
Net cash used in financing activities(1,265)(591)
Effect of exchange rate changes on cash and cash equivalents35(214)
Net change in cash and cash equivalents110(232)
Cash and cash equivalents at beginning of period1,2841,543
Cash and cash equivalents at end of period$1,394$1,311
Supplemental Cash Flow Information
Cash paid for:
Income taxes$1,335$1,110
Interest513476

The accompanying notes are an integral part of these consolidated financial statements.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

1. Basis of Presentation

The accompanying unaudited consolidated financial statements of Medtronic plc and its subsidiaries (Medtronic plc, Medtronic, or the Company) have been prepared in accordance with accounting principles generally accepted in the United States of America (U.S.) (U.S. GAAP) for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. In the opinion of management, the consolidated financial statements include all the adjustments necessary for a fair statement in conformity with U.S. GAAP. Certain reclassifications have been made to prior year financial statements to conform to classifications used in the current year.

Operating results for interim periods are not necessarily indicative of results that may be expected for the fiscal year as a whole. The preparation of the financial statements in conformity with U.S. GAAP requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues, expenses, and the related disclosures at the date of the financial statements and during the reporting period. Actual results could materially differ from these estimates.

The accompanying unaudited consolidated financial statements include the accounts of Medtronic plc, its wholly-owned subsidiaries, entities for which the Company has a controlling financial interest, and variable interest entities for which the Company is the primary beneficiary. Intercompany transactions and balances have been eliminated in consolidation. Amounts reported in millions within this quarterly report are computed based on the amounts in thousands, and therefore, the sum of the components may not equal the total amount reported in millions due to rounding. Additionally, certain columns and rows within tables may not sum due to rounding.

The accompanying unaudited consolidated financial statements and related notes should be read in conjunction with the audited consolidated financial statements of the Company and related notes included in the Company’s Annual Report on Form 10-K for the fiscal year ended April 26, 2024. The Company’s fiscal years 2025, 2024, and 2023 will end or ended on April 25, 2025, April 26, 2024, and April 28, 2023, respectively.

2. New Accounting Pronouncements

Recently Adopted Accounting Standards

As of October 25, 2024, there have been no newly adopted accounting pronouncements that materially impact our consolidated financial statements. Refer to the Company's Annual Report on Form 10-K for the fiscal year ended April 26, 2024 for pronouncements recently adopted.

Not Yet Adopted Accounting Standards

Segment Reporting

In November 2023, the FASB issued ASU 2023-07, Improvements to Segment Reporting (Topic 280), which requires incremental disclosures on reportable segments, primarily through enhanced disclosures on significant segment expenses. The Company will adopt this guidance beginning in the fourth quarter of fiscal year 2025 for our annual report and for interim periods starting in fiscal year 2026. We are currently evaluating the potential effect that the updated standard will have on our financial statement disclosures.

Income Taxes

In December 2023, the FASB issued ASU 2023-09, Improvements to Income Tax Disclosures (Topic 740), which requires incremental annual disclosures on income taxes, including rate reconciliations, income taxes paid, and other disclosures. The Company will adopt this guidance beginning in the fourth quarter of fiscal year 2026 for our annual report. We are currently evaluating the potential effect that the updated standard will have on our financial statement disclosures.

3. Revenue

The Company's revenues are principally derived from device-based medical therapies and services related to cardiac rhythm disorders, cardiovascular disease, neurological disorders and diseases, spinal conditions and musculoskeletal trauma, chronic pain, urological and digestive disorders, ear, nose, and throat conditions, and diabetes conditions as well as advanced and general surgical care products, respiratory and monitoring solutions, and neurological surgery technologies. The Company's primary customers include healthcare systems, clinics, third-party healthcare providers, distributors, and other institutions, including governmental healthcare programs and group purchasing organizations. Certain prior period net sales has been recast to conform to the new operating segment structure in the fourth quarter of fiscal year 2024. Refer to Note 17 to the consolidated financial statements for additional information regarding the Company's reporting structure. In addition, starting in the first quarter of fiscal year 2025, the Company combined the non-U.S. developed markets and the emerging markets into an international market geography. Prior period net sales has been recast to conform to the new presentation.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

The table below illustrates net sales by segment and division and by market geography for the three and six months ended October 25, 2024 and October 27, 2023. The U.S. revenue includes United States and U.S. territories, and the international revenue includes all other non-U.S. countries.

World wide
Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Cardiac Rhythm & Heart Failure$1,578$1,492$3,114$2,938
Structural Heart & Aortic8818191,7361,633
Coronary & Peripheral Vascular6436131,2591,202
Cardiovascular3,1022,9236,1085,773
Cranial & Spinal Technologies1,2341,1572,3822,260
Specialty Therapies7377051,4501,400
Neuromodulation480426937846
Neuroscience2,4512,2884,7684,506
Surgical & Endoscopy1,6491,6413,1933,187
Acute Care & Monitoring478462930921
Medical Surgical2,1282,1034,1234,107
Diabetes6866101,3331,189
Reportable segment net sales8,3667,92316,33315,575
Other operating segment(1)376175111
Other adjustments(2)——(90)—
Total net sales$8,403$7,984$16,318$15,686
U.S.InternationalU.S.International
Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Cardiovascular$1,434$1,427$1,668$1,496$2,836$2,776$3,272$2,996
Neuroscience1,6771,5607747283,2423,0571,5261,449
Medical Surgical9449481,1831,1551,8251,8152,2982,292
Diabetes232217455394447405886784
Reportable segment net sales4,2864,1514,0803,7728,3508,0547,9837,521
Other operating segment(1)1823193737453866
Other adjustments(2)——————(90)—
Total net sales$4,304$4,175$4,099$3,809$8,387$8,099$7,931$7,587

(1)Includes the historical operations and ongoing transition agreements from businesses the Company has exited or divested.

(2)Incremental Italian payback accruals resulting from the two July 22, 2024 rulings by the Constitutional Court of Italy relating to certain prior years since 2015.

The amount of revenue recognized is reduced by sales rebates and returns. Adjustments to rebates and returns reserves are recorded as increases or decreases to revenue. At October 25, 2024, $1.0 billion of rebates were classified as other accrued expenses, and $639 million of rebates were classified as a reduction of accounts receivable in the consolidated balance sheet. At April 26, 2024, $1.0 billion of rebates were classified as other accrued expenses, and $574 million of rebates were classified as a reduction of accounts receivable in the consolidated balance sheet.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

Deferred Revenue and Remaining Performance Obligations

Deferred revenue at October 25, 2024 and April 26, 2024 was $467 million and $453 million, respectively. At October 25, 2024 and April 26, 2024, $369 million and $352 million was included in other accrued expenses, respectively, and $98 million and $101 million was included in other liabilities, respectively. During the six months ended October 25, 2024, the Company recognized $196 million of revenue that was included in deferred revenue as of April 26, 2024. During the six months ended October 27, 2023, the Company recognized $216 million of revenue that was included in deferred revenue as of April 28, 2023.

Remaining performance obligations include goods and services that have not yet been delivered or provided under existing, noncancellable contracts with minimum purchase commitments. At October 25, 2024, the estimated revenue expected to be recognized in future periods related to unsatisfied performance obligations for executed contracts with an original duration of one year or more was approximately $0.4 billion. The Company expects to recognize revenue on the majority of these remaining performance obligations over the next three years.

4. Acquisitions and Dispositions

Acquisition Activity

During the three and six months ended October 25, 2024, the Company had no acquisitions that were accounted for as business combinations. During the fiscal year ended April 26, 2024, the Company had acquisitions that were accounted for as business combinations. For the three and six months ended October 25, 2024 and the fiscal year ended April 26, 2024, purchase price allocation adjustments were not significant.

Fiscal year 2024

The acquisition date fair value of net assets acquired during the fiscal year ended April 26, 2024 was $335 million. Based on preliminary valuations, assets acquired were primarily comprised of $131 million of goodwill, $150 million of IPR&D, and $29 million of technology-based intangible assets with estimated useful lives of 10 years. For tax purposes, $51 million of goodwill is deductible while $80 million is not deductible. The IPR&D was placed into service as a definite-lived intangible asset during the second quarter of fiscal year 2025. The Company recognized $30 million of non-cash contingent consideration liabilities in connection with these business combinations during the fiscal year ended April 26, 2024, which are comprised of revenue and product development milestone-based payments.

Contingent Consideration

Certain of the Company’s business combinations involve potential payment of future consideration that is contingent upon the achievement of certain product development milestones and/or contingent on the acquired business reaching certain performance milestones. A liability is recorded for the estimated fair value of the contingent consideration on the acquisition date. The fair value of the contingent consideration is remeasured at each reporting period, and the change in fair value is recognized within other operating income, net in the consolidated statements of income.

The fair value of contingent consideration liabilities at October 25, 2024 and April 26, 2024 was $124 million and $149 million, respectively. At October 25, 2024, $77 million was recorded in other accrued expenses, and $47 million was recorded in other liabilities in the consolidated balance sheet. At April 26, 2024, $96 million was recorded in other accrued expenses, and $53 million was recorded in other liabilities in the consolidated balance sheet.

The following table provides a reconciliation of the beginning and ending balances of contingent consideration liabilities:

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Beginning balance$128$206$149$206
Purchase price contingent consideration—25—25
Payments(8)—(14)(3)
Change in fair value4(10)(11)(7)
Ending balance$124$220$124$220

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

The recurring Level 3 fair value measurements of contingent consideration for which a liability is recorded include the following significant unobservable inputs:

Fair Value at
(in millions)October 25, 2024Unobservable InputRangeWeighted Average (1)
Revenue and other performance-based payments$58Discount rate16.5% - 28.2%22.1%
Projected fiscal year of payment2025 - 20292027
Product development and other milestone-based payments$66Discount rate5.5%5.5%
Projected fiscal year of payment2025 - 20272025

(1) Unobservable inputs were weighted by the relative fair value of the contingent consideration liability. For projected fiscal year of payment, the amount represents the median of the inputs and is not a weighted average.

On April 1, 2023, the Company and DaVita Inc. (“DaVita”) completed the transaction for the Company to sell half of its Renal Care Solutions (RCS) business. In connection with the sale, the Company may be entitled to receive additional consideration based on the achievement of certain revenue, regulatory, and profitability milestones, with potential payouts starting in fiscal year 2026 through 2029. The fair value of the contingent consideration receivable at October 25, 2024 and April 26, 2024 was $61 million and $58 million, and was recorded in other assets in the consolidated balance sheet.

The following table provides a reconciliation of the beginning and ending balances of the Level 3 measurement of contingent consideration receivable:

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Beginning balance$58$152$58$195
Change in fair value3—3(43)
Ending balance$61$152$61$152

5. Restructuring and Other Costs

Restructuring and associated costs for the three and six months ended October 25, 2024 were $46 million and $108 million, respectively, as compared to $91 million and $182 million for the three and six months ended October 27, 2023, respectively. Restructuring and associated costs primarily related to employee termination benefits and facility consolidations to support cost reduction initiatives.

Employee-related costs primarily consist of termination benefits provided to employees who have been involuntarily terminated. Associated and other costs primarily include salaries and wages of employees that are fully-dedicated to restructuring activities, consulting expenses, and asset write-offs.

The following table presents the classification of restructuring and associated costs in the consolidated statements of income:

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Cost of products sold$11$15$20$30
Selling, general, and administrative expenses6361157
Restructuring charges, net30407794
Total restructuring and associated costs$46$91$108$182

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

The following table summarizes the activity for the six months ended October 25, 2024:

(in millions)Employee Termination BenefitsAssociated and Other CostsTotal
April 26, 2024$136$11$147
Charges8731118
Cash payments(156)(25)(181)
Settled non-cash—(4)(4)
Accrual adjustments(1)(10)—(10)
October 25, 2024$58$13$70

(1)Accrual adjustments primarily relate to certain employees identified for termination, finding other positions within the Company.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

6. Financial Instruments

Debt Securities

The Company holds investments in marketable debt securities that are classified and accounted for as available-for-sale and are remeasured on a recurring basis. The following tables summarize the Company's investments in available-for-sale debt securities by significant investment category and the related consolidated balance sheet classification at October 25, 2024 and April 26, 2024:

October 25, 2024
ValuationBalance Sheet Classification
(in millions)CostUnrealized GainsUnrealized LossesFair ValueInvestmentsOther Assets
Level 1:
U.S. government and agency securities$538$—$(11)$527$527$—
Level 2:
Corporate debt securities3,42913(59)3,3843,384—
U.S. government and agency securities874—(28)845845—
Mortgage-backed securities7723(33)742742—
Non-U.S. government and agency securities9——99—
Other asset-backed securities1,0515(3)1,0531,053—
Total Level 26,13422(124)6,0326,032—
Level 3:
Auction rate securities36—(3)33—33
Total available-for-sale debt securities$6,708$22$(138)$6,592$6,559$33
April 26, 2024
ValuationBalance Sheet Classification
(in millions)CostUnrealized GainsUnrealized LossesFair ValueInvestmentsOther Assets
Level 1:
U.S. government and agency securities$494$—$(22)$472$472$—
Level 2:
Corporate debt securities3,9534(125)3,8323,832—
U.S. government and agency securities847—(43)804804—
Mortgage-backed securities6921(50)643643—
Non-U.S. government and agency securities5——55—
Other asset-backed securities9412(9)934934—
Total Level 26,4387(227)6,2186,218—
Level 3:
Auction rate securities36—(3)33—33
Total available-for-sale debt securities$6,968$7$(252)$6,723$6,690$33

The amortized cost of debt securities excludes accrued interest, which is reported in other current assets in the consolidated balance sheets.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

The following tables present the gross unrealized losses and fair values of the Company’s available-for-sale debt securities that have been in a continuous unrealized loss position deemed to be temporary, aggregated by investment category at October 25, 2024 and April 26, 2024:

October 25, 2024
Less than 12 monthsMore than 12 months
(in millions)Fair ValueUnrealized LossesFair ValueUnrealized Losses
Corporate debt securities$565$(7)$1,645$(51)
U.S. government and agency securities216(2)713(37)
Mortgage-backed securities——535(33)
Other asset-backed securities——212(3)
Auction rate securities——33(3)
Total$782$(10)$3,137$(128)
April 26, 2024
Less than 12 monthsMore than 12 months
(in millions)Fair ValueUnrealized LossesFair ValueUnrealized Losses
Corporate debt securities$661$(10)$2,448$(116)
U.S. government and agency securities177(4)730(61)
Mortgage-backed securities——582(50)
Other asset-backed securities——502(9)
Auction rate securities——33(3)
Total$838$(14)$4,296$(238)

The Company reviews the fair value hierarchy classification on a quarterly basis. Changes in the ability to observe valuation inputs may result in a reclassification of levels for certain securities within the fair value hierarchy. There were no transfers into or out of Level 3 during the three and six months ended October 25, 2024 and October 27, 2023. When a determination is made to classify an asset or liability within Level 3, the determination is based upon the significance of the unobservable inputs to the overall fair value measurement.

Activity related to the Company’s available-for-sale debt securities portfolio is as follows:

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Proceeds from sales$2,087$1,573$4,244$3,320
Gross realized gains761411
Gross realized losses(6)(3)(13)(15)

The contractual maturities of available-for-sale debt securities at October 25, 2024 is shown in the following table. Within the table, maturities of mortgage-backed securities have been allocated based upon timing of estimated cash flows assuming no change in the current interest rate environment. Actual maturities may differ from contractual maturities because the issuers of the securities may have the right to prepay obligations without prepayment penalties.

(in millions)Amortized CostFair Value
Due in one year or less$1,488$1,478
Due after one year through five years3,3223,248
Due after five years through ten years750749
Due after ten years1,1481,117
Total$6,708$6,592

Interest income is recognized in other non-operating income, net, in the consolidated statements of income. During the three and six months ended October 25, 2024, there were $137 million and $249 million of interest income, respectively. During the three and six months ended October 27, 2023, there was $148 million and $259 million of interest income, respectively.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

Equity Securities, Equity Method Investments, and Other Investments

The Company holds investments in equity securities with readily determinable fair values, equity method investments for which the Company has elected the fair value option, equity investments without readily determinable fair values, investments accounted for under the equity method, and other investments. Equity securities with readily determinable fair values are included in Level 1 of the fair value hierarchy, as they are measured using quoted market prices. Equity method investments for which the Company has elected the fair value option are included within Level 3 of the fair value hierarchy due to the use of significant unobservable inputs to determine fair value. To determine the fair value of these investments, the Company uses a discounted cash flow methodology, taking into consideration various assumptions including discount rate, and all pertinent financial information available related to the investees, including the timing of anticipated product launches, historical financial results, and projections of future cash flows. Equity investments that do not have readily determinable fair values, and that are not accounted for via the fair value option, are included within Level 3 of the fair value hierarchy, as they are measured using the measurement alternative at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for an identical or similar investment of the same issuer.

The following table summarizes the Company's equity and other investments at October 25, 2024 and April 26, 2024, which are classified as primarily other assets in the consolidated balance sheets:

(in millions)October 25, 2024April 26, 2024
Investments with readily determinable fair value (marketable equity securities)$34$28
Investments for which the fair value option has been elected311311
Investments without readily determinable fair values826859
Equity method and other investments9284
Total equity and other investments$1,265$1,282

Gains and losses on the Company's portfolio of equity and other investments are recognized in other non-operating income, net in the consolidated statements of income. During the three and six months ended October 25, 2024, there were $10 million of net unrealized losses and $7 million of net unrealized gains, respectively, on equity securities and other investments still held at October 25, 2024. During the three and six months ended October 27, 2023, there were $7 million and $70 million, respectively, of net unrealized losses on equity securities and other investments still held at October 27, 2023.

Mozarc Medical Investment

As further described in Note 4, on April 1, 2023, the Company sold half of its RCS business to Mozarc, and as a result of the transaction the Company retained a 50 percent equity interest in Mozarc. Although the equity investment provides the Company with the ability to exercise significant influence over Mozarc, the Company has elected the fair value option to account for this equity investment. The Company believes the fair value option best reflects the economics of the underlying transaction.

Under the fair value option, changes in the fair value of the investment are recognized through earnings each reporting period in other non-operating income, net in the consolidated statements of income. During the three and six months ended October 25, 2024 and October 27, 2023, the change in fair value was not significant.

7. Financing Arrangements

Commercial Paper

The Company maintains commercial paper programs that allow the Company to issue U.S. dollar or Euro-denominated unsecured commercial paper notes. The aggregate amount outstanding at any time under the commercial paper programs may not exceed the equivalent of $3.5 billion. Commercial paper outstanding at October 25, 2024 was $899 million. During the three and six months ended October 25, 2024, the commercial paper outstanding had a weighted average original maturity of 13 days and 14 days, respectively and a weighted average interest rate of 5.23 percent and 5.34 percent, respectively. Commercial paper outstanding at April 26, 2024 was $1.1 billion. During fiscal year 2024, the weighted average original maturity of the commercial paper outstanding was approximately 20 days and the weighted average interest rate was 5.45 percent. The issuance of commercial paper reduces the amount of credit available under the Company’s existing Credit Facility, as defined below.

Line of Credit

The Company has a $3.5 billion five-year unsecured revolving credit facility (Credit Facility), which provides back-up funding for the commercial paper programs described above. The Credit Facility includes a multi-currency borrowing feature for certain specified foreign currencies. At October 25, 2024 and April 26, 2024, no amounts were outstanding under the Credit Facility.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

Interest rates on advances on the Credit Facility are determined by a pricing matrix, based on the Company’s long-term debt ratings, assigned by Standard & Poor’s Ratings Services and Moody’s Investors Service. Facility fees are payable on the Credit Facility and are determined in the same manner as the interest rates. The Company is in compliance with the covenants under the Credit Facility.

Debt Obligations

The Company's debt obligations consisted of the following:

(in millions)Maturity by Fiscal YearOctober 25, 2024April 26, 2024
Current debt obligations2025 - 2026$3,719$1,092
Long-term debt
0.250 percent six-year 2019 senior notes2026—1,070
2.625 percent three-year 2022 senior notes2026—535
0.000 percent five-year 2020 senior notes2026—1,070
1.125 percent eight-year 2019 senior notes20271,6201,606
4.250 percent five-year 2023 senior notes20281,0001,000
3.000 percent six-year 2022 senior notes20291,0801,070
0.375 percent eight-year 2020 senior notes20291,0801,070
3.650 percent five-year 2024 senior notes2030918—
1.625 percent twelve-year 2019 senior notes20311,0801,070
1.000 percent twelve-year 2019 senior notes20321,0801,070
3.125 percent nine-year 2022 senior notes20321,0801,070
0.750 percent twelve-year 2020 senior notes20331,0801,070
4.500 percent ten-year 2023 senior notes20331,0001,000
3.375 percent twelve-year 2022 senior notes20351,0801,070
4.375 percent twenty-year 2015 senior notes20351,9321,932
3.875 percent twelve-year 2024 senior notes2037918—
6.550 percent thirty-year 2007 CIFSA senior notes2038253253
2.250 percent twenty-year 2019 senior notes20391,0801,070
6.500 percent thirty-year 2009 senior notes2039158158
1.500 percent twenty-year 2019 senior notes20401,0801,070
5.550 percent thirty-year 2010 senior notes2040224224
1.375 percent twenty-year 2020 senior notes20411,0801,070
4.500 percent thirty-year 2012 senior notes2042105105
4.000 percent thirty-year 2013 senior notes2043305305
4.150 percent nineteen-year 2024 senior notes2044648—
4.625 percent thirty-year 2014 senior notes2044127127
4.625 percent thirty-year 2015 senior notes20451,8131,813
1.750 percent thirty-year 2019 senior notes20501,0801,070
1.625 percent thirty-year 2020 senior notes20511,0801,070
4.150 percent twenty-nine-year 2024 senior notes2054756—
Finance lease obligations2026 - 20365055
Deferred financing costs2027 - 2054(125)(110)
Debt discount, net2027 - 2054(56)(55)
Total long-term debt$24,607$23,932

Interest expense on outstanding borrowings, including amortization of debt issuance costs and debt discounts and premiums is recognized in interest expense, net in the consolidated statements of income. During the three and six months ended October 25, 2024, there was $252

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

million and $469 million, respectively, of interest expense on outstanding borrowings, including amortization of debt issuance costs and debt discounts and premiums. During the three and six months ended October 27, 2023, there was $230 million and $427 million, respectively, of interest expense on outstanding borrowings, including amortization of debt issuance costs and debt discounts and premiums.

Senior Notes

The Company has outstanding unsecured senior obligations, described as senior notes in the tables above (collectively, the Senior Notes). The Senior Notes rank equally with all other unsecured and unsubordinated indebtedness of the Company. The Company is in compliance with all covenants related to the Senior Notes.

On June 3, 2024, Medtronic Inc. issued four tranches of EUR-denominated Senior Notes with an aggregate principal of €3.0 billion, with maturities ranging from fiscal year 2030 to 2054, resulting in cash proceeds of approximately $3.2 billion, net of discounts and issuance costs. In anticipation of the Euro-denominated debt issuance, the Company entered into forward currency exchange rate contracts to manage the exposure to exchange rate movements. These contracts were settled in conjunction with the issuance of the June 2024 Notes.

Financial Instruments Not Measured at Fair Value

At October 25, 2024, the estimated fair value of the Company’s Senior Notes was $25.3 billion compared to a principal value of $27.4 billion. At April 26, 2024, the estimated fair value was $21.2 billion compared to a principal value of $24.0 billion. The fair value was estimated using quoted market prices for the publicly registered Senior Notes, which are classified as Level 2 within the fair value hierarchy. The fair values and principal values consider the terms of the related debt and exclude the impacts of debt discounts and hedging activity.

8. Derivatives and Currency Exchange Risk Management

The Company uses derivative instruments and foreign currency denominated debt to manage the impact that currency exchange rate and interest rate changes have on reported financial statements. The Company does not enter into derivative contracts for speculative purposes.

Fair Value Hedges

Beginning in the first quarter of fiscal year 2025, the Company began using foreign currency forward contracts designated as fair value hedges to manage its exposure to changes in the fair value of its fixed-rate debt obligation.

At inception, foreign currency forward contracts are designated as fair value hedges. Changes in the fair value of these derivatives are reported as a component of other operating income, net. Amounts excluded from the assessment of effectiveness are recognized in interest expense, net on a straight-line basis over the term of the hedge. During the three and six months ended October 25, 2024, after-tax unrealized losses related to included components in other operating income, net were not significant. During the three and six months ended October 25, 2024, amounts related to excluded components that are amortized in interest expense, net over the life of the hedging instrument were not significant. Cash flows related to the Company's derivative instruments designated as fair value hedges are reported as financing activities in the consolidated statements of cash flows. Cash flows attributed to amounts excluded from the assessment of effectiveness are reported as operating activities in the consolidated statements of cash flows.

Cash Flow Hedges

The Company uses foreign currency forward and option contracts designated as cash flow hedges to manage its exposure to the variability of future cash flows that are denominated in a foreign currency.

At inception, foreign currency forward and option contracts are designated as cash flow hedges. Changes in the fair value of these derivatives are reported as a component of accumulated other comprehensive loss until the hedged transaction affects earnings. When the hedged transaction affects earnings, the gain or loss on the derivative is reclassified to earnings. Amounts excluded from the measurement of hedge effectiveness are recognized in earnings on a straight-line basis over the term of the hedge. Cash flows are reported as operating activities in the consolidated statements of cash flows.

The Company's cash flow hedges will mature within the subsequent three-year period. At October 25, 2024 and April 26, 2024, the Company had $139 million and $229 million in after-tax unrealized gains, respectively, associated with cash flow hedging instruments recorded in accumulated other comprehensive loss. The Company expects that $108 million of after-tax net unrealized gains at October 25, 2024 will be recognized in the consolidated statements of income over the next 12 months.

Net Investment Hedges

The Company uses derivative instruments and foreign currency denominated debt to manage foreign currency risk associated with its net investment in foreign operations. The derivative instruments that the Company uses for this purpose may include foreign currency forward exchange contracts used on a standalone basis or in combination with option collars and standalone cross currency interest rate contracts.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

For instruments that are designated as net investment hedges, the gains or losses are reported as a component of accumulated other comprehensive loss. The gains or losses are reclassified into earnings upon a liquidation event or deconsolidation of the foreign subsidiary. Amounts excluded from the assessment of effectiveness are recognized in interest expense, net on a straight-line basis over the term of the hedge. During the three and six months ended October 25, 2024, the Company recognized $47 million and $98 million, respectively, in after-tax unrealized gains representing excluded components in interest expense, net. During the three and six months ended October 27, 2023, the Company recognized $50 million and $99 million, respectively, in after-tax unrealized gains representing excluded components in interest expense, net. The cash flows related to the Company's derivative instruments designated as net investment hedges are reported as investing activities in the consolidated statements of cash flows. Cash flows attributable to amounts excluded from the assessment of effectiveness are reported as operating activities in the consolidated statements of cash flows.

Undesignated Derivatives

The Company uses foreign currency forward exchange contracts to offset the Company’s exposure to the change in the value of non-functional currency denominated assets, liabilities, and cash flows.

These foreign currency forward exchange rate contracts are not designated as hedges at inception, and therefore, changes in the fair value of these contracts are recognized in the consolidated statements of income. Cash flows related to the Company’s undesignated derivative contracts are reported in the consolidated statements of cash flows based on the nature of the derivative instrument.

Outstanding Instruments

The following table presents the contractual amounts of the Company's outstanding instruments:

As of
(in billions)DesignationOctober 25, 2024April 26, 2024
Currency exchange rate contracts(1)Fair value hedge$1.1$—
Currency exchange rate contractsCash flow hedge11.310.4
Currency exchange rate contracts(2)Net investment hedge7.57.4
Foreign currency-denominated debt(3)Net investment hedge19.417.1
Currency exchange rate contractsUndesignated4.75.9

(1)At October 25, 2024, includes derivative contracts with a notional value of €1.0 billion, or $1.1 billion, designated as hedges of a portion of our fixed-rate debt obligations.

(2)At October 25, 2024, includes derivative contracts with a notional value of €5.0 billion, or $5.4 billion, designated as hedges of a portion of our net investment in certain European operations and derivative contracts with a notional value of ¥322.2 billion, or $2.1 billion, designated as hedges of a portion of our net investment in certain Japanese operations. These derivative contracts mature in fiscal years 2025 through 2033.

(3)At October 25, 2024, includes €18.0 billion, or $19.4 billion, of outstanding Euro-denominated debt designated as hedges of a portion of our net investment in foreign operations. This debt matures in fiscal years 2026 through 2054.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

Gains and Losses on Hedging Instruments and Derivatives not Designated as Hedging Instruments

The amount of the gains and losses on hedging instruments and the classification of those gains and losses within our consolidated financial statements for the three and six months ended October 25, 2024 and October 27, 2023 were as follows:

(Gain) Loss Recognized in Accumulated Other Comprehensive Loss(Gain) Loss Reclassified into Income
Three months endedSix months endedThree months endedSix months endedLocation of (Gain) Loss in Income Statement
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Cash flow hedges
Currency exchange rate contracts$—$(394)$42$(398)$(3)$(75)$(39)$(125)Other operating income, net
Currency exchange rate contracts20(75)—(109)(21)(15)(39)(19)Cost of products sold
Net investment hedges
Foreign currency-denominated debt(91)(725)160(612)————N/A
Currency exchange rate contracts52(190)12(160)————N/A
Total$(19)$(1,384)$214$(1,278)$(24)$(89)$(78)$(145)

The amount of the gains and losses on our derivative instruments not designated as hedging instruments and the classification of those gains and losses within our consolidated financial statements during the three and six months ended October 25, 2024 and October 27, 2023 were as follows:

(Gain) Loss Recognized in Income
Three months endedSix months endedLocation of (Gain) Loss in Income Statement
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Currency exchange rate contracts$(35)$94$(45)$92Other operating income, net

Balance Sheet Presentation

The following table summarizes the balance sheet classification and fair value of derivative instruments included in the consolidated balance sheets at October 25, 2024 and April 26, 2024. The fair value amounts are presented on a gross basis, and are segregated between derivatives that are designated and qualify as hedging instruments and those that are not designated and do not qualify as hedging instruments, and are further segregated by type of contract within those two categories.

Fair Value - AssetsFair Value - Liabilities
(in millions)October 25, 2024April 26, 2024Balance Sheet ClassificationOctober 25, 2024April 26, 2024Balance Sheet Classification
Derivatives designated as hedging instruments
Currency exchange rate contracts$328$368Other current assets$56$37Other accrued expenses
Currency exchange rate contracts227276Other assets2217Other liabilities
Total derivatives designated as hedging instruments5566447854
Derivatives not designated as hedging instruments
Currency exchange rate contracts1915Other current assets3212Other accrued expenses
Total return swaps15—Other current assets——Other accrued expenses
Total derivatives not designated as hedging instruments34153212
Total derivatives$589$659$110$66

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

The following table provides information by level for the derivative assets and liabilities that are measured at fair value on a recurring basis.

October 25, 2024April 26, 2024
(in millions)Derivative AssetsDerivative LiabilitiesDerivative AssetsDerivative Liabilities
Level 1$574$110$659$66
Level 215———
Total$589$110$659$66

The Company has elected to present the fair value of derivative assets and liabilities within the consolidated balance sheets on a gross basis, even when derivative transactions are subject to master netting arrangements and may otherwise qualify for net presentation. The cash flows related to collateral posted and received are reported gross as investing and financing activities, respectively, in the consolidated statements of cash flows.

The following tables provide information as if the Company had elected to offset the asset and liability balances of derivative instruments, netted in accordance with various criteria as stipulated by the terms of the master netting arrangements with each of the counterparties. Derivatives not subject to master netting arrangements are not eligible for net presentation.

October 25, 2024
Gross Amount Not Offset on the Balance Sheet
(in millions)Gross Amount of Recognized Assets (Liabilities)Financial InstrumentsCash Collateral (Received) PostedNet Amount
Derivative assets:
Currency exchange rate contracts$574$(107)$(52)$417
Total return swaps15——15
589(107)(52)432
Derivative liabilities:
Currency exchange rate contracts(110)107—(4)
Total$479$—$(52)$428
April 26, 2024
Gross Amount Not Offset on the Balance Sheet
(in millions)Gross Amount of Recognized Assets (Liabilities)Financial InstrumentsCash Collateral (Received) PostedNet Amount
Derivative assets:
Currency exchange rate contracts$659$(66)$(101)$492
Derivative liabilities:
Currency exchange rate contracts(66)66——
Total$593$—$(101)$492

9. Inventories

Inventory balances were as follows:

(in millions)October 25, 2024April 26, 2024
Finished goods$3,729$3,668
Work-in-process728642
Raw materials1,022907
Total$5,479$5,217

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

10. Goodwill and Other Intangible Assets

Goodwill

The following table presents the changes in the carrying amount of goodwill by segment:

(in millions)CardiovascularNeuroscienceMedical SurgicalDiabetesTotal
April 26, 2024$7,966$11,644$19,121$2,255$40,986
Currency translation and other424147—176
October 25, 2024$7,970$11,668$19,268$2,255$41,161

As further described in Note 17, the Company had changes to the operating segments and goodwill reporting units during the fourth quarter of fiscal year 2024. For further information on the reporting unit changes, refer to Note 9 to the consolidated financial statements included in the Company's Annual Report on Form 10-K for the fiscal year ended April 26, 2024. No goodwill impairment was recognized during the three and six months ended October 25, 2024 and October 27, 2023.

The following table presents the gross carrying amount and accumulated amortization of intangible assets:

October 25, 2024April 26, 2024
(in millions)Gross Carrying AmountAccumulated AmortizationGross Carrying AmountAccumulated Amortization
Definite-lived:
Customer-related$16,523$(9,164)$16,518$(8,689)
Purchased technology and patents11,727(7,206)11,557(6,868)
Trademarks and tradenames425(280)424(274)
Other254(90)256(84)
Total$28,929$(16,741)$28,755$(15,915)
Indefinite-lived:
IPR&D$235$—$385$—

The Company did not recognize any definite-lived intangible asset impairment charges during the three and six months ended October 25, 2024 and October 27, 2023.

The Company did not recognize any indefinite-lived intangible asset impairment charges during the three and six months ended October 25, 2024. Indefinite-lived intangible asset impairment charges were not significant for the three and six months ended October 27, 2023. Due to the nature of IPR&D projects, the Company may experience future delays or failures to obtain regulatory approvals to conduct clinical trials, failures of clinical trials, delays or failures to obtain required market clearances, other failures to achieve a commercially viable product, or the discontinuation of certain projects, and as a result, may recognize impairment losses in the future.

Amortization Expense

Intangible asset amortization expense for the three months ended October 25, 2024 and October 27, 2023 was $413 million and $425 million, respectively. Intangible asset amortization expense for the six months ended October 25, 2024 and October 27, 2023 was $827 million and $855 million, respectively. Estimated aggregate amortization expense by fiscal year based on the carrying value of definite-lived intangible assets at October 25, 2024, excluding any possible future amortization associated with acquired IPR&D which has not yet met technological feasibility, is as follows:

(in millions)Amortization Expense
Remaining 2025$824
20261,639
20271,616
20281,565
20291,488
20301,356

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

11. Income Taxes

The Organization for Economic Co-operation and Development (OECD) published Pillar Two Model Rules defining the global minimum tax, which calls for the taxation of large multinational corporations at a minimum rate of 15% in each jurisdiction in which the group operates. The OECD has since issued administrative guidance providing transition and safe harbor rules around the implementation of the Pillar Two global minimum tax. A number of countries, including Ireland, have enacted legislation to implement the core elements of Pillar Two, which are effective for the Company in fiscal year 2025. We will continue to monitor the impacts of further legislation, regulatory guidance, and regulations issued in the countries in which we do business.

The Israeli Central-Lod District Court issued its decision in the Medtronic Ventor Technologies Ltd (Ventor) v. Kfar Saba Assessing Office on June 1, 2023. The court determined that there was a deemed taxable transfer of intellectual property. As a result, the Company recorded a $187 million income tax charge during the first quarter of fiscal year 2024 and has filed an appeal with the Supreme Court of Israel.

The Company's effective tax rate for the three and six months ended October 25, 2024 was 18.0% and 17.7%, respectively, as compared to 30.6% and 32.0% for the three and six months ended October 27, 2023, respectively. The decrease in the effective tax rate for the three months ended October 25, 2024, primarily relates to the establishment of a valuation allowance on certain net operating losses recorded during the three months ended October 27, 2023, which was partially offset by the implementation of the Pillar Two global minimum tax. In addition to the items discussed in the current quarter, the decrease in the effective tax rate for the six months ended October 25, 2024 was also attributable to an income tax reserve adjustment made during the six months ended October 27, 2023 associated with the Ventor court decision noted above.

At October 25, 2024 and April 26, 2024, the Company's gross unrecognized tax benefits were $2.9 billion and $2.8 billion, respectively. In addition, the Company had accrued gross interest and penalties of $45 million at October 25, 2024. If all of the Company’s unrecognized tax benefits were recognized, approximately $2.7 billion would impact the Company’s effective tax rate. At October 25, 2024 and April 26, 2024, the amount of the Company's gross unrecognized tax benefits, net of cash advance, recorded as a noncurrent liability within accrued income taxes on the consolidated balance sheets was $1.9 billion and $1.8 billion, respectively. The Company recognizes interest and penalties related to income tax matters within income tax provision in the consolidated statements of income and records the liability within either current or noncurrent accrued income taxes on the consolidated balance sheets.

Refer to Note 16 to the consolidated financial statements for additional information regarding the status of current tax audits and proceedings.

12. Earnings Per Share

Basic earnings per share is computed based on the weighted average number of ordinary shares outstanding. Diluted earnings per share is computed based on the weighted number of ordinary shares outstanding, increased by the number of additional shares that would have been outstanding had the potentially dilutive ordinary shares been issued, and reduced by the number of shares the Company could have repurchased with the proceeds from issuance of the potentially dilutive shares. Potentially dilutive ordinary shares include stock-based awards granted under stock-based compensation plans and shares committed to be purchased under the employee stock purchase plan.

The table below sets forth the computation of basic and diluted earnings per share:

Three months endedSix months ended
(in millions, except per share data)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Numerator:
Net income attributable to ordinary shareholders$1,270$909$2,312$1,700
Denominator:
Basic – weighted average shares outstanding1,282.41,330.21,288.61,330.3
Effect of dilutive securities:
Employee stock options0.60.50.60.9
Employee restricted stock units2.10.92.01.3
Employee performance share units1.80.21.30.3
Diluted – weighted average shares outstanding1,286.91,331.91,292.51,332.8
Basic earnings per share$0.99$0.68$1.79$1.28
Diluted earnings per share$0.99$0.68$1.79$1.28

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

The calculation of weighted average diluted shares outstanding excludes options to purchase approximately 28 million and 27 million ordinary shares for the three and six months ended October 25, 2024, respectively, and 31 million and 27 million ordinary shares for the three and six months ended October 27, 2023, respectively, because their effect would have been anti-dilutive on the Company’s earnings per share.

13. Stock-Based Compensation

The following table presents the components and classification of stock-based compensation expense for stock options, restricted stock, performance share units, and employee stock purchase plan shares recognized for the three and six months ended October 25, 2024 and October 27, 2023:

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Stock options$30$35$42$46
Restricted stock685511193
Performance share units54486960
Employee stock purchase plan881919
Total stock-based compensation expense$159$146$242$219
Cost of products sold$17$13$26$20
Research and development expense19182927
Selling, general, and administrative expense123115187172
Total stock-based compensation expense159146242219
Income tax benefits(25)(25)(38)(36)
Total stock-based compensation expense, net of tax$134$121$204$183

14. Retirement Benefit Plans

The Company sponsors various retirement benefit plans, including defined benefit pension plans, post-retirement medical plans, defined contribution savings plans, and termination indemnity plans, covering substantially all U.S. employees and many employees outside the U.S. The net periodic benefit cost of the defined benefit pension plans included the following components for the three and six months ended October 25, 2024 and October 27, 2023:

U.S.Non-U.S.U.S.Non-U.S.
Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Service cost$13$15$11$10$26$30$22$20
Interest cost4340131286802624
Expected return on plan assets(66)(65)(17)(17)(132)(130)(34)(34)
Amortization of prior service cost(1)(1)——(2)(2)——
Amortization of net actuarial loss45——8101—
Net periodic (credit) benefit cost$(7)$(6)$7$5$(14)$(12)$14$10

Components of net periodic benefit (credit) cost other than the service component are recognized in other non-operating income, net in the consolidated statements of income.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

15. Accumulated Other Comprehensive Loss

The following table provides changes in accumulated other comprehensive loss (AOCI), net of tax, and by component:

(in millions)Unrealized (Loss) Gain on Investment SecuritiesCumulative Translation AdjustmentsNet Investment HedgesNet Change in Retirement ObligationsUnrealized Gain (Loss) on Cash Flow HedgesTotal Accumulated Other Comprehensive (Loss) Income
April 26, 2024$(212)$(3,686)$878$(529)$229$(3,318)
Other comprehensive income (loss) before reclassifications102218(170)(1)(37)111
Reclassifications9——3(55)(43)
Other comprehensive income (loss)111218(170)1(93)69
October 25, 2024$(101)$(3,468)$708$(529)$139$(3,250)
(in millions)Unrealized (Loss) Gain on Investment SecuritiesCumulative Translation AdjustmentsNet Investment HedgesNet Change in Retirement ObligationsUnrealized Gain (Loss) on Cash Flow HedgesTotal Accumulated Other Comprehensive (Loss) Income
April 28, 2023$(258)$(2,839)$245$(741)$93$(3,499)
Other comprehensive income (loss) before reclassifications(49)(909)771—404217
Reclassifications11——4(110)(95)
Other comprehensive income (loss)(38)(909)7714294122
October 27, 2023$(296)$(3,748)$1,016$(737)$387$(3,377)

The income tax on gains and losses on investment securities in other comprehensive income before reclassifications during the six months ended October 25, 2024 and October 27, 2023, was an expense of $19 million and a benefit of $8 million, respectively. During the six months ended October 25, 2024 and October 27, 2023, realized gains and losses on investment securities reclassified from AOCI were reduced by income taxes of $2 million and $3 million, respectively. When realized, gains and losses on investment securities reclassified from AOCI are recognized within other non-operating income, net. Refer to Note 6 to the consolidated financial statements for additional information.

For the six months ended October 25, 2024 and October 27, 2023, there was no income tax on cumulative translation adjustments.

The income tax on net investment hedges in other comprehensive income before reclassifications during the six months ended October 25, 2024 was a benefit of $1 million. During the six months ended October 27, 2023, there were no tax impacts on net investment hedges.

The net change in retirement obligations in other comprehensive income includes amortization of net actuarial losses included in net periodic benefit cost. During the six months ended October 25, 2024 and October 27, 2023, there were no tax impacts on retirement obligations. During the six months ended October 25, 2024 and October 27, 2023, the gains and losses on defined benefit and pension items reclassified from AOCI were reduced by income taxes of $1 million and $2 million, respectively. When realized, net gains and losses on defined benefit and pension items reclassified from AOCI are recognized within other non-operating income, net. Refer to Note 14 to the consolidated financial statements for additional information.

The income tax on unrealized gains and losses on cash flow hedges in other comprehensive income before reclassifications during the six months ended October 25, 2024 and October 27, 2023, was a benefit of $5 million and expense of $103 million, respectively. During the six months ended October 25, 2024 and October 27, 2023, gains and losses on cash flow hedges reclassified from AOCI were reduced by income taxes of $22 million and $34 million, respectively. When realized, gains and losses on currency exchange rate contracts reclassified from AOCI are recognized within other operating income, net or cost of products sold. Refer to Note 8 to the consolidated financial statements for additional information.

16. Commitments and Contingencies

Legal Matters

The Company and its affiliates are involved in a number of legal actions from time to time involving product liability, employment, intellectual property and commercial disputes, shareholder related matters, environmental proceedings, tax disputes, and governmental proceedings and investigations, including those described below. With respect to governmental proceedings and investigations, like other companies in our industry, the Company is subject to extensive regulation by national, state, and local governmental agencies in the United

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

States and in other jurisdictions in which the Company and its affiliates operate. As a result, interaction with governmental agencies is ongoing. The Company’s standard practice is to cooperate with regulators and investigators in responding to inquiries. The outcomes of legal actions are not within the Company’s complete control and may not be known for prolonged periods of time. In some actions, the enforcement agencies or private claimants seek damages, as well as other civil or criminal remedies (including injunctions barring the sale of products that are the subject of the proceeding), that could require significant expenditures, result in lost revenues, or limit the Company's ability to conduct business in the applicable jurisdictions.

The Company records a liability in the consolidated financial statements on an undiscounted basis for loss contingencies related to legal actions when a loss is known or considered probable and the amount may be reasonably estimated. If the reasonable estimate of a known or probable loss is a range, and no amount within the range is a better estimate than any other, the minimum amount of the range is accrued. If a loss is reasonably possible but not known or probable, and may be reasonably estimated, the estimated loss or range of loss is disclosed. When determining the estimated loss or range of loss, significant judgment is required. Estimates of probable losses resulting from litigation and governmental proceedings involving the Company are inherently difficult to predict, particularly when the matters are in early procedural stages with incomplete scientific facts or legal discovery, involve unsubstantiated or indeterminate claims for damages, potentially involve penalties, fines or punitive damages, or could result in a change in business practice. The Company classifies certain specified litigation charges and gains related to significant legal matters as certain litigation charges, net in the consolidated statements of income. The Company recognized no certain litigation charges and $81 million of certain litigation charges during the three and six months ended October 25, 2024, respectively, whereas the Company recognized $65 million and $105 million of certain litigation charges during the three and six months ended October 27, 2023, respectively. At October 25, 2024 and April 26, 2024, accrued litigation was approximately $0.2 billion. The ultimate cost to the Company with respect to accrued litigation could be materially different than the amount of the current estimates and accruals and could have a material adverse impact on the Company’s consolidated earnings, financial position, and/or cash flows. The Company includes accrued litigation in other accrued expenses and other liabilities on the consolidated balance sheets. While it is not possible to predict the outcome for most of the legal matters discussed below, the Company believes it is possible that the costs associated with these matters could have a material adverse impact on the Company’s consolidated earnings, financial position, and/or cash flows.

Intellectual Property Matters

At any given time, the Company is involved in litigation relating to patents, trademarks, copyrights, trade secrets, and other intellectual property (IP) rights, and licenses, acquisitions or other agreements relating to such rights. This litigation includes, but is not limited to, alleged infringement or misappropriation of IP rights, or breach of obligations related to IP rights, or other claims asserted by competitors, individuals, or, consistent with a growing trend across technology-intensive industries, other entities created specifically to fund IP litigation. While the outcome of these litigation matters is inherently uncertain, it is possible that the results of such litigation could require the Company to pay significant monetary damages and/or royalty payments, and negatively impact the Company's ability to sell current or future products, which could have a material adverse impact on the Company's business, results of operations, financial condition, and cash flows.

Colibri

The Company is a defendant in patent litigation brought by Colibri Heart Valve LLC (Colibri) in the U.S. District Court for the Central District of California. Colibri alleges infringement of one patent by the Company’s Evolut family of transcatheter aortic valve replacement devices. The patent asserted by Colibri has expired. On February 8, 2023, a jury returned a verdict against the Company for approximately $106 million. In July 2023, the Company filed its appeal with the U.S. Court of Appeals for the Federal Circuit. The Company has not recognized an expense in connection with this matter because it does not currently believe a loss is probable.

Product Liability Matters

Hernia Mesh Litigation

Starting in fiscal year 2020, plaintiffs began filing lawsuits against certain subsidiaries of the Company in U.S. state and federal courts that allege personal injury from hernia mesh products sold by those subsidiaries. As of October 30, 2024, the Company and certain of its subsidiaries have been named as defendants in lawsuits filed on behalf of approximately 8,800 individual plaintiffs, and certain plaintiffs’ law firms have advised the Company that they may file additional cases in the future. Approximately 6,850 plaintiffs have pending lawsuits in a coordinated proceeding in Massachusetts state court, where they have been consolidated before a single judge. Approximately 500 plaintiffs have pending lawsuits in a coordinated action in Minnesota state court, and there are approximately 1,450 actions coordinated in a federal Multidistrict Litigation in the U.S. District Court for the District of Massachusetts plus fewer than ten one-off cases filed in other courts. The pending lawsuits relate almost entirely to hernia mesh products that have not been subject to recalls, withdrawals, or other adverse regulatory action. The Company has not recorded an expense related to damages in connection with these matters because any potential loss is not currently probable and reasonably estimable. Additionally, the Company is unable to reasonably estimate the range of loss, if any, that may result from these matters.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

Diabetes Pump Retainer Ring Litigation

Starting in fiscal year 2021, plaintiffs began filing lawsuits against the Diabetes operating unit in U.S. state and federal courts alleging personal injury from Series 600 insulin pumps with allegedly defective clear retainer rings that were subject to field corrective actions in 2019 and 2021. As of November 4, 2024, after a number of recent dismissals of individual plaintiffs, there are 23 lawsuits filed on behalf of 76 individuals. Plaintiffs’ firms previously notified the Company that they may file additional lawsuits in the future on behalf of thousands of additional claimants. Most of the filed suits are coordinated in California state court. The Company has not recorded an expense related to damages in connection with these matters because any potential loss is not currently probable and reasonably estimable. Additionally, the Company is unable to reasonably estimate the range of loss, if any, that may result from these matters.

Environmental Proceedings

The Company is a successor to several investigation and cleanup actions at various stages related to environmental remediation matters at a number of sites, including in Orrington, Maine. These projects relate to a variety of activities, including removal of solvents, metals and other hazardous substances from soil and groundwater. The ultimate cost of site cleanup and timing of future cash flows is difficult to predict given uncertainties regarding the extent of the required cleanup, the interpretation of applicable laws and regulations, and alternative cleanup methods.

The Company is also a successor to a party named in a lawsuit filed in the U.S. District Court for the District of Maine in the early 2000's by the Natural Resources Defense Council and the Maine People's Alliance relating to mercury contamination of the Penobscot River and Bay and options for remediating such contamination. In October 2022, the court issued a final order approving the settlement and the parties are working with consultants on implementation of remedial activities. The final court order did not result in a change to the Company's previous accrual for this matter.

The Company's accrued expenses for these various environmental proceedings are included within accrued litigation as discussed above.

Anti-Corruption Matters

The Company has regular and ongoing interactions with governmental agencies, and its practice is to cooperate with such inquiries. In addition, from time to time, the Company self-discloses potential concerns to governmental regulators. Like many in the medical device industry or with international operations, the Company engages in periodic discussions with the U.S. Securities and Exchange Commission, U.S. Department of Justice, and various authorities in China regarding certain activities, including in China. The Company is committed to regularly evaluating and, as appropriate, strengthening its anti-corruption compliance programs and practices. Any possible future determination that certain of our operations and activities, and/or those of our third-party distributors, are not in compliance with existing laws could result in the imposition of fines, penalties, and equitable remedies in the United States or in other jurisdictions. The Company has not recorded an expense in connection with these matters because any potential loss is not currently probable and reasonably estimable. Additionally, the Company is unable to reasonably estimate the range of loss, if any, that may result from these matters.

Other Matters

Italian Payback

In 2015, “payback” legislation was enacted in Italy requiring companies selling medical devices to make payments to the Italian state if Italy’s medical device expenditures exceed annual regional maximum ceilings. The payment amounts are calculated based upon the amount by which the regional ceilings were exceeded for any given year. There has been significant scrutiny on the legality and enforceability of the payback law since its inception, and litigation challenging the law has been proceeding through the Italian Courts. Since the law was enacted, the Company has recognized an estimate for the amount of variable consideration but has not made any payments under the payback law. In July 2024, two rulings by the Constitutional Court of Italy found that the medical device payback law is constitutional. Therefore, the Company increased its liability pertaining primarily to certain prior years since 2015 by $90 million during the three months ended July 26, 2024, as a reduction to net sales in the consolidated statements of income. As litigation before Italian Courts is still pending, final resolution is unknown at this time, and it is possible that the amount of the Company’s liability could differ from the amount currently accrued.

Income Taxes

In March 2009, the IRS issued its audit report on Medtronic, Inc. for fiscal years 2005 and 2006. Medtronic, Inc. reached agreement with the IRS on some, but not all matters related to these fiscal years. The remaining unresolved issue for fiscal years 2005 and 2006 relates to the allocation of income between Medtronic, Inc. and its wholly-owned subsidiary operating in Puerto Rico, which is one of the Company's key manufacturing sites. The U.S. Tax Court (Tax Court) reviewed this dispute, and in June 2016, issued an opinion with respect to the allocation of income between the parties for fiscal years 2005 and 2006 whereby it generally rejected the IRS’s position, but also made certain modifications to the Medtronic, Inc. tax returns as filed. In April 2017, the IRS filed a Notice of Appeal to the U.S. Court of Appeals

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

for the Eighth Circuit regarding the Tax Court opinion. The U.S. Court of Appeals issued its opinion in August 2018 and remanded the case back to the Tax Court for additional factual findings. The Tax Court issued its second opinion in August 2022, the IRS filed a Notice of Appeal to the U.S. Court of Appeals for the Eighth Circuit in September 2023, and Medtronic subsequently filed a cross-appeal in October 2023.

The IRS has issued its audit reports on Medtronic, Inc. for fiscal years 2007 through 2016. Medtronic, Inc. and the IRS have reached agreement on all significant issues except for the allocation of income between Medtronic, Inc. and its wholly-owned subsidiary operating in Puerto Rico for the businesses that are the subject of the U.S. Tax Court matter for fiscal years 2005 and 2006.

Medtronic, Inc.’s fiscal years 2017, 2018, and 2019 U.S. federal income tax returns are currently being audited by the IRS.

Covidien LP (a wholly owned subsidiary of Medtronic plc) has either reached agreement with the IRS or the statute of limitations has lapsed on its U.S. federal income tax returns through fiscal year 2020.

Although it is not possible to predict the outcome for most of the income tax matters discussed above, the Company believes it is possible that charges associated with these matters could have a material adverse impact on the Company’s consolidated earnings, financial position, and/or cash flows.

Refer to Note 11 for additional discussion of income taxes.

Guarantees

In the normal course of business, the Company and/or its affiliates periodically enter into agreements that require one or more of the Company and/or its affiliates to indemnify customers or suppliers for specific risks, such as claims for injury or property damage arising as a result of the Company or its affiliates’ products, the negligence of the Company's personnel, or claims alleging that the Company's products infringe on third-party patents or other intellectual property. The Company also offers warranties on various products. The Company’s maximum exposure under these guarantees is unable to be estimated. Historically, the Company has not experienced significant losses on these types of guarantees.

The Company believes the ultimate resolution of the above guarantees is not expected to have a material effect on the Company’s consolidated earnings, financial position, and/or cash flows.

17. Segment and Geographic Information

Segment disclosures are on a performance basis consistent with internal management reporting. Net sales of the Company's reportable segments include end-customer revenues from the sale of products the segment develops, manufactures, and distributes. The Company’s management evaluates performance of the segments and allocates resources based on net sales and segment operating profit. Segment operating profit represents income before income taxes, excluding interest income or expense, amortization of intangible assets, centralized distribution costs, currency impact of remeasurement and hedging, non-operating income or expense items, certain corporate charges, stock-based compensation, and other items not allocated to the segments.

The accounting policies of the reportable segments are the same as those described in the summary of significant accounting policies in Note 1 to the consolidated financial statements included in the Company's Annual Report on Form 10-K for the fiscal year ended April 26, 2024. Certain depreciable assets may be recorded by one segment, while the depreciation expense is allocated to another segment. The allocation of depreciation expense is based on the proportion of the assets used by each segment.

There have been no changes to reportable segments during the quarter ended October 25, 2024. We continue to have four reportable segments: Cardiovascular Portfolio, Neuroscience Portfolio, Medical Surgical Portfolio, and Diabetes Operating Unit. Prior period amounts have been recast to conform to the new operating segment structure in the fourth quarter of fiscal year 2024. For further information on the operating segment structure changes, refer to Note 19 to the consolidated financial statements included in the Company's Annual Report on Form 10-K for the fiscal year ended April 26, 2024.

Medtronic plc

Notes to Consolidated Financial Statements

(Unaudited)

The following tables present reconciliations of financial information from the segments to the applicable line items in the Company's consolidated financial statements:

Segment Operating Profit

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Cardiovascular$1,164$1,117$2,289$2,208
Neuroscience1,0249291,9851,858
Medical Surgical7747951,4641,521
Diabetes116101218186
Reportable segment operating profit3,0792,9425,9565,773
Other operating segment(1)124261
Corporate(448)(431)(903)(879)
Interest expense, net(209)(180)(376)(329)
Other non-operating income, net173154330230
Amortization of intangible assets(413)(425)(827)(855)
Stock-based compensation(159)(146)(242)(219)
Centralized distribution costs(405)(391)(800)(786)
Currency(2)(39)32(44)29
Restructuring and associated costs(46)(91)(108)(182)
Acquisition and divestiture-related items25(58)13(107)
Certain litigation charges, net—(65)(81)(105)
Medical device regulations(12)(30)(27)(62)
Other adjustments(3)——(90)—
Income before income taxes$1,559$1,313$2,827$2,510

(1)Includes the historical operations and ongoing transition agreements from businesses the Company has exited or divested.

(2)Includes the net impact of remeasurement and the Company's hedging programs recorded in other operating income, net.

(3)Incremental Italian payback accruals resulting from the two July 22, 2024 rulings by the Constitutional Court of Italy relating to certain prior years since 2015.

Geographic Information

Net sales are attributed to the country based on the location of the customer taking possession of the products or in which the services are rendered. The following table presents net sales for the three and six months ended October 25, 2024 and October 27, 2023 for the Company's country of domicile, countries with significant concentrations, and all other countries:

Three months endedSix months ended
(in millions)October 25, 2024October 27, 2023October 25, 2024October 27, 2023
Ireland$29$29$59$58
United States4,3044,1758,3878,099
Rest of world4,0703,7807,8727,528
Total other countries, excluding Ireland8,3747,95516,25915,627
Total$8,403$7,984$16,318$15,686

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