Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
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Item 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA.
Report of Independent Registered Public Accounting Firm
To the Shareholders and the Board of Directors of Stryker Corporation
Opinion on the Financial Statements
We have audited the accompanying consolidated balance sheets of Stryker Corporation and subsidiaries (the Company) as of
December 31, 2025 and 2024, the related consolidated statements of earnings, comprehensive income, shareholders’ equity and cash
flows for each of the three years in the period ended December 31, 2025, and the related notes and financial statement schedule listed
in the Index at Item 15(a) (collectively referred to as the "consolidated financial statements"). In our opinion, the consolidated financial
statements present fairly, in all material respects, the financial position of the Company at December 31, 2025 and 2024, and the results
of its operations and its cash flows for each of the three years in the period ended December 31, 2025, in conformity with U.S. generally
accepted accounting principles.
We also have audited, in accordance with the standards of the Public Company Accounting Oversight Board (United States) (PCAOB),
the Company's internal control over financial reporting as of December 31, 2025, based on criteria established in Internal Control—
Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission (2013 framework), and our
report dated February 11, 2026 expressed an unqualified opinion thereon.
Basis for Opinion
These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on the
Company’s financial statements based on our audits. We are a public accounting firm registered with the PCAOB and are required to be
independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations
of the Securities and Exchange Commission and the PCAOB.
We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the audit
to obtain reasonable assurance about whether the financial statements are free of material misstatement, whether due to error or fraud.
Our audits included performing procedures to assess the risks of material misstatement of the financial statements, whether due to
error or fraud, and performing procedures that respond to those risks. Such procedures included examining, on a test basis, evidence
regarding the amounts and disclosures in the financial statements. Our audits also included evaluating the accounting principles used
and significant estimates made by management, as well as evaluating the overall presentation of the financial statements. We believe
that our audits provide a reasonable basis for our opinion.
Critical Audit Matters
The critical audit matters communicated below are matters arising from the current period audit of the financial statements that were
communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures that are material to
the financial statements and (2) involved our especially challenging, subjective, or complex judgments. The communication of critical
audit matters does not alter in any way our opinion on the consolidated financial statements, taken as a whole, and we are not, by
communicating the critical audit matters below, providing separate opinions on the critical audit matters or on the accounts or
disclosures to which they relate.
| Uncertain Tax Positions | |
| Description of the Matter | As described in Note 11 to the consolidated financial statements, the Company is involved in various income tax matters for which the ultimate outcomes are uncertain. As of December 31, 2025, the Company had unrecognized tax benefits of $403. The Company received a final audit report and assessments from the German Federal Central Tax Office (FCTO) related to the years 2010 through 2017 of $754 and expect to receive additional assessments of $11 based on the final audit report. Auditing management’s evaluation of the uncertain tax positions associated with the FCTO tax assessments was especially challenging due to the level of subjectivity and significant judgment associated with the recognition and measurement of the tax positions. |
| How We Addressed the Matter in Our Audit | We obtained an understanding, evaluated the design and tested the operating effectiveness of controls over the Company’s accounting process for uncertain tax positions. For example, we tested controls over management’s identification of uncertain tax positions and its application of the recognition and measurement principles, including management’s review of developments related to existing uncertain tax positions. Our audit procedures included, among others, evaluating the assumptions the Company used to assess its uncertain tax positions and related unrecognized tax benefits. We evaluated evidence of management’s assessment of the uncertain tax positions related to certain German tax matters. Including inspection of technical memos, inspection of the FCTO tax assessments, and written representations of management. We involved professionals with specialized skill and knowledge to assist in our evaluation of the tax technical merits of the Company’s assessments, the amount of the potential benefits to be realized, and the application of relevant tax law. We also assessed the Company’s disclosures of uncertain tax positions included in Note 11 related to this tax matter. |
| 26 |
| STRYKER CORPORATION | 2025 FORM 10-K |
| Acquisitions | |
| Description of the Matter | As described in Note 6 to the consolidated financial statements, in 2025 the Company completed the acquisition of Inari Medical, Inc. (Inari) for total consideration of $4,810, net of cash acquired. The acquisition was accounted for as a business combination. Auditing the Company’s fair value measurement of certain acquired developed technologies was complex and required significant auditor judgment due to the significant estimation uncertainty in determining the fair value of these intangible assets. The Company used an income approach to measure the developed technology intangible assets acquired. The significant assumptions used to estimate the fair value of the intangible assets included discount rates and certain assumptions that form the basis of the forecasted results, including revenue growth rates and profit margins. |
| How We Addressed the Matter in Our Audit | We obtained an understanding, evaluated the design and tested the operating effectiveness of the controls over the identification and measurement of developed technologies. For example, we tested controls over the valuation of intangibles, including the valuation models and underlying assumptions used to develop such estimates. To test the fair value measurement of developed technologies, we performed audit procedures that included, among others, evaluating the Company's use of the income approach and testing the significant assumptions used in the model, as described above. We involved our valuation specialists in assisting with the evaluation of methodologies used by the Company and significant assumptions included in the fair value measurements. For example, to evaluate the revenue growth rates and projected profit margins, we compared the amounts to historical results of the Company’s business, as well as the acquired business’ historical results, and current industry and market trends for those in which the Company operates and performed sensitivity analyses on key assumptions. We also evaluated the adequacy of the Company’s disclosures included in Note 6 related to these acquisitions. |
/s/ Ernst & Young LLP
We have served as the Company's auditor since 1974.
Grand Rapids, Michigan
February 11, 2026
| Dollar amounts in millions except per share amounts or as otherwise specified. | 27 |
| STRYKER CORPORATION | 2025 FORM 10-K |
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF EARNINGS
| 2025 | 2024 | 2023 | |||
| Net sales | $25,116 | $22,595 | $20,498 | ||
| Cost of sales | 9,051 | 8,155 | 7,440 | ||
| Gross profit | $16,065 | $14,440 | $13,058 | ||
| Research, development and engineering expenses | 1,623 | 1,466 | 1,388 | ||
| Selling, general and administrative expenses | 8,651 | 7,685 | 7,111 | ||
| Amortization of intangible assets | 732 | 623 | 635 | ||
| Goodwill and other impairments | 170 | 977 | 36 | ||
| Total operating expenses | $11,176 | $10,751 | $9,170 | ||
| Operating income | $4,889 | $3,689 | $3,888 | ||
| Interest expense | (607) | (409) | (363) | ||
| Other income | 232 | 212 | 148 | ||
| Earnings before income taxes | $4,514 | $3,492 | $3,673 | ||
| Income taxes | 1,268 | 499 | 508 | ||
| Net earnings | $3,246 | $2,993 | $3,165 | ||
| Net earnings per share of common stock: | |||||
| Basic | $8.49 | $7.86 | $8.34 | ||
| Diluted | $8.40 | $7.76 | $8.25 | ||
| Weighted-average shares outstanding (in millions): | |||||
| Basic | 382.2 | 381.0 | 379.6 | ||
| Effect of dilutive employee stock compensation | 4.3 | 4.6 | 4.1 | ||
| Diluted | 386.5 | 385.6 | 383.7 |
CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
| 2025 | 2024 | 2023 | |||
| Net earnings | $3,246 | $2,993 | $3,165 | ||
| Other comprehensive income (loss), net of tax | |||||
| Marketable securities | — | — | 1 | ||
| Pension plans | 66 | 32 | (59) | ||
| Unrealized gains (losses) on designated hedges | 11 | (8) | (13) | ||
| Financial statement translation | (471) | 99 | (124) | ||
| Total other comprehensive income (loss), net of tax | $(394) | $123 | $(195) | ||
| Comprehensive income | $2,852 | $3,116 | $2,970 |
See accompanying notes to Consolidated Financial Statements.
| Dollar amounts in millions except per share amounts or as otherwise specified. | 28 |
| STRYKER CORPORATION | 2025 FORM 10-K |
Stryker Corporation and Subsidiaries
CONSOLIDATED BALANCE SHEETS
| 2025 | 2024 | ||
| Assets | |||
| Current assets | |||
| Cash and cash equivalents | $4,011 | $3,652 | |
| Short-term investments | — | 750 | |
| Marketable securities | 89 | 91 | |
| Accounts receivable, less allowance of $216 ($213 in 2024) | 4,039 | 3,987 | |
| Inventories: | |||
| Materials and supplies | 1,349 | 1,147 | |
| Work in process | 415 | 336 | |
| Finished goods | 3,546 | 3,291 | |
| Total inventories | $5,310 | $4,774 | |
| Prepaid expenses and other current assets | 1,306 | 1,593 | |
| Total current assets | $14,755 | $14,847 | |
| Property, plant and equipment: | |||
| Land, buildings and improvements | 1,793 | 1,627 | |
| Machinery and equipment | 5,744 | 5,056 | |
| Total property, plant and equipment | 7,537 | 6,683 | |
| Less allowance for depreciation | 3,661 | 3,235 | |
| Property, plant and equipment, net | $3,876 | $3,448 | |
| Goodwill | 19,291 | 15,855 | |
| Other intangibles, net | 5,681 | 4,395 | |
| Noncurrent deferred income tax assets | 1,098 | 1,742 | |
| Other noncurrent assets | 3,143 | 2,684 | |
| Total assets | $47,844 | $42,971 | |
| Liabilities and shareholders' equity | |||
| Current liabilities | |||
| Accounts payable | $1,799 | $1,679 | |
| Accrued compensation | 1,595 | 1,403 | |
| Income taxes | 418 | 539 | |
| Dividend payable | 337 | 320 | |
| Accrued expenses and other liabilities | 2,645 | 2,266 | |
| Current maturities of debt | 1,000 | 1,409 | |
| Total current liabilities | $7,794 | $7,616 | |
| Long-term debt, excluding current maturities | 14,859 | 12,188 | |
| Income taxes | 402 | 349 | |
| Other noncurrent liabilities | 2,369 | 2,184 | |
| Total liabilities | $25,424 | $22,337 | |
| Shareholders' equity | |||
| Common stock, $0.10 par value | 38 | 38 | |
| Additional paid-in capital | 2,597 | 2,361 | |
| Retained earnings | 20,472 | 18,528 | |
| Accumulated other comprehensive loss | (687) | (293) | |
| Total shareholders' equity | $22,420 | $20,634 | |
| Total liabilities & shareholders' equity | $47,844 | $42,971 |
See accompanying notes to Consolidated Financial Statements.
| Dollar amounts in millions except per share amounts or as otherwise specified. | 29 |
| STRYKER CORPORATION | 2025 FORM 10-K |
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF SHAREHOLDERS’ EQUITY
| 2025 | 2024 | 2023 | ||||||
| Shares | Amount | Shares | Amount | Shares | Amount | |||
| Common stock | ||||||||
| Beginning | 381.4 | $38 | 380.1 | $38 | 378.7 | $38 | ||
| Issuance of common stock under stock compensation and benefit plans | 1.1 | — | 1.3 | — | 1.4 | — | ||
| Ending | 382.5 | $38 | 381.4 | $38 | 380.1 | $38 | ||
| Additional paid-in capital | ||||||||
| Beginning | $2,361 | $2,200 | $2,034 | |||||
| Issuance of common stock under stock compensation and benefit plans | (7) | (68) | (39) | |||||
| Share-based compensation | 243 | 229 | 205 | |||||
| Ending | $2,597 | $2,361 | $2,200 | |||||
| Retained earnings | ||||||||
| Beginning | $18,528 | $16,771 | $14,765 | |||||
| Net earnings | 3,246 | 2,993 | 3,165 | |||||
| Cash dividends declared | (1,302) | (1,236) | (1,159) | |||||
| Ending | $20,472 | $18,528 | $16,771 | |||||
| Accumulated other comprehensive (loss) income | ||||||||
| Beginning | $(293) | $(416) | $(221) | |||||
| Other comprehensive income (loss) | (394) | 123 | (195) | |||||
| Ending | $(687) | $(293) | $(416) | |||||
| Total shareholders' equity | $22,420 | $20,634 | $18,593 |
See accompanying notes to Consolidated Financial Statements.
| Dollar amounts in millions except per share amounts or as otherwise specified. | 30 |
| STRYKER CORPORATION | 2025 FORM 10-K |
Stryker Corporation and Subsidiaries
CONSOLIDATED STATEMENTS OF CASH FLOWS
| 2025 | 2024 | 2023 | |||
| Operating activities | |||||
| Net earnings | $3,246 | $2,993 | $3,165 | ||
| Adjustments to reconcile net earnings to net cash provided by operating activities: | |||||
| Depreciation | 461 | 427 | 393 | ||
| Amortization of intangible assets | 732 | 623 | 635 | ||
| Goodwill and other impairments | 170 | 977 | 36 | ||
| Share-based compensation | 243 | 229 | 205 | ||
| Sale of inventory stepped up to fair value at acquisition | 173 | 46 | — | ||
| Deferred income tax (benefit) expense | 392 | (370) | (206) | ||
| Changes in operating assets and liabilities: | |||||
| Accounts receivable | 127 | (321) | (175) | ||
| Inventories | (297) | (206) | (797) | ||
| Accounts payable | 94 | 192 | 77 | ||
| Accrued expenses and other liabilities | 318 | 74 | 516 | ||
| Income taxes | (145) | (116) | (4) | ||
| Other, net | (470) | (306) | (134) | ||
| Net cash provided by operating activities | $5,044 | $4,242 | $3,711 | ||
| Investing activities | |||||
| Acquisitions, net of cash acquired | (4,960) | (1,628) | (390) | ||
| Proceeds/(Purchases) of short-term investments | 750 | (750) | — | ||
| Purchases of property, plant and equipment | (761) | (755) | (575) | ||
| Proceeds from the sale of the Spinal Implants business | 165 | — | — | ||
| Other investing, net | (60) | 133 | 3 | ||
| Net cash used in investing activities | $(4,866) | $(3,000) | $(962) | ||
| Financing activities | |||||
| Proceeds (payments) on short-term borrowings, net | — | (32) | 540 | ||
| Proceeds from issuance of long-term debt | 2,979 | 3,011 | 1,241 | ||
| Payments on long-term debt | (1,400) | (2,039) | (2,058) | ||
| Payments of dividends | (1,284) | (1,219) | (1,139) | ||
| Cash paid for taxes from withheld shares | (149) | (195) | (155) | ||
| Other financing, net | (33) | (51) | (23) | ||
| Net cash provided by (used in) financing activities | $113 | $(525) | $(1,594) | ||
| Effect of exchange rate changes on cash and cash equivalents | 68 | (36) | (28) | ||
| Change in cash and cash equivalents | $359 | $681 | $1,127 | ||
| Cash and cash equivalents at beginning of year | 3,652 | 2,971 | 1,844 | ||
| Cash and cash equivalents at end of year | $4,011 | $3,652 | $2,971 | ||
| Supplemental cash flow disclosure: | |||||
| Cash paid for income taxes, net of refunds | $1,002 | $989 | $693 | ||
| Cash paid for interest on debt | $582 | $396 | $356 |
See accompanying notes to Consolidated Financial Statements.
| Dollar amounts in millions except per share amounts or as otherwise specified. | 31 |
| STRYKER CORPORATION | 2025 FORM 10-K |
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
NOTE 1 - SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations: Stryker (the "Company," "we," "us," or
"our") is a global leader in medical technologies and, together
with our customers, we are driven to make healthcare better. We
offer innovative products and services in MedSurg,
Neurotechnology and Orthopaedics that help improve patient and
healthcare outcomes. Our products include surgical equipment
and surgical navigation systems; endoscopic and
communications systems; patient handling, emergency medical
equipment and intensive care disposable products; clinical
communication and artificial intelligence-assisted virtual care
platform technology; products for traditional brain and open skull-
based surgical procedures; minimally invasive products for the
treatment of acute ischemic and hemorrhagic stroke and venous
thromboembolism; implants used in joint replacement and trauma
surgeries; Mako robotic-arm assisted technology; as well as other
products used in a variety of medical specialties.
Basis of Presentation and Consolidation: The Consolidated
Financial Statements include the Company and its subsidiaries.
All significant intercompany accounts and transactions are
eliminated in consolidation. We have no material interests in
variable interest entities. Certain prior year amounts have been
reclassified to conform with current year presentation in our
Consolidated Financial Statements.
Use of Estimates**:** The preparation of financial statements in
conformity with accounting principles generally accepted in the
United States (GAAP) requires management to make estimates
and assumptions that affect the reported amounts of assets and
liabilities and disclosure of contingent assets and liabilities on the
date of the financial statements and the reported amounts of net
sales and expenses in the reporting period. Actual results could
differ from those estimates.
Revenue Recognition: Sales are recognized as the
performance obligations to deliver products or services (including
services under extended warranty service contracts) are satisfied
and are recorded based on the amount of consideration we
expect to receive in exchange for satisfying the performance
obligations. Our sales are recognized primarily when we transfer
control to the customer, which can be on the date of shipment,
the date of receipt by the customer or, for most Orthopaedics
products, when we have received a purchase order and
appropriate notification the product has been used or implanted.
Products and services are primarily transferred to customers at a
point in time, with some transfers of services taking place over
time.
Sales represent the amount of consideration we expect to receive
from customers in exchange for transferring products and
services. Net sales exclude sales, value added and other taxes
we collect from customers. Other costs to obtain and fulfill
contracts are generally expensed as incurred due to the short-
term nature of most of our sales. We extend terms of payment to
our customers based on commercially reasonable terms for the
markets of our customers, while also considering their credit
quality.
A provision for estimated sales returns, discounts and rebates is
recognized as a reduction of sales in the same period that the
sales are recognized. Our estimate of the provision for sales
returns has been established based on contract terms with our
customers and historical business practices and current trends.
Shipping and handling costs charged to customers are included
in net sales.
Cost of Sales: Cost of sales include direct materials and
supplies consumed in the manufacture of product, as well as
manufacturing labor, depreciation expense and direct overhead
expense necessary to acquire and convert the purchased
materials and supplies into finished product. Cost of sales also
includes the cost to distribute products to customers, inbound
freight costs, warehousing costs and other shipping and handling
activity.
Research, Development and Engineering Expenses:
Research, development and engineering costs are charged to
expense as incurred and include research, development and
engineering activities relating to the development of new
products, improvement of existing products, technical support of
products and compliance with governmental regulations for the
protection of customers and patients. Costs primarily include
salaries, wages, consulting and depreciation and maintenance of
research facilities and equipment.
Selling, General and Administrative Expenses: Costs include
selling expenses, marketing expenses, administrative and other
indirect overhead costs, amortization of loaner instrumentation,
depreciation and amortization expense of non-manufacturing
assets and other miscellaneous operating items.
Currency Translation: Financial statements of subsidiaries
outside the United States generally are measured using the local
currency as the functional currency. Adjustments to translate
those statements into United States Dollars are recorded in other
comprehensive income (OCI). Transactional exchange gains and
losses are included in other income.
Cash Equivalents: Highly liquid investments with remaining
stated maturities of three months or less when purchased or
other money market instruments that are redeemable upon
demand are considered cash equivalents and recorded at cost.
Short-term Investments: Short-term investments that have a
maturity greater than three months and less than a year from the
date of purchase primarily include time deposits, certificates of
deposit, commercial paper, bonds and notes, substantially all of
which are denominated in United States Dollars and are stated at
cost plus accrued interest, which approximates fair value. We
expect to hold all of our short-term investments to maturity.
Marketable Securities: Marketable securities include marketable
debt securities and mutual funds. Mutual funds are acquired to
offset changes in certain liabilities related to deferred
compensation arrangements and are expected to be used to
settle these liabilities. Mutual funds are recognized in other
noncurrent assets. Pursuant to our investment policy, all
individual marketable security investments must have a minimum
credit quality of single A (Standard & Poor’s and Fitch) and A2
(Moody’s Corporation) at the time of acquisition, while the overall
portfolio of marketable securities must maintain a minimum
average credit quality of double A (Standard & Poor’s and Fitch)
or Aa (Moody’s Corporation). In the event of a rating downgrade
below the minimum credit quality subsequent to purchase, the
marketable security investment is evaluated to determine the
appropriate action to take to minimize the overall risk to our
marketable security investment portfolio. Our marketable
securities are classified as available-for-sale and trading
securities. Investments in trading securities represent participant-
directed investments of deferred employee compensation.
Accounts Receivable: Accounts receivable include trade and
other miscellaneous receivables. An allowance is maintained for
doubtful accounts for estimated losses in the collection of
accounts receivable. Estimates are made regarding the ability of
customers to make required payments based on historical credit
| Dollar amounts in millions except per share amounts or as otherwise specified. | 32 |
| STRYKER CORPORATION | 2025 FORM 10-K |
experience, current market conditions and expected credit
losses. Accounts receivable are written off when all reasonable
collection efforts are exhausted.
Inventories: Inventories are stated at the lower of cost or net
realizable value, with cost generally determined using the first-in,
first-out (FIFO) cost method. For excess and obsolete inventory
resulting from the potential inability to sell specific products at
prices in excess of current carrying costs, reserves are
maintained to reduce current carrying cost to net realizable value.
Financial Instruments: Our financial instruments include cash,
cash equivalents, marketable securities, accounts receivable,
other investments, accounts payable, debt and foreign currency
exchange contracts. The carrying value of our financial
instruments, with the exception of our senior unsecured notes,
approximates fair value on December 31, 2025 and 2024. Refer
to Notes 3 and 10 for further details.
All marketable securities are recognized at fair value.
Adjustments to the fair value of marketable securities that are
classified as available-for-sale are recognized as increases or
decreases, net of income taxes, within accumulated other
comprehensive income (AOCI) in shareholders’ equity and
adjustments to the fair value of marketable securities that are
classified as trading are recognized in earnings. The amortized
cost of marketable debt securities is adjusted for amortization of
premiums and discounts to maturity computed under the effective
interest method. Such amortization, interest and realized gains
and losses are included in other income. The cost of securities
sold is determined by the specific identification method.
We review declines in the fair value of our investments classified
as available-for-sale to determine whether the decline in fair
value is a result of credit loss or other factors. Impairments of
available-for-sale marketable debt securities related to credit loss
are included in earnings and impairments related to other factors
are recognized within AOCI.
Derivatives: All derivatives are recognized at fair value and
reported on a gross basis. We enter into forward currency
exchange contracts to mitigate the impact of currency fluctuations
on transactions denominated in nonfunctional currencies, thereby
limiting our risk that would otherwise result from changes in
exchange rates. The periods of the forward currency exchange
contracts correspond to the periods of the exposed transactions,
with realized gains and losses included in the measurement and
recording of transactions denominated in the nonfunctional
currencies. All forward currency exchange contracts are recorded
at their fair value each period.
Forward currency exchange contracts designated as cash flow
hedges are designed to hedge the variability of cash flows
associated with forecasted transactions denominated in a foreign
currency that will take place in the future. These nonfunctional
currency exposures principally relate to forecasted intercompany
sales and purchases of manufactured products and generally
have maturities up to eighteen months. Changes in value of
derivatives designated as cash flow hedges are recorded in AOCI
in shareholders’ equity until earnings are affected by the
variability of the underlying cash flows. At that time, the
applicable amount of gain or loss from the derivative instrument
that is deferred in shareholders’ equity is reclassified into
earnings and is included in cost of goods sold. Cash flows
associated with these hedges are included in cash provided by
operating activities in the same category as the cash flows from
the items being hedged.
Forward currency exchange contracts are used to offset our
exposure to the change in value of specific foreign currency
denominated assets and liabilities, primarily intercompany
payables and receivables. These derivatives are not designated
as hedges and, therefore, changes in the value of these forward
contracts are recognized in earnings, thereby offsetting the
current earnings effect of the related changes in value of foreign
currency denominated assets and liabilities. The estimated fair
value of our forward currency exchange contracts represents the
measurement of the contracts at month-end spot rates as
adjusted by current forward points.
From time to time, we designate derivative and non-derivative
financial instruments as net investment hedges of our
investments in certain international subsidiaries. For derivative
instruments that are designated and qualify as a net investment
hedge, the effective portion of the derivative's gain or loss is
recognized in OCI and reported as a component of AOCI. We
have elected to use the spot method to assess effectiveness for
our derivatives designated as net investment hedges.
Accordingly, the change in fair value attributable to changes in
the spot rate is recorded in AOCI. We exclude the spot-forward
difference from the assessment of hedge effectiveness and
amortize this amount separately on a straight-line basis over the
term of the forward contracts. This amortization is recognized in
other income.
From time to time, we designate forward starting interest rate
derivative instruments as cash flow hedges to manage the
exposure to interest rate volatility with regard to future issuance
and refinancing of debt. Changes in value of derivatives
designated as cash flow hedges are recorded in AOCI until
earnings are affected by the variability of the underlying cash
flows. At that time, the applicable amount of gain or loss from the
derivative instrument that is deferred in shareholders’ equity is
reclassified into earnings and is included in interest expense.
Interest rate derivative instruments designated as fair value
hedges have been used in the past to manage the exposure to
interest rate movements and to reduce borrowing costs by
converting fixed-rate debt into floating-rate debt. Under these
agreements, we agree to exchange, at specified intervals, the
difference between fixed and floating interest amounts calculated
by reference to an agreed-upon notional principal amount.
Property, Plant and Equipment: Property, plant and equipment
is stated at cost. Depreciation is generally computed by the
straight-line method over the estimated useful lives of three to 30
years for buildings and improvements and three to 15 years for
machinery and equipment.
Goodwill and Other Intangible Assets: Goodwill represents the
excess of purchase price over fair value of tangible net assets of
acquired businesses at the acquisition date, after amounts
allocated to other identifiable intangible assets. Factors that
contribute to the recognition of goodwill include synergies that are
specific to our business and not available to other market
participants and are expected to increase net sales and profits;
acquisition of a talented workforce; cost savings opportunities;
the strategic benefit of expanding our presence in core and
adjacent markets; and diversifying our product portfolio.
The fair values of other identifiable intangible assets acquired in a
business combination are primarily determined using the income
approach. Other intangible assets include, but are not limited to,
developed technologies, customer and distributor relationships
(which reflect expected continued customer or distributor
patronage) and trademarks and patents. Intangible assets with
determinable useful lives are amortized on a straight-line basis
over their estimated useful lives of four to 40 years. Certain
acquired trade names are considered to have indefinite lives and
| Dollar amounts in millions except per share amounts or as otherwise specified. | 33 |
| STRYKER CORPORATION | 2025 FORM 10-K |
are not amortized, but are assessed annually for potential
impairment as described below.
In some of our acquisitions, we acquire in-process research and
development (IPRD) intangible assets. For acquisitions
accounted for as business combinations IPRD is considered to
be an indefinite-lived intangible asset until the research is
completed (then it becomes a determinable-lived intangible
asset) or determined to have no future use (then it is impaired).
For asset acquisitions IPRD is expensed immediately unless
there is an alternative future use.
Goodwill, Intangibles and Long-Lived Asset Impairment
Tests: We perform our annual impairment test for goodwill as of
October 31 each year. We consider qualitative indicators of the
fair value of a reporting unit when it is unlikely that a reporting
unit has impaired goodwill and periodically corroborate that
assessment with quantitative information. In certain
circumstances, we may also utilize a discounted cash flow
analysis that requires certain assumptions and estimates be
made regarding market conditions and our future profitability.
Indefinite-lived intangible assets are also tested at least annually
for impairment by comparing the individual carrying values to the
fair value.
We review long-lived assets for indicators of impairment
whenever events or changes in circumstances indicate that the
carrying amount may not be recoverable. The evaluation is
performed at the lowest level of identifiable cash flows.
Undiscounted cash flows expected to be generated by the related
assets are estimated over the asset's useful life based on
updated projections. If the evaluation indicates that the carrying
amount of the asset may not be recoverable, any potential
impairment is measured based upon the fair value of the related
asset or asset group as determined by an appropriate market
appraisal or other valuation technique.
Assets and Liabilities Held for Sale: We classify assets and
liabilities or disposal groups to be sold as held for sale in the
period in which all of the following criteria are met: management,
having the authority to approve the action, commits to a plan to
sell the disposal group; the disposal group is available for
immediate sale in its present condition subject only to terms that
are usual and customary for sales of such disposal groups; an
active program to locate a buyer and other actions required to
complete the plan to sell the disposal group have been initiated;
the sale of the disposal group is probable, and transfer of the
disposal group is expected to qualify for recognition as a
completed sale within one year, except if events or circumstances
beyond our control extend the period of time required to sell the
disposal group beyond one year; the disposal group is being
actively marketed for sale at a price that is reasonable in relation
to its current fair value; and actions required to complete the plan
indicate that it is unlikely that significant changes to the plan will
be made or that the plan will be withdrawn.
We initially measure a disposal group that is classified as held for
sale at the lower of its carrying value or fair value less any costs
to sell. Any loss resulting from this measurement is recognized in
the period in which the held for sale criteria are met. Conversely,
gains are not recognized on the sale of a disposal group until the
sale is completed. We assess the fair value of a disposal group,
less any costs to sell, each reporting period it remains classified
as held for sale and report any subsequent changes as an
adjustment to the carrying value of the disposal group, as long as
the new carrying value does not exceed the carrying value of the
disposal group at the time it was initially classified as held for
sale.
Upon determining that a disposal group meets the criteria to be
classified as held for sale, we cease depreciation and
amortization of the assets and disclose the major classes of
assets and liabilities of the disposal group in the Notes to the
Consolidated Financial Statements. Refer to Note 16 for further
information.
Share-Based Compensation: Share-based compensation is in
the form of stock options, restricted stock units (RSUs) and
performance stock units (PSUs). Stock options are granted under
long-term incentive plans to certain key employees and non-
employee directors at an exercise price not less than the fair
market value of the underlying common stock, which is the
quoted closing price of our common stock on the day prior to the
date of grant. The options are granted for periods of up to 10
years and become exercisable in varying installments.
We grant RSUs to key employees and non-employee directors
and PSUs to certain key employees under our long-term
incentive plans. The fair value of RSUs is determined based on
the number of shares granted and the quoted closing price of our
common stock on the date of grant, adjusted for the fact that
RSUs do not include anticipated dividends. RSUs generally vest
in one-third increments over a three-year period and are settled
in stock. PSUs are earned over a three-year performance cycle
and vest in March of the year following the end of that
performance cycle. The number of PSUs that will ultimately be
earned is based on our performance relative to pre-established
goals in that three-year performance cycle. The fair value of
PSUs is determined based on the quoted closing price of our
common stock on the day of grant.
Compensation expense is recognized in the Consolidated
Statements of Earnings based on the estimated fair value of the
awards on the grant date. Compensation expense recognized
reflects an estimate of the number of awards expected to vest
after taking into consideration an estimate of award forfeitures
based on actual experience and is recognized on a straight-line
basis over the requisite service period, which is generally the
period required to obtain full vesting. Management expectations
related to the achievement of performance goals associated with
PSU grants is assessed regularly and that assessment is used to
determine whether PSU grants are expected to vest. If
performance-based milestones related to PSU grants are not met
or not expected to be met, any compensation expense
recognized associated with such grants will be reversed.
Income Taxes: Deferred income tax assets and liabilities are
determined based on differences between financial reporting and
income tax bases of assets and liabilities and are measured
using the enacted income tax rates in effect for the years in which
the differences are expected to reverse. Deferred income tax
benefits generally represent the change in net deferred income
tax assets and liabilities in the year. Other amounts result from
adjustments related to acquisitions and foreign currency as
appropriate.
We operate in multiple income tax jurisdictions both within the
United States and internationally. Accordingly, management must
determine the appropriate allocation of income to each of these
jurisdictions based on current interpretations of complex income
tax regulations. Income tax authorities in these jurisdictions
regularly perform audits of our income tax filings. Income tax
audits associated with the allocation of this income and other
complex issues, including inventory transfer pricing and cost
sharing, product royalty and foreign branch arrangements, may
require an extended period of time to resolve and may result in
significant income tax adjustments if changes to the income
| Dollar amounts in millions except per share amounts or as otherwise specified. | 34 |
| STRYKER CORPORATION | 2025 FORM 10-K |
allocation are required between jurisdictions with different income
tax rates.
The Tax Cuts and Jobs Act (the Act) was enacted in 2017 in the
United States. The Act also subjects a United States shareholder
to tax on Global Intangible Low-Taxed Income (GILTI) earned by
certain foreign subsidiaries. We have elected to account for GILTI
tax in the year the tax is incurred.
New Accounting Pronouncements Not Yet Adopted
In December 2025 the Financial Accounting Standards Board
(FASB) issued ASU 2025-10 (Topic 832): Accounting for
Government Grants Received by Business Entities. This update
establishes guidance on the recognition, measurement and
presentation of government grants received by business entities
including grants related to the purchase, construction or
acquisition of an asset and grants related to income. The update
is effective for fiscal years beginning after December 15, 2028
including interim periods within those fiscal years. Early adoption
is permitted. We do not expect this ASU to have a significant
impact on our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-07 (Topics 815
and 606): Derivatives and Hedging: Derivatives Scope
Refinements and Revenue from Contracts with Customers:
Scope Clarification for Share-Based Noncash Consideration from
a Customer in a Revenue Contract. This update expands the
scope exception in Topic 815 to certain nonexchange-traded
contracts for which settlement is based on operations or activities
specific to one of the parties to the contract. The update is
effective for fiscal years beginning after December 15, 2026
including interim periods within those fiscal years. Early adoption
is permitted. We are evaluating if the ASU will have an impact on
our Consolidated Financial Statements.
In September 2025 the FASB issued ASU 2025-06 (Subtopic
350-40): Intangibles - Goodwill and Other - Internal-Use
Software: Targeted Improvements to the Accounting for Internal-
Use Software. This update clarifies and modernizes the
accounting for costs related to internal-use software by removing
all references to project stages and clarifying that the probable-
to-complete threshold is not met if significant development
uncertainty exists. The update is effective for fiscal years
beginning after December 15, 2027 including interim periods
within those fiscal years. Early adoption is permitted. We do not
expect this ASU to have a significant impact on our Consolidated
Financial Statements.
In July 2025 the FASB issued ASU 2025-05 (Topic 326):
Financial Instruments - Credit Losses: Measurement of Credit
Losses for Accounts Receivable and Contract Assets. This
update provides a practical expedient allowing entities to assume
that current conditions as of the balance sheet date will remain
unchanged for the remaining life of the asset when estimating
expected credit losses for current accounts receivable and
current contract assets arising from transactions accounting for
under Accounting Standards Codification 606, Revenue from
Contracts with Customers. The update is effective for fiscal years
beginning after December 15, 2025 including interim periods
within those fiscal years. Early adoption is permitted. We are
evaluating if the ASU will have an impact on our Consolidated
Financial Statements.
In November 2024 the FASB issued ASU 2024-03 (Subtopic
220-40): Income Statement: Reporting Comprehensive Income -
Expense Disaggregation Disclosures which requires
disaggregation of certain expense captions into specified
categories in disclosures within the Notes to the Consolidated
Financial Statements. The new disclosure requirements are
effective for fiscal years beginning after December 15, 2026 and
interim periods within fiscal years beginning after December 15,
- Early adoption is permitted. We are evaluating these new
expanded disclosure requirements.
We evaluate all ASUs issued by the FASB for consideration of
their applicability. ASUs not included in our disclosures were
assessed and determined to be either not applicable or are not
expected to have a material impact on our Consolidated Financial
Statements.
Accounting Pronouncements Recently Adopted
We adopted ASU 2023-09 (Topic 740): Income Taxes:
Improvements to Income Tax Disclosures for the annual period
beginning on January 1, 2025. Refer to Note 11 for further
information.
NOTE 2 - REVENUE RECOGNITION
We disaggregate our net sales by business and geographic
location for each of our segments as we believe it best depicts
how the nature, amount, timing and certainty of our net sales and
cash flows are affected by economic factors.
Products and services are primarily transferred to customers at a
point in time, with some transfers of services taking place over
time. In 2025 less than 10% of our sales were recognized as
services transferred over time. Refer to Note 1 for further
discussion on our revenue recognition policies.
| Segment Net Sales | |||||
| MedSurg and Neurotechnology: | 2025 | 2024 | 2023 | ||
| Instruments | $3,183 | $2,834 | $2,534 | ||
| Endoscopy | 3,807 | 3,389 | 3,068 | ||
| Medical | 4,204 | 3,852 | 3,459 | ||
| Vascular | 1,968 | 1,307 | 1,226 | ||
| Neuro Cranial | 2,485 | 2,136 | 1,876 | ||
| $15,647 | $13,518 | $12,163 | |||
| Orthopaedics: | |||||
| Knees | $2,656 | $2,447 | $2,273 | ||
| Hips | 1,865 | 1,704 | 1,544 | ||
| Trauma and Extremities | 3,948 | 3,507 | 3,147 | ||
| Spinal Implants | 185 | 707 | 713 | ||
| Other | 815 | 712 | 658 | ||
| $9,469 | $9,077 | $8,335 | |||
| Total | $25,116 | $22,595 | $20,498 |
| United States Net Sales | |||||
| MedSurg and Neurotechnology: | 2025 | 2024 | 2023 | ||
| Instruments | $2,562 | $2,267 | $2,016 | ||
| Endoscopy | 3,133 | 2,792 | 2,513 | ||
| Medical | 3,510 | 3,191 | 2,785 | ||
| Vascular | 1,048 | 506 | 483 | ||
| Neuro Cranial | 2,052 | 1,761 | 1,531 | ||
| $12,305 | $10,517 | $9,328 | |||
| Orthopaedics: | |||||
| Knees | $1,924 | $1,788 | $1,676 | ||
| Hips | 1,137 | 1,059 | 988 | ||
| Trauma and Extremities | 2,926 | 2,586 | 2,297 | ||
| Spinal Implants | 118 | 489 | 500 | ||
| Other | 596 | 504 | 468 | ||
| $6,701 | $6,426 | $5,929 | |||
| Total | $19,006 | $16,943 | $15,257 |
| Dollar amounts in millions except per share amounts or as otherwise specified. | 35 |
| STRYKER CORPORATION | 2025 FORM 10-K |
| International Net Sales | |||||
| MedSurg and Neurotechnology: | 2025 | 2024 | 2023 | ||
| Instruments | $621 | $567 | $518 | ||
| Endoscopy | 674 | 597 | 555 | ||
| Medical | 694 | 661 | 674 | ||
| Vascular | 920 | 801 | 743 | ||
| Neuro Cranial | 433 | 375 | 345 | ||
| $3,342 | $3,001 | $2,835 | |||
| Orthopaedics: | |||||
| Knees | $732 | $659 | $597 | ||
| Hips | 728 | 645 | 556 | ||
| Trauma and Extremities | 1,022 | 921 | 850 | ||
| Spinal Implants | 67 | 218 | 213 | ||
| Other | 219 | 208 | 190 | ||
| $2,768 | $2,651 | $2,406 | |||
| Total | $6,110 | $5,652 | $5,241 |
MedSurg and Neurotechnology
MedSurg and Neurotechnology products include surgical
equipment, patient and caregiver safety technologies, and
navigation systems (Instruments), endoscopic and
communications systems (Endoscopy), patient handling,
emergency medical equipment, intensive care disposable
products, clinical communication and artificial intelligence-
assisted virtual care platform technology (Medical), minimally
invasive products for the treatment of acute ischemic and
hemorrhagic stroke and venous thromboembolism (Vascular) and
a comprehensive line of products for traditional brain and open
skull-based surgical procedures, orthobiologic and biosurgery
products, including synthetic bone grafts and vertebral
augmentation products (Neuro Cranial). Substantially all
MedSurg and Neurotechnology sales are recognized when a
purchase order has been received and control has transferred.
For certain Endoscopy, Instruments and Medical services, we
may recognize sales over time as we satisfy performance
obligations that may include an obligation to complete installation,
provide training and perform ongoing services, generally
performed within one year.
Orthopaedics
Orthopaedics products primarily include implants used in total
joint replacements, such as hip, knee and shoulder, ankle and
trauma and extremities surgeries. Substantially all Orthopaedics
sales are recognized when we have received a purchase order
and appropriate notification the product has been used or
implanted. For certain Orthopaedic products in the "other"
category, we recognize sales at a point in time, as well as over
time for performance obligations that may include an obligation to
complete installation and provide training and ongoing services.
Performance obligations are generally satisfied within one year.
Costs to Obtain or Fulfill a Contract
We typically do not incur costs to fulfill a contract before a
product or service is provided to a customer due to the nature of
our products and services. Our costs to obtain contracts are
typically in the form of sales commissions paid to employees or
third-party agents. Certain sales commissions paid to employees
prior to recognition of sales are recorded as deferred contract
costs. We expense sales commissions associated with obtaining
a contract at the time of the sale or as incurred as the
amortization period is generally less than one year. These costs
have been presented within selling, general and administrative
expenses. On December 31, 2025 and 2024 deferred contract
costs recorded in our Consolidated Balance Sheets were not
significant.
Contract Assets and Liabilities
Our contract assets primarily relate to conditional rights to
consideration for work completed but not billed at the reporting
date. On December 31, 2025 and 2024 contract assets recorded
in our Consolidated Balance Sheets were not significant.
Our contract liabilities arise as a result of consideration received
from customers at inception of contracts for certain businesses or
where the timing of billing for services precedes satisfaction of
our performance obligations. This occurs primarily when payment
is received upfront for certain multi-period extended warranty
service contracts. Our contract liabilities of $1,024 and $978 on
December 31, 2025 and 2024 are classified within accrued
expenses and other liabilities and other noncurrent liabilities in
our Consolidated Balance Sheets based on the timing of when
we expect to complete our performance obligations. Changes in
contract liabilities during the year were as follows:
| 2025 | 2024 | |
| Beginning contract liabilities | $978 | $860 |
| Revenue recognized from beginning of year contract liabilities | (546) | (553) |
| Net advance consideration received during the period | 592 | 671 |
| Ending contract liabilities | $1,024 | $978 |
Transfers and Servicing of Financial Assets
We sell certain customer lease agreements and the related
leased assets to third-party financial institutions to accelerate our
cash collection cycle. The lease receivables are sold without
recourse and are derecognized from our Consolidated Balance
Sheets at the time of sale. Under the terms of our arrangements,
we collect lease payments on behalf of the financial institutions
but maintain no other form of continuing involvement. Sales of
these lease agreements are classified as operating activities in
our Consolidated Statements of Cash Flows. Fees earned for our
servicing activities are immaterial. Revenue related to customer
lease agreements sold under these arrangements represented
less than 4% of our total revenue for 2025, 2024 and 2023.
NOTE 3 - FAIR VALUE MEASUREMENTS
Fair value is defined as the price that would be received to sell an
asset or paid to transfer a liability in an orderly transaction
between market participants at the measurement date. Financial
assets and liabilities carried at fair value are classified in their
entirety based on the lowest level of input and disclosed in one of
the following three categories:
| Level 1 | Quoted market prices in active markets for identical assets or liabilities. |
| Level 2 | Observable market-based inputs or unobservable inputs that are corroborated by market data. |
| Level 3 | Unobservable inputs reflecting our assumptions or external inputs from active markets. |
Use of observable market data, when available, is required in
making fair value measurements. When inputs used fall within
different levels of the hierarchy, the level within which the fair
value measurement is categorized is based on the lowest level
input that is significant to the fair value measurement. We
determine fair value for Level 1 instruments using exchange-
traded prices for identical instruments. We determine fair value of
Level 2 instruments using exchange-traded prices of similar
instruments, where available, or utilizing other observable inputs
that take into account our credit risk and that of our
counterparties. Foreign currency exchange contracts and interest
rate hedges, when outstanding, are included in Level 2 and are
primarily valued using standard calculations and models that use
readily observable market data as their basis. Our Level 3
liabilities comprise contingent consideration arising from recently
| Dollar amounts in millions except per share amounts or as otherwise specified. | 36 |
| STRYKER CORPORATION | 2025 FORM 10-K |
completed acquisitions. We determine fair value of these Level 3
liabilities using a discounted cash flow technique. Significant
unobservable inputs were used in our assessment of fair value,
including assumptions regarding future business results, discount
rates, discount periods and probability assessments based on the
likelihood of reaching various targets. We remeasure the fair
value of our assets and liabilities each reporting period. We
record the changes in fair value within selling, general and
administrative expense.
In 2025 we assumed contingent consideration liabilities with a fair
value of $90 related to previous acquisitions made by Inari
Medical Inc. (Inari). Refer to Note 6 for further information on the
acquisition of Inari.
In 2024 we recorded $208 of contingent consideration related to
various acquisitions described in Note 6.
There were no significant transfers into or out of any level of the
fair value hierarchy in 2025.
| Assets Measured at Fair Value | |||
| 2025 | 2024 | ||
| Cash and cash equivalents | $4,011 | $3,652 | |
| Short-term investments | — | 750 | |
| Trading marketable securities | 307 | 259 | |
| Level 1 - Assets | $4,318 | $4,661 | |
| Available-for-sale marketable securities: | |||
| Corporate and asset-backed debt securities | $52 | $53 | |
| United States agency debt securities | — | 1 | |
| United States treasury debt securities | 37 | 34 | |
| Certificates of deposit | — | 3 | |
| Total available-for-sale marketable securities | $89 | $91 | |
| Foreign currency exchange forward contracts | 46 | 225 | |
| Level 2 - Assets | $135 | $316 | |
| Total assets measured at fair value | $4,453 | $4,977 |
| Liabilities Measured at Fair Value | |||
| 2025 | 2024 | ||
| Deferred compensation arrangements | $307 | $259 | |
| Level 1 - Liabilities | $307 | $259 | |
| Foreign currency exchange forward contracts | $170 | $77 | |
| Level 2 - Liabilities | $170 | $77 | |
| Contingent consideration: | |||
| Beginning | $452 | $289 | |
| Additions | 123 | 208 | |
| Change in estimate and foreign exchange | 24 | 8 | |
| Settlements | (81) | (53) | |
| Ending | $518 | $452 | |
| Level 3 - Liabilities | $518 | $452 | |
| Total liabilities measured at fair value | $995 | $788 |
| Fair Value of Available for Sale Securities by Maturity | |||
| 2025 | 2024 | ||
| Due in one year or less | $41 | $47 | |
| Due after one year through three years | $48 | $44 |
On December 31, 2025 the aggregate difference between the
cost and fair value of available-for-sale marketable securities was
nominal. Interest income on cash and cash equivalents, short-
term investments and marketable securities income was $121,
$139 and $75 in 2025, 2024 and 2023, which was recorded in
other income.
Our investments in available-for-sale marketable securities had a
minimum credit quality rating of A2 (Moody's), A (Standard &
Poor's) and A (Fitch). We do not plan to sell the investments, and
it is not more likely than not that we will be required to sell the
investments before recovery of their amortized cost basis, which
may be maturity.
NOTE 4 - DERIVATIVE INSTRUMENTS
We use operational and economic hedges, foreign currency
exchange forward contracts, net investment hedges (both
derivative and non-derivative financial instruments) and interest
rate derivative instruments to manage the impact of currency
exchange and interest rate fluctuations on earnings, cash flow
and equity. We do not enter into derivative instruments for
speculative purposes. We are exposed to potential credit loss in
the event of nonperformance by counterparties on our
outstanding derivative instruments but do not anticipate
nonperformance by any of our counterparties. Should a
counterparty default, our maximum loss exposure is the asset
balance of the instrument.
Foreign Currency Hedges
| 2025 | Cash Flow | Net Investment | Non- Designated | Total |
| Gross notional amount | $1,738 | $2,647 | $4,391 | $8,776 |
| Maximum term in years | 8.7 | |||
| Fair value: | ||||
| Other current assets | $33 | $— | $11 | $44 |
| Other noncurrent assets | 2 | — | — | 2 |
| Other current liabilities | (10) | (71) | (21) | (102) |
| Other noncurrent liabilities | (2) | (66) | — | (68) |
| Total fair value | $23 | $(137) | $(10) | $(124) |
| 2024 | Cash Flow | Net Investment | Non- Designated | Total |
| Gross notional amount | $1,588 | $2,338 | $5,164 | $9,090 |
| Maximum term in years | 9.7 | |||
| Fair value: | ||||
| Other current assets | $43 | $24 | $119 | $186 |
| Other noncurrent assets | 4 | 35 | — | 39 |
| Other current liabilities | (29) | — | (41) | (70) |
| Other noncurrent liabilities | (3) | (4) | — | (7) |
| Total fair value | $15 | $55 | $78 | $148 |
We had €2.3 billion at December 31, 2025 and 2024 in certain
forward currency contracts designated as net investment hedges,
for which the maximum term is 8.7 years, to hedge a portion of
our investments in certain of our entities with functional
currencies denominated in Euros. In addition to these derivative
financial instruments designated as net investment hedges, we
had €5.0 billion at December 31, 2025 and 2024 of senior
unsecured notes designated as net investment hedges to
selectively hedge portions of our investment in certain
international subsidiaries. The currency effects of our Euro-
denominated senior unsecured notes are reflected in AOCI within
shareholders' equity where they offset gains and losses recorded
on our net investment in international subsidiaries.
The total after-tax gain (loss) recognized in OCI related to
designated net investment hedges was ($715) in 2025.
| Currency Exchange Rate Gains (Losses) Recognized in Net Earnings | ||||||
| Derivative Instrument | Recognized in: | 2025 | 2024 | 2023 | ||
| Cash Flow | Cost of sales | $25 | $31 | $39 | ||
| Net Investment | Other income | 44 | 35 | 34 | ||
| Non-Designated | Other income | 33 | 40 | 25 | ||
| Total | $102 | $106 | $98 |
Pretax gains (losses) on derivatives designated as cash flow
hedges of $39 and net investment hedges of $38 recorded in
AOCI are expected to be reclassified to cost of sales and other
income in earnings within 12 months of December 31, 2025. This
cash flow hedge reclassification is primarily due to the sale of
inventory that includes previously hedged purchases. A
component of the AOCI amounts related to net investment
| Dollar amounts in millions except per share amounts or as otherwise specified. | 37 |
| STRYKER CORPORATION | 2025 FORM 10-K |
hedges is reclassified over the life of the hedge instruments as
we elected to exclude the initial value of the component related to
the spot-forward difference from the effectiveness assessment.
Interest Rate Hedges
Pretax gains of $5 recorded in AOCI related to interest rate
hedges closed in conjunction with debt issuances are expected to
be reclassified to interest expense in earnings within 12 months
of December 31, 2025. The cash flow effect of interest rate
hedges is recorded in cash flow from operations.
NOTE 5 - ACCUMULATED OTHER COMPREHENSIVE (LOSS)
INCOME (AOCI)
| Pension Plans | Hedges | Financial Statement Translation | Total | |
| 2023 | $(28) | $39 | $(427) | $(416) |
| OCI | 43 | 26 | 236 | 305 |
| Income taxes | (11) | (7) | (110) | (128) |
| Reclassifications to: | ||||
| Cost of sales | — | (31) | — | (31) |
| Interest expense | — | (4) | — | (4) |
| Other income | — | — | (35) | (35) |
| Income taxes | — | 8 | 8 | 16 |
| Net OCI | $32 | $(8) | $99 | $123 |
| 2024 | $4 | $31 | $(328) | $(293) |
| OCI | 93 | 37 | (562) | (432) |
| Income taxes | (27) | (4) | 125 | 94 |
| Reclassifications to: | ||||
| Cost of sales | — | (25) | — | (25) |
| Interest expense | — | (3) | (3) | |
| Other income | — | — | (44) | (44) |
| Income taxes | — | 6 | 10 | 16 |
| Net OCI | $66 | $11 | $(471) | $(394) |
| 2025 | $70 | $42 | $(799) | $(687) |
NOTE 6 - ACQUISITIONS
We acquire stock in companies and various assets that continue
to support our capital deployment and product development
strategies. Cash paid for acquisitions, net of cash acquired was
$4,960 and $1,628 in 2025 and 2024.
In February 2025 we completed the acquisition of Inari for $80
per share, or an aggregate purchase price of $4,810, net of cash
acquired. Inari's product portfolio includes minimally invasive
products for the treatment of venous thromboembolism. Inari is
part of our Peripheral Vascular business within MedSurg and
Neurotechnology. The purchase price allocation for Inari is based
on preliminary valuations, primarily related to developed
technologies and customer relationships. Goodwill attributable to
the acquisition reflects the strategic benefits of expanding our
market presence, diversifying our product portfolio and advancing
innovations. This goodwill is not deductible for tax purposes.
Share-based awards for Inari employees vested upon our
acquisition and a charge of $139 was recorded in selling, general
and administrative expenses in 2025.
In 2024 we completed various acquisitions for total consideration
that includes $1,628 in upfront payments, net of cash acquired,
and $400 contingent upon the achievement of certain commercial
or clinical milestones. The combined acquisition-date fair values
of the contingent milestone payments totaled $208. The acquired
companies expand the product portfolios of our Instruments,
Endoscopy, Medical and Neuro Cranial businesses within
MedSurg and Neurotechnology and our Trauma and Extremities
and Joint Replacement businesses within Orthopaedics. Goodwill
attributable to the acquisitions reflects the strategic benefits of
expanding our market presence, diversifying our product portfolio
and advancing innovations. This goodwill is not deductible for tax
purposes.
The purchase price allocations for Inari and the acquisitions
completed in the full year 2024 are:
| Purchase Price Allocation of Acquired Net Assets | ||||
| 2025 | 2024 | |||
| Inari | Total | |||
| Tangible assets acquired: | ||||
| Accounts receivable | $78 | $40 | ||
| Inventory | 215 | 99 | ||
| Deferred income tax assets | 59 | 49 | ||
| Other assets | 84 | 26 | ||
| Debt | — | (32) | ||
| Deferred income tax liabilities | (486) | (204) | ||
| Other liabilities | (191) | (107) | ||
| Intangible assets: | ||||
| Developed technologies | 1,458 | 596 | ||
| Customer relationships | 330 | 215 | ||
| Patents | — | 6 | ||
| Trademarks | — | 2 | ||
| Other intangibles | 72 | — | ||
| Goodwill | 3,191 | 1,146 | ||
| Purchase price, net of cash acquired of $64 and $56 | $4,810 | $1,836 | ||
| Weighted-average amortization period at acquisition (years): | ||||
| Developed technologies | 13 | 12 | ||
| Customer relationships | 13 | 14 | ||
| Patents | — | 12 | ||
| Trademarks | — | 5 | ||
| Other intangibles | 9 | — |
NOTE 7 - CONTINGENCIES AND COMMITMENTS
We are involved in various ongoing proceedings, legal actions
and claims arising in the normal course of business, including
proceedings related to product, labor, tax, intellectual property
and other matters, the most significant of which are more fully
described below. The outcomes of these matters will generally
not be known for prolonged periods of time. In certain of the legal
proceedings the claimants seek damages as well as other
compensatory and equitable relief that could result in the
payment of significant claims and settlements and/or the
imposition of injunctions or other equitable relief. For legal
matters for which management had sufficient information to
reasonably estimate our future obligations, a liability representing
management's best estimate of the probable loss, or the
minimum of the range of probable losses when a best estimate
within the range is not known, is recorded. The estimates are
based on consultation with legal counsel, previous settlement
experience and settlement strategies. If actual outcomes are less
favorable than those estimated by management, additional
expense may be incurred, which could unfavorably affect future
operating results. We are self-insured for certain claims and
expenses. The ultimate cost to us with respect to product liability
claims could be materially different than the amount of the current
estimates and accruals and could have a material adverse effect
on our financial position, results of operations and cash flows.
Previously we were contacted by the United States Securities
and Exchange Commission (SEC), United States Department of
Justice (DOJ) and certain other regulatory authorities regarding
whether certain business activities in certain foreign countries
violated provisions of the FCPA and analogous local laws. We
have completed our investigation into these matters. During 2025
we were informed by the SEC and DOJ that each agency had
closed its inquiry. We are currently responding to inquiries by
| Dollar amounts in millions except per share amounts or as otherwise specified. | 38 |
| STRYKER CORPORATION | 2025 FORM 10-K |
certain foreign authorities arising in the normal course of
business. We do not expect these matters to have a material
effect, if any, on our financial statements.
We have conducted voluntary recalls of certain products,
including our Rejuvenate and ABG II Modular-Neck hip stems
and certain lot-specific sizes and offsets of LFIT Anatomic CoCr
V40 Femoral Heads. Additionally, we are responsible for certain
product liability claims, primarily related to certain hip products
sold by Wright prior to its 2014 divestiture of the OrthoRecon
business.
We have incurred, and expect to incur in the future, costs
associated with the defense and settlement of claims and
lawsuits. Based on the information that has been received related
to the matters discussed above, our accrual for these matters
was $144 at December 31, 2025, representing our best estimate
of probable loss. The final outcomes of these matters are
dependent on many factors that are difficult to predict.
Accordingly the ultimate cost related to these matters may be
materially different than the amount of our current estimate and
accruals and could have a material adverse effect on our results
of operations and cash flows.
Leases
We lease various manufacturing, warehousing and distribution
facilities, administrative and sales offices as well as equipment
under operating leases. We evaluate our contracts to identify
leases, which is generally if there is an identified asset and we
have the right to direct the use of and obtain substantially all of
the economic benefit from the use of the identified asset. Certain
of our lease agreements contain rent escalation clauses
(including index-based escalations), rent holidays, capital
improvement funding or other lease incentives. We recognize our
minimum rental expense on a straight-line basis over the term of
the lease beginning with the date of initial control of the asset.
Right-of-use assets are recorded in other noncurrent assets on
our Consolidated Balance Sheets. Current and noncurrent lease
liabilities are recorded in accrued expenses and other liabilities
and other noncurrent liabilities, respectively.
We have made certain significant assumptions and judgments
when recording leases. For all asset classes, we do not
recognize a right-of-use asset and lease liability for short-term
leases. We also do not separate non-lease components from
lease components to which they relate and account for the
combined lease and non-lease components as a single lease
component. The determination of the discount rate used in a
lease is our incremental borrowing rate which is based on what
we would normally pay to borrow on a collateralized basis over a
similar term an amount equal to the lease payments.
| 2025 | 2024 | ||
| Right-of-use assets | $519 | $516 | |
| Lease liabilities, current | $153 | $144 | |
| Lease liabilities, noncurrent | $348 | $379 | |
| Other information: | |||
| Weighted-average remaining lease term (years) | 5.0 | 5.1 | |
| Weighted-average discount rate | 3.77% | 3.87% |
Operating lease expense totaled $205, $190 and $172 in 2025,
2024 and 2023.
Future Obligations
We lease various manufacturing, warehousing and distribution
facilities, administrative and sales offices as well as equipment
under operating leases. Refer to Note 10 for more information on
the debt obligations.
| 2026 | 2027 | 2028 | 2029 | 2030 | Thereafter | |
| Debt repayments | $1,000 | $1,382 | $2,606 | $1,691 | $2,565 | $6,729 |
| Minimum lease payments | $164 | $125 | $87 | $55 | $38 | $55 |
Other Contractual Obligations and Commitments
We participate in a supplier financing program that enables our
suppliers, at their sole discretion, to sell their Stryker receivables
to a financial institution on a non-recourse basis in order to be
paid earlier than our payment terms provide. Under this program,
we agree to pay participating banks the stated amount of
confirmed invoices from its designated suppliers on the original
maturity dates of the invoices, generally within 90 days of the
invoice date. We or the banks may agree to terminate the
agreements with advance notice. Separately, the banks may
have arrangements with the suppliers that provide them the
option to request early payment from the bank for invoices
confirmed by us. Our outstanding balances of confirmed invoices
in the programs were $75 and $71 on December 31, 2025 and
2024 and are included within accounts payable on our
Consolidated Balance Sheets.
| 2025 | 2024 | ||
| Beginning confirmed obligations | $71 | $51 | |
| Additions | 420 | 392 | |
| Settlements | (416) | (372) | |
| Ending confirmed obligations | $75 | $71 |
NOTE 8 - GOODWILL AND OTHER INTANGIBLE ASSETS
In our annual impairment test of goodwill as of October 31, 2024
we performed a quantitative assessment of the Spine reporting
unit using a discounted cash flow analysis to estimate the fair
value. The carrying value of the Spine reporting unit exceeded its
fair value and a charge of $273 was recognized in goodwill and
other impairments in the Consolidated Statements of Earnings.
The impairment charge for the Spine reporting unit was driven by
a decrease in future product demand due to the competitive
environment and an increase in the Spine reporting unit’s
weighted average cost of capital. Subsequent to the annual
goodwill impairment test management committed to a plan to sell
certain assets associated with the Spinal Implants business
(disposal group). Goodwill was allocated to the disposal group
based on the relative fair values of the disposal group and the
portion of the Spine reporting unit that will be retained. Goodwill
allocated to the disposal group was tested for impairment which
resulted in an impairment charge of $183 recognized in goodwill
and other impairments in the Consolidated Statements of
Earnings. Refer to Note 16 for additional information on the sale
of the Spinal Implants business.
In our annual impairment test as of October 31, 2025 we
performed a quantitative impairment test for our Peripheral
Vascular reporting unit and determined that its fair value
exceeded its carrying amount by 12%. At October 31, 2025,
goodwill attributable to the Peripheral Vascular reporting unit was
$3,203. The fair value of this reporting unit was determined using
a discounted cash flow analysis, which is a form of the income
approach. Significant inputs to the analysis included assumptions
for future revenue growth, operating margin and the rate used to
discount the estimated future cash flows to their present value,
based on the reporting unit’s estimated weighted average cost of
capital.
For our other reporting units, we considered qualitative indicators
of impairment as it was considered more likely than not that the
fair values of those reporting units exceeded their respective
carrying values. No impairment was identified for those reporting
units in 2025 or 2024.
| Dollar amounts in millions except per share amounts or as otherwise specified. | 39 |
| STRYKER CORPORATION | 2025 FORM 10-K |
Future changes in the judgments, assumptions and estimates
that are used in our impairment testing for goodwill, including
discount and tax rates and future cash flow projections, could
result in different estimates of the fair values. A significant
reduction in the estimated fair values could result in impairment
charges that could materially affect our results of operations.
In 2024 goodwill of $117 previously reported within Orthopaedics
was reclassified to MedSurg and Neurotechnology to reflect the
reclassification of the Interventional Spine reporting unit from
Orthopaedics to MedSurg and Neurotechnology to align with
certain updates in our internal reporting structure.
| Changes in the Net Carrying Value of Goodwill by Segment | |||
| MedSurg and Neurotechnology | Orthopaedics | Total | |
| 2023 | $8,270 | $6,973 | $15,243 |
| Goodwill impairment | — | (456) | (456) |
| Additions and adjustments | 852 | 300 | 1,152 |
| Foreign exchange and other | 86 | (170) | (84) |
| 2024 | $9,208 | $6,647 | $15,855 |
| Additions and adjustments | 3,275 | (1) | 3,274 |
| Foreign exchange and other | 73 | 89 | 162 |
| 2025 | $12,556 | $6,735 | $19,291 |
| Summary of Other Intangible Assets | |||
| Gross Carrying Amount | Less Accumulated Amortization | Net Carrying Amount | |
| Developed technologies | |||
| 2025 | $7,273 | $3,430 | $3,843 |
| 2024 | 5,698 | 2,931 | 2,767 |
| Customer relationships | |||
| 2025 | $3,425 | $1,844 | $1,581 |
| 2024 | 3,055 | 1,636 | 1,419 |
| Patents | |||
| 2025 | $157 | $144 | $13 |
| 2024 | 153 | 136 | 17 |
| Trademarks | |||
| 2025 | $420 | $281 | $139 |
| 2024 | 413 | 256 | 157 |
| In-process research and development | |||
| 2025 | $34 | $— | $34 |
| 2024 | 34 | — | 34 |
| Other | |||
| 2025 | $132 | $61 | $71 |
| 2024 | 63 | 62 | 1 |
| Total | |||
| 2025 | $11,441 | $5,760 | $5,681 |
| 2024 | 9,416 | 5,021 | 4,395 |
| Estimated Amortization Expense | ||||
| 2026 | 2027 | 2028 | 2029 | 2030 |
| $699 | $711 | $631 | $616 | $597 |
NOTE 9 - CAPITAL STOCK
The aggregate number of shares of all classes of stock which we
are authorized to issue is up to 1,000,500,000, divided into two
classes consisting of 500,000 shares of $1 par value preferred
stock and 1,000,000,000 shares of common stock with a par
value of $0.10. No shares of preferred stock were outstanding on
December 31, 2025.
We made no repurchases of shares in 2025. The manner, timing
and amount of repurchases are determined by management
based on an evaluation of market conditions, stock price and
other factors and are subject to regulatory considerations.
Purchases are made from time-to-time in the open market, in
privately negotiated transactions or otherwise. On December 31,
2025 the total dollar value of shares of our common stock that
could be purchased under our authorized repurchase program
was $1,033.
Shares reserved for future compensation grants of our common
stock were 31 million and 18 million on December 31, 2025 and
Stock Options
We measure the cost of employee stock options based on the
grant-date fair value and recognize that cost using the straight-
line method over the period in which a recipient is required to
provide services in exchange for the options, typically the vesting
period. The weighted-average fair value per share of options is
estimated on the date of grant using the Black-Scholes option
pricing model.
| Option Value and Assumptions | |||||
| 2025 | 2024 | 2023 | |||
| Weighted-average fair value per share | $141.40 | $118.22 | $83.59 | ||
| Assumptions: | |||||
| Risk-free interest rate | 4.4% | 4.3% | 4.0% | ||
| Expected dividend yield | 0.9% | 1.1% | 1.2% | ||
| Expected stock price volatility | 29.1% | 29.9% | 29.0% | ||
| Expected option life (years) | 6.4 | 6.3 | 6.2 |
The risk-free interest rate for periods within the expected life of
options granted is based on the United States Treasury yield
curve in effect at the time of grant. Expected stock price volatility
is based on the historical volatility of our stock. The expected
option life, representing the period of time that options granted
are expected to be outstanding, is based on historical option
exercise and employee termination data.
| 2025 Stock Option Activity | |||||||
| Shares (in millions) | Weighted- Average Exercise Price | Weighted- Average Remaining Term (in years) | Aggregate Intrinsic Value | ||||
| Outstanding January 1 | 10.8 | $214.87 | |||||
| Granted | 1.0 | 392.36 | |||||
| Exercised | (1.2) | 158.83 | |||||
| Canceled or forfeited | (0.2) | 313.05 | |||||
| Outstanding December 31 | 10.4 | $234.56 | 5.0 | $1,246.1 | |||
| Exercisable December 31 | 6.9 | $195.53 | 3.7 | $1,073.4 | |||
| Options expected to vest | 3.3 | $309.91 | 7.5 | $166.7 |
The aggregate intrinsic value of options, which represents the
cumulative difference between the fair market value of the
underlying common stock and the option exercise prices,
exercised was $260, $362 and $318 in 2025, 2024 and 2023.
Exercise prices for options outstanding ranged from $96.64 to
$392.39 on December 31, 2025. On December 31, 2025 there
was $160 of unrecognized compensation cost related to
nonvested stock options granted under the long-term incentive
plans. That cost is expected to be recognized as expense over
the weighted-average period of approximately 1.5 years.
| Restricted Stock Units (RSUs) and Performance Stock Units (PSUs) Activity | |||||||
| Shares (in millions) | Weighted-Average Grant Date Fair Value | ||||||
| RSUs | PSUs | RSUs | PSUs | ||||
| Nonvested on January 1 | 0.7 | 0.2 | $290.58 | $287.51 | |||
| Granted | 0.3 | 0.1 | 385.68 | 334.24 | |||
| Vested | (0.3) | (0.1) | 277.40 | 254.47 | |||
| Canceled or forfeited | (0.1) | — | 337.17 | — | |||
| Nonvested on December 31 | 0.6 | 0.2 | $344.25 | $333.06 |
| Dollar amounts in millions except per share amounts or as otherwise specified. | 40 |
| STRYKER CORPORATION | 2025 FORM 10-K |
On December 31, 2025 there was $100 of unrecognized
compensation cost related to nonvested RSUs. That cost is
expected to be recognized as expense over the weighted-
average period of approximately one year. The weighted-average
grant date fair value per share of RSUs granted was $385.68 and
$332.64 in 2025 and 2024. The fair value of RSUs and PSUs
vested in 2025 was $91 and $26. On December 31, 2025 there
was $26 of unrecognized compensation cost related to
nonvested PSUs. That cost is expected to be recognized as
expense over the weighted-average period of approximately one
year.
Employee Stock Purchase Plans (ESPP)
Employees may participate in our ESPP provided they meet
certain eligibility requirements. The purchase price for our
common stock under the terms of the ESPP is defined as 95% of
the closing stock price on the last trading day of a purchase
period. We issued 178,090 and 173,708 shares under the ESPP
in 2025 and 2024.
NOTE 10 - DEBT AND CREDIT FACILITIES
We have lines of credit issued by various financial institutions that
are available to fund our day-to-day operating needs. Certain of
our credit facilities require us to comply with financial and other
covenants. We were in compliance with all covenants on
December 31, 2025.
In February 2025 we entered into a new revolving credit
agreement that replaces our previous agreement dated October
- The primary changes included increasing the aggregate
principal amount of the facility by $750 to $3,000 and extending
the maturity date to February 25, 2030. On December 31, 2025
there were no borrowings outstanding under our revolving credit
facility or our commercial paper program which allows for
maturities up to 397 days from the date of issuance. The
maximum amount of our commercial paper that can be
outstanding at any time is $3,000.
In February 2025 we issued $500 of 4.550% senior unsecured
notes due February 10, 2027, $700 of 4.700% senior unsecured
notes due February 10, 2028, $800 of 4.850% senior unsecured
notes due February 10, 2030 and $1,000 of 5.200% senior
unsecured notes due February 10, 2035. In June 2025 we repaid
$650 of 1.150% senior unsecured notes. In November 2025 we
repaid $750 of 3.375% senior unsecured notes. The following
table summarizes our total debt at December 31:
| Summary of Total Debt | ||||||
| Rate | Due | 2025 | 2024 | |||
| Senior unsecured notes: | ||||||
| 1.150% | June 15, 2025 | $— | $649 | |||
| 3.375% | November 1, 2025 | — | 750 | |||
| 3.500% | March 15, 2026 | 1,000 | 998 | |||
| 4.550% | February 10, 2027 | 498 | — | |||
| 2.125% | November 30, 2027 | 881 | 777 | |||
| 4.700% | February 10, 2028 | 697 | — | |||
| 3.650% | March 7, 2028 | 599 | 598 | |||
| 4.850% | December 8, 2028 | 597 | 596 | |||
| 3.375% | December 11, 2028 | 704 | 621 | |||
| 0.750% | March 1, 2029 | 939 | 828 | |||
| 4.250% | September 11, 2029 | 744 | 743 | |||
| 4.850% | February 10, 2030 | 794 | — | |||
| 1.950% | June 15, 2030 | 995 | 993 | |||
| 2.625% | November 30, 2030 | 759 | 669 | |||
| 1.000% | December 3, 2031 | 876 | 772 | |||
| 3.375% | September 11, 2032 | 934 | 824 | |||
| 4.625% | September 11, 2034 | 741 | 740 | |||
| 5.200% | February 10, 2035 | 990 | — | |||
| 3.625% | September 11, 2036 | 695 | 613 | |||
| 4.100% | April 1, 2043 | 393 | 393 | |||
| 4.375% | May 15, 2044 | 396 | 396 | |||
| 4.625% | March 15, 2046 | 984 | 984 | |||
| 2.900% | June 15, 2050 | 643 | 643 | |||
| Other | — | 10 | ||||
| Total debt | $15,859 | $13,597 | ||||
| Less current maturities | 1,000 | 1,409 | ||||
| Total long-term debt | $14,859 | $12,188 | ||||
| Unamortized debt issuance costs | $70 | $63 | ||||
| Borrowing capacity on existing facilities | $2,911 | $2,160 | ||||
| Fair value of senior unsecured notes | $15,344 | $12,780 |
The fair value of the senior unsecured notes was estimated using
quoted interest rates, maturities and amounts of borrowings
based on quoted active market prices and yields that took into
account the underlying terms of the debt instruments.
Substantially all of our debt is classified within Level 2 of the fair
value hierarchy.
Interest expense on outstanding debt and credit facilities,
including required fees incurred totaled $582, $396 and $356 in
2025, 2024 and 2023.
NOTE 11 - INCOME TAXES
On January 1, 2025 we prospectively adopted ASU 2023-09
(Topic 740): Income Taxes: Improvements to Income Tax
Disclosures which expands the existing rules on income tax
disclosures. This update requires entities to disclose specific
categories in the tax rate reconciliation, provide additional
information for reconciling items that meet a quantitative
threshold and disclose additional information about income taxes
paid on an annual basis. In determining the reconciling items we
considered the effect of tax rulings as part of the statutory tax
rate.
Our effective tax rate was 28.1%, 14.3% and 13.8% for 2025,
2024 and 2023. The effective income tax rate for 2025 increased
from 2024 due to the 2025 tax effect of transfers of intellectual
property between tax jurisdictions and the 2024 tax effect of the
sale of the Spinal Implants business. The effective income tax
rate for 2024 increased from 2023 due to the 2023 tax effect of
transfers of intellectual property between tax jurisdictions offset
by the 2024 tax effect of the sale of the Spinal Implants business.
| Dollar amounts in millions except per share amounts or as otherwise specified. | 41 |
| STRYKER CORPORATION | 2025 FORM 10-K |
| Effective Income Tax Rate Reconciliation | |||
| 2025 | |||
| Amount | Percent | ||
| United States federal statutory rate | $948 | 21.0% | |
| State and Local Income Taxes, Net of Federal Income Tax Effect**(1)** | 173 | 3.8 | |
| Foreign Tax Effects | |||
| Ireland | |||
| Statutory tax rate difference | (177) | (3.9) | |
| Other | 17 | 0.4 | |
| Puerto Rico | |||
| Statutory tax rate difference | (49) | (1.1) | |
| Withholding Tax | 60 | 1.3 | |
| Expiration of credits carryforward | 78 | 1.7 | |
| Change in valuation allowance | (78) | (1.7) | |
| Other | (4) | (0.1) | |
| Other foreign jurisdictions | 20 | 0.4 | |
| Effect of changes in tax laws or rates enacted in the current period | — | — | |
| Effect of Cross-Border Tax Laws | |||
| Direct foreign tax credits | (90) | (2.0) | |
| Global intangible low-taxed income | 70 | 1.6 | |
| Tax Credits | |||
| Research and development tax credits | (53) | (1.2) | |
| Changes in Valuation Allowances | — | — | |
| Nontaxable or Nondeductible Items | |||
| Spinal Implants divestiture | (51) | (1.1) | |
| Transfers of intellectual property | 405 | 9.0 | |
| Changes in unrecognized Tax Benefits | 17 | 0.4 | |
| Other Adjustments | (18) | (0.4) | |
| Effective Tax Rate | $1,268 | 28.1% |
(1) State taxes in Pennsylvania, New York, Illinois, Florida, California, Michigan,
Indiana, and Tennessee accounted for the majority (greater than 50%) of the tax
effect in this category.
| Effective Income Tax Rate Reconciliation | |||
| 2024 | 2023 | ||
| United States federal statutory rate | 21.0% | 21.0% | |
| United States state and local income taxes, less federal deduction | 1.1 | 1.1 | |
| Foreign income tax at rates other than 21% | (4.1) | (6.8) | |
| Tax related to repatriation of foreign earnings | 0.3 | 1.2 | |
| United States research and development credits | (1.4) | (1.2) | |
| Intellectual property transfers | — | (3.3) | |
| Goodwill impairment | 2.8 | — | |
| Outside basis difference related to the anticipated sale of the Spinal Implants business | (4.9) | — | |
| Other | (0.5) | 1.8 | |
| Effective income tax rate | 14.3% | 13.8% |
| Cash paid for income taxes (net of refunds received) | |
| 2025 | |
| United States - Federal | 533 |
| United States - State | 71 |
| Foreign | |
| Ireland | 175 |
| Other | 223 |
| Subtotal | 398 |
| Total | $1,002 |
| Earnings Before Income Taxes | |||||
| 2025 | 2024 | 2023 | |||
| United States | $1,434 | $523 | $701 | ||
| International | 3,080 | 2,969 | 2,972 | ||
| Total | $4,514 | $3,492 | $3,673 |
| Components of Income Tax Expense (Benefit) | |||||
| Current income tax expense (benefit): | 2025 | 2024 | 2023 | ||
| United States federal | $414 | $490 | $236 | ||
| United States state and local | 149 | 90 | 48 | ||
| International | 313 | 289 | 430 | ||
| Total current income tax expense | $876 | $869 | $714 | ||
| Deferred income tax expense (benefit): | |||||
| United States federal | $186 | $(462) | $(212) | ||
| United States state and local | 78 | (76) | (20) | ||
| International | 128 | 168 | 26 | ||
| Total deferred income tax expense (benefit) | $392 | $(370) | $(206) | ||
| Total income tax expense | $1,268 | $499 | $508 |
Interest included in interest expense was $18, $13, and $1 in
2025, 2024 and 2023. The United States federal deferred income
tax expense (benefit) includes the utilization of net operating loss
carryforwards of $32, $9 and $189 in 2025, 2024 and 2023.
| Deferred Income Tax Assets and Liabilities | |||
| Deferred income tax assets: | 2025 | 2024 | |
| Inventories | $553 | $551 | |
| Other accrued expenses | 401 | 207 | |
| Depreciation and amortization | 546 | 715 | |
| State income taxes | 90 | 167 | |
| Share-based compensation | 117 | 100 | |
| Research and development capitalization | 40 | 408 | |
| International interest expense carryforwards | 56 | 52 | |
| Net operating loss and credit carryforwards | 315 | 410 | |
| Outside basis difference related to the anticipated sale of the Spinal Implants business | — | 170 | |
| Other | 352 | 310 | |
| Total deferred income tax assets | $2,470 | $3,090 | |
| Less valuation allowances | (148) | (228) | |
| Net deferred income tax assets | $2,322 | $2,862 | |
| Deferred income tax liabilities: | |||
| Depreciation and amortization | $(1,222) | $(1,141) | |
| Undistributed earnings | (139) | (61) | |
| Total deferred income tax liabilities | $(1,361) | $(1,202) | |
| Net deferred income tax assets | $961 | $1,660 | |
| Reported as: | |||
| Noncurrent deferred income tax assets | $1,098 | $1,742 | |
| Noncurrent liabilities—Other liabilities | (137) | (82) | |
| Total | $961 | $1,660 |
Accrued interest was $96 and $71 on December 31, 2025 and
2024 which was reported in accrued expenses and other
liabilities and other noncurrent liabilities.
United States federal loss carryforwards of $271, with $57 of
associated deferred tax asset and with $2 being subject to a
valuation allowance, begin to expire in 2026. United States state
loss carryforwards of $1,606, with $64 associated deferred tax
asset and with $33 being subject to a valuation allowance, begin
to expire in 2026. International loss carryforwards of $309, with
$67 of associated deferred tax asset and with $61 being subject
to a valuation allowance, begin to expire in 2026; however, some
have no expiration. We also have tax credit carryforwards of
$141 with $4 being subject to a full valuation allowance. The
credits with a full valuation allowance begin to expire in 2026.
We recorded deferred income tax on undistributed earnings of
foreign subsidiaries not determined to be indefinitely reinvested.
The amount of undistributed earnings of foreign subsidiaries
determined to be indefinitely reinvested at December 31, 2025
was approximately $11.7 billion. Determination of the total
amount of unrecognized deferred income tax on undistributed
earnings of foreign subsidiaries is not practicable.
| Dollar amounts in millions except per share amounts or as otherwise specified. | 42 |
| STRYKER CORPORATION | 2025 FORM 10-K |
| Uncertain Income Tax Positions | |||
| 2025 | 2024 | ||
| Beginning uncertain tax positions | $349 | $371 | |
| Increases related to current year income tax positions | 19 | 18 | |
| Increases related to prior year income tax positions | 12 | — | |
| Decreases related to prior year income tax positions | — | (4) | |
| Settlements of income tax audits | — | (21) | |
| Statute of limitations expirations and other | (4) | (3) | |
| Foreign currency translation | 27 | (12) | |
| Ending uncertain tax positions | $403 | $349 | |
| Reported as: | |||
| Noncurrent liabilities—Income taxes | $403 | $349 |
Our income tax expense would have been reduced by $279 and
$224 in 2025 and 2024 had our uncertain income tax positions
been favorably resolved. It is reasonably possible that the
amount of unrecognized tax benefits will significantly change due
to one or more of the following events in the next 12 months:
expiring statutes, audit activity, tax payments, competent
authority proceedings related to transfer pricing or final decisions
in matters that are the subject of controversy in various taxing
jurisdictions in which we operate, including inventory transfer
pricing, cost sharing, product royalty and foreign branch
arrangements. We are not able to reasonably estimate the
amount or the future periods in which changes in unrecognized
tax benefits may be resolved. Interest incurred associated with
uncertain tax positions is included in interest expense.
Income tax authorities in various jurisdictions globally conduct
routine audits of our income tax returns to determine if they agree
with our interpretations of income tax regulations. Any audit
assessment, draft audit assessment, or final audit report received
is reviewed for new information and evaluated for proper financial
statement treatment. We received a final audit report and
assessments from the German Federal Central Tax Office
(FCTO) related to the years 2010 through 2017 of $754 and
expect to receive additional assessments of $11 based on the
final audit report. We intend to defend our filing positions through
the FCTO independent appeals process and/or litigation as
necessary. If the resolution of this matter results in additional
German income taxes, we expect to pursue a claim for
associated foreign tax credits. Our unrecognized tax benefits
associated with this matter remain unchanged from 2024.
Income tax years are open from 2019 through 2025 for the
United States federal jurisdiction and are open for other major
jurisdictions from 2010 through 2025.
NOTE 12 - RETIREMENT PLANS
Defined Contribution Plans
We provide certain employees with defined contribution plans
and other types of retirement plans. A portion of our retirement
plan expense under the defined contribution plans is funded with
Stryker common stock. The use of Stryker common stock
represents a non-cash operating activity that is not reflected in
our Consolidated Statements of Cash Flows.
| 2025 | 2024 | 2023 | |||
| Plan expense | $399 | $376 | $327 | ||
| Expense funded with Stryker common stock | 72 | 62 | 57 | ||
| Stryker common stock held by plan: | |||||
| Dollar amount | $763 | $781 | $649 | ||
| Shares (in millions) | 2.2 | 2.2 | 2.2 | ||
| Value as a percentage of total plan assets | 8% | 10% | 10% |
Defined Benefit Plans
Certain of our subsidiaries have both funded and unfunded
defined benefit pension plans covering some or all of their
employees. The majority of our defined benefit pension plans
have projected benefit obligations in excess of plan assets.
Discount Rate
The discount rates were selected using a hypothetical portfolio of
high quality bonds on December 31 that would provide the
necessary cash flows to match our projected benefit payments.
Expected Return on Plan Assets
The expected return on plan assets is determined by applying the
target allocation in each asset category of plan investments to the
anticipated return for each asset category based on historical and
projected returns.
| Components of Net Periodic Pension Cost | |||||
| Net periodic benefit cost: | 2025 | 2024 | 2023 | ||
| Service cost | $(42) | $(39) | $(32) | ||
| Interest cost | (24) | (21) | (23) | ||
| Expected return on plan assets | 22 | 19 | 18 | ||
| Amortization of prior service credit | 2 | 1 | 1 | ||
| Recognized actuarial gain (loss) | (2) | (1) | 4 | ||
| Net periodic benefit cost | $(44) | $(41) | $(32) | ||
| Changes in assets and benefit obligations recognized in OCI: | |||||
| Net actuarial gain (loss) | $93 | $43 | $(67) | ||
| Recognized net actuarial (gain) loss | 2 | 1 | (4) | ||
| Prior service credit and transition amount | (2) | (1) | (1) | ||
| Total recognized in other comprehensive income (loss) | $93 | $43 | $(72) | ||
| Total recognized in net periodic benefit cost and OCI | $49 | $2 | $(104) | ||
| Weighted-average rates used to determine net periodic benefit cost: | |||||
| Discount rate | 2.9% | 2.8% | 3.3% | ||
| Expected return on plan assets | 4.1% | 4.3% | 4.2% | ||
| Rate of compensation increase | 2.9% | 3.0% | 3.0% | ||
| Weighted-average discount rate used to determine projected benefit obligations | 3.6% | 2.9% | 2.8% |
The actuarial gain (loss) for all pension plans was primarily
related to a change in the discount rate used to measure the
benefit obligations of those plans.
Investment Strategy
The investment strategy for our defined benefit pension plans is
to meet the liabilities of the plans as they fall due and to
maximize the return on invested assets within appropriate risk
tolerances.
| 2025 | 2024 | ||
| Fair value of plan assets | $560 | $492 | |
| Benefit obligations | (829) | (782) | |
| Funded status | $(269) | $(290) | |
| Reported as: | |||
| Noncurrent assets—other assets | $72 | $48 | |
| Current liabilities—accrued compensation | (5) | (3) | |
| Noncurrent liabilities—other liabilities | (336) | (335) | |
| Pre-tax amounts recognized in AOCI: | |||
| Unrecognized net actuarial gain (loss) | 101 | 6 | |
| Unrecognized prior service credit | 8 | 8 | |
| Total | $109 | $14 |
| Change in Benefit Obligations | |||
| 2025 | 2024 | ||
| Beginning projected benefit obligations | $782 | $826 | |
| Service cost | 42 | 39 | |
| Interest cost | 24 | 21 | |
| Foreign exchange impact and other | 114 | (52) | |
| Employee contributions | 9 | 7 | |
| Actuarial (gains) losses | (116) | (40) | |
| Benefits paid | (26) | (19) | |
| Ending projected benefit obligations | $829 | $782 | |
| Ending accumulated benefit obligations | $786 | $748 |
| Dollar amounts in millions except per share amounts or as otherwise specified. | 43 |
| STRYKER CORPORATION | 2025 FORM 10-K |
| Change in Plan Assets | |||
| 2025 | 2024 | ||
| Beginning fair value of plan assets | $492 | $485 | |
| Actual return | (3) | 22 | |
| Employer contributions | 23 | 23 | |
| Employee contributions | 9 | 7 | |
| Foreign exchange impact | 60 | (31) | |
| Benefits paid | (21) | (14) | |
| Ending fair value of plan assets | $560 | $492 |
| Allocation of Plan Assets | |||||
| 2026 Target | 2025 Actual | 2024 Actual | |||
| Equity securities | 26% | 32% | 28% | ||
| Debt securities | 41 | 39 | 40 | ||
| Other | 33 | 29 | 32 | ||
| Total | 100% | 100% | 100% |
| Valuation of Plan Assets | ||||
| 2025 | Level 1 | Level 2 | Level 3 | Total |
| Cash and cash equivalents | $16 | $— | $— | $16 |
| Equity securities | 9 | 162 | — | 171 |
| Debt securities | 2 | 230 | — | 232 |
| Other | 4 | 83 | 54 | 141 |
| Total | $31 | $475 | $54 | $560 |
| 2024 | Level 1 | Level 2 | Level 3 | Total |
| Cash and cash equivalents | $17 | $— | $— | $17 |
| Equity securities | 8 | 125 | — | 133 |
| Debt securities | 2 | 203 | — | 205 |
| Other | 4 | 76 | 57 | 137 |
| Total | $31 | $404 | $57 | $492 |
Our Level 3 pension plan assets primarily include guaranteed
investment contracts with insurance companies. The insurance
contracts guarantee us principal repayment and a fixed rate of
return. The $3 decrease in Level 3 pension plan assets is
primarily driven by the change in the corresponding pension
liability. We expect to contribute $24 to our defined benefit
pension plans in 2026.
| Estimated Future Benefit Payments | |||||
| 2026 | 2027 | 2028 | 2029 | 2030 | 2031-2035 |
| $29 | $32 | $33 | $34 | $38 | $223 |
NOTE 13 - SUMMARY OF QUARTERLY DATA (UNAUDITED)
| 2025 Quarters | Mar 31 | Jun 30 | Sep 30 | Dec 31 |
| Net sales | $5,866 | $6,022 | $6,057 | $7,171 |
| Gross profit | 3,744 | 3,841 | 3,852 | 4,628 |
| Earnings before income taxes | 764 | 1,016 | 1,029 | 1,705 |
| Net earnings | 654 | 884 | 859 | 849 |
| Net earnings per share of common stock: | ||||
| Basic | $1.71 | $2.32 | $2.25 | $2.21 |
| Diluted | $1.69 | $2.29 | $2.22 | $2.20 |
| Dividends declared per share of common stock | $0.84 | $0.84 | $0.84 | $0.88 |
| 2024 Quarters | Mar 31 | Jun 30 | Sep 30 | Dec 31 |
| Net sales | $5,243 | $5,422 | $5,494 | $6,436 |
| Gross profit | 3,333 | 3,416 | 3,517 | 4,174 |
| Earnings before income taxes | 923 | 998 | 1,043 | 528 |
| Net earnings | 788 | 825 | 834 | 546 |
| Net earnings per share of common stock: | ||||
| Basic | $2.07 | $2.17 | $2.18 | $1.43 |
| Diluted | $2.05 | $2.14 | $2.16 | $1.41 |
| Dividends declared per share of common stock | $0.80 | $0.80 | $0.80 | $0.84 |
NOTE 14 - SEGMENT AND GEOGRAPHIC DATA
We segregate our operations into two reportable business
segments: (i) MedSurg and Neurotechnology and (ii)
Orthopaedics which aligns to our internal reporting structure and
how our Chief Operating Decision Maker (CODM) assesses
performance and allocates resources. The CODM is the Chief
Executive Officer. The CODM makes decisions on resource
allocation, assesses performance of the business, and monitors
budget versus actual results using segment operating income.
The Corporate and Other category shown in the table below
includes corporate and administration, corporate initiatives and
share-based compensation, which includes compensation related
to employee stock options, restricted stock units and
performance stock unit grants and director stock options and
restricted stock unit grants.
| Segment Results | 2025 | 2024 | 2023 | ||
| MedSurg and Neurotechnology | $15,647 | $13,518 | $12,163 | ||
| Orthopaedics | $9,469 | 9,077 | 8,335 | ||
| Net sales | $25,116 | $22,595 | $20,498 | ||
| MedSurg and Neurotechnology | $5,859 | $5,320 | $4,876 | ||
| Orthopaedics | $2,570 | 2,400 | 2,254 | ||
| Cost of sales | $8,429 | $7,720 | $7,130 | ||
| MedSurg and Neurotechnology | $948 | $784 | $702 | ||
| Orthopaedics | $524 | 540 | 508 | ||
| Segment research, development and engineering expenses | $1,472 | $1,324 | $1,210 | ||
| MedSurg and Neurotechnology | $3,931 | $3,203 | $2,934 | ||
| Orthopaedics | $3,132 | 3,111 | 2,922 | ||
| Segment selling, general and administrative expenses | $7,063 | $6,314 | $5,856 | ||
| MedSurg and Neurotechnology | $237 | $208 | $181 | ||
| Orthopaedics | 423 | 433 | 386 | ||
| Segment depreciation and amortization | $660 | $641 | $567 | ||
| Corporate and Other | 178 | 162 | 139 | ||
| Amortization of intangible assets | 732 | 623 | 635 | ||
| Total depreciation and amortization | $1,570 | $1,426 | $1,341 | ||
| MedSurg and Neurotechnology | $4,672 | $4,004 | $3,470 | ||
| Orthopaedics | 2,820 | 2,591 | 2,265 | ||
| Segment operating income | $7,492 | $6,595 | $5,735 | ||
| Items not allocated to segments: | |||||
| Corporate and Other | $(889) | $(880) | $(780) | ||
| Inventory stepped up to fair value | (173) | (46) | — | ||
| Acquisition and integration-related charges | (335) | (108) | (20) | ||
| Amortization of intangible assets | (732) | (623) | (635) | ||
| Structural optimization and other special charges | (191) | (138) | (170) | ||
| Goodwill and other impairments | (170) | (977) | (36) | ||
| Medical device regulation | (38) | (58) | (96) | ||
| Recall-related matters | (58) | (40) | (18) | ||
| Regulatory and legal matters | (17) | (36) | (92) | ||
| Consolidated operating income | $4,889 | $3,689 | $3,888 |
| Segment Assets and Capital Spending | |||||
| Assets: | 2025 | 2024 | |||
| MedSurg and Neurotechnology | $27,647 | $23,115 | |||
| Orthopaedics | 18,641 | 18,507 | |||
| Total segment assets | $46,288 | $41,622 | |||
| Corporate and Other | 1,556 | 1,349 | |||
| Total assets | $47,844 | $42,971 | |||
| Purchases of property, plant and equipment: | 2025 | 2024 | 2023 | ||
| Orthopaedics | $296 | $230 | $179 | ||
| MedSurg and Neurotechnology | 220 | 276 | 183 | ||
| Total segment purchases of property, plant and equipment | $516 | $506 | $362 | ||
| Corporate and Other | 245 | 249 | 213 | ||
| Total purchases of property, plant and equipment | $761 | $755 | $575 |
We measure the financial results of our reportable segments
using an internal performance measure that excludes acquisition
and integration-related charges, structural optimization and other
special charges, goodwill and other impairments, reserves for
certain product recall matters and reserves for certain legal and
regulatory matters. Identifiable assets are those assets used
exclusively in the operations of each business segment or
allocated when used jointly. Corporate assets are principally
| Dollar amounts in millions except per share amounts or as otherwise specified. | 44 |
| STRYKER CORPORATION | 2025 FORM 10-K |
property, plant and equipment and noncurrent assets.
The countries in which we have local revenue generating
operations have been combined into the following geographic
areas: the United States; Europe, Middle East, Africa; Asia
Pacific; and other foreign countries, which include Canada and
countries in the Latin American region. Net sales are reported
based on the geographic area of the Stryker location where the
sales to the customer originated.
| Geographic Information | |||||||||
| Net Sales | Net Property, Plant and Equipment | ||||||||
| 2025 | 2024 | 2023 | 2025 | 2024 | |||||
| United States | $19,006 | $16,943 | $15,257 | $2,084 | $1,997 | ||||
| Europe, Middle East, Africa | 3,181 | 2,897 | 2,618 | 1,562 | 1,260 | ||||
| Asia Pacific | 2,164 | 2,020 | 1,946 | 97 | 75 | ||||
| Other countries | 765 | 735 | 677 | 133 | 116 | ||||
| Total | $25,116 | $22,595 | $20,498 | $3,876 | $3,448 |
NOTE 15 - ASSET IMPAIRMENTS
During 2025, 2024 and 2023 we recorded impairment charges of
$109, $159 and $36 to write off long-lived and intangible assets
excluding long-lived assets held for sale which included charges
related to certain product line exits.
N****OTE 16 - SALE OF SPINAL IMPLANTS BUSINESS
During the fourth quarter 2024 management committed to a plan
to sell certain assets associated with the Spinal Implants
business (disposal group) and such assets were classified as
held for sale beginning November 2024. As a result we recorded
a valuation allowance of $362 to record the disposal group at its
fair value less cost to sell within goodwill and other impairments
in our Consolidated Statements of Earnings.
In April 2025 we completed the sale of the disposal group to the
Viscogliosi Brothers, LLC. In the first half of 2025 we recognized
immaterial impairment charges to record the disposal group at its
fair value less cost to sell within goodwill and other impairments
in our Consolidated Statements of Earnings. The fair value of the
disposal group and consideration received was measured using a
discounted cash flow analysis based upon the selling price and
unobservable inputs, such as market conditions and the rate
used to discount the estimated future cash flows to their present
value based on factors including the disposal group’s cost of
equity and market yield rates, which are Level 3 inputs.
Consideration could increase by up to $57 or decrease by up to
$245 based on the amount received.
The assets associated with the disposal group are reported in our
Orthopaedics segment at December 31, 2024. The assets and
liabilities held for sale at December 31, 2024 are classified within
prepaid expenses and other current assets and accrued
expenses and other liabilities in our Consolidated Balance
Sheets. The assets and liabilities of the disposal group at the
date of sale and at December 31, 2024 were as follows:
| Held for Sale | ||
| Date of Sale | December 31 | |
| 2025 | 2024 | |
| Accounts receivable, net | $56 | $62 |
| Total inventories | 195 | 183 |
| Prepaid expenses and other current assets | 27 | 10 |
| Property, plant and equipment, net | 53 | 51 |
| Other intangibles, net | 323 | 326 |
| Noncurrent deferred income tax assets | 9 | 9 |
| Other noncurrent assets | 179 | 171 |
| Valuation allowance | (395) | (362) |
| Total assets | $447 | $450 |
| Accounts payable | $41 | $28 |
| Accrued compensation | 20 | 26 |
| Accrued expenses and other liabilities | 24 | 29 |
| Other noncurrent liabilities | 27 | 21 |
| Total liabilities | $112 | $104 |
| Dollar amounts in millions except per share amounts or as otherwise specified. | 45 |
| STRYKER CORPORATION | 2025 FORM 10-K |
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