EX-99.1 2 sykex991earningsq32019.htm EXHIBIT 99.1 Exhibit
Exhibit 99.1

STRYKER REPORTS THIRD QUARTER 2019 OPERATING RESULTS
Kalamazoo, Michigan - October 29, 2019 - Stryker (NYSE:SYK) reported operating results for the third quarter of 2019:
Third Quarter Highlights
Reported net sales increased 10.6% to $3.6 billion
Organic net sales increased 8.6%
Reported operating income margin of 17.5%
Adjusted operating income margin(1) expanded 50 bps to 25.4%
Reported EPS decreased 20.6% to $1.23
Adjusted EPS(1) increased 13.0% to $1.91, at the high end of guidance range
 
Third Quarter Net Sales Growth Overview
 
Reported
 
Foreign Currency Exchange
 
Constant Currency
 
Acquisitions
 
Organic
Orthopaedics
7.8
%
 
(1.0
)%
 
8.8
%
 
—%

 
8.8
%
MedSurg
9.2

 
(0.8
)
 
10.0

 
1.2

 
8.8

Neurotechnology and Spine
19.4

 
(0.8
)
 
20.2

 
12.6

 
7.6

Total
10.6
%
 
(0.9
)%
 
11.5
%
 
2.9
%
 
8.6
%
"We delivered another strong quarter of results, with organic sales growth of 8.6% and adjusted EPS growth of 13%," said Kevin A. Lobo, Chairman and Chief Executive Officer. "We expect this momentum to continue, which positions us well to deliver above the high end of our initial guidance range for both organic sales and adjusted EPS."
Sales Analysis
Consolidated net sales of $3.6 billion increased 10.6% in the quarter and 11.5% in constant currency. Organic net sales increased 8.6% in the quarter including 9.3% from increased unit volume partially offset by 0.7% from lower prices.
Orthopaedics net sales of $1.3 billion increased 7.8% in the quarter and 8.8% in constant currency. Organic net sales increased 8.8% in the quarter including 10.1% from increased unit volume partially offset by 1.3% from lower prices.
MedSurg net sales of $1.6 billion increased 9.2% in the quarter and 10.0% in constant currency. Organic net sales increased 8.8% in the quarter including 9.2% from increased unit volume partially offset by 0.4% from lower prices.
Neurotechnology and Spine net sales of $0.7 billion increased 19.4% in the quarter and 20.2% in constant currency. Organic net sales increased 7.6% in the quarter including 7.8% from increased unit volume partially offset by 0.2% from lower prices.
Earnings Analysis
Reported net earnings of $466 million decreased 21.0% in the quarter. Reported net earnings per diluted share of $1.23 decreased 20.6% in the quarter. Reported gross profit margin and reported operating income margin were 65.0% and 17.5% in the quarter. Adjusted gross profit margin(1) and adjusted operating income margin(1) were 65.7% and 25.4%, an improvement of 50 basis points in the quarter. Adjusted net earnings(1) of $725 million increased 12.8% in the quarter. Adjusted net earnings per diluted share(1) of $1.91 increased 13.0% in the quarter.
2019 Outlook
Based on our performance to date and anticipated strength in the remainder of the year, we now expect 2019 organic net sales growth to be toward the higher end of our previously guided range of 7.5% to 8.0% and expect adjusted net earnings per diluted share(2) to be in the range of $8.20 to $8.25. For the fourth quarter we expect adjusted net earnings per diluted share(2) to be in the range of $2.43 to $2.48. If foreign currency exchange rates hold near current levels, we expect net sales in the fourth quarter and full year will be negatively impacted by approximately 1.0%, and net earnings per diluted share will be negatively impacted by approximately $0.02 in the fourth quarter and $0.15 in the full year.
(1) A reconciliation of the non-GAAP financial measures: adjusted gross profit margin, adjusted operating income and adjusted operating income margin, adjusted net earnings and adjusted net earnings per diluted share, to the most directly comparable GAAP measures: gross profit margin, operating income and operating income margin, net earnings and net earnings per diluted share, and other important information accompanies this press release.
(2) We are unable to present a quantitative reconciliation of our expected net earnings per diluted share to expected adjusted net earnings per diluted share as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of restructuring-related and other charges, acquisition-related expenses and fair value adjustments to inventory and the outcome of certain regulatory, legal and tax matters. The financial impact of these items is uncertain and is dependent on various factors, including timing, and could be material to our Consolidated Statements of Earnings.

1


Conference Call on Tuesday, October 29, 2019
As previously announced, Stryker will host a conference call on Tuesday, October 29, 2019 at 4:30 p.m., Eastern Time, to discuss the company's operating results for the quarter ended September 30, 2019 and provide an operational update.
To participate in the conference call dial (877) 702-4565 (domestic) or (647) 689-5532 (international) and be prepared to provide conference ID number 6039299 to the operator.
A simultaneous webcast of the call will be accessible via the company's website at www.stryker.com. The call will be archived on the Investor Relations page of this site.
A recording of the call will also be available from 8:00 p.m., Eastern Time, on Tuesday, October 29, 2019, until 11:59 p.m., Eastern Time, on Tuesday, November 5, 2019. To hear this recording, you may dial (800) 585-8367 (domestic) or (416) 621-4642 (international) and enter conference ID number 6039299.
Caution Concerning Forward-Looking Statements
This press release contains information that includes or is based on forward-looking statements within the meaning of the federal securities laws that are subject to various risks and uncertainties that could cause our actual results to differ materially from those expressed or implied in such statements. Such factors include, but are not limited to: weakening of economic conditions that could adversely affect the level of demand for our products; pricing pressures generally, including cost-containment measures that could adversely affect the price of or demand for our products; changes in foreign exchange markets; legislative and regulatory actions; unanticipated issues arising in connection with clinical studies and otherwise that affect U.S. Food and Drug Administration approval of new products; potential supply disruptions; changes in reimbursement levels from third-party payors; a significant increase in product liability claims; the ultimate total cost with respect to recall-related matters; the impact of investigative and legal proceedings and compliance risks; resolution of tax audits; the impact of the federal legislation to reform the United States healthcare system; costs to comply with medical device regulations; changes in financial markets; changes in the competitive environment; our ability to integrate acquisitions; and our ability to realize anticipated cost savings. Additional information concerning these and other factors is contained in our filings with the U.S. Securities and Exchange Commission, including our Annual Report on Form 10-K and Quarterly Reports on Form 10-Q.
Stryker is one of the world's leading medical technology companies and, together with its customers, is driven to make healthcare better. The company offers innovative products and services in Orthopaedics, Medical and Surgical, and Neurotechnology and Spine that help improve patient and hospital outcomes. More information is available at www.stryker.com.
For investor inquiries please contact:
Katherine Owen, Vice President, Strategy & Investor Relations at 269-385-2600 or katherine.owen@stryker.com
For media inquiries please contact:
Yin Becker, Vice President, Communications, Public Affairs and Corporate Marketing at 269-385-2600 or yin.becker@stryker.com

2



STRYKER CORPORATION
For the Three and Nine Months September 30
(Unaudited - Millions of Dollars, Except Per Share Amounts)
CONSOLIDATED STATEMENTS OF EARNINGS
 
 
 
 
 
 
 
 
 
Three Months
 
Nine Months
 
2019
 
2018
 
% Change
 
2019
 
2018
 
% Change
Net sales
$
3,587

 
$
3,242

 
10.6
 %
 
$
10,753

 
$
9,805

 
9.7
 %
Cost of sales
1,257

 
1,087

 
15.6

 
3,760

 
3,323

 
13.2

Gross profit
$
2,330

 
$
2,155

 
8.1
 %
 
$
6,993

 
$
6,482

 
7.9
 %
% of sales
65.0
%
 
66.5
%
 
 
 
65.0
%
 
66.1
%
 
 
Research, development and engineering expenses
246

 
221

 
11.3

 
717

 
641

 
11.9

Selling, general and administrative expenses
1,291

 
1,242

 
3.9

 
3,976

 
3,668

 
8.4

Recall charges
49

 
4

 
nm

 
179

 
10

 
nm

Amortization of intangible assets
116

 
112

 
3.6

 
352

 
324

 
8.6

Total operating expenses
$
1,702

 
$
1,579

 
7.8
 %
 
$
5,224

 
$
4,643

 
12.5
 %
Operating income
$
628

 
$
576

 
9.0
 %
 
$
1,769

 
$
1,839

 
(3.8
)%
% of sales
17.5
%
 
17.8
%
 
 
 
16.5
%
 
18.8
%
 
 
Other income (expense), net
(47
)
 
(42
)
 
11.9

 
(143
)
 
(140
)
 
2.1

Earnings before income taxes
$
581

 
$
534

 
8.8
 %
 
$
1,626

 
$
1,699

 
(4.3
)%
Income taxes
115

 
(56
)
 
nm

 
268

 
214

 
25.2

Net earnings
$
466

 
$
590

 
(21.0
)%
 
$
1,358

 
$
1,485

 
(8.6
)%
Net earnings per share of common stock:
 
 
 
 
 
 
 
 
 
 
 
Basic
$
1.24

 
$
1.58

 
(21.5
)%
 
$
3.63

 
$
3.97

 
(8.6
)%
Diluted
$
1.23

 
$
1.55

 
(20.6
)%
 
$
3.58

 
$
3.90

 
(8.2
)%
Weighted-average shares outstanding (in millions):
 
 
 
 
 
 
 
 
 
 
 
Basic
374.2

 
374.1

 
 
 
373.8

 
374.0

 
 
Diluted
380.3

 
380.2

 
 
 
379.8

 
380.4

 
 
CONDENSED CONSOLIDATED BALANCE SHEETS
 
September 30
 
December 31
 
2019
 
2018
Assets
 
 
 
Cash and cash equivalents
$
1,948

 
$
3,616

Marketable securities
88

 
83

Accounts receivable, net
2,438

 
2,332

Inventories
3,269

 
2,955

Prepaid expenses and other current assets
823

 
747

Total current assets
$
8,566

 
$
9,733

Property, plant and equipment, net
2,460

 
2,291

Goodwill and other intangibles, net
12,760

 
12,726

Noncurrent deferred income tax assets
1,586

 
1,678

Other noncurrent assets
1,287

 
801

Total assets
$
26,659

 
$
27,229

Liabilities and shareholders' equity
 
 
 
Current liabilities
$
3,921

 
$
4,807

Long-term debt, excluding current maturities
7,889

 
8,486

Income taxes
1,095

 
1,228

Other noncurrent liabilities
1,439

 
978

Shareholders' equity
12,315

 
11,730

Total liabilities and shareholders' equity
$
26,659

 
$
27,229

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
Nine Months
 
2019
 
2018
Operating activities
 
 
 
Net earnings
$
1,358

 
$
1,485

Depreciation
231

 
223

Amortization of intangible assets
352

 
324

Changes in operating assets and liabilities and other, net
(485
)
 
(468
)
Net cash provided by operating activities
$
1,456

 
$
1,564

Investing activities
 
 
 
Acquisitions, net of cash acquired
$
(281
)
 
$
(770
)
Change in marketable securities, net
(5
)
 
(41
)
Purchases of property, plant and equipment
(450
)
 
(418
)
Net cash used in investing activities
$
(736
)
 
$
(1,229
)
Financing activities
 
 
 
(Payments) borrowings of debt, net
$
(1,348
)
 
$
(13
)
Dividends paid
(585
)
 
(528
)
Repurchases of common stock
(307
)
 
(300
)
Other financing, net
(120
)
 
(110
)
Net cash (used in) provided by financing activities
$
(2,360
)
 
$
(951
)
Effect of exchange rate changes on cash and cash equivalents
(28
)
 
(8
)
Change in cash and cash equivalents
$
(1,668
)
 
$
(624
)

nm - not meaningful

3


STRYKER CORPORATION
For the Three and Nine Months September 30
(Unaudited - Millions of Dollars)
SALES GROWTH ANALYSIS
 
Three Months
 
Nine Months
 
 
Percentage Change
 
 
Percentage Change
 
2019
2018
As Reported
 
Constant
Currency
 
2019
2018
As Reported
 
Constant
Currency
Geographic:
 
 
 
 
 
 
 
 
 
 
 
United States
$
2,644

$
2,381

11.1
%
 
11.1
%
 
$
7,918

$
7,080

11.8
%
 
11.8
%
International
943

861

9.5

 
12.9

 
2,835

2,725

4.0

 
9.6

Total
$
3,587

$
3,242

10.6
%
 
11.5
%
 
$
10,753

$
9,805

9.7
%
 
11.2
%
Segment:
 
 
 
 
 
 
 
 
 
 
 
Orthopaedics
$
1,262

$
1,171

7.8
%
 
8.8
%
 
$
3,785

$
3,615

4.7
%
 
6.5
%
MedSurg
1,576

1,443

9.2

 
10.0

 
4,737

4,325

9.5

 
10.8

Neurotechnology and Spine
749

628

19.4

 
20.2

 
2,231

1,865

19.6

 
21.4

Total
$
3,587

$
3,242

10.6
%
 
11.5
%
 
$
10,753

$
9,805

9.7
%
 
11.2
%
SUPPLEMENTAL SALES GROWTH ANALYSIS
 
Three Months
 
 
 
 
 
 
 
United States
 
International
 
 
 
Percentage Change
 
2019
2018
 
As Reported
 
Constant Currency
 
As Reported
 
As Reported
Constant Currency
Orthopaedics:
 
 
 
 
 
 
 
 
 
 
 
Knees
$
426

$
395

 
7.8
%
 
8.8
%
 
8.9
%
 
4.6
 %
8.4
%
Hips
332

316

 
5.2

 
6.4

 
7.0

 
2.3

5.6

Trauma and Extremities
407

376

 
8.0

 
9.1

 
8.3

 
7.6

10.7

Other
97

84

 
15.8

 
16.3

 
20.3

 
(2.2
)

 
$
1,262

$
1,171

 
7.8
%
 
8.8
%
 
9.2
%
 
4.7
 %
8.0
%
MedSurg:
 
 
 
 
 
 
 
 
 
 
 
Instruments
$
476

$
442

 
7.7
%
 
8.5
%
 
5.8
%
 
15.6
 %
19.4
%
Endoscopy
474

443

 
6.8

 
7.6

 
8.6

 
0.1

4.0

Medical
554

492

 
12.6

 
13.5

 
12.5

 
13.3

17.3

Sustainability
72

66

 
9.7

 
9.7

 
9.2

 
nm

nm

 
$
1,576

$
1,443

 
9.2
%
 
10.0
%
 
9.1
%
 
9.6
 %
13.5
%
Neurotechnology and Spine:
 
 
 
 
 
 
 
 
 
 
 
Neurotechnology
$
488

$
435

 
12.2
%
 
13.1
%
 
10.7
%
 
15.1
 %
17.6
%
Spine
261

193

 
35.3

 
36.2

 
38.2

 
27.6

30.8

 
$
749

$
628

 
19.4
%
 
20.2
%
 
19.9
%
 
18.3
 %
21.0
%
Total
$
3,587

$
3,242

 
10.6
%
 
11.5
%
 
11.1
%
 
9.5
 %
12.9
%
SUPPLEMENTAL SALES GROWTH ANALYSIS
 
Nine Months
 
 
 
 
 
 
 
United States
 
International
 
 
 
Percentage Change
 
2019
2018
 
As Reported
 
Constant Currency
 
As Reported
 
As Reported
Constant Currency
Orthopaedics:
 
 
 
 
 
 
 
 
 
 
 
Knees
$
1,305

$
1,236

 
5.6
%
 
7.2
%
 
7.3
%
 
0.9
 %
6.7
%
Hips
1,011

983

 
2.9

 
4.9

 
5.4

 
(1.3
)
3.9

Trauma and Extremities
1,197

1,152

 
3.9

 
5.7

 
5.4

 
1.3

6.4

Other
272

244

 
11.7

 
12.8

 
12.7

 
7.5

13.0

 
$
3,785

$
3,615

 
4.7
%
 
6.5
%
 
6.7
%
 
0.6
 %
6.0
%
MedSurg:
 
 
 
 
 
 
 
 
 
 
 
Instruments
$
1,474

$
1,292

 
14.2
%
 
15.5
%
 
16.0
%
 
7.5
 %
13.7
%
Endoscopy
1,424

1,335

 
6.6

 
8.0

 
8.2

 
0.7

7.4

Medical
1,627

1,508

 
7.9

 
9.2

 
11.2

 
(3.2
)
2.5

Sustainability
212

190

 
11.7

 
11.8

 
11.2

 
nm

nm

 
$
4,737

$
4,325

 
9.5
%
 
10.8
%
 
11.7
%
 
1.4
 %
7.6
%
Neurotechnology and Spine:
 
 
 
 
 
 
 
 
 
 
 
Neurotechnology
$
1,436

$
1,282

 
12.0
%
 
13.8
%
 
12.6
%
 
11.0
 %
16.0
%
Spine
795

583

 
36.4

 
38.0

 
41.0

 
24.1

30.0

 
$
2,231

$
1,865

 
19.6
%
 
21.4
%
 
22.2
%
 
14.4
 %
19.6
%
Total
$
10,753

$
9,805

 
9.7
%
 
11.2
%
 
11.8
%
 
4.0
 %
9.6
%


4


SUPPLEMENTAL INFORMATION - RECONCILIATION OF GAAP TO NON-GAAP FINANCIAL MEASURES
We supplement the reporting of our financial information determined under accounting principles generally accepted in the United States (GAAP) with certain non-GAAP financial measures, including: percentage sales growth; percentage sales growth in constant currency; percentage organic sales growth; adjusted gross profit; adjusted selling, general and administrative expenses; adjusted research, development and engineering expenses; adjusted operating income; adjusted effective income tax rate; adjusted net earnings; and adjusted net earnings per diluted share (Diluted EPS). We believe that these non-GAAP financial measures provide meaningful information to assist investors and shareholders in understanding our financial results and assessing our prospects for future performance. Management believes percentage sales growth in constant currency and the other adjusted measures described above are important indicators of our operations because they exclude items that may not be indicative of or are unrelated to our core operating results and provide a baseline for analyzing trends in our underlying businesses. Management uses these non-GAAP financial measures for reviewing the operating results of reportable business segments and analyzing potential future business trends in connection with our budget process and bases certain management incentive compensation on these non-GAAP financial measures.
To measure percentage sales growth in constant currency, we remove the impact of changes in foreign currency exchange rates that affect the comparability and trend of sales. Percentage sales growth in constant currency is calculated by translating current and prior year results at the same foreign currency exchange rate. To measure percentage organic sales growth, we remove the impact of changes in foreign currency exchange rates and acquisitions, which affect the comparability and trend of sales. Percentage organic sales growth is calculated by translating current year results at prior year average foreign currency exchange rates excluding the impact of acquisitions. To measure earnings performance on a consistent and comparable basis, we exclude certain items that affect the comparability of operating results and the trend of earnings.
Because non-GAAP financial measures are not standardized, it may not be possible to compare these financial measures with other companies' non-GAAP financial measures having the same or similar names. These adjusted financial measures should not be considered in isolation or as a substitute for reported sales growth, gross profit, selling, general and administrative expenses, research, development and engineering expenses, operating income, effective income tax rate, net earnings and net earnings per diluted share, the most directly comparable GAAP financial measures. These non-GAAP financial measures are an additional way of viewing aspects of our operations that, when viewed with our GAAP results and the reconciliations to corresponding GAAP financial measures below, provide a more complete understanding of our business. We strongly encourage investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.
The following reconciles the non-GAAP financial measures discussed above with the most directly comparable GAAP financial measures. The weighted-average diluted shares outstanding used in the calculation of non-GAAP earnings per share are the same as those used in the calculation of reported earnings per share for the respective period.
STRYKER CORPORATION
For the Three and Nine Months September 30
(Unaudited - Millions of Dollars, Except Per Share Amounts)
Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures
Three Months 2019
Gross Profit
Selling, General & Administrative Expenses
Research, Development & Engineering Expenses
Operating Income
Net Earnings
Effective
Tax Rate
Diluted EPS
Reported 
$
2,330

$
1,291

$
246

$
628

$
466

19.8
 %
$
1.23

Reported percent net sales
65.0
%
36.0
%
6.9
%
17.5
%
13.0
%
 
 
Acquisition and integration-related charges (a)
 
 
 
 
 
 
 
Inventory stepped-up to fair value
17



17

13

0.2

0.03

Other acquisition and integration-related 

(15
)

15

8

0.6

0.02

Amortization of purchased intangible assets 



116

105

(1.5
)
0.28

Restructuring-related and other charges (b)
10

(37
)

48

40

0.1

0.11

Medical device regulations (c)


(15
)
15

13


0.03

Recall-related matters (d)



49

28

2.2

0.07

Regulatory and legal matters (e)

(25
)

25

14

1.2

0.04

Tax matters (f)




38

(6.5
)
0.10

Adjusted 
$
2,357

$
1,214

$
231

$
913

$
725

16.1
 %
$
1.91

Adjusted percent net sales 
65.7
%
33.8
%
6.5
%
25.4
%
20.2
%
 
 

5


Three Months 2018
Gross Profit
Selling, General & Administrative Expenses
Research, Development & Engineering Expenses
Operating Income
Net Earnings
Effective
Tax Rate
Diluted EPS
Reported 
$
2,155

$
1,242

$
221

$
576

$
590

(10.5
)%
$
1.55

Reported percent net sales
66.5
%
38.3
%
6.8
%
17.8
%
18.2
%
 
 
Acquisition and integration-related charges (a)
 
 
 
 
 
 
 
Inventory stepped-up to fair value
(11
)


(11
)
(11
)
0.3

(0.03
)
Other acquisition and integration-related 

(19
)

19

17


0.05

Amortization of purchased intangible assets 



112

92

0.5

0.24

Restructuring-related and other charges (b)
4

(35
)

39

31

0.4

0.08

Medical device regulations (c)


(2
)
2

2



Recall-related matters (d)



4

2

0.1

0.01

Regulatory and legal matters (e)

(66
)

66

50

1.0

0.13

Tax matters (f)




(130
)
24.3

(0.34
)
Adjusted 
$
2,148

$
1,122

$
219

$
807

$
643

16.1
 %
$
1.69

Adjusted percent net sales 
66.2
%
34.6
%
6.7
%
24.9
%
19.8
%
 
 
Nine Months 2019
Gross Profit
Selling, General & Administrative Expenses
Research, Development & Engineering Expenses
Operating Income
Net Earnings
Effective
Tax Rate
Diluted EPS
Reported 
$
6,993

$
3,976

$
717

$
1,769

$
1,358

16.5
 %
$
3.58

Reported percent net sales
65.0
%
37.0
%
6.7
%
16.5
%
12.6
%
 
 
Acquisition and integration-related charges (a)
 
 
 
 
 
 
 
Inventory stepped-up to fair value
55



55

42

0.3

0.11

Other acquisition and integration-related 

(168
)

168

126

1.0

0.33

Amortization of purchased intangible assets 



352

294

0.1

0.78

Restructuring-related and other charges (b)
21

(125
)

146

122

0.1

0.32

Medical device regulations (c)
1


(33
)
34

28

0.1

0.07

Recall-related matters (d)



179

144

0.4

0.38

Regulatory and legal matters (e)

(35
)

35

19

0.5

0.05

Tax matters (f)




58

(3.5
)
0.15

Adjusted 
$
7,070

$
3,648

$
684

$
2,738

$
2,191

15.5
 %
$
5.77

Adjusted percent net sales 
65.7
%
33.9
%
6.4
%
25.5
%
20.4
%
 
 
Nine Months 2018
Gross Profit
Selling, General & Administrative Expenses
Research, Development & Engineering Expenses
Operating Income
Net Earnings
Effective
Tax Rate
Diluted EPS
Reported 
$
6,482

$
3,668

$
641

$
1,839

$
1,485

12.6
%
$
3.90

Reported percent net sales
66.1
%
37.4
%
6.5
%
18.8
%
15.1
%
 
 
Acquisition and integration-related charges (a)
 
 
 
 
 
 
 
Inventory stepped-up to fair value




(4
)
0.2

(0.01
)
Other acquisition and integration-related 

(49
)

49

41


0.11

Amortization of purchased intangible assets 



324

263

0.5

0.69

Restructuring-related and other charges (b)
9

(115
)

124

98

0.3

0.26

Medical device regulations (c)
1


(5
)
5

4


0.01

Recall-related matters (d)



10

7


0.02

Regulatory and legal matters (e)

(121
)

121

92

0.6

0.24

Tax matters (f)




(35
)
2.1

(0.09
)
Adjusted 
$
6,492

$
3,383

$
636

$
2,472

$
1,951

16.3
%
$
5.13

Adjusted percent net sales 
66.2
%
34.5
%
6.5
%
25.2
%
19.9
%
 
 
(a)
Charges represent certain acquisition and integration-related costs associated with acquisitions.
(b)
Charges represent the costs associated with certain restructuring-related activities associated with workforce reductions and other restructuring-related activities.
(c)
Charges represent the costs specific to updating our quality system, product labeling, asset write-offs and product remanufacturing to comply with the medical device reporting regulations and other requirements of the new medical device regulations in the European Union and China.
(d)
Charges represent changes in our best estimate of the minimum end of the range of probable loss to resolve certain recall-related matters.
(e)
Our best estimate of the minimum of the range of probable loss to resolve certain regulatory or other legal matters and the amount of favorable awards from settlements.
(f)
Benefits and charges represent the accounting impact of certain significant and discrete tax items, including adjustments related to the Tax Cuts and Jobs Act of 2017, and the transfer of certain intellectual properties between tax jurisdictions.



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