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Segment Reporting
9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
SEGMENT REPORTING
NOTE J – SEGMENT REPORTING

We aggregate our core businesses into two reportable segments: MedSurg and Cardiovascular, each of which generates revenues from the sale of medical devices. In accordance with FASB ASC Topic 280, Segment Reporting, we identified our reportable segments based on the nature of our products, production processes, type of customer, selling and distribution methods and regulatory environment, as well as the economic characteristics of each of our operating segments. Our chief operating decision maker (CODM) is our President and Chief Executive Officer.

We measure and evaluate our reportable segments based on their respective net sales, cost of goods sold, selling, general and administrative expenses, research and development expenses, operating income, excluding intersegment profits, and operating income as a percentage of net sales, all based on internally-derived standard currency exchange rates to exclude the impact of foreign currency, which may be updated from year to year. We exclude from segment expenses and segment operating income certain corporate-related expenses and certain transactions or adjustments that our CODM considers to be non-operational, such as amounts related to amortization expense, goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and European Union (EU) Medical Device Regulation (MDR) implementation costs. Although we exclude these amounts from segment expenses and segment operating income they are included in reported Income (loss) before income taxes within our accompanying unaudited consolidated statements of operations and are included in the reconciliation below. The CODM uses segment operating income in the budget and forecasting process and to monitor budget versus actual results, which are used in assessing the performance of the reportable segments and to allocate resources across our reportable segments. Refer to Note K – Revenue for net sales by reportable segment presented in accordance with GAAP.

A reconciliation of sales and operating income for the reportable segments to the applicable line items within our accompanying unaudited consolidated statements of operations is as follows (in millions, except percentages). Prior period amounts have been restated at constant currency to conform to current year presentation.
Three Months Ended September 30, 2025
MedSurg% of net salesCardiovascular% of net salesTotal
Net sales of reportable segments$1,714 $3,327 $5,041 
Impact of foreign currency fluctuations23 
Total net sales5,065 
Segment expenses:
Cost of products sold483 28.2 %930 27.9 %1,413 
Selling, general and administrative expenses531 31.0 %920 27.6 %1,451 
Research and development expenses128 7.5 %337 10.1 %465 
Other segment items(1)
0.3 %0.2 %11 
Segment operating income(2)
566 33.0 %1,135 34.1 %1,701 
Unallocated amounts:
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on operating income of reportable segments(282)
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and EU MDR implementation costs
(146)
Amortization expense(225)
Operating income (loss) 1,048 
Other income (expense), net(110)
Income (loss) before income taxes$939 
Nine Months Ended September 30, 2025
MedSurg% of net salesCardiovascular% of net salesTotal
Net sales of reportable segments$5,027 $9,801 $14,827 
Impact of foreign currency fluctuations(39)
Total net sales14,788 
Segment expenses:
Cost of products sold1,388 27.6 %2,901 29.6 %4,289 
Selling, general and administrative expenses1,557 31.0 %2,695 27.5 %4,252 
Research and development expenses369 7.3 %934 9.5 %1,303 
Other segment items(1)
18 0.4 %18 0.2 %37 
Segment operating income(2)
1,693 33.7 %3,253 33.2 %4,947 
Unallocated amounts:
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on operating income of reportable segments(779)
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and EU MDR implementation costs
(711)
Amortization expense(669)
Operating income (loss) 2,788 
Other income (expense), net(103)
Income (loss) before income taxes$2,685 
Three Months Ended September 30, 2024
MedSurg% of net salesCardiovascular% of net salesTotal
Net sales of reportable segments$1,484 $2,740 $4,224 
Impact of foreign currency fluctuations(14)
Total net sales4,209 
Segment expenses:
Cost of products sold412 27.8 %838 30.6 %1,250 
Selling, general and administrative expenses440 29.7 %791 28.9 %1,231 
Research and development expenses113 7.6 %244 8.9 %357 
Other segment items(1)
(0)0.0 %0.2 %
Segment operating income(2)
518 34.9 %862 31.5 %1,380 
Unallocated amounts:
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on operating income of reportable segments(234)
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and EU MDR implementation costs
(209)
Amortization expense(205)
Operating income (loss) 733 
Other income (expense), net(65)
Income (loss) before income taxes$669 
Nine Months Ended September 30, 2024
MedSurg% of net salesCardiovascular% of net salesTotal
Net sales of reportable segments$4,396 $7,863 $12,259 
Impact of foreign currency fluctuations(73)
Total net sales12,186 
Segment expenses:
Cost of products sold1,193 27.1 %2,500 31.8 %3,694 
Selling, general and administrative expenses1,334 30.3 %2,327 29.6 %3,661 
Research and development expenses335 7.6 %703 8.9 %1,038 
Other segment items(1)
0.2 %14 0.2 %23 
Segment operating income(2)
1,525 34.7 %2,318 29.5 %3,843 
Unallocated amounts:
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on operating income of reportable segments(565)
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and EU MDR implementation costs
(719)
Amortization expense(631)
Operating income (loss) 1,928 
Other income (expense), net(231)
Income (loss) before income taxes$1,697 
(1) Includes royalty expense.
(2) Calculated as Net sales of reportable segments less Segment expenses.

Three Months Ended
September 30,
Nine Months Ended
September 30,
Depreciation expense (in millions)
2025202420252024
MedSurg$29 $27 $84 $79 
Cardiovascular89 75 250 211 
Consolidated depreciation expense$117 $102 $334 $290 

As of
Total assets (in millions)
September 30, 2025December 31, 2024
MedSurg$3,392 $3,093 
Cardiovascular7,799 7,084 
Total assets of reportable segments11,191 10,177 
Goodwill18,214 17,089 
Other intangible assets, net7,162 6,684 
All other corporate assets6,140 5,446 
 $42,707 $39,395 
As of
Long-lived assets (in millions)
September 30, 2025December 31, 2024
U.S.$1,812 $1,461 
Ireland707 631 
Costa Rica593 530 
Other countries683 672 
Property, plant and equipment, net3,795 3,294 
Goodwill18,214 17,089 
Other intangible assets, net7,162 6,684 
Operating lease right-of-use assets in Other long-term assets
495 449 
 $29,665 $27,516