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Stryker reports third quarter 2021 operating results

10/28/2021

Kalamazoo, MI, Oct. 28, 2021 (GLOBE NEWSWIRE) -- Stryker (NYSE:SYK) reported operating results for the third quarter of 2021:

Third Quarter Results

  • Reported net sales increased 11.3% from 2020 and 16.0% from 2019 to $4.2 billion
  • Organic net sales increased 4.5% from 2020 and 8.4% from 2019
  • Reported operating income margin of 13.8%
  • Adjusted operating income margin (1) contracted 260 bps to 25.4%
  • Reported EPS decreased 30.1% to $1.14
  • Adjusted EPS (1) increased 2.8% to $2.20

In addition to sales growth analysis versus 2020, we are including sales growth versus 2019 as 2019 provides a more normal baseline for comparison given the variability caused by the COVID-19 pandemic throughout 2020.

  Third Quarter Net Sales Growth Overview
  From 2020   From 2019
  Reported   Foreign Currency Exchange   Constant Currency   Acquisitions / Divestitures   Organic   Reported   Foreign Currency Exchange   Constant Currency   Acquisitions / Divestitures   Organic
Orthopaedics 16.1  %   0.6  %   15.5  %   17.3  %   (1.8 ) %   21.3  %   1.4  %   19.9  %   17.9  %   2.0  %
MedSurg 9.4      0.5      8.9      0.1      8.8        12.8      0.8      12.0      0.1      11.9   
Neurotechnology and Spine 7.3      0.9      6.4      0.3      6.1        13.7      1.5      12.2      0.4      11.8   
Total 11.3  %   0.6  %   10.7  %   6.2  %   4.5    %   16.0  %   1.2  %   14.8  %   6.4  %   8.4  %


"Our teams showed strong resilience and delivered solid quarterly financial results despite a resurgence of COVID-19 that intensified through the quarter,” said Kevin Lobo, Chair and Chief Executive Officer. “This latest spike mostly impacted our U.S. implant related businesses as scheduled procedures were deferred. Despite those impacts, we delivered strong growth in our MedSurg and NeuroTech businesses and are ready to support our customers as the pandemic recedes."

Sales Analysis Compared to 2020 and 2019

Consolidated net sales of $4.2 billion increased 11.3% in the quarter and 10.7% in constant currency from 2020. Organic net sales increased 4.5% in the quarter including 5.2% from increased unit volume partially offset by 0.7% from lower prices. From 2019 consolidated net sales increased 16.0% in the quarter and 14.8% in constant currency. Organic net sales increased 8.4% in the quarter including 10.6% from increased unit volume partially offset by 2.2% from lower prices.

Orthopaedics net sales of $1.5 billion increased 16.1% in the quarter and 15.5% in constant currency from 2020. Organic net sales decreased 1.8% in the quarter including 1.2% from decreased unit volume and 0.6% from lower prices. From 2019 Orthopaedics net sales increased 21.3% in the quarter and 19.9% in constant currency. Organic net sales increased 2.0% in the quarter including 4.8% from increased unit volume partially offset by 2.8% from lower prices.

MedSurg net sales of $1.8 billion increased 9.4% in the quarter and 8.9% in constant currency from 2020. Organic net sales increased 8.8% in the quarter including 9.6% from increased unit volume partially offset by 0.8% from lower prices. From 2019 MedSurg net sales increased 12.8% in the quarter and 12.0% in constant currency. Organic net sales increased 11.9% in the quarter including 13.4% from increased unit volume partially offset by 1.5% from lower prices.

Neurotechnology and Spine net sales of $0.9 billion increased 7.3% in the quarter and 6.4% in constant currency from 2020. Organic net sales increased 6.1% in the quarter including 6.7% from increased unit volume partially offset by 0.6% from lower prices. From 2019 Neurotechnology and Spine net sales increased 13.7% in the quarter and 12.2% in constant currency. Organic net sales increased 11.8% in the quarter including 14.2% from increased unit volume partially offset by 2.4% from lower prices.

Earnings Analysis Compared to 2020

Reported net earnings of $438 million decreased 29.5% in the quarter. Reported net earnings per diluted share of $1.14 decreased 30.1% in the quarter. Reported gross profit margin and reported operating income margin were 63.5% and 13.8% in the quarter. In the quarter, an impairment charge of $105 million was recorded for certain long-lived and intangible assets resulting from price reductions on our trauma and joint replacement products in China based on the outcome of the regional and national volume-based procurement programs. Reported net earnings include certain items, such as charges for acquisition and integration-related activities, the amortization of purchased intangible assets, restructuring-related and other charges, costs to comply with certain medical device regulations, recall-related matters, regulatory and legal matters and tax matters. Excluding the aforementioned items, adjusted gross profit margin(1) was 66.3% in the quarter, and adjusted operating income margin(1) was 25.4% in the quarter. Adjusted net earnings(1) of $842 million increased 3.7% in the quarter. Adjusted net earnings per diluted share(1) of $2.20 increased 2.8% in the quarter.

2021 Outlook

We continue to monitor and evaluate the impact the global response to the COVID-19 pandemic has had, and will continue to have, on our operations and financial results. Based on third quarter performance, the volatility experienced as a result of COVID as well as the labor and staffing environment in healthcare potentially hindering an accelerated recovery, we now expect 2021 organic net sales growth to be in the range of 7% to 8% from 2019, and now expect adjusted net earnings per diluted share(2) to be in the range of $9.08 to $9.15, including the full year impact of the acquisition of Wright Medical. If foreign currency exchange rates hold near current levels, we expect EPS will be positively impacted by approximately $0.05 to $0.10 for 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 mea sures: 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 exp ected 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-rel ated 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 Consoli dated Statements of Earnings.

Conference Call on Thursday, October 28, 2021

As previously announced, Stryker will host a conference call on Thursday, October 28, 2021 at 4:30 p.m., Eastern Time, to discuss the Company's operating results for the quarter ended September 30, 2021 and provide an operational update.

To participate in the conference call dial (833) 979-2711 (domestic) or (236) 714-2206 (international) and enter passcode 7351349.

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 Thursday, October 28, 2021, until 11:59 p.m., Eastern Time, on Thursday, November 4, 2021. To hear this recording, you may dial (800) 585-8367 (domestic) or (416) 621-4642 (international) and enter passcode 7351349.

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: the impact on our operations and financial results of the COVID-19 pandemic and any related policies and actions by governments or other third parties; unexpected liabilities, costs, charges or expenses in connection with the acquisition of Wright Medical Group N.V. ("Wright"); the effects of the Wright acquisition on the parties' relationships with employees, customers, other business partners or governmental entities; 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, including Wright 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 and realize the anticipated benefits of acquisitions in full or at all or within the expected timeframes, including the acquisition of Wright; 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. We disclaim any intention or obligation to publicly update or revise any forward-looking statement to reflect any change in our expectations or in events, conditions or circumstances on which those expectations may be based, or that affect the likelihood that actual results will differ from those contained in the forward-looking statements.

Stryker is one of the world's leading medical technology companies and, together with 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:

Preston Wells, Vice President, Investor Relations at 269-385-2600 or preston.wells@stryker.com

For media inquiries please contact:

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

STRYKER CORPORATION
For the Three and Nine Months September 30
(Unaudited - Millions of Dollars, Except Per Share Amounts)
CONSOLIDATED STATEMENTS OF EARNINGS
               
  Three Months   Nine Months
  2021   2020   % Change   2021   2020   % Change
Net sales $ 4,160        $ 3,737        11.3    %   $ 12,407        $ 10,089        23.0    %
Cost of sales 1,518        1,276        19.0        4,484        3,749        19.6     
Gross profit $ 2,642        $ 2,461        7.4    %   $ 7,923        $ 6,340        25.0    %
% of sales 63.5    %   65.9    %       63.9    %   62.8    %    
Research, development and engineering expenses 306        242        26.4        904        729        24.0     
Selling, general and administrative expenses 1,602        1,244        28.8        4,682        3,799        23.2     
Recall charges 16              nm   98        (4 )     nm
Amortization of intangible assets 144        114        26.3        474        342        38.6     
Total operating expenses $ 2,068        $ 1,602        29.1    %   $ 6,158        $ 4,866        26.6    %
Operating income $ 574        $ 859        (33.2 ) %   $ 1,765        $ 1,474        19.7    %
% of sales 13.8    %   23.0    %       14.2    %   14.6    %    
Other income (expense), net (79 )     (79 )     —        (241 )     (191 )     26.2     
Earnings before income taxes $ 495        $ 780        (36.5 ) %   $ 1,524        $ 1,283        18.8    %
Income taxes 57        159        (64.2 )     192        252        (23.8 )  
Net earnings $ 438        $ 621        (29.5 ) %   $ 1,332        $ 1,031        29.2    %
Net earnings per share of common stock:                      
Basic $ 1.17        $ 1.66        (29.5 ) %   $ 3.54        $ 2.75        28.7    %
Diluted $ 1.14        $ 1.63        (30.1 ) %   $ 3.48        $ 2.71        28.4    %
Weighted-average shares outstanding (in millions):                      
Basic 377.1   375.7       376.8   375.3    
Diluted 382.7   380.2       382.3   380.0    


CONDENSED CONSOLIDATED BALANCE SHEETS
  September 30   December 31
  2021   2020
Assets      
Cash and cash equivalents $ 2,563      $ 2,943   
Marketable securities 76      81   
Accounts receivable, net 2,817      2,701   
Inventories 3,434      3,494   
Prepaid expenses and other current assets 570      488   
Total current assets $ 9,460      $ 9,707   
Property, plant and equipment, net 2,746      2,752   
Goodwill and other intangibles, net 17,951      18,332   
Noncurrent deferred income tax assets 1,860      1,530   
Other noncurrent assets 2,128      2,009   
Total assets $ 34,145      $ 34,330   
Liabilities and shareholders' equity      
Current liabilities $ 4,449      $ 5,041   
Long-term debt, excluding current maturities 12,629      13,230   
Income taxes 929      990   
Other noncurrent liabilities 1,960      1,985   
Shareholders' equity 14,178      13,084   
Total liabilities and shareholders' equity $ 34,145      $ 34,330   


CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
  Nine Months
  2021   2020
Operating activities      
Net earnings $ 1,332        $ 1,031     
Depreciation 278        247     
Amortization of intangible assets 474        342     
Changes in operating assets, liabilities, income taxes payable and other, net 179        420     
Net cash provided by operating activities $ 2,263        $ 2,040     
Investing activities      
Acquisitions, net of cash acquired $ (226 )     $ (26 )  
Purchases of property, plant and equipment (319 )     (322 )  
Change in marketable securities, net       10     
Other investing, net (5 )     (11 )  
Net cash used in investing activities $ (545 )     $ (349 )  
Financing activities      
Borrowings (payments) of debt, net $ (1,139 )     $ 1,796     
Payments of dividends (713 )     (647 )  
Other financing, net (225 )     (103 )  
Net cash provided by (used in) financing activities $ (2,077 )     $ 1,046     
Effect of exchange rate changes on cash and cash equivalents (21 )        
Change in cash and cash equivalents $ (380 )     $ 2,746     

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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
  2021 2020   As Reported Constant
Currency
  2021 2020   As Reported Constant
Currency
Geographic:                      
United States $ 3,019    $ 2,748      9.9  % 9.9  %   $ 8,903    $ 7,357      21.0  % 21.0  %
International 1,141    989      15.3    12.8      3,504    2,732      28.2    21.1   
Total $ 4,160    $ 3,737      11.3  % 10.7  %   $ 12,407    $ 10,089      23.0  % 21.0  %
Segment:                      
Orthopaedics $ 1,529    $ 1,317      16.1  % 15.5  %   $ 4,641    $ 3,433      35.2  % 33.0  %
MedSurg 1,755    1,600      9.4    8.9      5,124    4,546      12.7    11.2   
Neurotechnology and Spine 876    820      7.3    6.4      2,642    2,110      25.2    22.8   
Total $ 4,160    $ 3,737      11.3  % 10.7  %   $ 12,407    $ 10,089      23.0  % 21.0  %


SUPPLEMENTAL SALES GROWTH ANALYSIS
  Three Months
            United States   International
      Percentage Change
  2021 2020   As Reported Constant Currency   As Reported   As Reported Constant Currency
Orthopaedics:                    
Knees $ 439    $ 435      0.8    % 0.3    %   (3.3 ) %   13.9    % 11.7    %
Hips 328    334      (1.6 )   (2.3 )     (10.6 )     16.7      14.5     
Trauma and Extremities 639    430      49.0      48.2        56.9        33.4      30.9     
Other 123    118      3.4      3.2        (0.2 )     19.4      18.2     
  $ 1,529    $ 1,317      16.1    % 15.5    %   13.6    %   22.4    % 20.2    %
MedSurg :                    
Instruments $ 525    $ 467      11.5    % 10.9    %   12.4    %   7.9    % 5.5    %
Endoscopy 525    467      12.2      11.8        9.9        22.5      20.1     
Medical 636    600      6.1      5.5        9.2        (3.5 )   (6.0 )  
Sustainability 69    66      4.2      4.1        3.9        25.8      19.0     
  $ 1,755    $ 1,600      9.4    % 8.9    %   10.1    %   6.8    % 4.4    %
Neurotechnology and Spine:                    
Neurotechnology $ 594    $ 518      14.7    % 13.6    %   10.6    %   21.4    % 18.5    %
Spine 282    302      (5.4 )   (5.9 )     (8.0 )     1.6      (0.3 )  
  $ 876    $ 820      7.3    % 6.4    %   3.1    %   15.7    % 13.0    %
Total $ 4,160    $ 3,737      11.3    % 10.7    %   9.9    %   15.3    % 12.8    %


 
  Nine Months
            United States   International
      Percentage Change
  2021 2020   As Reported Constant Currency   As Reported   As Reported Constant Currency
Orthopaedics:                    
Knees $ 1,325    $ 1,108      19.5  % 17.8  %   15.8  %   31.0    % 23.6    %
Hips 990    866      14.4    12.1      7.4      27.5      20.9     
Trauma and Extremities 1,953    1,152      69.6    66.5      80.8      48.5      40.2     
Other 373    307      21.6    20.6      11.0      82.2      74.3     
  $ 4,641    $ 3,433      35.2  % 33.0  %   33.6  %   39.1    % 31.6    %
MedSurg :                    
Instruments $ 1,511    $ 1,308      15.4  % 13.9  %   13.9  %   20.9    % 13.8    %
Endoscopy 1,512    1,238      22.1    20.7      18.2      38.4      31.0     
Medical 1,898    1,819      4.4    2.7      7.0      (3.3 )   (9.6 )  
Sustainability 203    181      12.1    12.0      11.6      59.2      48.4     
  $ 5,124    $ 4,546      12.7  % 11.2  %   12.3  %   14.0    % 7.1    %
Neurotechnology and Spine:                    
Neurotechnology $ 1,775    $ 1,370      29.6  % 26.9  %   27.4  %   33.1    % 26.2    %
Spine 867    740      17.1    15.3      12.5      29.5      22.6     
  $ 2,642    $ 2,110      25.2  % 22.8  %   21.5  %   32.2    % 25.2    %
Total $ 12,407    $ 10,089      23.0  % 21.0  %   21.0  %   28.2    % 21.1    %


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
  2021 2019   As Reported Constant
Currency
  2021 2019   As Reported Constant
Currency
Geographic:                      
United States $ 3,019    $ 2,644      14.2  % 14.2  %   $ 8,903    $ 7,918      12.4  % 12.4  %
International 1,141    943      21.0    16.6      3,504    2,835      23.6    18.5   
Total $ 4,160    $ 3,587      16.0  % 14.8  %   $ 12,407    $ 10,753      15.4  % 14.0  %
Segment:                      
Orthopaedics $ 1,529    $ 1,262      21.3  % 19.9  %   $ 4,641    $ 3,785      22.6  % 21.1  %
MedSurg 1,755    1,552      12.8    12.0      5,124    4,680      9.5    8.6   
Neurotechnology and Spine 876    773      13.7    12.2      2,642    2,288      15.5    13.7   
Total $ 4,160    $ 3,587      16.0  % 14.8  %   $ 12,407    $ 10,753      15.4  % 14.0  %


SUPPLEMENTAL SALES GROWTH ANALYSIS
  Three Months
              United States   International
        Percentage Change
  2021 2019   As Reported Constant Currency   As Reported   As Reported Constant Currency
Orthopaedics:                    
Knees $ 439    $ 426      3.0    % 2.0    %   1.2    %   8.4  % 4.5  %
Hips 328    332      (1.1 )   (2.4 )     (5.8 )     7.2    3.5   
Trauma and Extremities 639    407      57.4      55.2        71.1        32.7    27.2   
Other 123    97      26.7      26.1        19.8        61.0    57.0   
  $ 1,529    $ 1,262      21.3    % 19.9    %   22.2    %   19.2  % 14.9  %
MedSurg :                    
Instruments $ 525    $ 452      15.3    % 14.3    %   15.9    %   12.9  % 8.6  %
Endoscopy 525    474      10.8      10.2        10.9        10.1    7.5   
Medical 636    554      14.9      13.9        12.5        24.5    19.5   
Sustainability 69    72      (4.9 )   (5.0 )     (5.3 )     34.5    27.7   
  $ 1,755    $ 1,552      12.8    % 12.0    %   12.0    %   16.3  % 12.3  %
Neurotechnology and Spine:                    
Neurotechnology $ 594    $ 490      21.2    % 19.3    %   12.6    %   36.7  % 31.1  %
Spine 282    283      0.8      (0.3 )     (3.5 )     13.1    8.8   
  $ 876    $ 773      13.7    % 12.2    %   6.2    %   29.8  % 24.6  %
Total $ 4,160    $ 3,587      16.0    % 14.8    %   14.2    %   21.0  % 16.6  %


 
  Nine Months
              United States   International
        Percentage Change
  2021 2019   As Reported Constant Currency   As Reported   As Reported Constant Currency
Orthopaedics:                    
Knees $ 1,325    $ 1,305      1.5    % 0.3    %   0.3    %   5.0  % 0.6  %
Hips 990    1,011      (2.1 )   (3.6 )     (5.8 )     4.4    0.4   
Trauma and Extremities 1,953    1,197      63.2      60.8        77.4        38.0    31.8   
Other 373    272      37.3      36.4        30.4        68.6    63.3   
  $ 4,641    $ 3,785      22.6    % 21.1    %   24.1    %   19.4  % 14.4  %
MedSurg :                    
Instruments $ 1,511    $ 1,417      6.6    % 5.5    %   4.4    %   14.8  % 9.7  %
Endoscopy 1,512    1,424      6.2      5.6        3.8        15.7    12.7   
Medical 1,898    1,627      16.7      15.5        13.1        30.2    24.3   
Sustainability 203    212      (4.4 )   (4.5 )     (4.8 )     31.7    23.3   
  $ 5,124    $ 4,680      9.5    % 8.6    %   6.7    %   20.7  % 16.0  %
Neurotechnology and Spine:                    
Neurotechnology $ 1,775    $ 1,443      23.0    % 20.9    %   14.4    %   38.7  % 32.6  %
Spine 867    845      2.6      1.3        (4.1 )     23.2    17.6   
  $ 2,642    $ 2,288      15.5    % 13.7    %   6.8    %   34.3  % 28.3  %
Total $ 12,407    $ 10,753      15.4    % 14.0    %   12.4    %   23.6  % 18.5  %

Note: Third quarter 2021 had the same number of selling days as 2020 and 2019. The nine months 2021 had one less selling day than 2020 and the same number of selling days as 2019.

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 other income (expense), net; adjusted effective income tax rate; adjusted net earnings; adjusted net earnings per diluted share (Diluted EPS); free cash flow; and free cash flow conversion. We believe these non-GAAP financial measures provide meaningful information to assist investors and shareholders in understanding our financial results and assessing our prospects for future performance. Management believes percentage sales growth in constant currency and the other adjusted measures described above are important indicators of our operations because they exclude items that may not be indicative of or are unrelated to our core operating results and provide a baseline for analyzing trends in our underlying businesses. Management uses these non-GAAP financial measures for reviewing the operating results of reportable business segments and analyzing potential future business trends in connection with our budget process and bases certain management incentive compensation on these non-GAAP financial measures.

To measure percentage sales growth in constant currency, we remove the impact of changes in foreign currency exchange rates that affect the comparability and trend of sales. Percentage sales growth in constant currency is calculated by translating current and prior year results at the same foreign currency exchange rate. To measure percentage organic sales growth, we remove the impact of changes in foreign currency exchange rates, acquisitions and divestitures, which affect the comparability and trend of sales. Percentage organic sales growth is calculated by translating current year results at prior year average foreign currency exchange rates excluding the impact of acquisitions and divestitures. To measure earnings performance on a consistent and comparable basis, we exclude certain items that affect the comparability of operating results and the trend of earnings. To measure free cash flow, we adjust cash provided by operating activities by the amount of purchases of property, plant and equipment and proceeds from long-lived asset disposals and remove the impact of certain legal settlements and recall payments. To measure free cash flow conversion we divide free cash flow by adjusted net 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, other income (expense), net, effective income tax rate, net earnings and net earnings per diluted share, the most directly comparable GAAP financial measures. These non-GAAP financial measures are an additional way of viewing aspects of our operations that, when viewed with our GAAP results and the reconciliations to corresponding GAAP financial measures below, provide a more complete understanding of our business. We strongly encourage investors and shareholders to review our financial statements and publicly-filed reports in their entirety and not to rely on any single financial measure.

The following reconciles the non-GAAP financial measures discussed above with the most directly comparable GAAP financial measures. The weighted-average diluted shares outstanding used in the calculation of non-GAAP net earnings per diluted share are the same as those used in the calculation of reported net earnings per diluted share for the respective period.

STRYKER CORPORATION
For the Three and Nine Months September 30
(Unaudited - Millions of Dollars, Except Per Share Amounts)
Reconciliation of Non-GAAP Financial Measures to the Most Directly Comparable GAAP Financial Measures
Three Months 2021 Gross Profit Selling, General & Administrative Expenses Research, Development & Engineering Expenses Operating Income Other income (expense), net Net Earnings Effective
Tax Rate
Diluted EPS
Reported $ 2,642    $ 1,602      $ 306      $ 574      $ (79 )   $ 438      11.5    % $ 1.14     
Reported percent net sales 63.5  % 38.5    % 7.4    % 13.8    % (1.9 ) % 10.5    %    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value 94    —      —      94      —      73      1.9      0.19     
Other acquisition and integration-related —    (32 )   —      32      —      24      0.8      0.06     
Amortization of purchased intangible assets —    —      —      144      —      114      2.0      0.30     
Restructuring-related and other charges (b) 20    (158 )   —      178      —      165      (2.6 )   0.44     
Medical device regulations (c)   —      (26 )   27      —      23      (0.1 )   0.06     
Recall-related matters (d) —    —      —      16      —      12      0.3      0.03     
Regulatory and legal matters (e) —        —      (7 )   —      (7 )   0.2      (0.02 )  
Tax matters (f) —    —      —      —      —      —      —      —     
Adjusted $ 2,757    $ 1,419      $ 280      $ 1,058      $ (79 )   $ 842      14.0    % $ 2.20     
Adjusted percent net sales 66.3  % 34.1    % 6.7    % 25.4    % (1.9 ) % 20.2    %    


Three Months 2020 Gross Profit Selling, General & Administrative Expenses Research, Development & Engineering Expenses Operating Income Other income (expense), net Net Earnings Effective
Tax Rate
Diluted EPS
Reported $ 2,461    $ 1,244      $ 242      $ 859    $ (79 )   $ 621    20.4    % $ 1.63   
Reported percent net sales 65.9  % 33.3    % 6.5    % 23.0  % (2.1 ) % 16.6  %    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value —    —      —      —    —      —    —      —   
Other acquisition and integration-related —    (29 )   —      29    —      24    0.1      0.07   
Amortization of purchased intangible assets —    —      —      114    —      93    0.4      0.25   
Restructuring-related and other charges (b) —    (29 )   —      29    —      26    (0.1 )   0.06   
Medical device regulations (c) —    —      (13 )   14    —      11    0.1      0.03   
Recall-related matters (d) —    —      —        —        (0.2 )   0.01   
Regulatory and legal matters (e) —    —      —      —    —      —    —      —   
Tax matters (f) —    —      —      —    —      35    (4.6 )   0.09   
Adjusted $ 2,461    $ 1,186      $ 229      $ 1,047    $ (79 )   $ 812    16.1    % $ 2.14   
Adjusted percent net sales 65.9  % 31.7    % 6.1    % 28.0  % (2.1 ) % 21.7  %    


Nine Months 2021 Gross Profit Selling, General & Administrative Expenses Research, Development & Engineering Expenses Operating Income Other income (expense), net Net Earnings Effective
Tax Rate
Diluted EPS
Reported $ 7,923    $ 4,682      $ 904      $ 1,765      $ (241 )   $ 1,332      12.6    % $ 3.48     
Reported percent net sales 63.9  % 37.7    % 7.3    % 14.2    % (1.9 ) % 10.7    %    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value 231    —      —      231      —      176      1.4      0.46     
Other acquisition and integration-related —    (264 )   —      264      —      204      1.4      0.53     
Amortization of purchased intangible assets —    —      —      474      —      378      1.7      0.99     
Restructuring-related and other charges (b) 20    (189 )   —      209      11      198      (0.7 )   0.52     
Medical device regulations (c)   —      (70 )   72      —      60      0.1      0.16     
Recall-related matters (d) —    —      —      98      —      85      (0.1 )   0.22     
Regulatory and legal matters (e) —    16      —      (16 )   (3 )   (19 )   0.2      (0.05 )  
Tax matters (f) —    —      —      —      —      26      (1.8 )   0.07     
Adjusted $ 8,176    $ 4,245      $ 834      $ 3,097      $ (233 )   $ 2,440      14.8    % $ 6.38     
Adjusted percent net sales 65.9  % 34.2    % 6.7    % 25.0    % (1.9 ) % 19.7    %    


Nine Months 2020 Gross Profit Selling, General & Administrative Expenses Research, Development & Engineering Expenses Operating Income Other income (expense), net Net Earnings Effective
Tax Rate
Diluted EPS
Reported $ 6,340    $ 3,799      $ 729      $ 1,474      $ (191 )   $ 1,031      19.6    % $ 2.71   
Reported percent net sales 62.8  % 37.7    % 7.2    % 14.6    % (1.9 ) % 10.2    %    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value   —      —          —          0.1      0.02   
Other acquisition and integration-related —    (76 )   —      76      —      60      0.4      0.16   
Amortization of purchased intangible assets —    —      —      342      —      277      1.0      0.73   
Restructuring-related and other charges (b) 36    (256 )   —      292      —      238      0.8      0.62   
Medical device regulations (c)   —      (59 )   60      —      47      0.3      0.12   
Recall-related matters (d) —    —      —      (4 )   —      (2 )   (0.2 )   —   
Regulatory and legal matters (e) —    (5 )   —          —          (0.2 )   0.02   
Tax matters (f) —    —      —      —          93      (6.6 )   0.24   
Adjusted $ 6,386    $ 3,462      $ 670      $ 2,254      $ (184 )   $ 1,756      15.2    % $ 4.62   
Adjusted percent net sales 63.3  % 34.3    % 6.6    % 22.3    % (1.8 ) % 17.4    %    


(a) Charges represent certain acquisition and integration-related costs associated with acquisitions.
(b) Charges represent the costs associated with the termination of sales relationships in certain countries, workforce reductions, elimination of product lines, certain long-lived asset impairments and associated costs and other restructurin g-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.


Nine Months 2021   2020
Cash provided by operating activities $ 2,263        $ 2,040     
Net earnings 1,332        1,031     
Conversion 169.9    %   197.9    %
       
Cash provided by operating activities $ 2,263        $ 2,040     
Purchases of property, plant and equipment (319 )     (322 )  
Proceeds from long-lived asset disposals       —     
Recall payments 180        13     
Free cash flow $ 2,131        $ 1,731     
Adjusted net earnings 2,440        1,756     
Free cash flow conversion 87.3    %   98.6    %


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Source: Stryker Corporation
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