Stryker reports second quarter 2020 operating results

Kalamazoo, Michigan, July 30, 2020 (GLOBE NEWSWIRE) -- Stryker(NYSE:SYK) reported operating results for the second quarter of 2020:

The response to the COVID-19 pandemic has included unprecedented measures to slow the spread of the virus taken by local governments and health care authorities globally, including the postponement of deferrable medical procedures and social contact restrictions, which have had a significant negative impact on Stryker’s operations and financial results.

Second Quarter Results

  • Reported net sales decreased 24.3% to $2.8 billion
  • Organic net sales decreased 24.0%
  • Reported operating loss margin of (0.7%)
  • Adjusted operating income margin(1) of 12.5%
  • Reported EPS decreased 117.5% to ($0.22)
  • Adjusted EPS(1) decreased 67.7% to $0.64
  Second Quarter Net Sales Growth Overview
  Reported   Foreign Currency Exchange   Constant Currency   Acquisitions   Organic
Orthopaedics (29.9 )%   (0.6 )%   (29.3 )%   %   (29.3 )%
MedSurg (17.3 )   (0.9 )   (16.4 )   0.6     (17.0 )
Neurotechnology and Spine (29.6 )   (0.7 )   (28.9 )   1.0     (29.9 )
Total (24.3 )%   (0.8 )%   (23.5 )%   0.5 %   (24.0 )%

"Our second quarter results were negatively impacted by COVID-19, but I am pleased with the resiliency and creativity that our team displayed in supporting our customers and continuing to advance our new product pipelines," said Kevin A. Lobo, Chairman and Chief Executive Officer. "We were encouraged to see increased sales momentum through the quarter and into July and are poised to capitalize on the broader resumption of deferrable surgeries."

Sales Analysis

Consolidated net sales were significantly negatively impacted by the global response to the COVID-19 pandemic, resulting in lower unit volume across all segments.

Consolidated net sales of $2.8 billion decreased 24.3% in the quarter and 23.5% in constant currency. Organic net sales decreased 24.0% in the quarter including 23.8% from decreased unit volume and 0.2% from lower prices.

Orthopaedics net sales of $0.9 billion decreased 29.9% in the quarter and 29.3% in constant currency. Organic net sales decreased 29.3% in the quarter including 28.1% from decreased unit volume and 1.2% from lower prices.

MedSurg net sales of $1.3 billion decreased 17.3% in the quarter and 16.4% in constant currency. Organic net sales decreased 17.0% in the quarter including 17.2% from decreased unit volume partially offset by 0.2% from higher prices.

Neurotechnology and Spine net sales of $0.5 billion decreased 29.6% in the quarter and 28.9% in constant currency. Organic net sales decreased 29.9% in the quarter including 30.4% from decreased unit volume partially offset by 0.5% from higher prices.

Earnings Analysis

Earnings were significantly negatively impacted by the global response to the COVID-19 pandemic. Reported net earnings (loss) of ($83) million decreased 117.3% in the quarter, including $170 million of charges related to certain in-process asset impairments and product line and other exit costs resulting from our decision to suspend certain investments due to pandemic-related constraints. Reported net earnings (loss) per diluted share of ($0.22) decreased 117.5% in the quarter. Reported gross profit margin and reported operating income (loss) margin were 56.0% and (0.7%) in the quarter. Adjusted gross profit margin(1) and adjusted operating income margin(1) were 57.3% and 12.5%. Adjusted net earnings(1) of $245 million decreased 67.4% in the quarter. Adjusted net earnings per diluted share(1) of $0.64 decreased 67.7% in the quarter.

2020 Outlook

The global response to the COVID-19 pandemic has had, and we expect will continue to have, a significant negative impact on Stryker’s operations and financial results. While we reported overall decreased unit volume in the quarter, most of our businesses saw gradual recoveries in the month of June 2020. Due to the uncertain scope and duration of the pandemic, and uncertain timing of global recovery and economic normalization, we are unable to estimate the overall impacts on our operations and financial results, which could be material. Accordingly, we will not be providing third quarter or full-year organic sales growth or earnings guidance for 2020.

(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 (loss) and operating income (loss) margin, net earnings (loss) and net earnings (loss) per diluted share, and other important information accompanies this press release.

 

Conference Call on Thursday, July 30, 2020

As previously announced, Stryker will host a conference call on Thursday, July 30, 2020 at 4:30 p.m., Eastern Time, to discuss the company's operating results for the quarter ended June 30, 2020 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 1335868 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 Thursday, July 30, 2020, until 11:59 p.m., Eastern Time, on Friday, August 7, 2020. To hear this recording, you may dial (800) 585-8367 (domestic) or (416) 621-4642 (international) and enter conference ID number 1335868.

 

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; the failure to satisfy any of the closing conditions to the acquisition of Wright Medical Group N.V. ("Wright"), including the receipt of any required regulatory clearances (and the risk that such clearances may result in the imposition of conditions that could adversely affect the expected benefits of the transaction); timing of the closing of the acquisition of Wright; unexpected liabilities, costs, charges or expenses in connection with the acquisition of Wright; the effects of the proposed Wright transaction (or the announcement thereof) 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, Communications, Public Affairs and Corporate Marketing at 269-385-2600 or yin.becker@stryker.com

 

STRYKER CORPORATION
For the Three and Six Months June 30
(Unaudited - Millions of Dollars, Except Per Share Amounts)
CONSOLIDATED STATEMENTS OF EARNINGS (LOSS)
               
  Three Months   Six Months
  2020   2019   % Change   2020   2019   % Change
Net sales $ 2,764     $ 3,650     (24.3 )%   $ 6,352     $ 7,166     (11.4 )%
Cost of sales 1,216     1,270     (4.3 )   2,473     2,503     (1.2 )
Gross profit $ 1,548     $ 2,380     (35.0 )%   $ 3,879     $ 4,663     (16.8 )%
% of sales 56.0 %   65.2 %       61.1 %   65.1 %    
Research, development and engineering expenses 233     246     (5.3 )   487     471     3.4  
Selling, general and administrative expenses 1,225     1,282     (4.4 )   2,555     2,685     (4.8 )
Recall charges     117     (100.0 )   (6 )   130         nm
Amortization of intangible assets 110     122     (9.8 )   228     236     (3.4 )
Total operating expenses $ 1,568     $ 1,767     (11.3 )%   $ 3,264     $ 3,522     (7.3 )%
Operating income (loss) $ (20 )   $ 613     (103.3 )%   $ 615     $ 1,141     (46.1 )%
% of sales (0.7 )%   16.8 %       9.7 %   15.9 %    
Other income (expense), net (67 )   (48 )   39.6     (112 )   (96 )   16.7  
Earnings (loss) before income taxes $ (87 )   $ 565     (115.4 )%   $ 503     $ 1,045     (51.9 )%
Income taxes (4 )   85     (104.7 )   93     153     (39.2 )
Net earnings (loss) $ (83 )   $ 480     (117.3 )%   $ 410     $ 892     (54.0 )%
Net earnings (loss) per share of common stock:                      
Basic $ (0.22 )   $ 1.29     (117.1 )%   $ 1.09     $ 2.39     (54.4 )%
Diluted $ (0.22 )   $ 1.26     (117.5 )%   $ 1.08     $ 2.35     (54.0 )%
Weighted-average shares outstanding (in millions):                      
Basic 375.5   373.9       375.1   373.6    
Diluted 375.5   379.5       379.9   379.4    

 

CONDENSED CONSOLIDATED BALANCE SHEETS
  June 30   December 31
  2020   2019
Assets      
Cash and cash equivalents $ 6,539     $ 4,337  
Marketable securities 80     88  
Accounts receivable, net 2,203     2,893  
Inventories 3,442     3,282  
Prepaid expenses and other current assets 537     760  
Total current assets $ 12,801     $ 11,360  
Property, plant and equipment, net 2,527     2,567  
Goodwill and other intangibles, net 13,086     13,296  
Noncurrent deferred income tax assets 1,570     1,575  
Other noncurrent assets 1,499     1,369  
Total assets $ 31,483     $ 30,167  
Liabilities and shareholders' equity      
Current liabilities $ 4,405     $ 4,400  
Long-term debt, excluding current maturities 11,811     10,231  
Income taxes 990     1,068  
Other noncurrent liabilities 1,523     1,661  
Shareholders' equity 12,754     12,807  
Total liabilities and shareholders' equity $ 31,483     $ 30,167  

 

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
  Six Months
  2020   2019
Operating activities      
Net earnings $ 410     $ 892  
Depreciation 163     153  
Amortization of intangible assets 228     236  
Changes in operating assets, liabilities, income taxes payable and other, net 410     (454 )
Net cash provided by operating activities $ 1,211     $ 827  
Investing activities      
Acquisitions, net of cash acquired $ (26 )   $ (260 )
Change in marketable securities, net 8     (3 )
Purchases of property, plant and equipment (253 )   (287 )
Other investing, net (9 )    
Net cash used in investing activities $ (280 )   $ (550 )
Financing activities      
Borrowings (payments) of debt, net $ 1,801     $ (1,335 )
Dividends paid (431 )   (390 )
Repurchases of common stock     (307 )
Other financing, net (82 )   (103 )
Net cash provided by (used in) financing activities $ 1,288     $ (2,135 )
Effect of exchange rate changes on cash and cash equivalents (17 )   (4 )
Change in cash and cash equivalents $ 2,202     $ (1,862 )

nm - not meaningful

 

STRYKER CORPORATION
For the Three and Six Months June 30
(Unaudited - Millions of Dollars)

 

SALES GROWTH ANALYSIS
  Three Months   Six Months
      Percentage Change       Percentage Change
  2020 2019   As Reported   Constant
Currency
  2020 2019   As Reported   Constant
Currency
Geographic:                          
United States $ 1,966   $ 2,695     (27.0 )%   (27.0 )%   $ 4,609   $ 5,274     (12.6 )%   (12.6 )%
International 798   955     (16.5 )   (13.6 )   1,743   1,892     (7.9 )   (4.8 )
Total $ 2,764   $ 3,650     (24.3 )%   (23.5 )%   $ 6,352   $ 7,166     (11.4 )%   (10.6 )%
Segment:                          
Orthopaedics $ 894   $ 1,273     (29.9 )%   (29.3 )%   $ 2,116   $ 2,523     (16.2 )%   (15.4 )%
MedSurg 1,324   1,601     (17.3 )   (16.4 )   2,946   3,128     (5.8 )   (5.0 )
Neurotechnology and Spine 546   776     (29.6 )   (28.9 )   1,290   1,515     (14.8 )   (14.1 )
Total $ 2,764   $ 3,650     (24.3 )%   (23.5 )%   $ 6,352   $ 7,166     (11.4 )%   (10.6 )%

 

SUPPLEMENTAL SALES GROWTH ANALYSIS
  Three Months
              United States   International
      Percentage Change
  2020 2019   As Reported   Constant Currency   As Reported   As Reported Constant Currency
Orthopaedics:                      
Knees $ 241   $ 440     (45.2 )%   (44.7 )%   (44.8 )%   (46.2 )% (44.6 )%
Hips 216   343     (37.1 )   (36.3 )   (35.9 )   (39.2 ) (37.1 )
Trauma and Extremities 330   394     (16.4 )   (15.6 )   (17.8 )   (13.9 ) (11.8 )
Other 107   96     10.2     10.4     21.3     (41.3 ) (40.3 )
  $ 894   $ 1,273     (29.9 )%   (29.3 )%   (28.8 )%   (32.4 )% (30.4 )%
MedSurg:                      
Instruments $ 328   $ 504     (34.8 )%   (34.2 )%   (37.3 )%   (25.1 )% (22.3 )%
Endoscopy 316   480     (34.2 )   (33.7 )   (34.1 )   (34.7 ) (32.4 )
Medical 632   542     16.6     18.4     5.4     60.3   69.1  
Sustainability 48   75     (35.7 )   (35.7 )   (35.7 )       nm          nm
  $ 1,324   $ 1,601     (17.3 )%   (16.4 )%   (22.0 )%   2.1 % 6.8 %
Neurotechnology and Spine:                      
Neurotechnology $ 369   $ 484     (23.8 )%   (23.0 )%   (32.4 )%   (8.1 )% (5.8 )%
Spine 177   292     (39.1 )   (38.7 )   (42.1 )   (29.7 ) (27.8 )
  $ 546   $ 776     (29.6 )%   (28.9 )%   (36.4 )%   (14.4 )% (12.2 )%
Total $ 2,764   $ 3,650     (24.3 )%   (23.5 )%   (27.0 )%   (16.5 )% (13.6 )%

 

  Six Months
              United States   International
      Percentage Change
  2020 2019   As Reported   Constant Currency   As Reported   As Reported Constant Currency
Orthopaedics:                      
Knees $ 673   $ 879     (23.5 )%   (22.8 )%   (22.3 )%   (26.8 )% (24.4 )%
Hips 532   679     (21.7 )   (20.7 )   (20.9 )   (22.9 ) (20.4 )
Trauma and Extremities 722   790     (8.6 )   (7.7 )   (7.5 )   (10.4 ) (8.1 )
Other 189   175     7.7     8.1     16.0     (28.3 ) (26.5 )
  $ 2,116   $ 2,523     (16.2 )%   (15.4 )%   (14.5 )%   (19.8 )% (17.4 )%
MedSurg:                      
Instruments $ 841   $ 965     (12.8 )%   (12.2 )%   (13.7 )%   (9.4 )% (6.3 )%
Endoscopy 771   950     (18.9 )   (18.3 )   (18.7 )   (19.6 ) (16.7 )
Medical 1,219   1,073     13.6     15.0     7.2     37.4   44.3  
Sustainability 115   140     (17.8 )   (17.8 )   (17.7 )   nm nm
  $ 2,946   $ 3,128     (5.8 )%   (5.0 )%   (8.4 )%   4.5 % 8.9 %
Neurotechnology and Spine:                      
Neurotechnology $ 852   $ 953     (10.6 )%   (9.8 )%   (16.5 )%   % 2.4 %
Spine 438   562     (22.0 )   (21.4 )   (24.4 )   (14.2 ) (11.8 )
  $ 1,290   $ 1,515     (14.8 )%   (14.1 )%   (19.7 )%   (4.0 )% (1.6 )%
Total $ 6,352   $ 7,166     (11.4 )%   (10.6 )%   (12.6 )%   (7.9 )% (4.8 )%


 

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; 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 (loss), other income (expense), net, effective income tax rate, net earnings (loss) and net earnings (loss) 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, except for 4.3 million anti-dilutive shares excluded from reported net loss per dilutive share for the three months 2020.

STRYKER CORPORATION
For the Three and Six Months June 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 2020 Gross Profit Selling, General & Administrative Expenses Research, Development & Engineering Expenses Operating Income (Loss) Other income (expense), net Net Earnings (Loss) Effective
Tax Rate
Diluted EPS
Reported $ 1,548   $ 1,225   $ 233   $ (20 ) $ (67 ) $ (83 ) 4.6 % $ (0.22 )
Reported percent net sales 56.0 % 44.3 % 8.4 % (0.7 )% (2.4 )% (3.0 )%    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value 3       3     1   (0.5 )  
Other acquisition and integration-related   (16 )   16     12   (2.0 ) 0.03  
Amortization of purchased intangible assets       110     88   (7.0 ) 0.23  
Restructuring-related and other charges (b) 32   (178 )   209     170   (10.7 ) 0.45  
Medical device regulations (c)     (23 ) 22     18   (2.4 ) 0.05  
Recall-related matters (d)                
Regulatory and legal matters (e)   (5 )   5     6   2.3   0.02  
Tax matters (f)         7   33   30.1   0.08  
Adjusted $ 1,583   $ 1,026   $ 210   $ 345   $ (60 ) $ 245   14.4 % $ 0.64  
Adjusted percent net sales 57.3 % 37.1 % 7.6 % 12.5 % (2.2 )% 8.9 %    

 

Three Months 2019 Gross Profit Selling, General & Administrative Expenses Research, Development & Engineering Expenses Operating Income Other income (expense), net Net Earnings Effective
Tax Rate
Diluted EPS
Reported $ 2,380   $ 1,282   $ 246   $ 613   $ (48 ) $ 480   15.0 % $ 1.26  
Reported percent net sales 65.2 % 35.1 % 6.7 % 16.8 % (1.3 )% 13.2 %    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value 14       14     10   0.3   0.03  
Other acquisition and integration-related   (39 )   39     30   0.6   0.08  
Amortization of purchased intangible assets       122     98   0.9   0.26  
Restructuring-related and other charges (b) 6   (36 )   42     32   0.4   0.08  
Medical device regulations (c) 1     (11 ) 12     9   0.2   0.03  
Recall-related matters (d)       117     106   (1.4 ) 0.28  
Regulatory and legal matters (e)   15     (15 )   (14 ) 0.2   (0.04 )
Tax matters (f)           1   (0.2 )  
Adjusted $ 2,401   $ 1,222   $ 235   $ 944   $ (48 ) $ 752   16.0 % $ 1.98  
Adjusted percent net sales 65.8 % 33.5 % 6.4 % 25.9 % (1.3 )% 20.6 %    

 

Six 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 $ 3,879   $ 2,555   $ 487   $ 615   $ (112 ) $ 410   18.5 % $ 1.08  
Reported percent net sales 61.1 % 40.2 % 7.7 % 9.7 % (1.8 )% 6.5 %    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value 9       9     6   0.2   0.02  
Other acquisition and integration-related   (47 )   47     36   0.7   0.09  
Amortization of purchased intangible assets       228     184   2.4   0.48  
Restructuring-related and other charges (b) 36   (227 )   263     212   2.6   0.56  
Medical device regulations (c) 1     (46 ) 46     36   0.8   0.09  
Recall-related matters (d)       (6 )   (4 ) (0.1 ) (0.01 )
Regulatory and legal matters (e)   (5 )   5     6   (0.4 ) 0.02  
Tax matters (f)         7   58   (10.4 ) 0.15  
Adjusted $ 3,925   $ 2,276   $ 441   $ 1,207   $ (105 ) $ 944   14.3 % $ 2.48  
Adjusted percent net sales 61.8 % 35.8 % 6.9 % 19.0 % (1.7 )% 14.9 %    

 

Six Months 2019 Gross Profit Selling, General & Administrative Expenses Research, Development & Engineering Expenses Operating Income Other income (expense), net Net Earnings Effective
Tax Rate
Diluted EPS
Reported $ 4,663   $ 2,685   $ 471   $ 1,141   $ (96 ) $ 892   14.6 % $ 2.35  
Reported percent net sales 65.1 % 37.5 % 6.6 % 15.9 % (1.3 )% 12.4 %    
Acquisition and integration-related charges (a)                
Inventory stepped-up to fair value 38       38     29   0.3   0.08  
Other acquisition and integration-related   (153 )   153     118   1.2   0.31  
Amortization of purchased intangible assets       236     189   1.1   0.50  
Restructuring-related and other charges (b) 11   (88 )   98     82   0.1   0.21  
Medical device regulations (c) 1     (18 ) 19     15   0.1   0.04  
Recall-related matters (d)       130     116   (0.6 ) 0.31  
Regulatory and legal matters (e)   (10 )   10     5   0.3   0.01  
Tax matters (f)           20   (1.9 ) 0.05  
Adjusted $ 4,713   $ 2,434   $ 453   $ 1,825   $ (96 ) $ 1,466   15.2 % $ 3.86  
Adjusted percent net sales 65.8 % 34.0 % 6.3 % 25.5 % (1.3 )% 20.5 %    

 

(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 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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