Portage, Michigan, Jan. 30, 2024 (GLOBE NEWSWIRE) — Stryker (NYSE:SYK) reported operating results for the fourth quarter and full year of 2023:
Fourth Quarter Results
- Reported net sales increased 11.8% to $5.8 billion
- Organic net sales increased 11.4%
- Reported operating income margin of 21.6%
- Adjusted operating income margin(1) increased 60 bps to 27.2%
- Reported EPS increased 102.7% to $2.98
- Adjusted EPS(1) increased 15.3% to $3.46
| Fourth Quarter Net Sales Growth Overview | ||||||||||||||
| Reported | Foreign Currency Exchange | Constant Currency | Acquisitions / Divestitures | Organic | ||||||||||
| MedSurg and Neurotechnology | 12.3 | % | 0.3 | % | 12.0 | % | 0.2 | % | 11.8 | % | ||||
| Orthopaedics and Spine | 11.0 | 0.3 | 10.7 | — | 10.7 | |||||||||
| Total | 11.8 | % | 0.3 | % | 11.5 | % | 0.1 | % | 11.4 | % | ||||
Full Year Results 
- Reported net sales increased 11.1% to $20.5 billion
- Organic net sales increased 11.5%
- Reported operating income margin of 19.0%
- Adjusted operating income margin(1) increased 40 bps to 24.2%
- Reported EPS increased 33.7% to $8.25
- Adjusted EPS(1) increased 13.5% to $10.60
| Full Year Net Sales Growth Overview | ||||||||||||||
| Reported | Foreign Currency Exchange | Constant Currency | Acquisitions / Divestitures | Organic | ||||||||||
| MedSurg and Neurotechnology | 11.5 | % | (0.6) % | 12.1 | % | 0.3 | % | 11.8 | % | |||||
| Orthopaedics and Spine | 10.5 | (0.6) | 11.1 | — | 11.1 | |||||||||
| Total | 11.1 | % | (0.5) % | 11.6 | % | 0.1 | % | 11.5 | % | |||||
“We drove excellent organic sales growth of over 11% in both the fourth quarter and the full year, and delivered strong adjusted earnings,” said Kevin Lobo, Chair & CEO. “It was exciting to surpass $20 billion in sales as we continue to drive high growth. I would like to thank our teams for the strong performance in 2023.”
Sales Analysis
Consolidated net sales of $5.8 billion and $20.5 billion increased 11.8% in the quarter, 11.5% in constant currency, and increased 11.1% in the full year, 11.6% in constant currency. Organic net sales increased 11.4% and 11.5% in the quarter and full year including 10.7% and 10.9% from increased unit volume and 0.7% and 0.6% from higher prices.
MedSurg and Neurotechnology net sales of $3.4 billion and $11.8 billion increased 12.3% in the quarter, 12.0% in constant currency, and increased 11.5% in the full year, 12.1% in constant currency. Organic net sales increased 11.8% and 11.8% in the quarter and full year including 10.1% and 10.2% from increased unit volume and 1.7% and 1.6% from higher prices.
Orthopaedics and Spine net sales of $2.4 billion and $8.7 billion increased 11.0% in the quarter, 10.7% in constant currency, and increased 10.5% in the full year, 11.1% in constant currency. Organic net sales increased 10.7% and 11.1% in the quarter and full year including 11.5% and 11.9% from increased unit volume partially offset by 0.8% and 0.8% from lower prices.
Earnings Analysis
Reported net earnings of $1.1 billion and $3.2 billion increased 103.0% and 34.2% in the quarter and full year. Reported net earnings per diluted share of $2.98 and $8.25 increased 102.7% and 33.7% in the quarter and full year. Reported gross profit margin and reported operating income margin were 63.7% and 21.6% in the quarter and 63.7% and 19.0% in the full year. Reported net earnings include certain items, such as charges for acquisition and integration-related activities, the amortization of purchased intangible assets, structural optimization and other special charges (including asset write-offs and impairments), 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 63.9% in both the quarter and full year, and adjusted operating income margin(1) was 27.2% and 24.2% in the quarter and full year. Adjusted net earnings(1) of $1.3 billion and $4.1 billion increased 15.4% and 13.9% in the quarter and full year. Adjusted net earnings per diluted share(1) of $3.46 and $10.60 increased 15.3% and 13.5% in the quarter and full year.
2024 Outlook
Based on our momentum from 2023, strong procedural volumes, healthy demand for capital products and a stabilizing macro-economic environment, we expect 2024 organic net sales growth(2) to be in the range of 7.5% to 9.0% and expect adjusted net earnings per diluted share(2) to be in the range of $11.70 to $12.00. Based on the steady progress of our pricing actions, we would expect the full year impact of price to be roughly flat. If foreign exchange rates hold near current levels, we anticipate sales will be modestly unfavorably impacted for the full year, being more negative in the first half of the year. We expect adjusted net earnings per diluted share(2) will be negatively impacted by foreign exchange rates approximately $0.05 to $0.10. This is included in our guidance.
(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 sales growth to expected organic net sales growth as we are unable to predict with reasonable certainty and without unreasonable effort the impact and timing of acquisitions and divestitures and the impact of foreign currency exchange rates. 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 structural optimization and other special charges, acquisition-related expenses 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.
Conference Call on Tuesday, January 30, 2024
As previously announced, we will host a conference call on Tuesday, January 30, 2024 at 4:30 p.m., Eastern Time, to discuss our operating results for the quarter and year ended December 31, 2023 and provide an operational update.
Please register for this conference call at: https://www.veracast.com/webcasts/stryker/events/SYK4Q23.cfm. After registering, a confirmation will be sent via email, including dial-in details and unique conference call access codes required for call entry. Registration is open throughout the live call. To ensure you are connected prior to the beginning of the call, we suggest registering a minimum of 15 minutes before the start of the call.
A simultaneous webcast of the call will be accessible via the Investor Relations page of our website at www.stryker.com. For those not planning to ask a question of management, we recommend listening via the webcast. Please allow 15 minutes to register, download and install any necessary software.
Following the conference call, a replay will be available on our website up to one year from the time of the earnings call.
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 law 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, or the anticipation thereof, that could adversely affect the level of demand for our products; geopolitical risks, including from international conflicts and upcoming elections in the United States and other countries, which could, among other things, lead to increased market volatility; pricing pressures generally, including cost-containment measures that could adversely affect the price of or demand for our products; changes in foreign currency exchange markets; legislative and regulatory actions; unanticipated issues arising in connection with clinical studies and otherwise that affect United States Food and Drug Administration approval of new products; inflationary pressures; increased interest rates; supply chain 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; changes in tax laws and regulations; the impact of legislation to reform the healthcare system in the United States or other countries; costs to comply with medical device regulations; changes in financial markets; changes in our credit ratings; 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; our ability to realize anticipated cost savings; potential negative impacts resulting from environmental, social and governance (ESG) and sustainability related matters; the impact on our operations and financial results of any public health emergency and any related policies and actions by governments or other third parties; and breaches or failures of our or our vendors’ information technology systems or products, including by cyber-attack, data leakage, unauthorized access or theft. Additional information concerning these and other factors is contained in our filings with the United States 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 a global leader in medical technologies and, together with our customers, we are driven to make healthcare better. We offer innovative products and services in MedSurg, Neurotechnology, Orthopaedics and Spine that help improve patient and healthcare outcomes. Alongside our customers around the world, we impact more than 150 million patients annually. More information is available at www.stryker.com.
For investor inquiries please contact:
Jason Beach, Vice President, Investor Relations at 269-385-2600 or jason.beach@stryker.com
For media inquiries please contact:
Yin Becker, Vice President, Chief Corporate Affairs Officer at 269-385-2600 or yin.becker@stryker.com
